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I read that Apple has recently updated the countries with access to the hearing aid features of the Airpod Pro to another 13 countries. Canada remains off of the list. Use of Over the Counter (OTC) hearing aids was approved by the federal government but remains unavailable country-wide due to a handful of provinces (including Ontario) blocking their use. The Regulated Health Professions Act, 1991 states that hearing aids can only be dispensed with a prescription from an audiologist or physician.

While the College of Audiologists (CASLPO) claims that they are just there to answer the Province’s questions and don’t set the legislation, I don’t doubt that intense lobbying to block access to the devices is ongoing. This is short-sighted. Access to OTC devices would only increase business for CASLPO’s members by providing no-cost access to users to “sample” hearing assistance before spending thousands on aids with their members. It would also de-stigmatize the use of hearing assistance, further increasing their customer base. It’s unfortunate that one needs to promote access to a medical device in terms of how those controlling the monopoly can profit from broader access. Of course, there is the clear benefit that those who cannot afford thousands on hearing aids can enjoy clearer conversations with their families using a device many already own.

This isn’t only an Ontario problem. A few other provinces are withholding access, but Ontario can lead the way. Hopefully the elimination of inter-provincial barriers and harmonization of regulations to support that will finally help Canada move in line with countries that place the wellbeing of their constituents over the business concerns of their professional bodies.