When state budgets are cut, lower income families dependent on Medicaid to cover the cost of cochlear implants can not replace lost speech processors. And obviously, because of their lower incomes, they can't afford service plans either. So when an implant is no longer under warranty, and a family can't afford a service plan, AND state funding is not there, what happens when a child loses a speech processor? A public fundraising effort, as with this little girl. (Sorry, no captions on the video).
The article does not say if the lost implant was under warranty, or if the family can not afford a service plan. I am making these assumptions based on the facts in the article.