XP medical created the A+ line as a direct response to abena being cheapened up.
Confidry24/7 redesigned and enhanced their line as a direct resuly to Molicare super being discontineued.
Northshore Supreme started their line as a direct result to there being almost no other good diapers being out there.
All three are strictly medically orientated (though also DL aware). True they don't have the same marketing force with caregivers, but we are hardly seeing the death of plastic backed diapers. It's just shifting from one manufacturer to another.