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The FDA wants you to be able to buy a hearing aid without a prescription

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Re: The FDA wants you to be able to buy a hearing aid without a prescription

#81
post #71
post #55

There are a number of healthcare areas in the US that have been protected by regulation, but it’s increasingly unclear if this is good for patients, consumers, or public health at large. The increasing sentiment seems to be probably not. Vision care is another area I’d expect to see more changes and disruption coming down the pipeline. Vision care is very important and advanced cases require special skills, but it’s…

One pretty big (and relatively unknown) law is that your doctor needs to give you your vision prescription so you can buy glasses elsewhere (usually for much cheaper). I think a lot of them get around this by letting you look for glasses while waiting and not telling you that this law exists.

They also get around it by first handing you a prescription that doesn't have your pupillary distance noted. It's such a passive-aggressive bullshit move.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#82
post #62

Earlier quoted context omitted.

* I had an optometrist only give me a prescription for glasses, even though I indicated I wear contact lenses on my intake form and was wearing them at the appointment! When I realised a few days later after being denied trying to buy contacts with a glasses prescription, the optometrist said I would have to come in again and pay for a full consultation (out of pocket as my insurance only covers one per year). * I've…

>I now just buy contacts online from Europe or New Zealand. I would love to do that, could you share which vendors you use?

I usually just search for "contact lenses EU", check they ship to US (most will list this in their FAQ) and pick the cheapest.

Looking through my email receipts, I've used:

lenstore.co.uk

visiondirect.co.uk

contactsexpress.ca

specsavers.co.nz

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#83

Contact lenses next? It's amazingly stupid that I, as a tourist, who knows exactly what types of contacts I need, may need to get a US prescription for contacts.

For the commenters asking: this applies to contact lenses, not eye glasses. From the Contact Lens Rule [1]: "a contact lens seller cannot provide contact lenses to its customer unless the seller either obtains a copy of the prescription or verifies the prescription information with the prescriber" The Eyeglass Rule [2] doesn't contain this stipulation. https://www.ftc.gov/enforcement/rules/rulemaking-regulatory-... h…

Many states have that rule though.

In California, for example, you can't buy prescription glasses without an active prescription.

I found this out when my glasses broke on the weekend and couldn't get replacements before talking to a doctor -- none of which had availability for several days. So I suffered from headaches and poor vision for several days thanks to this ridiculous regulation.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#84
post #71
post #55

There are a number of healthcare areas in the US that have been protected by regulation, but it’s increasingly unclear if this is good for patients, consumers, or public health at large. The increasing sentiment seems to be probably not. Vision care is another area I’d expect to see more changes and disruption coming down the pipeline. Vision care is very important and advanced cases require special skills, but it’s…

One pretty big (and relatively unknown) law is that your doctor needs to give you your vision prescription so you can buy glasses elsewhere (usually for much cheaper). I think a lot of them get around this by letting you look for glasses while waiting and not telling you that this law exists.

The bigger issue is that a prescription alone is not enough to order new glasses, you also need pupillary distance measurements in order to ensure the lenses are ground correctly. Many many optometrists will not provide these, only the legally obligated prescription. While for most people who have minimum prescriptions you can use a phone app or similar to get a rough PD, for anyone with serious prescriptions even minute variations in PD can prevent proper vision correction.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#85
post #84
post #71

Earlier quoted context omitted.

One pretty big (and relatively unknown) law is that your doctor needs to give you your vision prescription so you can buy glasses elsewhere (usually for much cheaper). I think a lot of them get around this by letting you look for glasses while waiting and not telling you that this law exists.

The bigger issue is that a prescription alone is not enough to order new glasses, you also need pupillary distance measurements in order to ensure the lenses are ground correctly. Many many optometrists will not provide these, only the legally obligated prescription. While for most people who have minimum prescriptions you can use a phone app or similar to get a rough PD, for anyone with serious prescriptions even mi…

If an industry’s strategy to keep itself alive is keeping the distance between your eyes a closely protected secret… the end appears near.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#86
Does this relate in any way to us getting cheaper hearing aids?

A pair of bluetooth streaming rechargable ones is about $3000. With Transparency mode and the latest software for AirPod pros, you can adjust the frequency distribution, and get what seem to be servicable hearing aids for $250.

What I'd like is proper (medical) assessment and fitting, but of cheaper commodity aids that are much much better made with better apps than most of those on the market now.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#87
post #79
post #55

There are a number of healthcare areas in the US that have been protected by regulation, but it’s increasingly unclear if this is good for patients, consumers, or public health at large. The increasing sentiment seems to be probably not. Vision care is another area I’d expect to see more changes and disruption coming down the pipeline. Vision care is very important and advanced cases require special skills, but it’s…

Not sure why vision checks require a doctor at all. In the end, they're just relying on your responses anyway: "What's better: A or B"? In fact, I'd go further and say it doesn't even require another person. I, for one, am glad to see this bill.

Vision checks have also changed a lot in the last five years or so. I have a pretty strong prescription and always used to do rounds of reading charts and "A or B", and now there's a machine that scans my eyes and gets it very close to right, with an adjustment or two at the end.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#88

Earlier quoted context omitted.

How are optometrists supposed to make money if they don't sell you services and glasses from their showroom?

They charge for the eye exam.

That's the break even, those optometrist tools aren't cheap and that's to get you in the door. The real money comes from frames and contact sales.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#89

Earlier quoted context omitted.

For the commenters asking: this applies to contact lenses, not eye glasses. From the Contact Lens Rule [1]: "a contact lens seller cannot provide contact lenses to its customer unless the seller either obtains a copy of the prescription or verifies the prescription information with the prescriber" The Eyeglass Rule [2] doesn't contain this stipulation. https://www.ftc.gov/enforcement/rules/rulemaking-regulatory-... h…

Many states have that rule though. In California, for example, you can't buy prescription glasses without an active prescription. I found this out when my glasses broke on the weekend and couldn't get replacements before talking to a doctor -- none of which had availability for several days. So I suffered from headaches and poor vision for several days thanks to this ridiculous regulation.

Interesting, I thought I had bought glasses in a CA Warby Parker store without a prescription.

Maybe it's a Tesla-style showroom thing where you look at the frames in store but technically buy the glasses online.

Re: The FDA wants you to be able to buy a hearing aid without a prescription

#90
post #79
post #55

There are a number of healthcare areas in the US that have been protected by regulation, but it’s increasingly unclear if this is good for patients, consumers, or public health at large. The increasing sentiment seems to be probably not. Vision care is another area I’d expect to see more changes and disruption coming down the pipeline. Vision care is very important and advanced cases require special skills, but it’s…

Not sure why vision checks require a doctor at all. In the end, they're just relying on your responses anyway: "What's better: A or B"? In fact, I'd go further and say it doesn't even require another person. I, for one, am glad to see this bill.

>require a doctor

Just a note, but optometrists are "doctors" (because optometry is a doctoral degree), but not doctors in the colloquial sense, ie people with MDs who work in hospitals.

Ophthalmologists are the MDs that specialize in eye disease, and are the ones that treat infection and do surgery.

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