While I have found several articles, I unfortunately feel like I don't know enough about the politics or the business yet to fully understand the finer details of what these changes imply to the field of optometry. I guess I spent to much time with my nose in a book, or working over the last few years. :-/ Anyways, I digress. I'm able to grasp the major concepts of he following below articles, and I have been practicing (meaning talking to myself) going over the basic points of each to make sure that I don't just memorize their points, but fully understand them, but I'm still just a little worried.
The main points that I got from this article, is that according to the bills passed by congress, the optometry practice will continue to be/now will be considered something that should and will be covered under medicare. This should obviously be a plus for not only citizens with medicare, but also for practices, but I've also heard that medicare doesn't provide optometrists with very much compensation for their services, so it may not help business that much.
http://www.aoa.org/x14659.xml
I have found several article that reference the Affordable Care Act (
http://www.aoa.org/x22185.xml) and that is has parts that are potentially harmful to the field, so I am researching further into that. However, with the Supreme court dismissing challenges to provisions that I'm assuming the AOA wanted to have, maybe this is old news.
Of course the AOA preaches on their website that they are lobbying in Washington to support Optometry careers, and I would like to assume that they are beneficial to the field, is that true?
I found one article dating back in May 2012 that discussed the hundreds of optometrists and optometry students that went to Washington to argue against several issues that included Medicaid cuts, granting vision coverage and access to children, and again, the Harkin Amendment. In the article it said they were working towards "Expanding access to high-quality health care services and introducing much-needed competition into the health care marketplace by fully implementing new federal provider non-discrimination safeguards (Harkin Amendment)." What do they mean by "non-discrimination safeguards."? Who are being discriminated against? Optometrists? I know there are threads and talks on forums about other doctors working into and offering refractions and Optometrists becoming, in a sense, obsolete, but I'm not interesting in discussing that here. I'm just wondering if that is what they mean by the discrimination.
The Harkin Amendment was mentioned to have been passes, and the AOA said that that was a "win" for Optometry. After researching the amendment, I found this quote "A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that providers license or certification under applicable State law." and it sounds like it would benefit optometry. Maybe I will try to focus on this.