Why It's So Difficult to Buy Contacts in the U.S. - The Atlantic - 0 views
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a fact that has puzzled me ever since I moved to the United States a dozen years ago. In every other country in which I’ve lived—Germany and Britain, France and Italy—it is far easier to buy glasses or contact lenses than it is here. In those countries, as in Peru, you can simply walk into an optician’s and ask a store employee to give you an eye test, likely free of charge. If you already know your strength, you can just tell them what you want. You can also buy contact lenses from the closest drugstore without having to talk to a single soul—no doctor’s prescription necessary.
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why does the United States require people who want to purchase something as simple as a curved piece of plastic to get a prescription, preceded by a costly medical exam?
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On the one hand, some number of Americans who visit an optometrist to get a new prescription will indeed discover that they have a serious condition that requires immediate care. On the other hand, it is likely that a much greater number keep wearing glasses that are too weak—or won’t wear glasses at all—because they want to avoid the cost, time, or stress of a visit to a doctor.
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the added cost of having to see an optometrist presumably stops many Americans from accessing the corrective lenses they need to improve their vision. Is the desirability of an eye exam performed by a medical professional a sufficient reason to prevent Americans who would rather not—or cannot—visit an optometrist from buying glasses and contacts?
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it’s reasonable to assume that it has an adverse impact on many people, especially underprivileged Americans—those who don’t have insurance, have little cash, or lack the social or financial capital to navigate our country’s byzantine medical system.
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many people have a financial interest in this burdensome system. If Americans no longer needed to book appointments with optometrists to buy glasses or contacts, many optometrists would see their salaries cut, and some might go out of business altogether.
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I stood firm, and later went online to order perfectly fine glasses and contact lenses at a fraction of the price. But how many customers give in to heavy-handed sales tactics?
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When I last went to an eye exam at a storefront optician in the United States, for example, the staff gave me the hard sell on glasses that would have cost hundreds of dollars, as well as on contact lenses that were much more expensive than identical ones sold by online retailers. Thankfully, I knew that two laws, one passed in 1997 and the other in 2003—which had, incidentally, been loudly opposed by the AOA—gave me the right to demand a copy of my prescription.
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Optometrists are also a source of revenue for opticians, from large chains like Specsavers to independent stores in malls and town centers across the United States. Since they often work on-site, they have an incentive to nudge their patients to buy the products on hand.
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Democrats who care about the well-being of the socioeconomically disadvantaged—and are worried about the health disparities between different ethnic groups—should be outraged by the unreasonable burden the situation places on underprivileged Americans.
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Republicans who believe in the free market should look on this red tape as an unnecessary intrusion on free enterprise
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Even in times of extreme polarization and a deeply broken Congress, this is one piece of sensible legislation that should be able to command bipartisan support