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VA Directive VHA DIRECTIVE 1170.02 spells out audiology care for veterans. That is, who can get care and what they can get. It seems to stop short of aural rehabilitation and follow up care. Those things are available but apparently veterans must request care beyond being fitted with hearing aids or CIs.toggle quoted messageShow quoted text
VA is aware of the issue of no captioning on their VVC (Veterans Video Connect) video conferencing platform. They are working on a “fix” at this time. It should be operational soon.
Regarding hearing access at medical facilities I don’t see any internal VA administrative policy. I’m aware that the facilities I visit do have some ALDs (assistive listening devices) available. The trouble is they are not commonly offered by providers. Veterans need to ASK for help. That is something most veterans just don’t do. I see efforts by medical staff to help veterans but are not familiar with the technology available. Audiology does have the technology but often don’t coordinate well with other medical staff. I understand that many staff are now discussing these things at internal meetings. I don’t know anything that is driven by administration but then I’m not is a position to see that if it is happening. Maybe it is.
For example the VA Medical Center in Minneapolis has pocket talkers and even loaner hearing aids available. But getting the veterans in need connected to the devices doesn’t always happen without the veteran making the request.
Personally I always take my remote microphone to my medical appointments and ask the Dr to wear it so I can hear her voice from behind her mask and face shield. The VA has provided the remote microphones. I also keep my smartphone handy to use a speech-to-text app if needed too.