The Scarlet Zero: MACRA Completes Government Takeover of Medicine

When Medicare and Medicaid were created, the government promised not to interfere in the practice of medicine in any way. President Lyndon Johnson signed the Act into law on July 30, 1965, ironically in Independence, MO.

It read: Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer, or employee, or any institution, agency or person providing health care services… or to exercise any supervision or control over the administration or operation of any such [health-care] institution, agency, or person. Section 1801, Medicare Act, 1965

Fifty years later, in flagrant violation of this prohibition clause, stands the 2015 Medicare Access and CHIP Reauthorization Act (MACRA), replete with the Merit-Based Incentive Payment System (MIPS). MIPS is a rubric the federal government uses to grade physicians and assign each a score of 0 to 100. The Composite Performance Score (CPS) is used to financially incentivize or penalize physicians, and then the scores are posted on a public website for all to see.

The core of MIPS is the ultimate conflict of interest: the very lives and well-being of America’s patients vs. the money and power of the medico-industrial complex run by a small group of insider elites, implemented and micro managed by entrenched, faceless deep state bureaucrats. Physicians must choose sides.

Will your physician follow the tradition of Hippocrates, who believed the physician works on behalf of the patient, not for the good of the state—risking his livelihood? Or will he follow the Greek philosopher Plato, who urged that doctors refrain from curing the weak and infirm to improve society? MIPS incentives mean punishment and abuse for serving patients first, and rewards for serving society.

MIPS grades physicians on quality (outcomes), advancing care information, improvement activities, and cost. Earning a high score often requires doing what government says instead of what is best for the patient.

“Quality indicators” and “outcome measures” may sound great, but they may deter physicians from taking on the most difficult and challenging patients. For example, one measure of outcome is how many of a physician’s patients achieve a blood glucose level under a certain number. One of my patients told me she has passed out twice, sustaining injuries, since her physician assistant put her on two diabetic medications to get her blood sugar below the government number. Fortunately, she was not driving or alone at home in her bathtub.

Since I have refused to participate in MIPS and the like, I am “out of network” for all insurance plans including Medicare and Medicaid. Ironically, I am seeing an influx of patients with what I call “3rd world cataracts.” One patient had only light perception; he could not even perceive hand motion. He is 60 years old with severe cardiovascular disease that presents a higher than normal surgical risk. I operated on him, and he now has 20/20 vision. Because he had been avoided by several surgeons trying to play the MIPS game, his cataracts were like granite rocks floating in bags of milk, making visibility and removal difficult.

Advancing Care Information (ACI) used to be called “Meaningful Use Electronic Health Records,” but ACI sounds friendlier. MACRA rules mandate that government have full, unblocked access to patients’ records, without their permission. Their “Protected Health Information” (PHI) includes all personal identifying data including all demographics and all medical history, past and present, including all medications ever taken. This is not just a violation of the Oath of Hippocrates and sacrosanct patient-physician relationship, but also of the 4th Amendment. Government will gather all data, not just MIPS data, on all patients, not just Medicare patients, and from all insurers- commercial too, not just Medicare. This data will be sold by government to entities the federal government itself chooses.

Under “improvement activities,” government hopes to “drive physician behavior,” as by having us engage in “education” activities that government deems important. These include learning about the emerging “palliative care” movement, replete with educational material glorifying “aid in dying”—formerly known as “physician assisted suicide.”

The cost category, formerly known as Resource Use, is beyond worrisome. The sample grade chart itself shows that physicians who spend the most on their patients get 0 to 2 points while those that spend the least get 8 to 10 points. In other words, doctors get more money for withholding care and resources from patients and are penalized for delivering care.

There can be no denying that MIPS is a top-down, command-and-control grading system based on perverse incentives. It will affectyou. Already, virtually everyone at all associated with medical care is subject to MACRA, including audiologists, dieticians, and speech pathologists to nurse practitioners, physicians assistants, nurse midwives, clinical nurse specialists, psychologists, and so on. We are all now lumped into a group called “Eligible Clinicians” or “Eligible Professionals.”

In the 50 years since government vowed not to interfere with medicine whatsoever, it has almost completely taken us over. To preserve the final remnants of freedom, ethical physicians should refuse to participate in MIPS and proudly wear our Scarlet Zeroes—a beacon to patients who want personal care.

Bio: Kristin Story Held, MD — Stone Oak Ophthalmology, San Antonio, TX,
Dr. Held is a board certified ophthalmologist and ophthalmic surgeon. She is a Phi Beta Kappa Graduate from the Univ. of TX at Austin and received her medical degree from the Univ. of TX Medical School at San Antonio, where she was elected to AOA, the national medical honor society. Following her internship in internal medicine and residency in ophthalmology, Dr. Held joined the faculty at the Univ. of TX Health Science Center at San Antonio, where she taught residents and medical students and served as Director of the County Ophthalmology Clinic. She maintains an academic affiliation as an adjunct professor in the Department of Ophthalmology. For the past 20 years she has been in private practice in San Antonio. On October 1, 2015 her practice became completely third party free, including opting out of Medicare. She is working to develop an “alternate universe” with a group of San Antonio physicians, where physicians can practice through a direct patient care model called Dr. Held served on the healthcare advisory team for Dr. Ben Carson during his presidential campaign, serves on the Association of American Physicians and Surgeons Board of Directors, is Co-Founder of, and serves on the National Physicians Council for Healthcare Policy. She has read and reported on the Affordable Care Act, MACRA, and the proposed MACRA rules. Dr. Held has been a guest on Your World w/ Neil Cavuto, Fox and Friends, and numerous radio & internet shows across the country discussing Obamacare and medical care from the trenches of real life medical practice. She has written numerous articles published in the Journal of American Physicians and Surgeons, Washington Times, The Hill, Dr. Carson’s American Currentsee, etc. She is married and has four daughters; the oldest is a dermatology resident, the second is an intern in internal medicine. Her father is a former chairman of neurosurgery, her mom a retired R.N. Please follow @kksheld on Twitter and follow her blog at

Cleaning Products & Autoimmune-related Health Problem Risks

Are Your Everyday Cleaning Products Putting You at Risk for Autoimmune-Related Health Problems?

By Dr. Chad Larson, NMD, DC, CCN, CSCS, Advisor and Consultant on Clinical Consulting Team for Cyrex Laboratories

Would you be surprised if I told you that the very products you might be using to rid your home of dirt, germs, grime and bacteria might actually be causing you and your family more harm than those elements would themselves? Would you be concerned if I suggested that your everyday household cleaning products could not only aggravate chronic health and immunity issues, but could even cause the onset of autoimmune related illness? Well, the good news is that these risks can be mitigated if you know what to look for and there are tests available to gauge reaction to the potentially harmful toxins and chemicals we tend to invite into our homes. The key is to understand what we’re dealing with.

In his foreword to The Autoimmune Epidemic, Dr. Douglas Kerr, M.D., Ph.D. professor at Johns Hopkins School of Medicine, says, “There is no doubt that autoimmune diseases are on the rise and our increasing environmental exposure to toxins and chemicals is fueling the risk. The research is sound. The conclusions, unassailable.”

There are several possible factors that may link chemicals and toxins to autoimmune disease.  Among those factors, the following hold the most relevance:

  • Leaky gut, a condition where the protective lining of the digestive track becomes compromised, allowing bacterial toxins, partially digested food, and toxic waste to pass through. Exposure to toxins can exacerbate this condition, which often leads to autoimmune reactivity and eventually disease, if not treated.
  • Of the more than 80,000 chemicals currently used in the United States, most haven’t been adequately tested for their effects on human health (NDRC, 2017). Not good!
  • If it doesn’t come from nature, it shouldn’t be consumed, ingested, inhaled or exposed to the skin. Remember, our skin is an organ and it is porous, so it will absorb what it touches. If the ingredients listed on the bottle are a scientific mystery to you, it’s always safest to avoid it.

Does all of this information mean that we should quit cleaning our houses and cohabitate with dirt and dust mites? No, of course not. But it should make you think twice about what exposure to harsh chemical cleaners and other products such as air fresheners and laundry detergent can potentially do to your health. The best solution for improving your autoimmune health and preventing the onset of autoimmune reactivity and disease is to use alternatives to chemical products. Baking soda, lemon or lemon oil, vinegar and castile soap are examples of great natural products that will safely get the job done. There are also an abundance of organic and natural cleaning products for sale at most grocery stores.

If you have increased chemical sensitivities, an autoimmune disease or a family history of autoimmune disease; toxicity and overexposure to chemical agents should be considered and testing is recommended. Cyrex Laboratories, a clinical laboratory specializing in functional immunology and autoimmunity, offers advanced, innovative tests designed to detect and monitor autoimmune reactivities and their possible triggers. Array 11 identifies the loss of immune tolerance associated with toxic chemicals exposure from household cleaning products, makeup, lotions and more, which may lead to inflammation and autoimmune reactivity. This blood test assists in setting guidelines for the avoidance of specific chemicals to reduce the risk of igniting the autoimmune process, and monitoring the effectiveness of the clinical management of protocols.

Seek the advice of your health care professional and raise any concerns with them. Proactivity is the best way to combat the effects of health issues and risk factors. Everybody can benefit from eliminating toxic elements and chemical-laden cleaning products from our environment.

Dr. Chad Larson, NMD, DC, CCN, CSCS, Advisor and Consultant on Clinical Consulting Team for Cyrex Laboratories ( Dr. Larson holds a Doctor of Naturopathic Medicine degree from Southwest College of Naturopathic Medicine and a Doctor of Chiropractic degree from Southern California University of Health Sciences. He is a Certified Clinical Nutritionist and a Certified Strength and Conditioning Specialist. He particularly pursues advanced developments in the fields of endocrinology, orthopedics, sports medicine, and environmentally-induced chronic disease.

5 Misconceptions About Dyslexia By Don Winn

5 Misconceptions About Dyslexia
By Don Winn

So many of us with dyslexia have not felt heard or understood until very recently, with the influx of new data about our condition.

One of my personal goals is to promote dyslexia awareness because despite new research about the condition, many misconceptions and inaccurate beliefs are still rampant. Why is it important to set the record straight?

Because dyslexia is not something that can be “cured” or reversed by any means: diet, exercises, medication, herbs, or talk therapy.

It’s very important to make sure that parents whose kids have dyslexia have realistic expectations for their loved ones and the resources to understand the full scope of their children’s needs.

How disheartening it would be for a dyslexic child who had faithfully followed some form of “treatment” if a parent or teacher showed disappointment or frustration because the child’s dyslexia did not “resolve.” The last thing dyslexic kids need is more shame.

In one of my older dyslexia-related blog posts, a kind reader sent in her child’s experience with doing some kinesthetic exercises to help integrate both sides of his brain. There are lots of tried-and-true left/right brain integration exercises like the one her son benefitted from, and they can be quite effective for a number of situations. In this child’s case, he had been reversing some of his letters when writing, and so was thought to be dyslexic. After the exercises, though, his issues happily resolved. While I’m certainly delighted that her child no longer struggles to write, can all parents of struggling readers/writers expect similar outcomes?


Misperception #1: “All kids who reverse their b’s and d’s have dyslexia.” Actually that is not the case; science has proven otherwise. Please refer to the Yale Center for Dyslexia and Creativity if you’d like to know more. Personally, I have trained myself to overcome letter reversal in my printing (I can’t write cursive), but I am still quite dyslexic, and have all its other complications, I assure you! In addition, not all dyslexics reverse similarly-shaped letters.

Therefore, kinesthetic exercises or other techniques which can potentially help some struggling students to strengthen left/right brain activity will not remedy dyslexia.

It is also not a dietary problem. No amount of bone broth, medicinal herbs, green juices, or other wholesome foods will reverse dyslexia. While I eat an unprocessed diet with plenty of plant foods, and encourage others to do the same, it’s not because I believe that food impacts dyslexia.

Misperception #2: “Dyslexia can be outgrown.” Nope. Kids with dyslexia are not developmentally delayed, nor is the problem temporary. Dyslexia is a life-long difference in the way the brain processes information.

Misperception #3: “Dyslexia is really about social anxiety or lack of maturity.” Not a chance. Having a student repeat a grade and teaching him/her the very same way will not improve the student’s skills. Social maturity will not improve the student’s ability to read. Like many of you, I repeated first grade, which left me even more behind and plagued with lower self-esteem than ever.

Misperception #4: “People with dyslexia see things backwards, therefore dyslexia is a vision problem.” No, people with dyslexia do not “see” things backwards; our brains process language information differently. Vision therapy does not improve dyslexia.

Misperception #5: “Kids with dyslexia are lazy. They just need to try harder.” This is one of the most poisonous. To decide that dyslexic kids have character issues, or aren’t motivated enough to do good work is profoundly harmful. Lack of awareness about the disorder among educators and parents has often resulted in kids being branded as “lazy.” Nothing could be farther from the truth. Instead, the findings of fMRI studies provide evidence that people with dyslexia are not poorly taught, lazy, or stupid, but have an inborn brain difference that has nothing to do with intelligence. If students with dyslexia do not receive the right type of intervention and/or classroom accommodations, they often struggle in school—despite being bright, motivated, and spending hours on homework assignments. In almost all cases, kids with dyslexia are actually working much harder than their peers, and should be acknowledged for doing so.


Don M. Winn is a multiple award-winning children’s author and dyslexia advocate. He has been writing for over 20 years. As a dyslexic, who well knows the challenge of learning to love to read, Winn’s goal is to write books that are so engaging they will entice even the most reluctant or struggling reader. 

His blog archives are available


Understanding Gluten Cross-Reactivity and Associated Red-Flag Foods

By Dr. Chad Larson, NMD, DC, CCN, CSCS, Advisor and Consultant on Clinical Consulting Team for Cyrex Laboratories

I remember back in the good ol’ days when my mom would serve up a tasty pile of lasagna with layers of cooked pasta, dripping with multiple types of melted cheeses. This dinner favorite, once considered my ideal comfort meal, could now just as easily be labeled a “red-flag meal” to many (including me), having lost its stars and stripes to enemy attackers: gluten and its evil imposters.

In recent years, new medical science and an increased spotlight on how the foods we eat affect our health has given rise to the now-inescapable trend of the gluten-free diet. But while some choose to avoid gluten because of its association with general bloating or inflammation, others are forced to give it up for more serious medical reasons. Celiac disease and non-celiac gluten sensitivity (NCGS) are two serious conditions that require patients to completely avoid gluten and any cross-contamination of gluten.

Celiac disease (CD) — an autoimmune disease where the ingestion of gluten leads to damage of the villi of the small intestine, interfering with absorption of nutrients from food—triggers a localized immune response in the small intestine. NCGS, on the other hand, does not cause an autoimmune destruction of the small intestine, but it can still cause chronic, and sometimes acute, systemic immune activation. Both of these gluten-related disorders (CD and NCGS) can cause symptoms outside of the gastrointestinal tract, like brain fog, headaches, joint and muscle pain, depression, fatigue, and skin problems. The current estimate is that about one percent of the American population suffers from celiac disease, with about 83 percent of those affected going undiagnosed or misdiagnosed with other conditions. But these “celiacs” account for only a fraction of the population that experience sensitivity to gluten. An additional one percent of the population is estimated to deal with some form of NCGS. Those with celiac disease and NCGS may be vulnerable to damage caused by the above referenced “imposters” due to gluten cross-reactivity.

To better explain, the immune system is highly complex and can mistake molecules that are similar in shape (and amino acid sequence) to gluten molecules for actual gluten, creating a similar reaction or autoimmune response. This phenomenon might explain why symptoms do not always dissipate for many people with gluten sensitivities once they have eliminated gluten from their diets. One study revealed that about 50 percent of gluten-sensitive patients also have a problem with a protein called casein found in bovine (cow) dairy. 50 percent! It turns out that the gluten protein and casein protein are very similar in structure. Unfortunately, although this statistic is staggering and problematic for millions of Americans hoping to feel better after dropping gluten from their diet, dairy is not the only thing to worry about.

In addition to dairy, here are several other gluten-associated cross-reactive foods that could be the cause of ongoing symptoms of immune response similar to those of celiac disease or NCGS:

  • Rye
  • Barley
  • Spelt
  • Polish/Ancient Wheat
  • Oats
  • Alpha & Beta-Casein
  • Casomorphin
  • Milk Butyrophilin
  • Whey Protein
  • Milk Chocolate
  • Instant Coffee
  • Yeast
  • Millet
  • Corn
  • Rice

Some of the foods on this list also belong to a new subgroup of identified overly consumed foods that may need to be examined when on a gluten free diet. This list includes:

  • Sesame
  • Buckwheat
  • Sorghum
  • Millet
  • Hemp
  • Amaranth
  • Quinoa
  • Tapioca
  • Teff
  • Rice
  • Corn
  • Potato

Because food sensitivities are different from allergies, a traditional allergy test panel would be of no benefit to someone with immune-reactive food intolerances. Until recently, the only way to pinpoint a possible sensitivity was to try an elimination diet. In this case, you would eliminate all of the foods mentioned above for a few months until symptoms dissipate, reintroducing them one at a time, looking for symptoms to reoccur. This can be a long and frustrating process. Fortunately, science has come a long way in recent years and there are now hyper focused gluten cross-reactivity screens available for patients dealing with food sensitivities and reactivities. For example, Cyrex Laboratories, a clinical laboratory specializing in functional immunology and autoimmunity, offers the Array 4 – Gluten-Associated Cross-Reactive Foods and Foods Sensitivity. This innovative test identifies reactivity to foods that are known to cross-react to gluten and react to newly introduced foods on a gluten free diet.

If you have celiac disease, non-celiac gluten sensitivity or gut dysbiosis and are experiencing limited improvements or are non-responsive on a gluten-free diet, testing for gluten cross-reactivity is highly recommended. Remember that inflammation, discomfort, joint and muscle pain, brain fog, skin problems, fatigue, bloating and other digestive and systematic symptoms are not just a matter of being uncomfortable; these signs are our body’s way of telling us that something is off and needs to be adjusted. Always consult with your primary care physician to discuss symptoms, possible causes and options for testing. Be well!


Dr. Chad Larson, NMD, DC, CCN, CSCS, Advisor and Consultant on Clinical Consulting Team for Cyrex Laboratories. Dr. Larson holds a Doctor of Naturopathic Medicine degree from Southwest College of Naturopathic Medicine and a Doctor of Chiropractic degree from Southern California University of Health Sciences. He is a Certified Clinical Nutritionist and a Certified Strength and Conditioning Specialist. He particularly pursues advanced developments in the fields of endocrinology, orthopedics, sports medicine, and environmentally-induced chronic disease.


Summer Medicine Cabinets Must Haves

Dr. Christopher Calapai, D.O., a New York City Osteopathic Physician board certified in family and anti-aging medicine has shared seven medicine cabinet must-haves for the summer!

  1. Moisturizing Sunscreen – This goes without saying. A moisturizing sunscreen is an absolute must! Sunscreen acts as a basic sun protector, assists with premature aging, helps with evening skin tones, all while making sure you stay moisturized.
  1. Aloe Vera Gel – With the sun rays in full force, it can be difficult to protect your skin from the heat. Aloe Vera Gel has great preventative properties also working as a skin rejuvenation, healing and soothing product. Aloe Vera Gel is a summer essential tool in skin-health and can used to relieve burned skin, remove sunspots, and moisturize dry skin
  1. Calamine Lotion – The summer brings mosquitos along with other pestering insects, leaving you vulnerable to bug bites and itchy rashes. Calamine Lotion is an oldie but goodie. This soothing cream is great to calm any itching that you may endure.
  1. Neosporin – Most people are more active during the summer season, partaking in outdoor activities like hiking, camping and beaching.Neosporin helps in treating and preventing infection due to minor cuts, scrapes, and burns you may get from your summer lifestyle.
  1. Band-Aids – Besides the most common use of Band-Aids, such as treating minor cuts and scrapes, Band-Aids can also be a great summer hack and important to prevent blisters, friction and wounds from sandals and other exposed footwear.
  1. Benadryl – Summer allergies are no joke! Pollen and insects can do a lot harm. Benadryl treats sneezing, runny nose, watery eyes, hives, skin rash, itching, and other allergy symptoms that summer brings.
  1. Multivitamins – Some people may not know it, but summer is a great time to boost your body’s defense system.Multivitamins are important to provide the nutriment your body will crave in the summer.

About the doctor:

Dr. Christopher Calapai, D.O. is an Osteopathic Physician board certified in family medicine, and anti-aging medicine. Proclaimed the “The Stem Cell Guru” by the New York Daily News, Dr. Calapai is a leader in the field of stem cell therapy in the U.S. His stem cell treatments have achieved remarkable results in clinical trials on patients with conditions as varied as Alzheimer’s, arthritis, erectile dysfunction, frailty syndrome, heart, kidney and liver failure, lupus, MS and Parkinson’s. He has worked with Mike Tyson, Mickey Rourke, Steven Seagal, and Gotham’s, Donal Logue; and as a medical consultant for the New York Rangers. Connect with him via twitter @drcalapai or at

Brain Health

I found this article to be very interesting so I thought I would share it with all of you.

I’m sorry I haven’t posted in so long but I have had bronchitis, I have fell twice, I have had an upper respiratory infection and now I have pneumonia. I promise to try to post more often.

Prominent African American Advocate Calls Brain Health the greatest 21st Century Civil Rights Issue

Author Dan Gasby joins American Brain Foundation Board to Raise Awareness of Racial Disparities in Diagnosis and Research

Minneapolis, MN (January 16, 2017)—As our country celebrates the remarkable life and legacy of the late Martin Luther King Jr., today author and advocate Dan Gasby is joining forces with the American Brain Foundation (ABF) to raise awareness of the tremendous racial disparities that exist between African Americans and non-Hispanic whites when it comes to the diagnosis, treatment and lack of adequate studies of brain disease.

Brain Health is the greatest 21st Century civil rights issue,” said Gasby. “When you lose your cognitive ability, your rights as a human being are greatly diminished.”

Gasby says this is particularly devastating for African Americans, who are twice as likely as non-Hispanic whites to develop late onset Alzheimer’s and less likely to have a diagnosis of their condition, which often results in little time for treatment and planning. Gasby’s wife, B. Smith, a nationally recognized celebrity chef, supermodel and lifestyle maven, was diagnosed with Alzheimer’s disease in 2013.

From my experience as a caregiver, I know that brain disease robs sufferers of their dreams and ambitions and of their hopes and even their homes,” said Gasby, who co-authored the moving memoir, “Before I Forget” with his wife. “Our brain health is often directly tied to our socioeconomic status. We need more funding, more awareness and more compassion for the more than 50 million Americans afflicted with brain diseases.”

Kevin Goodno, Board Chair of the ABF, a national charity whose mission is to bring researchers and donors together to defeat brain disease, said Gasby’s election to the Board continues to diversify the organization and better positions the ABF to address the critical need for funding to accelerate research.

Each of our Board members shares our organization’s collective passion to find a cure,” Goodno said. “Throughout our history, the American public has successfully rallied to beat back pervasive threats to our personal and public health, such as polio, cancer and HIV/AIDS. It’s now time to defeat brain disease.”

Gasby joins a distinguished ABF Board that includes world-renowned neurologists, a former NFL Super Bowl champion, Vice President Walter Mondale (Honorary Chair) and the most recent new member Susan Schneider Williams, artist and widow of late actor and comedian Robin Williams.

For more information about the American Brain Foundation or to learn more, visit www., or find the Foundation on Facebook, Twitter, Google+ and YouTube.

Women’s Hearing Aid

SAN LEANDRO, Calif., June 26, 2017/PRNewswire/ — iHEAR Medical announces the launch of Eva™, the first hearing aid designed specifically to address hearing loss of women. Over 20 million women in the U.S., 150 million women globally, suffer from disabling hearing impairment of 40 decibels or more.

Eva will be available to order online on July 1, 2017. Orders will ship beginning July 15, 2017.

Gender gap in affordability widens

The skyrocketing cost of quality hearing aids has widened the gap in hearing health, with the affluent enjoying clinically effective hearing solutions while the majority, particularly retired women whose savings are considerably less than those of men, are left without a solution. Most women in the U.S. and elsewhere simply cannot afford programmable hearing aids available in traditional channels, which currently cost $5,000or more for a pair. The consequences of untreated hearing loss can be devastating for both men and women, and include lower income, reduced access to healthcare and education, and higher incidence of depression and social isolation. Recent reports indicate hearing aid use for the hearing impaired can be a life changing experience.

Women live longer than men, but their earnings and life savings are generally lower. Studies have shown about a 50% difference in account balance between men and women, largely due to the difference in wages.  “Introducing Eva as a low-cost solution for women with hearing loss is consistent with iHEAR’s mission to remove barriers for the millions currently denied access to quality hearing care,” stated Adnan Shennib, Founder & CEO of iHear Medical.

iHEAR is pioneering cloud-based hearing solutions to deliver high quality hearing aids directly to consumers at a fraction of the cost of conventional programmable hearing aids, which cost $2,400 per device on average.  Eva and other programmable digital hearing aids offered by iHEAR retail online at $299 per device, bringing the cost of advanced hearing aids in line with prescription eyeglasses. Eva incorporates advanced features typically offered in hearing aids costing several thousands of dollars, including multi-memory sound profiles, digital noise suppression, and automatic feedback cancellation. The Eva hearing aid also includes a tele-coil for wireless audio reception available by most phones, and in public venues such as churches and theaters.

For more information on the Eva, visit:

Men and women have different hearing loss patterns

Even when the degree of hearing loss is comparable between men and women, there are characteristic differences in hearing loss patterns that require different treatment. Women tend to lose hearing first in the low frequencies, while men lose hearing mostly in the higher frequencies. Loosely translated, women have more trouble discriminating vowels, while men have more difficulty understanding consonants (“t”, “sh” and “s”) – with both genders experiencing difficulty hearing speech – especially in noisy conditions – as a result of differences in physiology and neural processing conditions. Treatment of hearing loss must be tailored for the needs of women by understanding these characteristic differences and customizing hearing aids accordingly.

Although most types of hearing loss can be successfully treated with the use of a hearing aid, women avoid their use more so than men for a variety of reasons, including comfort of wear, cost, vanity and the persistent negative word of mouth depicting hearing aids as noisy and ineffective. With men buying hearing aids at nearly twice the rate of women, the hearing aid industry primarily caters to men who typically have larger ears and are generally less concerned with aesthetics.

Eva is engineered for women’s hearing loss patterns

Eva’s sound processing is tailored to treat distinct hearing loss patterns experienced by women. Loud sounds above 85 dB are reduced for a comfortable listening experience in noisy settings, along with independent suppression of annoying ambient noises for a comfortable long term listening experience. Eva automatically enhances male and female speech, even in challenging listening situations such as noisy restaurants and social gatherings.

Eva addresses women’s unique anatomical and physiological characteristics

Women generally have smaller ears, making hearing aids designed for men feel bulky and uncomfortable to wear. Eva is highly miniaturized for inconspicuous wear behind a woman’s ear and is offered with smaller ear accessories to fit more comfortably and in closer proximity to the eardrum for an exceptional hearing experience. Eva’s low-profile design ensures a secure fit in the ear for maintaining an active lifestyle, including working, exercise and even swimming. Eva is offered in a slim, compact form factor with an assortment of color options, including beige, red, and grey.

Innovative gender-specific tuning

The Eva hearing aid is personalized at home by the consumer using patented online tools, which deliver male and female speech for the tuning process. Eva can also be shipped pre-customized if audiogram results are submitted with an order, or customized online using EarPiNG™, which connects consumers with licensed hearing professionals for remote programming.

About iHear Medical

iHEAR Medical is a venture-backed firm dedicated to addressing the global need for affordable and accessible hearing solutions. iHEAR’s products and business models break through persisting barriers preventing people with hearing loss from acquiring and using hearing aids, including high cost, complex dispensing procedures, and the stigma of traditional hearing aids worn visibly behind the ear.  iHEAR is pioneering cloud-based direct-to-consumer hearing solutions with 48 U.S. and international patents issued and pending in its intellectual property portfolio. For more information on iHEAR Medical, visit: