Interestingly enough, tinted glasses have a slight optic effect similar to weak reading glasses. You might benefit from bi-focals

Some really are medically trained doctors (Opthamologists) others are trained for the optics (Optometrists) and since most people don't really appreciate the difference we over generalize and call the all "eye doctors".

Not precisely true. A simplified generalization: An Opthamologist is trained to deal with pathology of the eyes - diseases, degeneration, medical problems, etc. An Optometrist is trained to deal with the physics of the eyes - optics, and other related issues. Then there's behavioral optometrists who look at added vision issues besides just the optical; how your brain processes the information once it gets it. All are highly trained, paid a lot for their training, and need to make a living off of it. Their income comes from both the office visit and additional supplies they will sell you. It's part of the free market model. Good ones have some passing knowledge in the other discipline and are willing to refer you when they think the other discipline will help you more. You will find examples in either discipline where they care more about keeping your dollars than hellping you. My advice is to ask what the examination process involves before making an appointment. If they are scheduling appointments every 15-20 minutes, maybe they aren't taking enough time to really evaluate what will help you best.