Hearing loss, a common consequence of aging, is often overlooked and under-treated, despite its significant impact on health and quality of life. Research shows that hearing aids can help reduce the risk of falls and slow cognitive decline, yet these solutions are not widely integrated into healthcare systems. The failure to address hearing loss in elderly care policies carries both health and economic consequences, as untreated hearing problems can lead to increased risks of accidents, mental health issues, and higher healthcare costs. Hearing loss is frequently seen as a natural part of aging, but its effects extend far beyond the inability to hear. It can hinder independence, increase the risk of accidents, and complicate the delivery of medical care. While there are effective interventions—such as hearing aids, clinical assessments, and organizational support—these are often not consistently implemented in medical and social care settings. This gap in care is particularly evident in institutions that serve the elderly, where hearing loss is more prevalent and less likely to be addressed. In Europe, the prevalence of hearing loss rises sharply with age. About a third of people aged 65–75 experience hearing difficulties, and nearly half of those over 80 have significant hearing loss. In France, data from the CONSTANCES study show that over 60% of people aged 71–75 have some form of hearing loss. The consequences of untreated hearing loss are both personal and societal. It can lead to communication problems, misunderstandings in medical care, social isolation, depression, and cognitive decline. The World Health Organization estimates that the global economic impact of untreated hearing loss exceeds $900 billion annually, highlighting its broad implications. Recent studies have reinforced the link between hearing loss and cognitive decline, including dementia. The 2024 Lancet Commission on dementia prevention identified hearing loss as one of the most significant modifiable risk factors, with the potential to reduce the risk of dementia by up to 7%. Clinical trials, such as the ACHIEVE study, have shown that using hearing aids can significantly slow cognitive decline in older adults. These findings, along with economic modeling suggesting cost savings from early intervention, underscore the importance of integrating hearing care into broader health strategies. In France, falls among the elderly are a major public health concern, with an estimated 2 billion euros in annual costs. Hearing loss is linked to increased fall risk, as demonstrated by the ACHIEVE trial, which found a 27% reduction in falls among those who received auditory interventions. Despite awareness of this issue, hearing loss remains under-detected in nursing homes, where it is often part of a broader set of health challenges. Efforts to improve screening and support for hearing aids are ongoing, but progress has been slow. Integrating hearing care into institutional practices is essential for improving the quality of life and safety of elderly residents.