Wow, you must have one hell of an easy life if a safety vest is as bad as "hassles" get for you. Get a vest, i promise you the hassle of wearing it will be WAYYYY better than the hassle of blisters on your hands from propelling your wheelchair. The hunters that fall and die make the news, the ones that live the rest of their days in a wheelchair are far more numerous. The around-the-waist belts are notorious for breaking the spine when your weight flops your body in half and the slakc of the rope runs out. And, everyone thinks they are enough of an athlete to handle a fall and get back to your ladder/steps...until you're hanging upside down with a rope around your waist.