If you don’t actually need one, you’d be forgiven for thinking a hearing aid just makes everything louder for the wearer. Especially since there are plenty of shady products out there which will do exactly that for just four easy payments of $29.99. But the reality is considerably more complex, as a proper hearing aid needs to be capable of selectively enhancing certain frequencies while squashing down others.
The technical challenges involved in pulling that off in a device small enough to fit inside the human ear and run off of a tiny battery are considerable — and while there’s undoubtedly been some degree of artificial price inflation going on over the years, there’s a reason proper hearing aids have been so much more expensive than their “As Seen on TV” counterparts. These same challenges are also why DIY and open source hardware hearing aids have struggled to gain much traction.
But over the last few years the situation has changed. In 2022 the United States Food and Drug Administration (FDA) established the framework by which hearing aids could be sold over the counter (OTC). Although they’re generally less capable than their prescription counterparts and not suitable for individuals with profound hearing loss, the wide commercial availability of OTC hearing aids has kicked off a competition between manufacturers to deliver more affordable devices.
That competition entered a new phase earlier this month when the FDA granted approval for Samsung’s Galaxy Earbuds to fall under the same category. This follows a similar decision made about Apple’s AirPods back in 2024. The two biggest players in the smartphone market being able to offer their earbuds as OTC hearing aids represents a unique value proposition. Not only are they priced for mass market consumption, but many individuals who would be interested in purchasing an OTC hearing aid will already own them and need only to enable the feature with a software update.
Given how different the situation is today than even just five years ago it’s worth asking just what qualifies as a over-the-counter hearing aid, and how the shifting definition of these devices can inform the community’s efforts to develop open hardware solutions.
Continue reading “Smartphones And The Next Generation Of Hearing Aids”








