Abstract

AbstractWith advances in medical technology, health care has improved the longevity, quality of life, and comfort of people across the world. Unfortunately, access to some of these health care technologies in many low-income countries and for certain people in developed countries is completely curtailed due to cost. The author presents a case study of a hearing technology that failed to reduce hearing disability (deafness) among profoundly hearing impaired people in developing countries despite the availability of cochlear implant prosthesis in the market for the last three decades. The recent World Health Organization (WHO) Report, released in 2013, is also silent on this issue while discussing many prevention and rehabilitation issues of hearing care across the world. There are nearly 25 million people suffering from profound hearing disability who need cochlear implant prosthesis, but are unable to afford one as each costs around USD 60,000. Most of these people suffer from social isolation, with limited employment opportunities that, in turn, severely affects their quality of life. With a personal average annual income of well below USD 2000 in low income countries, it is almost impossible to make progress against hearing disability. In the 21st century, should we allow people to suffer from hearing disability despite the availability of reliable technology? Why should any government or society indiscriminately consider the hearing disabled as helpless, incompetent, and dependent? Can the government, corporations, non-government organizations, the WHO, the United Nations Children’s Fund, and so on, not collectively take care of the hearing disabled by making cochlear implant prostheses affordable? It is time to draw attention to the fact that people with disabilities have equal rights with others. If we want to equip every profoundly hearing disabled individual with a cochlear implant that bestows the gift of hearing, neither pure socialism nor capitalism would help. Conscientious business leaders who can embrace a higher purpose beyond making profits are required. Hence, Conscientious capitalism is the only answer wherein efforts are directed to not-just-for-profit business models or conscious popular consumerism but also socially responsible investments. We have to build upon a health care access model that is open-ended and has positive aspirations with strict policies on adoption and diffusion of new technologies. The policies should be framed such that access is not denied due to the high price of the device and to clinical and hospital budgets. I have chosen a case study of the hearing disabled to showcase the plight of poor people, especially in low-income countries, in gaining access to many life-transforming medical technologies. I present a heath care access model related to hearing disability, treating it as a global issue.

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