I really don't think this is the case Jillio. I've never met a CI surgeon with the attitude you describe below, and I've actually met more than half of the CI surgeons in the US in person, and probably communicated with another 1/3 of them by phone or e-mail. I can't remember any letter of medical necessity ever written by an implant clinic (and again, seen hundreds of these) that doesn't include a significant component on therapy and education following the CI surgery. A huge chunk of medical/audiological cochlear implant conferences is dedicated to the topics of "what else needs to go with the implant to optimize speech and language outcomes", including entire 1/2 and frequently full day sessions educational and psychological issues in addition to the always-present topics on therapy, which complement the issues on surgical techniques and timing. There were 1200 attendees at the last conference like this in April in Charlotte.
