I was wondering what people thought obamacare will do for optometry. I actually think it will hurt it. As an OD i see a large number of uninsured patients. These people come into my office. Pay an exam fee and are seen. Under obamacare the number of medicaid patients will expand greatly. Where i practice if someone has medicaid I am not allowed to bill them a refraction fee on top of the medicaid fee. The medicaid fee pays about 50 dollars for the exam. Also, these patients are not allowed to be upsold glasses etc.. So if they want medicaid glasses and to use their medicaid dollars for glasses there are only a few to choose from. If I want to sell them something expensive and charge them the difference it is not allowed under medicaid guidelines. In our main office, I see patients with my brother who is an OMD. He sees and gets referred a lot of insured patients. I see some too but he gets the bulk of referrals. From this I deduce that if more people are insured and more people have medicaid, my collections will go down because more people who now have insurance will get pushed to see OMDs from the primary docs and more uninsured people will have medicaid and will be a reduction of income per patient compared to pre-obamacare. Note: This is no judgement on whether Obamacare is good or bad. It is strictly my opinion regarding whether my income will go up or down from obamacare. Thoughts anyone?