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It's a simple metal tube (reusable). Just because it's niche doesn't mean it'll cost a bomb.
A lot of disabled people who need straws have difficulties controlling their muscles, so a metal straw is a good way to break their teeth, the same goes for wood and other hard straws. Paper straws are also unusable for them, as they break too quickly, and silicone straws are too floppy. Plastic straws really are the only suitable option for them.
Agave straws might be a sweet spot - they behave like plastic straws but are biodegradable.
That's awesome!
BTW, just to make it clear; I'm not saying "Yay plastic, plastic is the only way!". I am saying that the current alternatives aren't suitable for all cases.
Personally, as a (mostly) able-bodied person, I carry reusable silicone straws with me.
It will in the USA once insurance companies classify it as a medical device and doctors offices start billing them $500 for a straw they'll negotiate down to $200 and now we're paying $40 per straw after insurance
That is unrelated to normal straw usage, though. They can at any time declare that they need "medical straws", define that only certified companies can provide them, and then demand hundreds of Dollars for them. I would not be surprised if this was already happening somewhere.
Now I hope the people affected by this hoard straws. We live in a weird world.