The USA has some of the highest per capita healthcare costs in the world. These high expenses limit access and sometimes contribute to poorer overall health outcomes. Additionally, excessive medical waste harms the environment, which can further impact public health. In contrast, low- and middle-income countries add value to healthcare by reusing medical equipment as a cost-effective strategy to improve access and reduce the environmental footprint. However, reusing orthopedic equipment also comes with its own set of challenges and costs. The current chapter explores both the value and the drawbacks of reusing orthopedic equipment and examines potential solutions to overcome barriers to its broader adoption.