The manifestations of age-related hearing loss (ARHL) in many older adults are subtle1—having to increase the volume of the television, missing words of a conversation—and hence, hearing loss is often perceived as an unfortunate but inconsequential part of aging. This observation is borne out by the epidemiologic data, which report that although 26.7 million US adults aged 50 years or older have a clinically significant hearing loss, fewer than 15% use hearing aids.2