I have been wearing top of the line digital for about ten years. They are only a tiny bit better than middle of the line models if at all. I have forward mics only, but it is still difficult hearing in a noisy environment.
The basic problem with any hearing aid is that it changes the phases of incoming waves randomly. The ear and brain cannot reconstruct the direction of the sound.
A problem I have is "hidden hearing loss". Even though you can hear the amplified frequencies your brain has a hard time making sense of them because of deeper auditory nerve damage.
It's sort of like eyes. If there is not enough light energy or if your vision is blurry, you can't see well. That's easy to fix. Just turn up the lights and get glasses. With hearing aids you can turn up the sound energy, but you can't get rid of the "audio blurriness".