Monday 8 April 2024

Get a CI, you know it makes sense.

To be fair, not if you are white either!   Few people who are eligible for a cochlear implant actually get one.  Cost is the primary issue.  The total average cost of a cochlear implant for one ear, including the surgery, is £22,919 and for two ears, it is £37,904.  In perspective,  the cost of supporting a person with profound deafness in the UK can be significant, with estimates ranging from £15,000 to £30,000 per year or more. On balance, it makes more financial sense to implant all the deaf.


This cost may be covered by various sources, including the National Health Service (NHS), local government social care services, and private funding or insurance.  Cochlear implants have successfully improved hearing loss for decades, but few people who qualify for an implant actually get it. Even in countries with universal health care, the adoption rates are dismal.  Researchers are finding further disparities for marginalized communities, especially for Black and Asian patients, according to a recent study of British hospitals published last week.

This study assessed referral patterns for cochlear implantation among UK adults with severe-to-profound hearing loss. The study found that many eligible patients were not being appropriately referred for assessment, with disparities in access based on socioeconomic status, ethnicity, and gender. Patients residing in more deprived areas, living in London, males, and older individuals were less likely to be referred for assessment. 

Ethnic minorities, particularly Asians and Black individuals were also less likely to be informed of their eligibility. The study highlighted the need for targeted efforts to improve referral rates among underrepresented groups and address disparities in patient management. Further research is required to understand and address these inequalities and improve informed decision-making among healthcare providers and patients.

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