While hearing care professionals might perceive OTC/DTC as a threat or detrimental to their professional autonomy and livelihood, authors Rupa Balachandran and Amyn Amlani show how there are opportunities to meet the demand of listeners with impaired hearing through the provision of revenue-generating professional services. These service opportunities allow for the preservation of the independent practice channel for those practitioners who understand and recognize the economics of the transformed, and continually evolving, US hearing healthcare environment.