Is ‘de-growing’ your practice an option?

“Any intelligent fool can make things bigger, more complex. It takes a touch of genius — and a lot of courage — to move in the opposite direction.” – E. F. Schumacher
In this month’s column, I would like to appeal to your likely original training as a biologist. Everything in the natural world, including an ophthalmic practice, grows. But nothing grows permanently.
“Degrowth” — shrinking the energy and natural resource intensity of a country’s economy, or even shrinking the economy and the population itself — is much in the news