Well said Alicia.
For example, Alicia has a power model of her Verstas but her hearing loss doesn't require the gain that a power model is capable of yet. It is there so she has growing room if/when her hearing deteriorates more.
If we all went around buying hearing aids with the intent of maxing them out right away we would be buying new ones every time our hearing changed!
I would also like point out that hearing aids are not intended to be maxed out! Just because they are capable of it doesn't mean it should be done. My minivan is capable of going 200+ KM an hour, but do drive it that fast because I can and it could be a little faster? No, I don't! Why? Because I recognize that my minivan gives me the best preformance when I drive it at the speed limits and I get the best, most effective, and safest use of it when I am at the prescribed speeds.
I made a thread on this and I hope to learn from the answers. Alicia has like 70db loss so she might not require full gains, a few db gains could still aid her to normal hearing. My hearing is much worse so unless my gains are maxed, I will not hear as well as Alicia. A CI would not yet help me as long as HAs are giving me normal aided hearing. If I lose another 10-15db hearing, then yea ill look more into a CI.
If my hearing got worse, I would still stick with my current HAs till my hearing got bad enough that a CI would have good odds in my favor. Of course id try a better HA if there is any before ever going the CI route.
If HA's aren't intended to be maxed out, why is deafdoc's HAs maxed out? I don't feel that I am hearing well enough, there's some environmental sounds my dad hears that escape me. Also my audiologist feels I could get better speech reception when he reprograms my HAs for max gain. Ill have to ask my audiologist the pros and cons of max gains but believe he would say the pros far outweigh the cons.
Your minivan analogy is different for many reasons. First there's something called a speed limit that if you exceed, you get in trouble with the law. Second speeding puts you in danger. I am guessing one of the few reasons your minivan can do 200 is for emergency purposes. Say some criminal is persuing you and you have to escape, you hope to drive faster than him and lose him. A second reason is perhaps one of your passengers gets a heart attack, you drive fast to the hospital!