Who Pays The Price When Assistive Tech Ignores Human Hands

A hearing aid can be top-tier technology and still fail the moment it meets a shaky hand. We sit down with Jeff Szmanda, president of Each Ear LLC and a long-time hearing aid user advocate, to talk about the overlooked problem that derails success for millions of people: simply getting a receiver in canal (RIC) hearing aid speaker into the ear comfortably, consistently, and safely. When insertion is hard, everything else unravels the fit, the sound quality, the confidence, and often the willingness to keep wearing the device at all.Jeff walks us through the assistive technology mindset that shapes his work: ergonomic design and universal design that respect real human bodies, not idealised “average” users. He shares how his earlier inventions in workplace accessibility led him to create Groove Buttons, a small but powerful interface that supports the fingertip and fingernail so users can control the speaker without slipping. We also dig into why this matters for caregivers, for people living with arthritis, tremor, Parkinson’s disease, or numbness, and for anyone who has ever watched an expensive hearing aid fall once and then disappear into a drawer.We widen the lens to hearing healthcare and hearing aid pricing: consolidation among manufacturers, manufacturer-owned clinics, insurance and buying groups, and how consumers can make better choices across technology levels. Jeff explains key performance differences like programmable channels and speech-in-noise processing, and we talk about the links between untreated hearing loss, social isolation, and brain health.If you care about accessible design, better hearing outcomes, and practical guidance for families, this conversation delivers. Subscribe for more accessibility and assistive technology conversations, share this episode with someone navigating hearing loss, and leave us a review with your biggest question about hearing aids and usability.Send us Fan MailSupport the showFollow axschat on social media.Bluesky:Antonio https://bsky.app/profile/akwyz.comDebra https://bsky.app/profile/debraruh.bsky.socialNeil https://bsky.app/profile/neilmilliken.bsky.socialaxschat https://bsky.app/profile/axschat.bsky.socialLinkedInhttps://www.linkedin.com/in/antoniovieirasantos/ https://www.linkedin.com/company/axschat/https://www.linkedin.com/in/neilmilliken/Vimeohttps://vimeo.com/akwyzhttps://twitter.com/axschathttps://twitter.com/AkwyZhttps://twitter.com/neilmillikenhttps://twitter.com/debraruh