LifestyleThe Surprising Reason Why Over-the-Counter Hearing Aids Aren't Flying Off the Shelves

The Surprising Reason Why Over-the-Counter Hearing Aids Aren’t Flying Off the Shelves

Are consumer tech devices the key to convincing millions of adults in the U.S. with hearing loss to get hearing aids?

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Published Dec 27, 2023 10:00 AM EST

Hearing aids on table

Today’s hearing aids are a technological marvel—tiny, lightweight, and often lasting a full day without charging. Halfdark/fStop, Getty Images

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This article was originally featured on Undark.

When Frank Lin was in junior high, his grandma started wearing hearing aids. During dinner conversations, she was often painfully silent, and communicating by phone was nearly impossible. As a kid, Lin imagined “what her life would be like if she wasn’t always struggling to communicate.”

It was around that time that Lin became interested in otolaryngology, the study of the ears, nose, and throat. He would go on to study to be an ENT physician, which, he hoped, could equip him to help patients with similar age-related hardships.

Those aspirations sharpened during his residency at Johns Hopkins University School of Medicine in the late 2000s. Administering hearing tests in the clinic, Lin noticed that his colleagues had vastly different reactions to the same results in young versus old patients. If mild deficits showed up in a kid, “it would be like, ‘Oh, that hearing is critically important,’” said Lin, who today is the director of the Cochlear Center for Hearing and Public Health at Hopkins. But when they saw that same mild to moderate hearing loss in a 70-something patient, many would downplay the findings.

Yet today, research increasingly suggests that untreated hearing loss puts people at higher risk for cognitive decline and dementia. And, unlike during Lin’s early training, many patients can now do something about it: They can assess their own hearing using online tests or mobile phone apps, and purchase over-the-counter hearing aids, which are generally more affordable their predecessors and came under regulation by the Food and Drug Administration in October 2022.

Despite this expanded accessibility, interest in direct-to-consumer hearing devices has lagged thus far—in part, experts suggest, due to physician inattention to adult hearing health, inadequate insurance coverage for hearing aids, and lingering stigma around the issue. (As Lin put it: “There’s always been this notion that everyone has it as you get older, how can it be important?”) Even now, hearing tests aren’t necessarily recommended for individuals unless they report a problem.

Today, research increasingly suggests that untreated hearing loss puts people at higher risk for cognitive decline and dementia.

Meanwhile, interest has surged in other consumer audio products that are less expensive than most hearing aids and have features that may help with mild hearing loss: wearable devices like Apple’s AirPods and Sony’s LinkBuds. And this fall, the Consumer Technology Association, a trade group representing the $505 billion U.S.

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