Earlier quoted context omitted.
It's because it's a medical device. The OTC Hearing Aid Act will change that so Bose (and I would guess Samsung and Apple in the future) can sell hearing aids directly to consumers. Bluetooth 5.2 LE Audio will solve the vendor lock-in. So the future looks bright for us with hearing loss. Edit: And with iOS 14 you can use AirPods Pro as hearings aids by adding an audiogram to the Apple Health app. Works really well.
There is a hearing aid app called Fennex that seems to be very highly rated. It works with any IPhone running iOS 11 or later (thus less expensive IPhones) and works with any Bluetooth earbuds, not necessarily the AirPods Pro (thus less expensive earbuds). I have never owned an IPhone, but this app seriously tempts me to buy one.
Edit: I am not an Apple guy but needed some cheap AF development hardware.