Patients with hearing loss — and a Georgia rep — caught in political fight

Durkhy Haque’s kids won’t tell her when they’re arguing. But her hearing aids will.

Hearing aids help millions of people connect to their families and the world, but they come at a price. Legislation making its way through Congress aims to reduce that price for perhaps millions of customers.

But the legislation has spurred bitter political ads against some of its supporters, including Georgia U.S. Rep. Buddy Carter. In a head-turning development, the conservative congressman is under attack from a free-market group for what he sees as a free-market position supporting the bill.

Caught in the middle are patients who must pay a staggering price for the devices. While a new smartphone with all its technology advances may cost $700, as of 2015 hearing aids in the U.S. cost on average $2,300 — for one aid, for one ear.

Haquea 40-year-old mother from Lilburn, got a spectacular deal on hers at $700. But there was a catch. She spent two years searching for ones she could afford, meeting with different audiologists and researching products. For those two years she went without adequate hearing.

She applied to a Georgia hearing aid charity and was told she made too much money in her job as an employment specialist for an organization that serves the hard of hearing. Insurance didn’t cover the devices; it rarely does.

Now, she said, “I pay a monthly payment plan. But again, it’s worth it to me.”

With hearing aids she knows birds are singing and music’s playing. She can hear planes overhead and be more alert when walking alone in a park.

Haque knows the eventual federal legislation may not apply to her level of hearing loss, and she doesn’t have a position on the bill. But she does think more people should have access to hearing aids.

Groups such as the AARP and the Academy of Doctors of Audiology think the federal bill would be a step in that direction.

The bill would create a new “over-the-counter” class of hearing aids. They would still require Food and Drug Administration approval for quality, but they would no longer require dispensing by a licensed professional. In effect, they could be bought over the internet.

Not all patients could buy them, probably only those with low or moderate hearing loss.

Free-market or free-for-all?

Right now, there are two classes of aids. “Hearing aids” must be approved for quality by the FDA and dispensed by a hearing professional such as a doctor or audiologist. “Personal sound amplification products,” or PSAPs, are over-the-counter. Not only are hearing aids regulated by the FDA, but equally importantly, each state has requirements about selling them.

Industry representatives say there’s an important reason for such requirements: insuring that the sophisticated devices are calibrated by professionals to the user’s individual hearing.

But that requirement has also galvanized activists who say that the regulation often has an unfriendly side effect.

“You find the doctors that have exclusive rights (to dispense hearing aids) will have contracts with a manufacturer to sell their particular model,” said Sam Hammond, an analyst at the free-market Niskanen Center. “That’s why they’re so expensive.”

That alone might drive up prices and deflate competition to improve hearing technology. But in addition, he added, it discourages entering the market “because when you go to market you find there’s 50 different states and 50 different regimes.”

Industry representatives replied that the majority of the cost of a hearing aid goes to the professional who fits it to the patient — which ought to be done anyway to protect the patient, whether there’s a contract or not.

“As a business leader, I believe competition is the cornerstone of capitalism and propels each hearing aid manufacturer to produce the best product possible,” Brandon Sawalich, the chairman of the Hearing Industries Association, said in an email. Sawalich is president of Starkey Hearing Technologies, one of the few hearing aid manufacturers.

Sawalich said legislation to sell hearing aids over the counter may help some customers, but only those with mild hearing loss.

If it’s also opened up to those with moderate hearing loss as the legislation proposes, he said, people may get inadequate hearing aids. In that case, he added, “consumers may abandon their effort to address hearing loss altogether, putting them at increased risk of long-term complications of untreated hearing loss.”

Forgoing help

It’s not an unfounded concern. But it’s outweighed by the potential to get those people help, said Andrew Scholnick, a lobbyist for the AARP. Researchers estimate that 80 percent of people ages 55 to 74 who would benefit from hearing aids don’t wear them.

“There’s certainly the potential of somebody buying the wrong hearing aid,” Scholnick said. “But we think if they do, they could say this is the wrong hearing aid, and it might set them up to see a hearing health professional.”

Free-market groups who oppose the legislation as written do so from a very different standpoint than Sawalich’s. They are concerned it will expand regulation: that some PSAPs could be moved into a new category sought by the bill and suddenly be subject to regulation.

There is a deep split among the free-market groups, and some have taken brutal aim at Carter.

Although the U.S. House Energy and Commerce Committee voted for the legislation unanimously, Carter was targeted as a hypocrite. A commercial funded by a group that lobbies for limited government called Frontiers of Freedom blasts Carter because the legislation is also backed by liberal Massachusetts U.S. Sen. Elizabeth Warren. “We expect these bait-and-switch tactics from Elizabeth Warren,” the ad says. “Not Buddy Carter.”

Carter said it’s “ludicrous” to suggest he would work in conjunction with Warren.

“I’m happy to hear that she supports free-market principles,” he said. “I think there’s hope for her. She should support more of them.”

Reader Comments ...

Next Up in Georgia Politics

Last WWII veteran in Georgia Legislature, John Yates, dies
Last WWII veteran in Georgia Legislature, John Yates, dies

John Yates, the last World War II veteran to serve in the Georgia General Assembly, has died. He was 96. Yates became one of a small number of Republicans in the Georgia House at the time he was first elected in 1988. After losing re-election, he ran again in 1992 and remained in office until 2016 representing a district based in Griffin. Yates...
8 candidates file to run for vacant Ga. House and Senate seats
8 candidates file to run for vacant Ga. House and Senate seats

Four candidates are running in each of the two special elections Jan. 9 to fill vacancies in the Georgia Senate and House of Representatives. The elections are being held to fill the seats of former Sen. Rick Jeffares and former Rep. Brian Strickland. Jeffares, R-McDonough, resigned to run for lieutenant governor, and Strickland, R-McDonough,...
Poll shows Georgia Republicans support medical marijuana cultivation
Poll shows Georgia Republicans support medical marijuana cultivation

In-state harvesting of medical marijuana enjoys solid support among Georgia Republican voters, according to a poll released Monday by Rep. Allen Peake, the state Legislature’s strongest backer of medical marijuana. The telephone poll of 511 likely Republican primary voters by the Tarrance Group found 71 percent were in favor of Georgia...
The left continues to question who could support Roy Moore in Tuesday’s election
The left continues to question who could support Roy Moore in Tuesday’s election

A day before the Alabama Senate election, the left wonders why people in Alabama think Roy Moore is the right  person for the job. A roundup of editorials Monday takes a look at the issue. From CNN: The one person people in Alabama would likely listen to about Moore has remained quiet. From USA Today: Has Jones waited too late to try to fire...
Here’s why the right should embrace Robert Mueller’s investigation
Here’s why the right should embrace Robert Mueller’s investigation

As Mueller’s investigation heats up, the right would do well to support the special counsel’s work. A roundup of editorials Monday takes a look at the issue. From The Wall Street Journal: A president can obstruct justice, but this one hasn’t as far was what we’ve seen. From the National Review: Why doesn’t Trump just order...
More Stories