When (and it certainly seems like when and not if) phaco goes down to around $500, I will probably limit myself to straightforward cases, or maybe only those where I can implant a premium lens, and I will try to squeeze all my cases in 1 or 2 days a month. Otherwise, it makes no economic sense. I would imagine this is exactly what Medicare has in mind as a way to decrease reimbursements for the #1 procedure by volume. Yay for ObamaCare!