“…There remains no definitive evidence establishing the connection between long-term outcomes, child (and family) characteristics, and recommended communication and amplification modality, despite 200 years of debate between the proponents of the oral and manual modalities. [12][13][14][15][16][17][18][19] Information that families receive is likely to be influenced by the opinions, beliefs, and attitudes of health professionals and educators and by the availability of specialists and educational and habilitative resources. 7,10 In the absence of conclusive medical evidence, parents may rely instead on their beliefs, values, and goals, which are often polarized among people who take opposite stances.…”