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Hearing Aid Business Under Pressure From Consumer Electronics
HughPickens.com writes: There's good news for aging Americans who may have damaged their hearing by attending one too many rock concerts when they were young. Andrew Pollack writes at the NYT that the consumer electronics industry is encroaching on the hearing aid business, offering products that are far less expensive and available without the involvement of audiologists or other professionals. The new devices are forcing a re-examination of the entire system for providing hearing aids, which critics say is too costly and cumbersome, hindering access to devices vital for the growing legions of older Americans. "The audiology profession is obviously scared, for good reason, right now," says Abram Bailey.
Hearing aids cost an average of nearly $2,400 each, or close to $5,000 a pair, according to a White House advisory group, and Medicare does not pay for them, nor do most insurers. By contrast, the consumer devices are not regulated and sell for a few hundred dollars apiece, at most. Hearing aid manufacturers say that diagnosing and treating hearing loss is too complex for consumers to do using consumer devices, without the aid of a professional. But sound amplifiers have been around for years and they are growing in sophistication, taking advantage of signal processing chips developed for phones, Bluetooth headsets and computers. The devices include the Smart Listening System from Soundhawk, which sells at $400 for a single ear; the Bean from Etymotic Research, at $300; the CS50+ from Sound World Solutions at $350; and the Crystal Ear from NeutronicEar, at $545. "To me it was a reasonable investment to experiment with," says Ira Dolich, 81, who bought the Soundhawk device, which he can adjust by himself using his smartphone. "I've been pretty pleased with it," he said.
Hearing aids cost an average of nearly $2,400 each, or close to $5,000 a pair, according to a White House advisory group, and Medicare does not pay for them, nor do most insurers. By contrast, the consumer devices are not regulated and sell for a few hundred dollars apiece, at most. Hearing aid manufacturers say that diagnosing and treating hearing loss is too complex for consumers to do using consumer devices, without the aid of a professional. But sound amplifiers have been around for years and they are growing in sophistication, taking advantage of signal processing chips developed for phones, Bluetooth headsets and computers. The devices include the Smart Listening System from Soundhawk, which sells at $400 for a single ear; the Bean from Etymotic Research, at $300; the CS50+ from Sound World Solutions at $350; and the Crystal Ear from NeutronicEar, at $545. "To me it was a reasonable investment to experiment with," says Ira Dolich, 81, who bought the Soundhawk device, which he can adjust by himself using his smartphone. "I've been pretty pleased with it," he said.
Congress will be banning cheap hearing devices. That's the American way.
The world's burning. Moped Jesus spotted on I50. Details at 11.
I've been saying this for years but no one ever listens to me.
Analog is still better. Lots of older people complain the digital hearing aids suck even after tweaking and all that. I have had my (fir/1)st digital bone conduction hearing aid since last summer. I hate it. :(
Ant(Dude) @ Quality Foraged Links (AQFL.net) & The Ant Farm (antfarm.ma.cx / antfarm.home.dhs.org).
Hearing aid manufacturers say that diagnosing and treating hearing loss is too complex for consumers to do using consumer devices, without the aid of a professional.
So we're too stupid to say, "yep, putting this amplifier in my ear makes me hear better"?? These charlatans need to be put out of business.
A lot of the "consumer devices" nowadays have very poor audio quality.
So what? If you can pay $200 for a hearing test, $200 for a consumer aid, and have a bad consumer aid that works for $400 instead of NOT BEING ABLE TO PAY FOR a high-quality hearing aid, it's still a net win for you and for society as a whole.
I believe this is because diagnosis is important.
Just stuffing an amplifier in your ear is problematic.
Conductive hearing loss can (and should be) medically or surgically corrected, where possible, rather than just amplifying the input noises.
Sensorineural hearing loss are cause by problems in the cochlea and inner ear. This type of hearing loss can result in "band pass" loss, and in the most profound cases, is treatable with implants, if there is still functional cochlear structure. You don't want to treat it with amplification, since you don't want to amplify the bands in which there is no loss, since you'll cause damage there. Tinnitus generally falls into this bucket as well (your *really* do not want to amplify within the bands where you have that!).
Mixed hearing loss is a combination of the first two; it's typically cause by overpressure, such as being near a load explosion or other structurally damaging event that results in both conductive and sensorineural deficits.
A CAPD (Central Auditory Processing Disorder) hearing loss means that the mechanical system are generally intact, but that the information processing doesn't happen within the brain. IT's like having an audio processing system, and yanking the DSP out of it.
Personally, if I had partial damage, I'm going to spend the money on the expensive hearing aides. If I have some function, there's no reason to cook it by amplifying the frequencies that are actually getting through, rather than those which are not.
And even if you amplify only the frequencies that are getting mechanically dropped -- assuming it's conductive loss from damage, scar tissue, etc. -- you should be careful of harmonics, since those frequencies can additively lead to a problem as well.
Put it another way.... say you needed an artificial arm ...would you probably wouldn't run down to the nearest street fair and buy a "Toysmith 6135 Galaxy Grabber Robot Claw", merely because it was a cheaper commercially available alternative.
The days of just an amplifier are pretty well long gone. The best ones do a number of things:
1) Multi-band compression. Compression is reducing the difference between the highest and lowest sounds, and a multi-band compressor does it different amounts for different frequency ranges. Basically an advanced kind f equalization that levels things out, which helps you hear quiet stuff but not get overwhelmed by loud stuff.
2) Frequency remapping. For hardcore cases of high frequency hearing loss those frequencies can be remapped to lower, still audible frequencies.
3) Microphone steering. The mics can steer in on conversation and reject background noise pretty effectively. This makes things much more audible in most situations for most people.
4) Device interfacing. Hearing aids can automatically work with most land lines and cellphones. It isn't via their mic, they do it via induction and so on.
In particular the first two are the ones you tend to need an audiologist for. You get someone to measure your hearing and see where you are deficient and how much, and then design compression curves to counteract that as best as possible.
That doesn't mean the devices couldn't and shouldn't be cheaper, but there's a reason for a professional to be involved.
Yes, diagnosis can be very important. I learned that during a year-long stint calibrating audiometers and tympanometers in the offices of both hearing instrument practitioners and audiologists. I also learned that some tests are very short and rudimentary; most often these are what customers get at the 'blow it out the door' hearing aid places. Most audiololgists, (and the good, competent HIP's), do in-depth testing that can diagnose problems and potential problems that might otherwise not be found.
So, in short, I agree with everything you said, and you know a lot more about hearing loss than I do. I also know that there's a degree of sophistication in modern hearing aids that simply can't be had really cheaply, both because of manufacturing costs, and because of a significant amount of original research - even in materials science.
Having said that, I still have a strong impression that hearing aids are very much over-priced. And I know that the testing equipment, (audiometers in particular), are also very over-priced. The whole industry is ripe for some major disruption, and I suspect the encroachment of cheap consumer devices is only the thin edge of the wedge.
'The Economy' is a giant Ponzi scheme whose most pitiable suckers are the youngest among us and the yet-unborn.
I recently helped an elderly family member get tested, fitted, etc for hearing aids at an audiology office. Sure, it seems like a lot of money. But the $2,400 covers the hearing aid for three years of whatever you might happen to do to it. That breaks down to $800 per year, or less than $70 per month (per ear). That's less than a cable bill, and less than what most people - even elderly drivers - spend on gas for their cars for a month.
That said, there is one health care plan that does cover hearing aids 100% that I am aware of - the VA. I know several people who have gotten their hearing aids for free through them and they've been very happy with it.
Several health insurance plans also offer a small rebate to the customer after they purchase them. The same elderly family member I mentioned before got $500 back from these, and is eligible to do that every 3 years. While I'm not in need of them myself I believe my health insurance plan has a similar arrangement.
Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
When the issue is loss of hearing at a specific frequency (common for industrial damage, where a gear running at a specific frequency was heard all day long, and caused loss at that one useful frequency, and the aid re-maps around that hole, rather than running as a pure amp. But for the 80+ year old crowd, they have 2-5 years left, so amping it up improves their quality of life for most of it. Yes, it'll eventually cause full loss, but so does death.
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But wait... these are being used as medical devices! You can't make them better and cheaper over time, the government regulators say so!!!
I do hope this was intended as a joke, because I have grown rather tired of hearing the geek talk like a quack when the subject turns to medicine.
Top 10 Supply Items by Total Spend - January 2015 Tracks 10 supply items, often known as ''physician preference items,'' based on total amount spent on those items during the month by hospitals and other provider organizations.
Aging ears tend to lose response to different frequencies at different rates. (presbycusis) The expensive earphones try to tailor the audio response to match an individual's specific hearing loss pattern. Some folks may actually need that. It's far from clear to me that a simple tone and volume control pair of controls wouldn't be more than adequate for a lot of us elderly.folks.
You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey