VSP is evil, it almost impossible to make a profit off what they will pay the doctors. If the patient does not buy designer glasses, the doctor will lose money on them. What VSP pays is not enought to pay the office staff for the time, much less actually make a profit. VSP actually gives out litterature to the doctors on how to make a profit, they tell to them to "up-sell", I think that is what they called it. Basically it is getting the patient to buy things they don't need, stratagies to get them to buy lens tints, anti-reflective coatings, no-line bifocals, designer frames... All that stuff that is nice, but not really needed. I feel it is very dishonest. I always offer the add-on to the patients, but never have I tried to sell something I didn't think was worth the money. VSP knows what they are doing and they just don't care. My father actually does not carry them anymore. We lost a few patients, but it was not worth the unethical practices one had to do to pay for the office.