You're right. I bought a $250 Leopold FC660C to combat repetitive strain injury, because my doctor said to minimize the distance between the home row and my mouse pad. But most less-expensive 60% ("ten key-less") boards either lack arrow keys or have obnoxious, loud switches. These weren't feasible because I use arrow keys all the time for Visual Studio and I work in open-office hell. The Leopold has quiet Topre switches.

I'd buy a $15 keyboard in a heartbeat if it wouldn't hurt my wrists. But for me, the Leopold is a medical device. I would have paid twice as much for it, which has nothing to do with the key switches at all.

In fact, I did pay 2x for it because I bought one for my home system as well.