From Obsolescence to Abandonment: Exploring the Precarious Use of Cochlear Implants in India

In: Science, technology, & human values: ST&HV

Abstract

Cochlear implants are considered the gold standard in intervening on deafness and hearing loss. However, "success" is predicated upon routine and consistent use, which in turn is predicated on the ability to maintain devices. This essay considers what happens when use is partial and precarious and asks what happens when external implant processors become obsolete. Contributing to Science and Technology Studies scholarship on obsolescence and the binary between use and nonuse, I analyzes the ongoing aftermath of a central government program in India that provides children living below the poverty line with cochlear implants. Drawing on ethnography and interviews, the article analyzes how families struggle financially and logistically to maintain devices, resulting in cycles of partial use and precarious use. Ultimately, devices become obsolete, and families cannot afford compulsory upgrades. The state and corporations claim these families abandon the devices. In contrast to this claim, the article stresses that we must examine abandonment differently, by attending to how families are abandoned by the state and corporations. Arguing that obsolescence as a concept obscures relationality and functions apolitically, the concept of abandonment is instead put forward to analyze ruptures that occur when consistent and reliable biotechnology use is no longer possible.