From SAS, the Men's VTO Walking Shoes feature:  leather upper SAS CoolSTEP™ foot bed combined with a perforated design on the upper makes VTO a great Medicare and Diabetic approved shoe with enough ventilation to prevent heat under foot.The bottom layer wicks away moisture while cushioning each step. Coolstep™ footbeds are antibacterial and washable for a healthy foot environment SAS odor-resistant Tripad® Technology lend additional support to the three primary pressure points of the foot: inside ball, outside ball and heel. Added-depth allows plenty of room for the toes to spread out SAS EZ Strap™: Two adjustable straps allow you to customize the fit and feel of the shoe to your foot. Approx 1.375" heel height Medicare Approved: This style has met the standards set by Medicare. Please see your doctor for details and qualifications Made in the USA.