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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

#161
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…

On the other hand, your PD should not change once you are an adult, outside of major traumatic events.

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

#162

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.

I ordered an optometry kit from Amazon as my prescription changes by the hour most days. Was very interesting to play around and helped me isolate the 2 prescriptions that my eyes drift back and forth from. Something that eye doctors had given up on trying to help me.

Cool, that's a great hacker approach! Fine-tuning like this isn't economical for eye doctors, and 99.5% of the population isn't interested but it will give you the best results.

Just checking because it looks like you're from '79 and talk about drifting vision: you know about presbyopia and accommodation? You might need multi-focals.

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

#163
post #135
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…

There are so many cost barriers to treatments. It's definitely not for patients at this point. For instance, I am supposed to redo my sleep apnea test every so often. But it's out of pocket? Why bother, I know mine is due to my genetics (I'm not overweight). So why am I subjected to reproving my need for a prescription? For eyeglasses, if someone wants to continue the same prescription they can't. It's like healthcar…

> For eyeglasses, if someone wants to continue the same prescription they can't.

What? You don't need a medical prescription to order glasses online. You can put in whatever numbers you want and they'll happily make them.

You'd be an idiot to do so, however, as your vision can change with age.

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

#164
post #128

How much would you pay for: *Hearing test * Hearing aid fitting * Usage counselling * Follow up adjustments * Annual retest of your hearing * Replacement of lost hearing aids * Unlimited repair for 3 years ?? ====== I got out of the Audiology field in 2015. At that time all the above was included for every hearing aid we sold (Prices varied from $750 / ear - $3600 / ear. When I was in that field many companies tried…

I guess one question is: do those things have to cost thousands of dollars? What are the primary cost components? Are the people doing these jobs highly paid? Are they highly paid because of high costs of college tuition? Would free college help lower their costs?

My opinion: do those things have to cost thousands of dollars? --yes and no, costs could come down, but in the lifetime of a hearing aid it could be replaced 3 times or more at no charge to the user.

What are the primary cost components? The primary components are: Microphone {cheap to produce} Receiver (speaker) {cheap to produce} Processing Chip {expensive to R&D, cheap to produce}

Are the people doing these jobs highly paid? Salary in Canada was between $60,000 (diploma) - $100,000 (Doctorate) when I left the industry.

Are they highly paid because of high costs of college tuition? Depends, but after leaving for IT and making more than that with less education - I am unsure if they are "highly paid"

Would free college help lower their costs? I would hope so, but doubt the savings would pass on to the consumer.

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

#165
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…

Evaluating someone's eye for glasses can be done entirely by machine as can manufacturing the glasses themselves. I do not understand why we still force people to spend 5-10 minutes sitting in a chair in a dark room going "better....no...worse...better..."

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

#166
post #135
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…

There are so many cost barriers to treatments. It's definitely not for patients at this point. For instance, I am supposed to redo my sleep apnea test every so often. But it's out of pocket? Why bother, I know mine is due to my genetics (I'm not overweight). So why am I subjected to reproving my need for a prescription? For eyeglasses, if someone wants to continue the same prescription they can't. It's like healthcar…

I'm going through this right now. I know I probably need a cpap machine, so paying $300 out of pocket to rent a stupid device to record my sleep seems like a waste.

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

#167
post #128

How much would you pay for: *Hearing test * Hearing aid fitting * Usage counselling * Follow up adjustments * Annual retest of your hearing * Replacement of lost hearing aids * Unlimited repair for 3 years ?? ====== I got out of the Audiology field in 2015. At that time all the above was included for every hearing aid we sold (Prices varied from $750 / ear - $3600 / ear. When I was in that field many companies tried…

So your argument in favour of socializing this is that people tend not behave optimally, in your view? This seems like a poor reason. Let the people who fall victim to their biases suffer the consequences, don't impose the cost of holding their hands on those who are capable of managing themselves.

It was not an argument, but a statement.

If one model (pay as you go) causes harm to the whole industry (people know believe hearing aids do not work) then why would the industry continue?

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

#168
post #135

Earlier quoted context omitted.

There are so many cost barriers to treatments. It's definitely not for patients at this point. For instance, I am supposed to redo my sleep apnea test every so often. But it's out of pocket? Why bother, I know mine is due to my genetics (I'm not overweight). So why am I subjected to reproving my need for a prescription? For eyeglasses, if someone wants to continue the same prescription they can't. It's like healthcar…

> For eyeglasses, if someone wants to continue the same prescription they can't. What? You don't need a medical prescription to order glasses online. You can put in whatever numbers you want and they'll happily make them. You'd be an idiot to do so, however, as your vision can change with age.

You certainly do for contacts. I have to order mine from the UK because all the US websites require prescriptions.

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

#169
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.

Life pro hack - look out for "free eye tests" - get the prescription and walk out without a purchase. Something like 90% of market is captured by Luxotica hence 4x price when compared with online.

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

#170
post #128

How much would you pay for: *Hearing test * Hearing aid fitting * Usage counselling * Follow up adjustments * Annual retest of your hearing * Replacement of lost hearing aids * Unlimited repair for 3 years ?? ====== I got out of the Audiology field in 2015. At that time all the above was included for every hearing aid we sold (Prices varied from $750 / ear - $3600 / ear. When I was in that field many companies tried…

Same in The Netherlands, and you don't pay out of pocket for those either in most cases. It also makes a lot of sense for an insurer if you think about it: people that are able to sense their surroundings reasonably well might be less likely to get into accidents causing that to then cost a lot of money. From an ethics standpoint it also makes sense to be in a society that aims to give people a good standard of living. Someone slowly loses the ability to listen to music for example might have a harder time enjoying life if music was an important part for them, that might cause various forms of distress which can turn into 'expensive' treatment for that.

Some people argue that ethics have nothing to do with it, but if that were the case, highly expensive insurances would be mandatory, and payouts would be zero since business-wise that makes a lot of money without being ethically encumbered.

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