Porterville Recorder

Over-the-counter hearing aids music to Americans’ ears

- BY SALLY C. PIPES Sally C. Pipes is president, CEO, and Thomas W. Smith fellow in healthcare policy at the Pacific Research Institute.

Millions of Americans may soon be able to hear a bit easier. The Food and Drug Administra­tion just announced a new rule that would permit over-the-counter sales of hearing aids.

This move to liberalize the market for hearing aids is an unmitigate­d piece of good news. It recognizes patients should have greater control over the care they receive. And it promises to increase competitio­n in the market for hearing aids, saving consumers money and expanding access in the process.

Half of seniors over the age of 75 have what the National Institutes of Health classifies as “disabling hearing loss.” Younger adults can struggle with their hearing, too. The NIH says around 14 percent of Americans aged 20-69 have some level of hearing loss.

At present, a person needs a prescripti­on to get a hearing aid. That’s limited access to — and the potential market for — hearing aids.

These supply restrictio­ns have elevated the prices of hearing aids. Profession­ally fitted devices seldom cost less than $1,000, and sometimes more than $6,000 — about 17 percent of the U.S. median income.

For the average senior, the outlook is even grimmer. The most expensive hearing aids would strip them of 22 percent of their annual income.

It’s no wonder, then, many people who would benefit from hearing aids go without. Nearly 60 percent of people over 55 who have hearing loss don’t use them. And more than three-quarters of those who do have the cash for hearing aids say they’re still too expensive.

Shifting to an over-the-counter model would erase one of the chief barriers to getting a hearing aid — the need for a prescripti­on from a doctor or audiologis­t. By expanding the potential customer base for hearing aids, it could induce manufactur­ers to enter the space — and reduce prices for consumers.

A possible preview of what’s ahead — speaker and headphone manufactur­er Bose already sells over-the-counter hearing aids. They cost $850 – much less than the thousands of dollars prescripti­on hearing aids can cost today.

Scrapping regressive FDA regulation­s on hearing devices also opens up the possibilit­y for even more innovation. Imagine the possibilit­ies. Wireless headphones that double as hearing aids, or hearing aids that connect with a smartwatch.

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