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<>/Popup 51 0 R/Contents(nearly 80% of people\r\nolder than 80 years.)>>
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<>/Popup 53 0 R/Contents(Thus, hearing\r\noss represents a substantial problem, affecting more\r\nthan 30 million people.\r\n1)>>
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<>/Popup 55 0 R/Contents(One barrier to progress has been lack of interest\r\nfrom most of the medical profession in this area. Assess-ment\r\nof hearing is rarely included in routine primary care\r\nevaluations, and physicians often view hearing impair-ment\r\nin patients as a difficulty in communication \(which\r\ntis\)andnotamedicalproblemthatneedsattention.)>>
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<>/Popup 57 0 R/Contents(limited evidence about screening \(such\r\nas the most effective screening tools\) for asymptom-atic\r\nadults older than 50 years.\r\n4)>>
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<>/Popup 59 0 R/Contents(Another barrier that prevents older adults from re-ceivingtreatmentforhearinglossislackofinsurancecov-erage.\r\nThe justification used in 1965 to exclude hearing\r\naids from Medicare coverage was that hearing technolo-gies\r\nwere routine and low cost and therefore should be\r\npaid for by consumers.)>>
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<>/Popup 61 0 R/Contents(The PCAST report indicated that cost is the major\r\nmpediment to seeking and obtaining care for hearing\r\noss, especially because many people would have to\r\npay the full cost out of pocket due to lack of insurance\r\ncoverage, and many live on fixed incomes.)>>
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<>/Popup 63 0 R/Contents(incomes. The average\r\nprice for a hearing aid is $2400, and most people need\r\n2. U)>>
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<>/Popup 65 0 R/Contents(In contrast, the Veterans Administration \(VA\)\r\noffers first-dollar coverage to eligible veterans for hear-\r\naids.)>>
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<>/Popup 67 0 R/Contents(the negotiated price for hearing aids from\r\nmajor manufacturers averaging $400 per device,)>>
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