This goes back to OPDX 2012 and the planning we were doing for our Ministry of Education. Camping gear / XRL was expected to become yet more ephemeral (more with less). Rather than have such a clunky dome in the A Camp, we might cover all of B Camp, or call it D Camp. This didn't have to be downtown. You may remember the planning meetings. A way to occupy the indoors. I went to Ikea.
I've been suggesting XOM get involved, as a part of the new Asian focus. Having a Russian Peace Corps (MirCorps) in the wings was the planning around Troutdale. These jets could be in Hillsboro as well, and meant for domestic / local service. I haven't even checked where Gulfstreams are allowed to land, if we're looking to repaint more of those.
When you get the exam, lenses and frames, an effort will be made to connect you in to medical records, if there's no record already. You will likely get the usual messages about how integrating your identity across systems is a job you might help with. Do not take only a passive interest in how your records get kept. Activists welcome. Designers, we need your assistance.
Speaking of which, the Oregon initiatives around open source record keeping in general might be a good place for "I Care" to start. As an off shore NGO, we're not worried about trying to jump through hoops to become some certified HMO / PPO covered entity. This isn't business as usual.
However, with the Chinese peacekeeper concept (like peacecorps), or the Russian MirCorps (like a geek corps), we're able to advertise some alternatives to high cost "all American" health care (the kind that leaves people out in the cold to die). Like the cruise ships (some of them), the criterion for service is not "ability to pay". We expect that access to money accounts is negligible in these monopoly games, with way more losers than winners. Doesn't mean they shouldn't have eye glasses though. We're just not that selfish, even if that's not true about you.
Of course realistically we might need more self serve, ways to administer one's own eye test. Our delegation to Managua found people scrounging through boxes, trying pairs on, using trial and error against an inventory of hand-me-downs.
I'm thinking /dreaming of a better service on average, such that we might have more pride our our species of hominid (however bloodthirsty). Why deny a person prescription lenses in a frame (a pair of spectacles)? Other healthcare may be more difficult to provide on such an industrial scale. Lets make a difference where we can, when we can, while we can.