Medicare and insurance cover basic surgery for the diagnosis of cataract. They are concerned with addressing the medical diagnosis, which they provide for. However, we are focused on the vision in two important, additional ways. The first is in range of vision, because cataract and lens replacement surgery is the one chance to get as much of the world in focus as possible for the rest of a lifetime. The second way in which a good visual outcome exceeds Medicare and insurance is in crispness, which means the reduction of astigmatism. Often people are surprised to hear they have astigmatism that needs to be addressed, since they do not remember needing astigmatism in glasses or contacts before their cataract developed.