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Apparently, if you enter x-apple-health://HearingAppPlugin.healthplugin/HearingTest into Safari, it allows the hearing test in non supported regions.
Why was there ever a geoblock to begin with?
I would guess it’s due to regulatory approval outside of the US
It is probably classified as a medical device in certain regions
It's basically an OTC hearing aid. Those are generally regulated, and getting the relevant authorisation takes time.
You can't move fast and break things with official health equipment.