Essentially, you have to keep maintaining and adjusting the pressure chamber to get the right pressure for the correct operation of the two check valves. This means it is not a set it and forget it.
I bought a solar pump to replace it and it's run amazingly well for over a decade and I doubt I would ever go back to a ram pump unless it was truly the only option.
[0] https://www.researchgate.net/profile/Max-Pawlick/publication...