Second, I respect the decision to choose this path IF AND ONLY IF it is the PARENTS’ informed choice. If parents realize the outcomes of the various approaches, understand what they will need to do to help their child succeed, and understand the life-long ramifications of communication choices, then they are able to make the appropriate choice for their child and their family. In this case, however, parents do not have options for mode of communication, educational setting, or even the type or number of hearing aids or cochlear implants their children receive. Unfortunately, schools using sign language are the only option for public education for children with hearing loss. If parents want listening and spoken language, they must pay for private schools and therapies – obviously, this prohibits all but the most wealthy families from having free choice in their child’s education.