Not so sure what’s premium about them the only thing I can seem to find is the tapes are good but absorption is rubbish and it all clumps round your backside
Seems the entire non-AB/DL adult diaper industry is crapping out. Twenty years back, Molicares were the premium go-to diaper out there. Even Attends have gone, so to say, “down the toilet”. 
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That’s because 20 years ago there was nothing better available. I have a molicare from 12 years ago in my closet still. As far as I can tell, the new ones are basically unchanged since then aside from being blue now instead of purple.
I agree that they clump some when wet, but I like them for a good day-time diaper; discreet, and moderately absorbent, and I like the blue color.
The main driving factor for medical diapers right now seems to be “low cost”, while the main driving factor for ABDL products has gone from “high performance” to “fun new looks”. (fortunately while retaining the high performance) Lets face it, we’re willing to pay for better products. (although a big driving force for “low cost” is the hospitals and insurance companies trying to cut corners)
If anything, there’s almost too many different models on the market right now. They’re about out of ideas for new designs. Look at all the dinosaurs we’re seeing, and how fast they all popped up at once. They all say “oooo new idea! pounce”