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This has been going on for a long time. I was training to be an audiologist in 1977. The teacher explained the cartel setup, and admitted that the prices were 10x what they could be. I decided not to go into that part of the field, and ended up doing software and courseware.

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"the manufacturing costs are between $40 to $80 for hearing aids, though it’s important to note that production costs are only one part of the process of selling a hearing aid"

There are probably hidden costs we don't know about like buying a new fleet of yachts every few months. Every smartphone has a microphone (which can be used in speakerphone mode to pick up sounds in a room) and can have ear buds connected to it. I'd like to see a phone app that takes microphone sounds and processes them if necessary (attenuates and amplifies certain frequencies if necessary like a stereo equalizer) and then routs them into the earbuds - a poor quality but cheap substitute for a hearing aid. A hearing aid hack might be one way to solve the problem (of old people remaining deaf because of monopolies) until effective anti-trust actions kick in. disclaimer: I don't know if it would be legal or possible .... it would be important to check first or suffer the wrath of the corporatized "justice" system.

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