From what the video says, it sounds like you could get a much better price by buying the devices directly from the constructor, even without the healthcare subsidies. But doing so means you need to calibrate them yourself.

I wonder if some constructors could target this use-case by making aids that are very easy to self-calibrate.

On the other hand, the median hearing aid user is pretty old, has lots of disposable money and has never watched a youtube tutorial in their life, so it might be a small market.

I doubt that is true. The hearing aids sold as medical devices, have to satisfy regulatory standards. So a lot of incentive to use older reliable tech.

Not to mention, it probably takes a couple of years to get the certification for a device. So, any device to market is easily 2-3 years old tech by definition.

I think you meant "I don't doubt"? Because none of what you said sounds like a counterargument to what the parent said.

> Not to mention, it probably takes a couple of years to get the certification for a device. So, any device to market is easily 2-3 years old tech by definition.

Approval can be quicker for hearing aids as there are already works-alike devices on the market. 510(k) clearance takes less than 6 months.