Bob, Apparently you still don’t understand. Most parents, like Carina below, do try a variety of things before turning to diapers as a last resort when nothing else works. The loud alarm may work but do children usually wet at the same time every night? Most alarms are designed to wake the child up while he is still wetting, and thereby teach the association of wetting with waking up. Would waking up to an alarm before wetting teach the same association? I have read that getting a child up to use the bathroom may be counter-productive if the child is not awake enough to manage the procedure by himself. Encouraging a child to pee when he is not really awake can teach him that it’s ok to pee while he is asleep. Medications work for many kids but not all, and some parents might choose diapers anyway for economic reasons. The DDAVP that I use would cost about $140 for a 30-day supply without insurance, compared to about $30 for diapers. Some lower income families without insurance might not be able to afford the extra $100 or so per month. Diapers can be an effective tool to manage bedwetting if properly used. There should be no forcing a child to wear them or using them as punishment, no teasing, shaming, or any references to baby or infantile behavior, and no sitting around in a diaper for an hour or two before bed or in the morning. And the child should take responsibility for putting on and removing his own diaper as soon as he is capable. If used properly, and the child understands that the only purpose of the diaper is to keep the bed dry, there should be very little chance of developing an attachment to them. Your suggestion that a child receive 50 cents if he wakes up and lose 25 cents if he doesn’t is itself a form of punishment-reward system and should not be used. Taking something away, or even withholding something that was anticipated, is a form of punishment that should never be used for behavior that the child cannot control.