But that is something else entirely.
No, it isn't. It is exactly what we are talking about.
People may have differing goals (a fast car, and efficient car, etc.), but once those goals articulated, no value judgments are necessary.
You can't pretend the articulation of those goals is irrelevant, as they will steer the way in which the car repair will happen. That means that the value judgements based on philosophical beliefs are a necessary part of car repair.
Similarly you can't pretend that scientists' philosophical beliefs concerning the axioms of science are irrelevant, because it will steer the way in which they will do research, and what questions they think they ought to answer.
Scientists do start their research from a "faith" in axioms that are themselves unproveable, and that's a good thing; they couldn't do any science if they didn't have some idea of what it means to do science.
This "philosophy" originated from something else entirely
The origin of that philosophy is entirely irrelevant to my argument. What is relevant is that it exists and that it influences the way the car repair is done, and that it is not something for which objective scientific evidence can be found. It is at its heart a subjective value judgement, an opinion.
A "mechanic" who believes that rusting cars are better is not actually a mechanic
That's your value judgement. While it can be very useful to categorise and to think that some things belong in a category and others don't really belong there, it will inevitably lead to some "No True Scotsman" fallacies.
They are welcome to this view, but just the same, there is such a thing as "normal" hearing.
Only if you accept the unproveable axiom that such a thing needs to exist, and you do not accept the alternative that people have a wide variety of (dis)abilities all of which may be useful in other circumstances.
If we wish, we can define this as the state of hearing that gives the greatest survival advantage.
What a strange definition. I think you would have a much greater survival advantage if I heard much better than I do; and there is nothing wrong with my ears. Your definition also makes the definition of "normal hearing" dependent on the state of the environment. That means that in some circumstances many people who have average hearing ability may have a severe disability because their hearing does not give them the greatest survival advantage in the environment they are in.
And the goal of any audiologist should be to restore hearing to this state.
The word "should" shows that you are making a value judgement based on a personal philosophy.
But that is not medicine; certainly not what I think of medicine.
If you do not consider it medicine to consider how the patient will feel about the result, then you may have a very narrow view of medicine.