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Why do some people continue to have difficulty hearing even with a hearing aid?

Why is one person a successful hearing aid user while another is not?  What factors contribute to such diverse outcomes?

Many rave about using amplification and report that acquiring hearing aids is a life changing event that opens up the world to a wide range of sounds and improves communication.  But some people report that they are reluctant to obtain amplification because they have known friends or a family member that obtained advanced hearing aids but continued to struggle hearing during group activities.  

Why is one person a successful hearing aid user while another is not?  What factors contribute to such diverse outcomes?
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