The real pinch will continue to come when deregulation takes fuller effect.

"So your state dispensing laws are flouted? Tsk tsk. Well, no one ever died from a poor fitting frame."

"So refractor kiosks are in the mall? Well, if they don't work, people won't use them, so..."

"So, that guy I got my eyes examined from isn't really an eye doctor? Wow, he sure looked spiffy in that coat..."

"I can't tell who the he77 knows what they're doing, and I can't get glasses that work for my elderly mom."

"Hey, I just found a certified doctor that uses certified opticians and make quality eye glasses by a real, live company and I'm a lot happier."