Subject: The answer is subtle - but yes.
I truly recognize that plus-prevention must be started - before you go below 20/50 or so on your home Snellen. From what I have seen, the OD does not even "bother" to have you read a "clean" Snellen, but rather starts putting strong minus lenses in front of your eyes - trying for extremely sharp vision. This process OMITS the need to inform you of plus-prevention, when it could be effective for you.
I have no problem, PAYING a first-time optometrist - to provide me with this critical information. After all - this is a life-time problem if I even START wearing a strong minus lens all the time.
Failure to sit me down, and EXPLAIN this issue to me, is indeed a scam. When any optometrist "skips" this step - he cheats me out of my ability to protect my distant vision - for life.http://breakfornews.com/forum/viewtopic.php?p=16509
That being said, I know that the only alternative, is that I check my own Snellen - at home - and always exceed the required DMV or 20/40 line. Even if I did not drive a car - I would still standardize on that line.
I have 20/20 vision, objectively confirmed by myself. The last time I went to an optometrist, he WANTED TO PRESCRIBE A LENS FOR ME. I explained that I had 20/20, and pushed the "Phoropter" away and read 20/20. He STILL wanted to prescribe a lens. I do not like to "conflict" with an optometrist in his office. But I do not like being cheated by ODs who do not do this checking, and support my desire to protect my distant vision - myself.
We need a full and open discussion of this issue. But you will never get it from an optometrist in his office.