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Starkey and the Future of Hearing Aids

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21–30 of 51 posts

Re: Starkey and the Future of Hearing Aids

#21

Wow the guy admits that hearing aids were inexpensive and simple while they charged $2,500 for them. I want super hearing and I want to control it from my phone. Waiting on Silicon Valley or China to make it happen.

They are expensive due to regulation as medical devices.

So you can buy them cheaply online from low-regulation countries? Or those with broad black markets?

Re: Starkey and the Future of Hearing Aids

#22
post #16

Wow the guy admits that hearing aids were inexpensive and simple while they charged $2,500 for them. I want super hearing and I want to control it from my phone. Waiting on Silicon Valley or China to make it happen.

Check out Bose Hearphones. Not cheap at $499, but less than $2,500. https://www.bose.com/en_us/products/wellness/conversation_en...

I have used a pair of those in an extraordinarily loud bar. One of those places where you have to stand two feet away from each other and yell. I’m pretty deaf, but it was the other people asking me to repeat. I was understanding them fairly well. I get similar reports from other users.

Re: Starkey and the Future of Hearing Aids

#23
post #12
post #11

I'm using hearing aids for almost 8 years. This is just PR. What I'm looking for is a new company that disrupts all these companies. I've paid around $5K for one pair (Oticon) and it's just insane how much they cost. Bose tries to break the market with their "Hearphones", which costs $500, but it's not in the same league as the current HA brands (Oticon, Phonak, Resound, Starkey, etc...). There is tons of opportunity…

I'm convinced that the real reason why hearing aids remain so expensive is because of the need to see an audiologist. In a day and age where Shenzhen makes hardware iteration cheap for Chinese hardware companies, it makes very little sense for the hearing aids themselves to be so expensive. I'd love to hack on mine, but I lack the hardware setup that connects the hearing aids to a computer for programming, not to men…

> why hearing aids remain so expensive is because of the need to see an audiologist.

A bit like the need to see an optometrist to get glasses. When I was in Beijing a few years ago I went to the glasses district (basically a few buildings all in the same area that are floor-upon-floor of eye glass shops)... I was able to get a thorough exam from the salesman, and had a custom made pair of glasses in a couple hours for under $50US.

Re: Starkey and the Future of Hearing Aids

#24

Wow the guy admits that hearing aids were inexpensive and simple while they charged $2,500 for them. I want super hearing and I want to control it from my phone. Waiting on Silicon Valley or China to make it happen.

They are expensive due to regulation as medical devices.

They are expensive because of the rent-seeking cartel that adds more dubious features while gradually raising the price. Even MDHearingAid, which started under $500, with a stated policy of serving a wide market at a low price, recently added one more microphone and doubled their price. They keep sending me offers of $50 off, if I buy two. Got greedy, like the rest.

Re: Starkey and the Future of Hearing Aids

#25
post #11

I'm using hearing aids for almost 8 years. This is just PR. What I'm looking for is a new company that disrupts all these companies. I've paid around $5K for one pair (Oticon) and it's just insane how much they cost. Bose tries to break the market with their "Hearphones", which costs $500, but it's not in the same league as the current HA brands (Oticon, Phonak, Resound, Starkey, etc...). There is tons of opportunity…

Not an audiologist, but an engineer/musician with some mild hearing loss and some interest in these things.

What needs to happen to bring the prices down is a unified prescription for hearing aids, like we have with eyeglasses. You can get your eye exam, request your prescription, and take it anywhere you want -- Costco, Zenni, or your local shop. That facilitates apples-to-apples competition.

There's nothing like that with hearing aids. Each company's aids need to be fitted with that company's software, and if you want to switch to a different brand, you need to go through the fitting process all over again. You can get a copy of your audiogram, but that doesn't capture everything that goes into a hearing aid fitting. What the manufacturers do is provide different fitting profiles for different types of losses (old-age loss, noise-induced loss, cookie bite loss, and so forth) and then tweak from there. You can't just take your profile from one manufacturer and move it to another.

For a comprehensive hearing aid prescription, you'd need to know exactly how much conductive loss you have at each critical band of hearing (https://en.wikipedia.org/wiki/Bark_scale). Additionally, you need to know how much loudness recruitment (nonlinear increase of perceived loudness in response to linear increase of sound intensity) you have at each band. The problem is that right now, it's prohibitive to measure all that -- you'd be in the silent room pushing buttons in response to beeps for hours. I'm hoping that eventually, AI can help with that by taking over that manual work and allowing for more fine-grained audiometric data. Rather than trying to build noise cancelling, etc. into the hearing aids themselves, maybe we can provide accurate enough prescriptions so that the brain gets the information it needs to do the processing itself just like it does for a non-hearing-impaired person.

Re: Starkey and the Future of Hearing Aids

#26
post #4

Nice PR piece :) We need dramatic improvement in battery capacity to put machine learning in hearing aid, it's far away

The article suggests any ML is happening in the paired smartphone, though it doesn't give details. I doubt there's enough room or cooling in the hearing aid itself, let alone battery.

The smartphone just switches modes and adjusts the volume. AFAICT these modern hearing aids are doing something like dynamic EQ, based on frequency level detection. The programs that dynamically adjust the EQ levels are trained on test material and then the audiologist or the user can switch between programs and adjust the levels based on the user's hearing response curve.

So what happens in real time on the device is fairly simple.

AFAICT - someone please correct me if they know otherwise.

Re: Starkey and the Future of Hearing Aids

#27
post #11

I'm using hearing aids for almost 8 years. This is just PR. What I'm looking for is a new company that disrupts all these companies. I've paid around $5K for one pair (Oticon) and it's just insane how much they cost. Bose tries to break the market with their "Hearphones", which costs $500, but it's not in the same league as the current HA brands (Oticon, Phonak, Resound, Starkey, etc...). There is tons of opportunity…

Fellow HA wearer here - close on 25 years now. I agree that disruption in manufacturing is important, but I also think there are a few other areas that could use disruption. First, remove the stigma of hearing aids and hearing loss. It's not an old person's thing, and it's not something you have to hide. For me, they are glasses for my ears. That cost thousands of dollars. I want options. I want colors. I want "Ray B…

I say only half facetiously, make them look like AirPods. It’s considered perfectly normal to have one or two in your ears much of the time.

Re: Starkey and the Future of Hearing Aids

#28
post #12
post #11

I'm using hearing aids for almost 8 years. This is just PR. What I'm looking for is a new company that disrupts all these companies. I've paid around $5K for one pair (Oticon) and it's just insane how much they cost. Bose tries to break the market with their "Hearphones", which costs $500, but it's not in the same league as the current HA brands (Oticon, Phonak, Resound, Starkey, etc...). There is tons of opportunity…

I'm convinced that the real reason why hearing aids remain so expensive is because of the need to see an audiologist. In a day and age where Shenzhen makes hardware iteration cheap for Chinese hardware companies, it makes very little sense for the hearing aids themselves to be so expensive. I'd love to hack on mine, but I lack the hardware setup that connects the hearing aids to a computer for programming, not to men…

The problem is that patients don't always know what is supposed to sound right, especially if they've been going without hearing aids for years. If you take a person with a high-frequency loss and correct it to the normal range, they'll often complain that everything sounds sharp, or there are too many noises and it's hard to concentrate. Only after wearing them for a while does their brain learn to filter out the normal environmental sounds and adjust to the "new normal".

Re: Starkey and the Future of Hearing Aids

#30
post #11

I'm using hearing aids for almost 8 years. This is just PR. What I'm looking for is a new company that disrupts all these companies. I've paid around $5K for one pair (Oticon) and it's just insane how much they cost. Bose tries to break the market with their "Hearphones", which costs $500, but it's not in the same league as the current HA brands (Oticon, Phonak, Resound, Starkey, etc...). There is tons of opportunity…

Fellow HA wearer here - close on 25 years now. I agree that disruption in manufacturing is important, but I also think there are a few other areas that could use disruption. First, remove the stigma of hearing aids and hearing loss. It's not an old person's thing, and it's not something you have to hide. For me, they are glasses for my ears. That cost thousands of dollars. I want options. I want colors. I want "Ray B…

Agreed on both counts. Wearing hearing aids for essentially my whole life I've been made fun of for it maybe once or twice, and that did suck, but there's so much more stigma in an oticon pamphlet than I've ever experienced in real life. It definitely feels like a pitch aimed at older people who are in denial about losing their hearing, no matter how many pictures of teens chatting in a circle they put in there. Matching colors, assurances that they're unnoticeable, the implication that you need hearing aids to be "normal" (true-ish for me, but still not appreciated), and so on.

Insurance is a joke. Every private insurance plan I've ever had, even my current otherwise decent one, has paid a total of 0% for anything HA-related. And it's not just the hearing aids themselves, it's the tests and the followups and the fittings and on and on. It really adds up. Iirc medicaid actually had decent coverage, but I wasn't paying for it at the time so I don't know have numbers.

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