What Happens When Optometrists Burn Out? A Reflection on Australia's Union Movement and the Future of Eye Care
Just one eye doctors opinion.
Let me start by saying this: I love what I do. Being an optometrist isn't just my profession—it's my calling. There's nothing more rewarding than helping someone see clearly, whether it's a child putting on their first pair of glasses, a senior regaining vision after cataract surgery, or a patient with diabetes finally understanding the importance of regular eye exams. But recently, I came across a news article that made me pause.
It was about a growing number of optometrists in Australia considering unionizing. Why? Because nearly 30% of them are feeling overworked, stressed, and—here's the big one—burned out. The reason? Eye doctors are starting to feel more like cogs in a corporate machine than healthcare providers. They're being pushed to see more patients, meet tighter sales goals, and hit revenue targets…..at the expense of quality care.
And here's the part that really hit home: this isn't just an Australian issue.
Eye Doctors Are Not a Commodity
Somewhere along the way, in this shiny era of "2-for-1 glasses" and discount ads on every street corner, something shifted. Optometrists—highly trained, licensed medical professionals—are being seen less as care providers and more as a means to sell glasses. As if our value can be boiled down to a transaction.
I'm not here to wag my finger at corporate optometry. I get it. There's a place for large-scale operations, and they've made eye care more accessible to many. But when eye care starts being driven by spreadsheets instead of patient needs, that's when we have to stop and ask: Is this the future we want for our profession?
Looking at Canada: A Mirror in the Making?
Here in Canada, we haven't seen a full union movement yet—but we'd be foolish to think we're immune to the same pressures (Hey, I never thought all the optometrists in Ontario would go on strike back in September 2021).
While many optometrists still work in private practice (myself included), corporate optometry is undeniably on the rise. I also work in a corporate-affiliated setting, and I'm fortunate that the organization I work alongside has respected my clinical autonomy and stayed out of day-to-day care decisions. But I know that's not always the case. And as more corporate models emerge, there's a growing concern that some doctors may lose the freedom to put patient care first without interference.
Let's not forget: provincial governments haven't meaningfully updated optometry fee structures in years (think pre-covid). In some provinces—hello, Alberta—we've even seen reductions in what's covered. That means we're working harder, with more responsibility, for less compensation. It's a tough pill to swallow, especially when we're trying to provide top-tier care with the latest technology and best products.
We Need to Stay Eyes Wide Open
I'm not writing this to complain. I'm writing this because I care deeply about this profession—and the people we serve. I believe that eye doctors need to remain at the forefront of eye care. We need to lead the conversation, not just follow the financial pressures. We need to make decisions based on what's best for our patients, not what drives quarterly profits.
So what's the solution? Honestly, I don't have all the answers. But I do know this: we need to keep our eyes open. We need to support one another as a profession, speak up when policies don't make sense, and ensure that we're building a system where the doctor-patient relationship remains the primary focus.
Optometry has given me a life of purpose—and I'll continue to show up every day with heart, integrity, and a clear vision (pun intended) of what great eye care should look like.
Because seeing clearly shouldn't just be for patients—it should be for the profession, too.
Disclaimer: The content provided on this website, including blog posts authored by Dr. Ross McKenzie, is intended for general informational purposes only. It does not constitute medical advice, diagnosis, or treatment, and should not be relied upon as a substitute for consultation with a licensed optometrist or healthcare provider. No doctor-patient relationship is established through the use of this website or its content. The information shared is not intended to endorse or recommend any specific medical treatments or guarantee outcomes. Users are encouraged to consult their own healthcare providers regarding any health concerns. The team at drrossmckenzie.ca does not assume liability for any decisions made based on the information provided. Use of this website is at your own risk.
Hey there, I’m
Dr. Ross McKenzie
I’m an Edmonton-based optometrist who believes clear vision is about more than just eyesight — it’s about seeing your life, your work, and your health with clarity.
I love smart tech, sharp lenses, and helping people show up fully in every part of their day — whether that’s behind a desk, behind the wheel, or on a ski hill.
My Mission? To bring real, honest eye care to real people — with a side of science, strategy, and style.
