this is the fact sheet that I obtained from senator Elizabeth Warren,s website.
The Over-the-Counter Hearing Aid Act of 2017
Approximately 30 million Americans experience age-related hearing loss, including over half of adults between the ages 70-79.1 Yet only a small share of Americans with hearing loss – around 14 percent – use assistive hearing technologies, primarily because they cannot afford to buy costly hearing aids.2 Hearing aids are not covered by Medicare or most private insurance plans, and out-of-pocket costs for a single hearing aid average $2,400 – far out of reach for many consumers.3 As a result, individuals living in poverty are substantially less likely to have access to hearing aids than those with higher incomes.4
Complex hearing aid regulations exacerbate this problem by restricting the availability of hearing aids. In 1977, the FDA imposed a set of special regulations on hearing aids, including a requirement that individuals obtain a medical evaluation or sign a waiver of that evaluation before being allowed to purchase or use a hearing aid. After an extensive review, the National Academies of Sciences, Engineering, and Medicine found “no evidence that the required medical evaluation or waiver of that evaluation provides any clinically meaningful benefit” and recommended “removing this regulation to serve consumers’ best interests.”5
Both the National Academies and the President’s Council of Advisors on Science and Technology (PCAST) have also recommended making some types of hearing aids available over the counter – similar to the way in which basic reading glasses are available without a prescription. PCAST’s analysis of the hearing aid market concluded that “consumers find it difficult to shop for the best value.”6 Hearing aids are typically sold “bundled” with fees charged for evaluation, follow-up, and adjustments to the device, even though many consumers never use these services.7 Allowing hearing aids to be sold over the counter will expand consumer choice, open the market to innovative hearing technologies, and drive down prices so that millions more Americans can access affordable hearing aids.
The Over-the-Counter Hearing Aid Act of 2017
The Over-the-Counter Hearing Aid Act of 2017 implements recommendations from PCAST and the National Academies to help the millions of Americans affected by hearing impairment. The Act:
• Makes certain types of hearing aids – those intended to be used by adults to compensate for perceived mild to moderate hearing impairment – available over the counter.
• Removes an unnecessary and burdensome requirement that consumers obtain a medical evaluation or sign a waiver of that examination in order to obtain an OTC hearing aid.
• Requires the FDA to issue regulations containing safety and labeling requirements for this new category of OTC hearing aids.
• Maintains existing safety, labeling, and manufacturing protections and applies them to OTC devices in order to ensure that OTC hearing aids are held to the same high standards as other medical devices.
• Requires the FDA to update its draft guidance on Personal Sound Amplification Products (PSAPs), consumer electronics products that may use similar technology to hearing aids, but are intended for use by individuals with normal hearing.
1 Frank R. Lin, John K. Niparko, and Luigi Ferrucci. 2011. “Hearing Loss Prevalence in the United States,” Archives of Internal Medicine 171: 1851-1853 (online at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564588/).
2 National Academies of Sciences, Engineering, and Medicine. 2016. Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press (online at: http://www.nationalacademies.org/hmd/Reports/2016/Hearing-Health-Care-for-Adults.aspx), p. 183.
3 President’s Council of Advisors on Science and Technology, Aging America and Hearing Loss: Imperative of Improved Hearing Technologies (October 2015) (online at: https://www.whitehouse.gov/sites/default/files/microsites/ostp/PCAST/pcast_hearing_tech_letterreport_final.pdf), p. 1. National Academies of Sciences, Engineering, and Medicine. 2016. Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press (online at: http://www.nationalacademies.org/hmd/Reports/2016/Hearing-Health-Care-for-Adults.aspx), p. 21-22. Sergei Kochkin. 2007. “MarkeTrak VII: Obstacles to Adult Non-User Adoption of Hearing Aids,” The Hearing Journal 60: 24-50 (online at: http://www.betterhearing.org/sites/default/files/hearingpedia- resources/MarkeTrak%20VII%20Obstacles%20to%20adult%20non- user%20adoption%20of%20hearing%20aids.pdf). Karl E. Strom. 2014. “HR 2013 Hearing Aid Dispenser Survey: Dispensing in the Age of Internet and Big Box Retailers,” The Hearing Review 21 (4): 22-28 (online at: http://www.hearingreview.com/2014/04/hr-2013-hearing-aid-dispenser-survey-dispensing-age-internet-big-box- retailers-comparison-present-past-key-business-indicators-dispensing-offices/).
4 Kathleen E. Bainbridge and Virginia Ramachandran. 2014. “Hearing Aid Use among Older United States Adults: The National Health and Nutrition Examination Survey, 2005-2006 and 2009-2010,” Ear and Hearing 35: 289-294. 5 National Academies of Sciences, Engineering, and Medicine. 2016. Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press (online at: http://www.nationalacademies.org/hmd/Reports/2016/Hearing-Health-Care-for-Adults.aspx), p. 120-121.
6 President’s Council of Advisors on Science and Technology, Aging America and Hearing Loss: Imperative of Improved Hearing Technologies (October 2015) (online at: https://www.whitehouse.gov/sites/default/files/microsites/ostp/PCAST/pcast_hearing_tech_letterreport_final.pdf), p. 3.
7 Karl E. Strom. 2014. “HR 2013 Hearing Aid Dispenser Survey: Dispensing in the Age of Internet and Big Box Retailers,” The Hearing Review 21 (4): 22-28 (online at: http://www.hearingreview.com/2014/04/hr-2013-hearing- aid-dispenser-survey-dispensing-age-internet-big-box-retailers-comparison-present-past-key-business-indicators- dispensing-offices/). National Academies of Sciences, Engineering, and Medicine. 2016. Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press (online at: http://www.nationalacademies.org/hmd/Reports/2016/Hearing-Health-Care-for-Adults.aspx), p. 242-243, 258- 259. Consumer Reports, “How to Buy a Hearing Aid” (July 2009) (online at: http://www.consumerreports.org/cro/magazine-archive/july-2009/health/hearing-aids/how-to-buy-a-hearing- aid/hearing-aids-how-to-buy-a-hearing-aid.htm).
by Phoebe Sparrow Wagner (formerly Pamela Spiro Wagner)
I will never forget The Dress. Worn only once, with three quarter-length sleeves cuffed in white, and a demure white collar, it had two layers of navy blue crepe skirting, with a dropped waist and a sash. This was the first “dressy” dress I ever picked out all on my own.
The first thing about The Dress was that it was not the pale pink tent that I had worn to my first mixer with Sheffield Academy, which I was convinced scared away my freckled red-haired date, not that I minded much, once I saw him dance. The second thing about The Dress was the look in the eyes of the boy at the Gunnery, where my second mixer was held. This boy was matched with me strictly by height. I don’t know why, but something clicked with us, and the first thing he said to me, to my huge relief, was, “I hate dancing, don’t you? Let’s take a walk.” With that, we linked arms and spent the evening strolling arm in arm around his campus.
To say that nothing happened would seem almost hilarious these days, except that nothing did, besides our shared and passionate discussion of Plato and the books we’d read and other schoolish stuff. By the time the bells rang to call everyone back to the buses, I knew, because after all, I was a teenage girl who had read books, what might happen. I also knew, because I was an avid fan of the advice columnist Ann Landers, that no self-respecting young girl allowed a kiss on her first date. We had been walking arms around each other’s waist all evening; I liked him, it was equally clear that he liked me. It was inevitable what would happen next. But I was a good girl. What to do?
I tried to say good-bye, smiling sadly and keeping the distance that would protect me. My adoring young man nevertheless leaned in to kiss me. Turning my cheek, I rebuffed him. I did not mean to hurt his feelings, but I knew that Ann Landers was watching me and would be happy my virginity was safe. As I climbed onto the bus with a heavy heart, I looked back and waved but my date was nowhere to be seen. I took my seat, feelings mixed about whether the rebuff had truly been a success.
Then someone behind me spoke. “Good for you, Pammy, not kissing the black boy!”
What? I looked at her. My classmate was smiling grimly. “You didn’t kiss that -–“ and she used the terrible word I had never heard anyone say to my face.
In that moment, I knew that if I could have, I would have raced off the bus and grabbed that young man and kissed him full on the lips, and to hell with Ann Landers and her crappy advice.
But it was too late to change anything. Too late to let him know why I had not kissed him, too late to kiss him in spite of my classmates and too late to spite Ann Landers and my proper upbringing. Too late, too late, too late. I never wore that dress again.
This short account, all too true, won first place at Vermont’s Counterpoint’s annual writing contest in 2015. You can see it and the other first place winner at
Below is my very first painting done in about 2009 or 2010 when I was first starting to do art. I called it First Love, and now you know why.
Features me and a poem…as well as a discussion of mental health “care” with DMH commissioner, Mourning Fox
I cannot find the email or the name of the person who mailed me wanting a print of this piece, but I wanted to inform her that art prints and other posters etc are now available at this link at Redbubble.com. Also posted at Zazzle.com.
I recently sent the letter below to Amazon.com. For those who wonder, I used the name they still had on their account for me, as my new name, Phoebe Sparrow Wagner, was not recognized. In return, I received a nominal customer service email, but none of the promised (or implied) follow-up after that.
The art posted at top was designed for a stop restraints and seclusion group logo in California, which ended up not using it.
Please feel free to use my words as a model or template for your own.
Solidarity! and in several other languages (chosen mostly at random): Solidarité! Solidarność! Solidaridad! Undod! סאָלידאַרישקייַט, համերաշխությու,სოლიდარობა Mshikamano!Umodzi! Ubumbano! تضامن (tadamun), Dayanışma,солідарність!
After reading about the conditions in your workplaces, and the careless disregard you, as Amazon, have shown for human dignity and the basics of humane treatment of your employees, I have decided to cancel a Prime membership I have had since its inception. I have shopped at amazon and been a loyal customer since you began. Indeed, you even sent me a coffee mug with your logo that first year. But no more. Not only am I quitting my prime membership but I will no longer shop at amazon.com or use any “benefits” that amazon claims to offer. Good bye and good riddance.
Pamela S Wagner
A once extremely loyal customer, leaving In disgust
I thought this was cool, sent to me from my brother who lives in NC.
Click the link below to get there…Thanks!
This cake, made from the invasive but edible weed known as Japanese Knotweed had the texture, but not the spices of gingerbread, and was moist and just delicious! If anyone wants me to reconstruct this recipe, let me know.
Don’t forget to bookmark the page and follow!
Pam’s new art blog has art everyday!
please let me know whether this address gets you there, as I am having trouble with it!
Hi everyone, do check out my new arteveryday365.com.it should be actively locatable by a day or two. But you can click on the link to see what Art I did today. The photo is not mine but cribbed from the tv
Come check out my newest site, with my new Art Every day contributions.
My picture NOT WAVING BUT DROWNING will be in this show. Click on link to see full color information
Reviews would be greatly appreciated! Here is link to book at Amazon.com
TO THE READER
who may be sitting as I am
in a green recliner with a cup of tea
staring out through the porch
to a darkened streetlamp outside the diner,
with a book in her lap, mine, I hope
the only one I feel I should have to mention
if I mention a book in a poem I write;
to the reader, the nitpicker, the one
who may be wondering why
on p. 47 there are two ands, one
right after another, and whose fault that is;
and to the reader, who may be tired
after a long ride home on the bus
after dark and a meal not worth mentioning
who picks up my book but finds his eyes
closing before he has opened the cover,
I say: Forgive me
I am only a writer sitting in a green recliner
with a cup of tea, I can’t explain
those two ands or the mysterious
streetlamp or warm the feet of a tired
reader in his bed. I can only put music on
and tell him stories to make movies
turn in his head, to let him wake
with the sudden understanding that poetry
may be all it takes to make a life—
well, my life at any rate, and maybe his,
and maybe the nitpicker’s and yours, too,
staring through the porch to the streetlamp
where what happens so mysteriously is poetry—
and the whole night is wrapped
in the words spoken by two strangers
meeting there, or not spoken, which is poetry too,
and all of us who listen are waiting
for the music of what is to happen.
(Last line, thanks to Helen Vendler)
Mosaic: a word that means from the muses, from Moses
and a work of art created from broken fragments of pottery,
stone or glass.
Even the first time, surrender was not hard,
though the grownups and mothers
with their drinks and swizzle sticks
undoubtedly thought it so when you volunteered
your only present that 10th Christmas
to a younger child who wouldn’t understand
being giftless at the tail end of a line to Santa,
nor your inherent sin in being born.
Such generosity should have stayed
between your concept-of-God and you,
but grownup admiration (you could not hope
to make your act unpublic) sullied the soap
of any generosity’s power to cleanse you.
Other atonements followed, only one
almost perfect, being perfectly anonymous
spoiled by an accomplice’s later telling.
Perfection? You never made that grade,
your terrible love for God demanding all life
from your life. No one told you, “Live a lot,”
not in words that made it matter, though
they doubtless counseled, “Live a little.”
You were always in school to be perfect,
never knowing that life is a classroom
where one learns to love flaws
by throwing bad pots, to shatter
them with careful hammer,
assembling beauty from broken things.
FORGETTING TO REMEMBER
Multiples: former shorthand for people diagnosed
with multiple personality disorder, believed to arise
from early sexual trauma and abuse; now considered
a dissociative disorder.
Two suicides and such a multitude of multiples
wrung from their imagination the year I was there
by student psychologists eager to make names for themselves,
the halfway facility would be shut down for good the next.
But not before seeds of uncertain certainties were sown:
repressed memories miraculously recovered from the abyss,
of incests, sodomies, satanic abuses, so even my stalwart insistence
on a happy-go-not-so-unlucky childhood
became stained by the sepia of doubt:
had I really escaped such clutches?
Knowing memory’s foibles, it’s hard to trust
what my sister tells me was true: that there really were
neighborhood “Bad Boys” and a shack in the woods
where they kept a stash of comic books and pin-up calendars,
the price to read there all afternoon if you were a girl
a feel, that I’m not wrong to believe I read my fill
of “Archie” and “Prince Valiant” and “Peanuts” inside.
Though I had to find my own way out afterwards
after they’d gone, taking their comics with them,
leaving just June, now unpinned from the wall
in her tiny shorts, the shine of her raspberry lips
pouting next to a tractor, I recall only
dry motes falling through the last rays
of sun, the smoky smell of sawdust and dust,
and grit under my bare feet, my trembling relief,
as I studied a stroll through the back door at home,
perhaps worse for the wear but on time for supper
so nobody questioned the dirt in my hair.
Check out Inkbiotics WordPress blog for the origin of the questions I respond to below…
1. Would you rather be beautiful, an astronaut or able to walk up any surface (ie up walls and along the ceiling)? Why?
Definitely I would love to be able to walk up any surface — it would provide such a “superpower” and afford me entirely new experiences.
2. Would you rather physically age, mentally age or visibly age?
At 65 I have been told I do not “look my age” to which my response is, this is was 65 looks like! That said, my mental and intellectual aging are of prime concern to me, and along with that is generally the requirement of good physical health. So if I had to choose for one of the three, I suppose I would opt for signs of visible aging.
3. What was the last good deed you did?
I hate to tell people what the good things are that I do in the world, it is boasting and so I keep these between “my concept of god” and me, where any accounting of good deeds belongs.
4. I’ve been watching the Good Place. It’s great. To give a spoiler-free description, it’s a comedy about a Heaven-like place, where you can live in your ideal house in a perfect village, eat all your favourite foods, and hang out with your soul-mate. What three things wwould you choose to have in your good place?
Good friends, good books, good memories.
5. You get a time machine watch that can only go up to an hour into the past or future. What would you use it for?
If such a machine existed, I would reserve its use personally for revisiting all the times that I have written and sent impulsively some email I should not have, or likewise, to repair words I spoke that might have caused immediate harm. I would not use it to visit the future, as that could tamper with the present big time and also I prefer the future to remain tantalizingly unknown and unknowable.
6. You’re such an awesome person, that the mayor of your town has asked you to come up with a national holiday, what would you want the holiday to be for (eg Tree Day, Festival of Dreams), and when would you want it?
Peace Day would be a national holiday of forgiveness where people are supposed to reconcile and make amends for past conflicts , both on the micro or personal scale and on the macro or international level, where this day is reserved for nations to think and act peaceably towards each other, and make attempts to end conflict.
7. What small something would you change right now?
I would start being able to speak again, having been mute since November 2017…
8. What are your plans for getting older? How do you want to spend your time when/if you stop working? Where do you want to be?
Having been on disability and not working all my adult life, retirement is meaningless, but I hope to be able to do art till the day I die.
9. You find out (probably from a magic floating wizard or by text or something) that nothing you do today will have consequences. What’s your itinerary for the day?
First of all, everything we do has consequences, absolutely everything, it is unavoidable, that is the beauty of what is called The Butterfly Effect. Small changes in a system can have enormous down stream consequences, like the butterfly that flaps its wings in Beijing and by a long series of directly traceable consequences and events eventually leads to a hurricane in the Atlantic. We all always affect others and the world in ways we can never perhaps predict or understand the full ramifications of. So given this, I cannot in any rational way answer this question.
10. When you die your ghost will be trapped in the place of your death, where do you want to die?
Sorry, but this question again leaves me bereft of an ability to answer. I do not believe in trapped ghosts. Energy exists, yes, and maybe we can “leave behind” personal energy that imbues a place, but I do not think one’s Life energy could get trapped in any place just because you died there. And frankly I think your “living ghost,” the life energy and intentionality you project and leave in your LIVING wake is far more important than where you die. We are trapped only insofar as we believe in traps. Ghosts or spirits or just human energy, life is where energy matters, as it warms the blood and invigorates the mind and body. I worry less about where I will die, and whether my “ghost” might be trapped, than that while living I am free in mind enough not to feel trapped or in a prison of someone else making. Freedom is a state of mind, an attitude. Where the body or the ghost is scarcely matters when your mind is truly free.