As a mid-50 year old who discovered two years ago that he has moderate hearing loss (50-55 dB HL), I will be forever grateful to Apple for doing this.

If anybody from the accessibility teams is reading this, please know that it is difficult for me to overstate my gratitude and my appreciation for the amount of work this must've taken.

Music sounds unbelievably better through my AirPod pros, and I didn't even know what I had lost until I heard it again.

I'm willing to bet that a lot of my middle aged compatriots don't even know how much their hearing has degraded… Get your hearing test tested, folks, while you still have it!

Yes, and protect your hearing while you can. Turn down your tunes.

Disclosure: Working musician. I wear musician's earplugs when playing in bands.

Totally agree but there's a small caveat...

Everybody has vastly different sensitivities to sound exposure.

Even identical twins with identical sound exposures can have drastically different hearing profiles especially as they age.

I actually have always been very careful with my hearing; there is some evidence that I may have a very very mild congenital birth defect that makes me prone to hearing loss, but that's largely speculation.

My wife is actually older than me and has a spectacularly sensitive hearing - as does her mother! - and she's the drummer! (The wife, not her mother :-) I just do keys and vocals...)

That's why it's so important that everyone protect their hearing because even though it's not too loud for the people around you, it might be too loud for you - and you won't know until it's too late.

> I wear musician's earplugs when playing in bands.

As a musician, you possibly have custom ones, but for anyone else who’s not an audiophile, you can get decent ones that mostly preserve the sound while lowering the volume for around $15-20. A godsend for concerts.

I actually just use the Etymotic ER20's. I'd rather have cheaper ones that I can afford to lose, and also have a pair in each instrument case.
  • dagmx
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I shoot live concerts as a hobby and it blows my mind that I’m the only one in the media pit with hearing protection.

My Apple Watch is screaming at me that its damaging levels of audio, and I can’t imagine listening to the show without protection.

Always been sensitive to sounds and have taken effort over my life to protect my hearing. It may look silly, but I still plug my ears when a large truck/train passes by.

Result is, even at my age, I can still hear those annoying high frequency teenage repellents (ubiquitous in Tokyo). Can also hear some of my electric devices charging.

I'm glad to see such steps being taken by Apple. I always bring my noise canceling buds (Sony, Apple) with me when I go see movies. It's literally painful to watch movies in modern theaters without them. Just too damned loud!

Apple's on the right track. Personalized health and more daily monitoring of said health is gonna be a sea change event.

Wait, those high frequency sounds in Tokyo are teenage repellents? I thought they are bird/insect repellants. I could hear the sounds and was literally getting mini headaches walking around.
Same here, right down to the experience in Tokyo. Both grandfathers had hearing loss and the impact it had on them socially was sad to see. Even with hearing aids. I hope to avoid that fate.
The technology that destroyed my hearing is now here to save it!
Went to see an artist (DJ) I liked and forgot my filters. Remembered that I had my AirPods Pro and used them in transparency mode and after only 10 minutes completely forgot I had them even in. I was surprised how good they worked as hearing protection!

Now when I’m at festivals and I have friends without earplugs, I usually recommend them to just use their AirPods Pro (if they have some) instead of buying cheap plugs

I've done that. At some point I felt like they weren't doing anything and pulled them out only to discover what a good job they had been doing. They lower the volume while keeping the sound pretty much the same. It's incredible.
I've watched a couple of members of my parents generation struggle to admit they need hearing aids, and prefer not to wear them a lot of the time, even when they miss things people say. I doubt the current generations are going to have that problem!
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I do love my AirPods Pro and use them in all modes except for spatial audio. I have a bug that I cannot fix for almost a year: reversed channels when connected to MacBook Pro M1. Especially the spatial audio is totally wrong. I have tried everything, resetting AirPods, Mac, Bluetooth, reinstalling drivers. It is fine with my iphone. But just totally wrong with my particular MBP. Any ideas?
  • M4v3R
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Use Spotlight to open the “Audio MIDI Setup” app, select your AirPods Pro in the sidebar and check if channels are correctly configured there.
You can say a lot of things about Apple, but which other consumer-facing tech company adds features meant to accompany people throughout every phase of their lives? People are growing with their smartphones, and the need for some functionalities only starts to become obvious later in life.
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It’s just marketing. A plus point in differentiation matrix from gazillion competitors. And a justification for a higher price tag. The products are nice though.
I understand your point and in someway do agree that it is marketing and it is a way of differentiating themselves.

But inly to justify a higher price tag? Yes it is true they are premium products, but I don't think it's true that they're that much more expensive than similar items occupying the same marketing niche from other manufacturers.

And they are far more than an order of magnitude cheaper than even a low end set of hearing aids.

But all of that is despite the point.

Samsung, Sony, Bose,… The list goes on. I have bought high-end headphones from them all, some with some without noise cancellation. In ear, over the ear, wired and Bluetooth... the list goes on.

NOBODY has a headphone that accommodates my hearing loss except Apple.

And they started doing it years ago as a feature buried in the accessibility settings.

But they kept improving it to the point where it is now FDA approved.

"A plus point in a differentiation matrix…?"

This is the kind of action that buys customer loyalty for life. I hope you never get to experience the depth of hearing loss that many of us have and how utterly transformative this kind of technology not just can be, but IS.

Using AirPods as ear protection for concerts was new to me!
I use them for movie theaters and other loud places. Works a charm!
Do they manage to cut out the sound of people eating and messing with their candy packaging? Drives me nuts.
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> there’ll be detailed comparisons between the AirPods Pro 2 and existing OTC devices in the near future once iOS 18.1 is widely available.

As someone with a diagnosed, severe hearing loss, I wonder how these compare to prescription hearing aids. I currently wear a pair of Phonak hearing aids and am looking to replace them, but I wonder if spending 5-6k on another pair is worth it versus the OTC or Apple AirPod options that exist today.

My experience is that they serve different purposes.

I have a very nice and expensive set of ReSound hearing aids and they're fabulous at what they do, which is focus on speech and kind of on music if I set them for that.

They're also unobtrusive and easily last 18-20 hours on a charge. I forget I'm wearing them, and nobody notices that I have them.

My AirPods I use primarily for running and listening to music because they just sound unbelievably better, and they're probably fine for a concert although I haven't done that with them. But I think for long-term use every day all day it wouldn't be that comfortable or unobtrusive.

Would love to hear the experience of somebody who's trying it, though!

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I don't have hearing loss, but I wear 2 pairs of AirPods Pro 2 over the course of a 10 hour day. The reason I have 2 pairs is because 1 pair only gets 5-6 hours of battery life, and I need to swap them while they recharge in the case.

Comfort? To me, very comfortable. I just leave them in there with Active Noise Canceling on all the time.

I may be showing my age, but if you remember "Get Smart", AirPods Pro 2 are like a Cone of Silence -- except they actually work.

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Looking at the web, they’re also over $4500. I think the people who will most appreciate the AirPods are the ones that can now afford to put something in their ear to help their hearing.
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If you have severe and above hearing loss, these won’t help much. This is what I have gotten to know from lot of forums. They do work well for my moderate-to-severe hearing loss. Been using for around 7 months now.
Yes the problem with severe hearing loss is that hearing aids simply cannot compensate for what is no longer there.

Hearing aids are actually a a lot more complicated than just boosting frequencies. At the very simplest, these days they are wide/multi band compressors that try to balance discomfort with natural hearing, generally focusing on speech intelligibility since that is by far the most important target.

If you have severe hearing loss I would strongly recommend putting yourself in the care of a professional. Costco is a great source of probably the lowest cost versus highest quality hearing aids these days... but the reason I say "professional" is because there are so many kinds of hearing loss and they all affect your perception markedly differently.

It's a lot more than just "missing some sensitivity at some frequencies".

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I know what you mean. I am in India. Hearing aids are exorbitantly priced here and there is no Costco. I will definitely go for more professional ones once I can afford them, and not just buying them, but losing them too.
Oof! How unintentionally North-American-centric of me - apologies!

But regardless of where you or anyone else is, hearing aids are eye-wateringly expensive :-( and often for rather understandable reasons.

> Transparency mode in many of today’s earbuds sounds totally natural and lifelike, yet I still constantly remove my buds to show someone they’ve got my undivided attention. That way of thinking has to change when popular earbuds start pulling double duty as hearing aids. It’s a powerful way to reduce the stigma that’s all too common with hearing aids, but this shift will take time.

This will never be not true. You're fighting human nature. The vast majority of people don't need hearing aids and those who do you'll likely know they need a hearing aid if you're having regular or more personal conversations.

If you're getting your order taken at Starbucks, you can totally have ears in even today.

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When was the last time you heard someone get called “four eyes” for wearing glasses? Mockery used to be common but society can improve and it seems like accepting people with disabilities as fully human has been improving even if we still have room to go.
I have a feeling that mostly went away not because society got any more considerate, but rather because glasses became much more commonplace, due to the explosion in prevalence of nearsightedness.
Isn't the proposed mechanism the same here?

The stigma will/should go away, because more people will keep their earbuds in; because they will use them as hearing aids.

> because they will use them as hearing aids.

But we're saying most people don't require hearing aids and thus will never reach mass market and thus the stigma won't disappear.

we're saying the same thing - if you have a disability it's totally fine.

You know who in your life has the hearing impairment, but the vast majority do not have this disability thusly "taking your ears out" is respectable.

The glasses analogy only works if general society has hearing impairments, but that's not the direction we're going as the human race, so we won't see this.

>Mockery used to be quite common...

Happily, 'banter' still is. And - watch out world - the Ami's are getting used to it. A very, very, tiny little bit.

“Ami’s”?
Americans?
One of the problems is that, currently, having earbuds in is a social signal of "please leave me alone and don't try to strike up a conversation with me", such as e.g. you might see someone on a train with earbuds in, and you know that means they don't want to be bothered.
> If you're getting your order taken at Starbucks, you can totally have ears in even today.

Prior to hearing aid features, I’d say this is actually quite rude even if you “can.” I don’t think the service workers taking your order appreciate this very much.

Societal views change. Moving from the Jabra Jawbone to AirPods it seems like it went from “that asshole business guy” to “literally everyone” in no time. When I was young, talking on a Bluetooth headset while walking down the street was worthy of derision. Things have changed a lot since then.
To go back way further, wasn’t Sony worried about the Walkman initially because the only people who wore headphones at the time out and about tended to use them for hearing aids at the time?

That’s what I remember hearing.

Obviously that changed when they got super popular. Your AirPods comparison is fantastic I had totally forgotten the phenomenon of “blue tools”.

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Yeah. There was a period when the Borg look was widely seen as representing “At any moment someone more important than you could call me.”
I'd like to see Apple run some opt-in scientific trials.

For example: Does active noise cancellation result in more or less hearing loss?

Or Alcohol consumption: Apple Health could ask each day how many drinks you had and many people want to track it anyway. Correlate that to health metrics at a wide scale. It'd be much more powerful than any currently existing study given the userbase likely to opt-in.

Let people see exactly the data that will be uploaded prior to consenting to alleviate any privacy concerns. They already have stronger data-protection and anonymity mechanisms than those used by most studies built directly into the phone.

> I'd like to see Apple run some opt-in scientific trials.

Several organizations have used ResearchKit to conduct studies:

https://www.apple.com/lae/researchkit/

Cool, I didn't realize this was a thing. Kind of disappointing to see only 2-3 studies available through the Apple Research app though, I wonder why it isn't more widely used.

Do most research teams have to build their own app?

> Correlate that to health metrics at a wide scale. It'd be much more powerful than any currently existing study given the userbase likely to opt-in.

Apple did run something like this in their heart research study. But not specifically counting drinks, just more survey like questions.

A large part of the article focuses on using airpods at concerts and how loud the environment can be.

- Can airpods tell me how loud a room is?

- Which settings should I use for a concert to preserve fidelity? How do they compare to "concert" branded consumer earplugs, like Loop/Etymotic/SoundProtex ?

So if you use Android you won't be able to use this feature?
Not currently, no.

I have a feeling that it might be difficult for Apple to obtain FDA authorization for a system consisting in part of a device that Apple didn't manufacture (i.e. an Android phone). Getting the iPhone + Airpods system authorized was unusual enough already.

It’s interesting that I perceive my hearing is still pretty stellar albeit during a surprise attack in my military service, a guy started firing his assault rifle right next to my unprotected ear…
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Based on the graph it looks like the hearing test only tests out to 8 kHz. That's disappointing. That's also the limit at most audiologists offices. It would be nice to have a good test that goes farther.
Audiologists don't seem to care about your high-frequency hearing.
They’re mostly focused on where speech and everyday important sounds (car that’s about to run you over, fire alarm, doorbell, etc) are right?
Of course, the "important sounds" are mostly below 8 kHz, but I think they're missing out by not looking at higher-frequency sound sensitivity, since that's the first thing you lose.
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Unless I'm misunderstanding, the news here is Apple is adding a hearing test app, and "officially" stating that you can use your Airpods Pro like hearing aids.

I mention this as you can use these today as hearing aids, you just need to use a third party app to create your audiogram. I have fairly bad hearing loss and use Airpods instead of hearing aids.

Here's what's new:

* Air Pods 2 were approved by the FDA in September

* iOS (and iPadOS) 18.1, for which the release candidate was released earlier today, comes with the ability to enable hearing aid mode and with a hearing test

* based on the hearing test, the AirPods can automatically compensate how things sound to you

* Apple has announced that iOS 18.1 will be released next week

Details: https://www.apple.com/accessibility/hearing/

  • dagmx
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You are missing that these are now cleared as hearing aids by the government.
As an approved medical device I wonder if you can buy airpods with a HSA now?
I suspect the answer is "yes", and probably with an FSA now too. There is a similar situation with the Natural Cycles app, which is cleared by the FDA as a medical device, so you can buy it with an FSA or HSA, or have insurance pay for it - which is mandatory, since it is legally a birth control device, which they have to cover. (It is also a steal for the insurance company since it costs roughly $10 a month.)

I expect that insurance plans that cover hearing aids are going to cover this eventually, as a set of AirPods Pro 2 is $249, which is substantially cheaper than other hearing aids on the market. An open question is if any other manufacturer will be able to get a device that works this well at this price point - the amount of software and chip design engineering that went into H2 and the bridgeOS or RTKitOS that the AirPods run is just not something smaller manufacturers will be able to easily copy.

Now, I wish I could find a better eartips fit for my ears... XS doesn't pass in the app as having a good enough seal, and S is just a little bit uncomfortable for me for all day use.

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Well kinda in my second point but yes correct. I mentioned as I kept assuming you couldn't use these as such yet, but have been using happily for months now after I realized the functionality was all there.
Yep. I still haven't been able to determine if this "new" feature is any different from what already exists.

I hope so because when you enable your audiogram for transparency it sounds like you're in an ASMR video. There's no way to make it sound natural but louder, which is what I would expect from a hearing aid.

The audio gram stuff existed, but wasn’t well known and as mentioned required a third party app.

The hearing aid stuff was only recently certified by the FDA as an OTC hearing aid. Apple has had a mode for a many years where AirPods + iPhone could act like a hearing aid. But it didn’t meat the medical classifications.

Actually you have been able to import your audiogram for at least the last two versions of iOS (16+), no third-party app required.

But it was simply called "an accommodation". Can't call it a hearing aid until you were approved by the FDA!

Without the new software, there is no boost to external sound in transparency mode, so they are not useful as hearing aids. I’m looking forward to testing the new release.
Actually you can set up a good approximation using iPhoneOS>Settings>Accessibility>Audio & Visual>Headphone Accommodations. Under Custom Audio Setup, you can select a audiogram, such as produced by an app like Mimi, or scanned in from your audiologist.
  • ilt
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That’s incorrect. I have been using Airpods Pro for 7 months now for my hearing loss. They do boost sounds in transparency mode if you choose to.
Yep, the path for this official recognition was cleared by the executive order two years ago that allowed for hearing aids to be sold over the counter!
  • m463
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FDA approval means you can call them hearing aids, not just some marketing term.
Either way it's just a label. You've already been able to do the same thing for years. Just use the free Mimi hearing test app, save the audiogram to Health, then apply it in headphone accommodations.
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https://www.fda.gov/medical-devices/hearing-aids/otc-hearing...

Seems like they are regulated for safety, and there are lots of (decent) requirements.

Fragile and too expensive to replace often. The software updates that apple pushes on to them screws them up. Happened to my first set of airpods and swore off of them since then. The batteries are awful too.

My go to since then has been the one plus z2 headsets, brilliant call quality, great form factor, decent ANC, and fantastic battery.

Because everything I've ever heard about acquiring dedicated hearing aids has been about what a joy they are to purchase, maintain, and operate.
Just adding to this, for the general audience, hearing aids are thousands of dollars, and virtually all users describe the industry as a "racket." Features that improve their functionality, such as adapters for Bluetooth etc., are dedicated hardware modules with proprietary interfaces, and expensive too.

Also, everybody I know who has hearing aids eventually ends up getting them at Costco.

That’s what I’ve heard too. And they didn’t like the ones they had to get in the end, they didn’t work well but that was all insurance would cover.

But if they’re $4000 a pair, that’s _sixteen_ pairs of AirPods 2 Pro. Assuming you don’t get them on sale.

So if you lose/break ‘em every 6 months, which seems quite excessive, that’s still 8 years to break even with “real” hearing aids.

And that’s not to mention the fact that you can buy replacement individual AirPods or cases cheaper than a full set. Or just get AppleCare so replacements are even cheaper if you tend to lose/damage them a lot.

Even if you buy them and they convince you hearing aids would be useful but you want more traditional hearing aids, it still seems like it might be a good value. Compared to risking $4000 on something you might not even feel is that useful to you.

Are One Plus z2 hearing aids with a hearing test app? Because that's the notable thing under discussion here...
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Next comes translation on the fly and boom - Apple suddenly listens to the world. But of course is nothing recorded, sure that.

Although the undisputed value in all this, won’t we still find it weird everything is always being (recorded and) processed. Or perhaps is weird when it’s not if you are born this way.

A new post-modernism of yet unknown proportions is going to be in a dare need.

Can’t stop thinking of Aldous Huxley with this and Adderall and all.

10 years ago my classmates would audio record teachers during class, and share the best sound bites (without context, of course) among each other.

When in public, imo, one should not expect privacy.