From SAS, the Men's Ambassador Lace-Up Oxfords feature:  leather upper SAS Foot-Shape® Last: This special last follows the natural shape of your foot, providing all-day comfort while giving plenty of room for your toes. TRIPAD® Technology: Comfort system that provides shock-absorption and support to the three main pressure points of the foot: inside ball, outside ball and heel. Leather-Covered SAS Contoured Foot Bed: The removable SAS Contoured Everbounce™ Footbed is made of molded polyurethane and designed to fit and support the contours of your foot while cushioning each step. Cushion Outsole: Superior Polyurethane material is durable, flexible, and provides long lasting cushion for all day comfort. Medicare Approved: This style has met the standards set by Medicare. Please see your doctor for details and qualifications. Approx 1.375" heel height Made in the USA