Lots of them do use the same technology to simply repeat ambient noises louder, but the trick is that hearing loss isn’t always just a volume problem. Some people have problems with specific frequencies or ranges of frequencies, and a good hearing aid will target *just those problem areas* for the patient.
The quality of cheap hearing aids (that rely on the same tech as noise-cancelling headphones) has risen significantly in the last 5-10 years.
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