There are some poor families with deaf child asked charities for help but they couldn't provide a CI due to cost, so they offer alternative, such as hearing aids, cued speech, send to deaf school and use ASL as communication method. They have deal with a lot of problems, especially in my state.
I don't know if you are surprise, we have #1 worst Medicaid program and I had been on AL Medicaid - they cover all mediocre to bad doctors for adults but there are few good doctors for children if you live closer to largest city in state. I never want back on those program again, however CA is on opposite - their program is much better than AL and they cover CI as well. We have very high diabetes rate, thanks to fast growing of obesity rate, but obesity rate is rare in our deaf school due to strict diet regulation that set by state and federal.
I don't see as sad in case with our deaf school. Many students are very happy, despite about strict rules and mandatory uniform - our deaf school was first deaf school that adopted uniform policy in 1998 before spread to other southern states. The education is much better today and they have great program that help students to prepare for college and work. Our VR is very good with help deaf people to get a job, also they offer interpreter to help them on hiring, training and first job. I don't see CI and oral language as necessary to our life.