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I would think that our index fingers with LeapMotion would act like a mouse click, but that does not seem to be the case.

I'm using XP11 and have had success with the newer models, but older models, that do allow mouse clicks, don't seem to respond with LeapMotion.

Am I missing something, or is that really something that's just not in the default setup?

Sounds normal. Many aircraft to not work very well or at all unfortunately.