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Redland Bayside News > Sound Decisions > Why we don’t pay commissions—and what that means for you
Sound Decisions

Why we don’t pay commissions—and what that means for you

Penelope Woods
Penelope Woods
Published: December 5, 2025
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3 Min Read
In healthcare, trust should never depend on a sales target.
In healthcare, trust should never depend on a sales target.
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By Penelope Woods, MAudSt, MAudA (CCP), BMus, is a Masters Qualified Independent Audiologist and Hearing Health Advocate serving the Redlands Community.

If you’ve ever walked into a store and felt unsure whether a salesperson was recommending what’s best for you or what’s best for their bonus, you already understand why commission-based hearing care can be problematic.

In healthcare, trust should never depend on a sales target. Yet many people are surprised to learn that hearing clinics can operate on retail-style incentives.

At A Better Ear, we take a different approach. Our Masters-qualified audiologists are paid a professional wage, not commissions.

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That means when we recommend a device or treatment plan, it’s based entirely on your needs, not on what earns someone more.

This structure isn’t just a choice – it reflects the professional standards set out in the Code of Conduct for Audiologists and Audiometrists, which requires clinicians to avoid any financial arrangements that could influence clinical judgment.

Here’s why this matters. Commissions create subtle pressures that can shape recommendations, even unintentionally.

The result can be confusion for patients – especially when two clinics offer conflicting advice or vastly different prices for similar technology.

Without transparency, people may lose trust in the whole process, delaying care that could have improved their quality of life years earlier.

Impartial independence protects both clinician and patient from that risk.

We’ve met many people who’ve transferred to us after feeling uneasy elsewhere. Some told us they felt “sold to” rather than cared for.

Others said they were offered devices far beyond their needs or budget, without clear explanation. It’s understandable that experiences like these make people cautious.

Ethical audiology removes that pressure entirely by keeping clinical advice and commercial interest separate.

When hearing care is independent, the focus stays where it belongs – on understanding your lifestyle, communication needs, and comfort.

We explain the pros and cons of each option, outline costs upfront, and encourage questions. That clarity builds confidence.

More importantly, it helps patients take ownership of their hearing journey knowing that the advice they receive is fair, transparent, and evidence based.

Good hearing care should never feel like a sales pitch. If you’d like to experience hearing care that puts people before profit, we’re here in the Redlands to help you make informed, confident choices about your hearing.

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