I'd like to defend ECCA a little bit if I could. I'm an optometrist and have worked for this company as an associate for over six years and I'm very happy with my situation. I work with 6 others who all have the same story. The majority of the docs I work with have owned and worked as associates in private practice. Not commercial lease practices, but with opthalmology or owned their own. This setting is not for everyone, but let me explain why I, and they, like it so much. I only do optometry here. I don't sell. I don't hire. I don't do administration. I don't file. All I do is sit in an exam room and do exactly what the patient comes to me for. I give the best eye exam I know how to give and if there is a service needed I can't provide I refer. I have NEVER had anyone pressure me to do anything more. I work at the speed I'm comfortable and do everything I feel necessary. Again, no one has ever dictated any of this to me. Now, of course, I get paid more for seeing more people, but doesn't this hold true for private practice? Let me explain my situation and you tell me if this sounds aweful to you. I work four 10-hour days per week. Believe it or not mostly mon-thur (others like working weekends cause money is better, but I prefer them off so it works out). I get a generous base pay salary, but contrary to another poster, I make above that base EVERY check. Now its true we don't schedule an hour off for lunch, but we certainly find time to eat throughout the day. On average I'd say I eat at least four times a day. And frankly I don't prefer to take a lunch cause anyone in this profession knows there are lulls throughout the day, and if I took a designated lunch that means I'd be at work an extra hour. I'd say on average it works out that I see around 25-30 patients per day, and remember that is a 10 hour day. I work hard, but not excessive. Yes, there are times that I see a lot more than that and times I see less than that. As an employee, I get employee benefits which is rare in optometry. I have a 401k, health ins., malpractice, 4 weeks (that's right) paid vacation, and 3 days CE just to name a few. Now, here is the good part. Last year my gross income was $136,000 and this year I'm on pace to do more. My first year here out of school I made $120,000. And that was over six years ago. When I graduated I had over $120,000 in loans. Because my interest rates are so low, I've chosen to pay them slowly. However, only six years out I have more than enough money to pay them off and then some. Good luck finding this in private practice anywhere. You won't. Again, this setting is not for everyone, but I was not ready to put down roots in one place and take on more debt for a practice out of school. Now, just a few years later and only 31 yrs old, I have the freedom to do whatever I want to do with no debt or no practice keeping me down. Yes, there is equity in private practice, but I know of many in this field who are retirement age who cannot find buyers for the reasons I just mentioned. It's happening more and more all the time. Simple economics will tell you that compounded interest will yield way more benefits in the long run than owning your own practice. But you have to have the discipline to actually save. Now back to ECCA. Of course there are things in this practice that I'd do differently if I were running the show. But in my opinion, the annoyance sn't worth the tradeoff of all that goes into private practice. It is all a matter of personality. If you like to make good money while having less responsibility and the freedom to move somewhere new anytime you like, then commercial might be for you. However, if you have to be in control and know you want to live in location x for you entire life, then private might be for you. But in all honestly, from an ethical standpoint I currently practice to the highest standards I was taught in optometry school and make every effort to treat all my patients like I would my mother or grandmother. And I am being completely honest when I tell you my boss has nver encouraged me to do anything other. In fact he encourages proper care because he is the one paying our malpractice insurance, and you can imagine the scrutiny he gets for being so successful. I know many on this board are students, and Id like to warn you that if you choose to go into commercial practice, some will think less of you. It personally doesn't affect me at all because I am completely content with what I do. However, if you think it an insult that some dork in dockers and velcro shoes comes up to you at a CE meeting only to refuse to speak to you after he learns you work for ECCA, Lenscrafters, Target, etc., then maybe this setting isn't for you. I acknowledge that ECCA is a big company and many are hired in under different circumstances and in different markets, but for what its worth I'm submitting only my experience and those I work with. Hope this helps anyone who might be searching.