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I recently came across an article about an abandoned initiative by a company that wanted to sell to large internal medicine practices a portable hearing test machine. It was backed by audiologists as a front line defense against preventing increased hearing damage and just plain common sense preventative education. You guessed it, they met with opposition because of, use guessed it, cost. Now more than ever in our noisy world we need to stress early diagnosis to help people dodge the big "T" and hearing loss. How fortuitous it would have been for some of us if we had heard of t before the bullet struck. I am still dumbfounded that I can't find pamphlets about t while sitting in a primary care office or hearing aid store. Illness is an industry no matter how you slice and dice it.