[HN Gopher] Finding a therapist who takes your insurance can be ...
       ___________________________________________________________________
        
       Finding a therapist who takes your insurance can be nearly
       impossible
        
       Author : rntn
       Score  : 116 points
       Date   : 2024-08-25 16:12 UTC (6 hours ago)
        
 (HTM) web link (www.npr.org)
 (TXT) w3m dump (www.npr.org)
        
       | impendia wrote:
       | Both of the therapists I've seen made it clear up front that they
       | refuse to deal with insurance companies, and expect payment up
       | front. The health insurance industry would make Franz Kafka
       | proud.
       | 
       | That said, I was surprised when I mailed a bunch of bills to my
       | insurer, and requested reimbursement. I figured I was probably
       | wasting my time, but why not see what happens.
       | 
       | Anyway, they mailed me a check. The bills were higher than what
       | my insurance would cover, but my insurance decided to cover a
       | substantial portion.
        
         | 23B1 wrote:
         | Yep. A lot of people are unwilling to fight their insurance and
         | the insurance providers are depending on this. Same with
         | billing departments in the various healthcare systems, etc.
        
           | pedrosorio wrote:
           | > I mailed a bunch of bills to my insurer, and requested
           | reimbursement (...) Anyway, they mailed me a check
           | 
           | This is not what I'd describe as "fighting your insurance".
        
             | impendia wrote:
             | I've had frustrating experiences with my insurance before,
             | but indeed in this case I just mailed in a form.
        
         | nradov wrote:
         | There's no reason to be surprised. This coverage benefit was
         | probably clearly stated on your summary plan description. These
         | are short, simple documents that most health insurance plans
         | are legally required to distribute to members.
         | 
         | https://www.dol.gov/general/topic/health-plans/planinformati...
        
           | impendia wrote:
           | Perhaps someone else would not have been surprised in my
           | shoes.
           | 
           | But, rightly or wrongly, reading my health insurance
           | documentation feels to me like staring into the abyss.
           | Indeed, I admit that the expression "clearly stated" provokes
           | exactly the sort of dread I'm describing; it feels like the
           | sort of thing a hospital or insurance company would say while
           | sticking me with a massive unexpected bill.
           | 
           | Whether my reaction is reasonable or not, I can't say, but I
           | do feel deep empathy for the therapists out there who balk at
           | dealing with insurance companies.
        
           | senkora wrote:
           | Thank you for inspiring me to read my health insurance plan's
           | SPD. I learned some stuff.
        
       | 23B1 wrote:
       | Also hard to just find a therapist, let alone one you like. The
       | simple fact is that there's plenty of demand and zero supply.
       | This is why you see so many 'personal' and 'life' coaches now
       | btw. It's an absolute cluster.
        
       | falcolas wrote:
       | In every other respect, I have excellent insurance. But the shit
       | they put my therapist through seriously makes me wonder why she
       | even bothers. Every story in that article echoes her own
       | experience with insurance.
        
       | firesteelrain wrote:
       | This is very true. My Wife has seen a therapist for dealing with
       | her dad's death and her mom's new boyfriend situation as well as
       | mom's irrational behavior. Luckily I have been saving in an HSA
       | for nearly ten years. Paying for it is no big deal. My company
       | also had free sessions as part of our company provided employee
       | assistance program.
        
       | AndrewKemendo wrote:
       | The key legal and economic goal of a privately owned health
       | insurance company, is to become entrenched as a legally required
       | intermediary between patients and the "medical cartel." So
       | functionally the optimal approach for an insurance org is to
       | ensure that they are only required to reimburse for expenses that
       | are mandated by law. Then the trick is to reduce the number of
       | mandatory payments through regulatory capture and obfuscation.
       | See: Medical Biller role at each hospital and lack of consistency
       | transparency etc...
       | 
       | Therapists are not considered part of the medical cartel because
       | they are not required to go to medical school or pass the
       | licensing process for "Doctors." They can't increase the service
       | costs unilaterally into longer term revenue. This is why it's
       | trivial to find a covered psychiatrist - because they legally
       | prescribe medicine which is the best possible outcome for an
       | insurance carrier - their equivalent to SaaS margins.
       | 
       | So therapists aren't legally "Doctors" and as a result they do
       | not have the legal avenues to create an invoice that a health
       | insurance company would accept as mandatory to pay by law. So
       | there's only downside to an insurance provider for this.
        
         | nradov wrote:
         | That's not really accurate from a legal or health plan
         | perspective. Therapists aren't physicians but they do have
         | somewhat similar (though lower) legally mandated licensing
         | requirements.
         | 
         | https://www.bbs.ca.gov/applicants/
         | 
         | Therapists are considered healthcare practitioners. They have
         | NPI numbers. They can submit claims for professional services
         | to payers using NUCC 1500 forms or X12 837P transactions, just
         | like physicians.
         | 
         | Therapists can choose to join health plan provider networks,
         | just like physicians. On most health plans even out-of-network
         | therapy is covered, but the patient financial responsibility
         | may be higher. Mental health parity with medical benefits is
         | legally required (although some payers aren't fully compliant).
         | 
         | https://www.cms.gov/marketplace/private-health-insurance/men...
         | 
         | There is a legitimate shortage of licensed therapists in many
         | areas because education is expensive and reimbursement rates
         | are low. Most therapists still work in small, independent
         | practices rather than as part of large health systems so
         | dealing with insurance billing is a huge hassle and overhead.
         | Thus many therapists don't join health plan networks and
         | require patients to pay directly.
        
       | jaybrendansmith wrote:
       | This is absolutely true, all of it. The insurance companies do
       | not have the incentive to do what is best for the patient. I've
       | been shocked at how little they were willing to cover, with very
       | little justification, even when extreme depression and suicide
       | was a possibility. Just think, they are willing to spent north of
       | $1 million on a patient for complex cancer surgery, but are
       | unwilling to spend 20k to pay for therapy that is proven to
       | prevent a suicide.
        
         | warkdarrior wrote:
         | Cancer when left untreated costs the insurance a lot of money,
         | even if only for palliative care. Suicide on the other hand is
         | a one-time event with minimal, if any, insurance cost. It's a
         | trivial business decision.
        
           | feoren wrote:
           | Someone who has killed themselves is no longer paying you a
           | monthly premium.
        
             | Kamq wrote:
             | In the US, the insurance is probably through (and mostly
             | paid for by) the employer. As long as the employer hires a
             | replacement, they're back to where they were.
             | 
             | As depressing as it is, I bet there's a table out there
             | that covers this (and the risk that the replacement is
             | poached from some other company that pays the same
             | insurance company).
        
       | donatj wrote:
       | Our current and our previous major insurance companies both have
       | covered therapists listed along side other types of doctors on
       | their website.
       | 
       | Made it super easy for us to find one. My wife saw one literally
       | in walking distance from our house.
        
       | Spunkie wrote:
       | My insurance just flat out says therapists are excluded from
       | coverage.
        
         | theGnuMe wrote:
         | You must have a grandfathered plan because the ACA mandated
         | access and equal reimbursement for mental health vs medical.
        
       | PretzelJudge wrote:
       | A PhD in psychology takes 6 years to complete plus another year
       | for licensing. A PsyD is a little bit less, but typically you pay
       | high tuition during that time, whereas most PhD programs are free
       | (with a small stipend). So, you make little to no money (or pay
       | money) for a long period of time and then you are presented with
       | a choice to take or not take insurance. If you choose the former,
       | you:
       | 
       | - Get paid half as much
       | 
       | - Have to deal with filing claims, which ultimately becomes an
       | additional expense, since chances are you have to pay someone to
       | do this for you.
       | 
       | - Get your money later instead of now.
       | 
       | - Have to keep meticulous notes in case you ever get audited by
       | the insurance companies, who can refuse to issue payments if your
       | notes don't meet their standards.
       | 
       | - Have to lose patients when their coverage runs out
       | 
       | Meanwhile, there's overwhelming demand for therapists in many
       | cities and plenty of people who will pay cash. I truly believe
       | that many therapists are not in it for the money... but if they
       | are going to make less money, let's at least figure out a way to
       | handle the bureaucracy so that their jobs are more enjoyable.
        
         | BeetleB wrote:
         | You don't need a PhD to get a license...
        
           | nothercastle wrote:
           | But very few non phd therapists practice evidence based
           | medicine
        
             | r00fus wrote:
             | Most therapists I've spoken to aren't PhDs and the one we
             | do work with isn't noticeably better for outcomes.
        
             | hiddencost wrote:
             | lol you have that backwards. The LCSWs tend to be evidence
             | based, the PhDs are busy working on their book promulgating
             | their theories.
        
               | nothercastle wrote:
               | Lcsw are more like someone you go talk to when you are
               | having a bad day not so much when you need to manage
               | chronic pain, anxiety or ptsd.
               | 
               | Insurance understandably does not want to reimburse much
               | for that.
        
             | meroes wrote:
             | And yet you produced zero evidence. The irony is off the
             | charts.
        
         | notepad0x90 wrote:
         | if the government directly subsidized healthcare instead of
         | relying on the insurance middlemen to perform its duties, this
         | wouldn't be an issue.
        
           | JumpCrisscross wrote:
           | > _if the government directly subsidized healthcare instead
           | of relying on the insurance middlemen to perform its duties,
           | this wouldn 't be an issue_
           | 
           | Most psychiatrists I know refuse to take Medicare because it
           | has the same paperwork and pricing issues.
        
             | CPLX wrote:
             | Medicare is not direct. Direct would be if the therapist
             | worked, on salary, as a therapist, and received a paycheck
             | from the government.
        
               | lolinder wrote:
               | That isn't what "directly subsidized" means, though,
               | that's "directly run". A subsidy is a strictly monetary
               | arrangement, not one where the government actually
               | becomes the employer.
        
           | nradov wrote:
           | It would still be an issue. Even countries with socialized or
           | heavily subsidized healthcare systems tend to have long
           | waiting lists for therapists and strict limits on the number
           | of sessions. Services are rationed everywhere.
        
           | nanoxide wrote:
           | The issue is similar in Germany, where the vast majority has
           | mandatory insurance: Too few therapists for too many people.
           | Even in large cities you might wait months, if they even have
           | waiting lists. It's much easier if you pay by yourself.
        
             | jononor wrote:
             | Same in Norway, which has a directly subsidized phealthcare
             | system for all.
        
             | ransom1538 wrote:
             | Canada: Sure you will never see a doctor, but, when you do
             | it is free!
        
               | suzumer wrote:
               | Do you live in Canada?
        
           | lolinder wrote:
           | I take it you haven't ever interacted with the IRS beyond
           | filing the standard deduction? Or interacted with
           | Medicare/Medicaid?
           | 
           | The only issue raised by OP that would go away if it were
           | managed by a US government bureaucracy instead of a private
           | company would be people running out of coverage, and that
           | only if healthcare were subsidized universally.
           | 
           | And to preempt the comments saying it doesn't have to be this
           | way: it doesn't matter what if US government bureaucracies
           | are incompetent by the design of politicians or by necessity,
           | the point is that _they are_ , and the idea that this case
           | would be the exception is just wishful thinking.
        
             | beedeebeedee wrote:
             | Government support should start a few steps before payment
             | and filing taxes. The solutions that would fix this problem
             | are analogous with having free education instead of student
             | loans
        
               | lolinder wrote:
               | Now we've moved on from talking about direct government
               | subsidy to talking about completely government-operated
               | medicine.
               | 
               | And for that, I'd like you to point me to a state with
               | government-operated medicine that _doesn 't_ have a
               | therapist shortage. Because I'm hearing from several
               | people in this thread that their countries have the same
               | problems.
        
               | beedeebeedee wrote:
               | No we haven't- these problems aren't only reducible to a
               | few categories (i.e., free market vs government
               | operated). The shortage of therapists indicates at least
               | an awareness of discontent among many people, and a
               | desire for help (whether just listening, coaching, or
               | deeper interventions). Those relationships used to
               | involve family and friends, but we understand that a
               | therapist is better suited because of better training and
               | less conflict of interest. We don't need trained
               | psychologists for all of those relationships, and much of
               | it could be solved through other relationships that
               | provide comraderie and fraternity- even in a racquet
               | club, finding other people to help you understand the
               | world and support you. That provides an alternative role
               | for government to intervene, instead of the government-
               | operated medicine boogieman. In this case, the government
               | insuring that more people have leisure time to join
               | clubs, go hiking, spend less pressured time with family
               | and friends, would go a long way to improve the problem.
               | That is a different approach from the financialization of
               | cultural life that pervades most government approaches,
               | but it would be much less costly and reap greater rewards
        
             | notepad0x90 wrote:
             | The IRS and the USGOV in general is much more lax on
             | preventing citizens from having free money. I get tax
             | return refunds I shouldn't, plenty of people cheat the
             | system and get away with it. For profit insurance companies
             | are harder to cheat. If an insurance company refuses a
             | claim, what are you going to do? go to another insurance
             | company that will do the same thing? If the government
             | refuses a claim, you can vote for the other guy. The
             | government is comprised of "we the people", so it is in the
             | best interest of the people for it to take place of
             | insurance companies, which are certainly not comprised of
             | "we the people".
             | 
             | You should also understand that I am not suggesting that
             | insurance companies should be banned. If you don't like the
             | USGOV subsidy, you or your employer can still subsidize
             | private insurance for you. But now, insurance companies
             | have to compete with the government!
        
             | wbl wrote:
             | I fucked up my taxes one year. I filled out the form
             | letting them know I had made a mistake and paying the
             | amount and that was the end of that.
        
               | lolinder wrote:
               | I messed up an insurance deadline one year. I called in
               | and they sorted it out.
               | 
               | I didn't say the IRS was worse, I just said it wasn't any
               | better.
        
             | ToucanLoucan wrote:
             | > I take it you haven't ever interacted with the IRS beyond
             | filing the standard deduction? Or interacted with
             | Medicare/Medicaid?
             | 
             |  _raises hand_
             | 
             | I have! I've actually worked a shocking amount with the
             | IRS, not because I'm a criminal but because I'm working
             | class and wasn't educated on how to file taxes more
             | complicated than a 1040-EZ, presumably because it was never
             | expected I would make that much money or own my own
             | business.
             | 
             | Strictly my experience, I would much, much rather deal with
             | the IRS than my insurance company. Yes, they're
             | intimidating at first, but ultimately every person I've
             | worked with both at the IRS and my state agency has been
             | calm, professional, and frankly to a degree I found
             | surprising, extremely understanding about how badly I
             | fucked up my taxes on a number of occasions. I was never
             | treated like a criminal; they explained what I did wrong,
             | how they found out, what I owed, and how to prevent those
             | issues in the future. And I was given interest-free payment
             | plans with a one-time administrative cost to setup, that I
             | now pay monthly. I'll be fully 0'd out in about 2 years.
             | 
             | This contrasts sharply with my experience with my insurance
             | company! My insurance company tries to get out of paying
             | for every last thing they can manage. My dental insurance
             | has a maximum pay out of a measly $5,000 per year, which
             | seems completely backwards to every other insurance I have
             | ever had, but what do I know. You know how fast you can
             | crush 5 grand in dental work? And paradoxically it still
             | has co-pays, so apparently I'm paying so they will cover
             | _most_ of _some_ bills, up to a predetermined maximum.
             | Additionally, since I own my own business, I do have the
             | luxury of choosing my own insurance, which most people can
             | 't, and for that luxury I pay simply _princely_ sums each
             | month to insure both myself and my spouse. I 've picked the
             | best for my area (at time of comment) and have to spend
             | many many days of unpaid labor every year re-evaluating
             | that choice, both because circumstances and networks change
             | coverages, and because every single year my insurance goes
             | up despite both of us, by and large, being quite healthy,
             | and I get fucking annoyed about it and want to see if I'm
             | getting my money's worth. I wouldn't say I am by a long
             | shot, but the alternatives cover less, and cost more, so
             | I'm still paying.
             | 
             | Frankly, and I don't mean this as a personal attack against
             | you, but I have to assume people who talk like you have
             | never interacted directly with the IRS, and are instead
             | absorbing that opinion through the same cultural osmosis I
             | did, because I too was initially terrified to the bone when
             | I got my first letter from them several years after
             | starting my company, and honestly, they are incredibly
             | over-hyped. The only way to truly get the IRS to take you
             | to to task is to, for years on end, purposely try and
             | weasel out of paying taxes.
             | 
             | I would LOVE, absolutely LOVE, the ability to get my
             | healthcare funded via an organization templated off the
             | IRS.
        
               | YawningAngel wrote:
               | It's also country specific. HMRC in the UK are pieces of
               | shit I wouldn't scrape off my shoe
        
               | lolinder wrote:
               | To be clear, I'm not talking about the cultural fear of
               | the IRS, I'm specifically referring to the idea that
               | patterning insurance after the IRS would solve most of
               | the issues that OP brought up:
               | 
               | > - Have to deal with filing claims, which ultimately
               | becomes an additional expense, since chances are you have
               | to pay someone to do this for you.
               | 
               | > - Get your money later instead of now.
               | 
               | > - Have to keep meticulous notes in case you ever get
               | audited by the insurance companies, who can refuse to
               | issue payments if your notes don't meet their standards.
               | 
               | This description could be lifted up and dropped in to be
               | describing my tax situation each year. Meanwhile, I've
               | never interacted with the kind of nightmarish insurance
               | companies that some people have, so I'm strictly
               | comparing two relatively painful bureaucracies, not
               | nightmare stories about either one.
        
             | KptMarchewa wrote:
             | Next time, for comparison, choose a country where half of
             | the political spectrum does not deliberately gimp
             | goverment's ability to do things just to prove government
             | can't do things.
        
               | lolinder wrote:
               | We're commenting on an article from a US news outlet
               | about the situation in the US. I wasn't going to start
               | talking about a random other unrelated country when
               | people are proposing solutions for this one.
               | 
               | Also, I attempted to preempt these comments. They're not
               | clever or new or even particularly accurate:
               | 
               | > And to preempt the comments saying it doesn't have to
               | be this way: it doesn't matter if US government
               | bureaucracies are incompetent by the design of
               | politicians or by necessity, the point is that _they are_
        
         | jdgoesmarching wrote:
         | LPCs, MSWs, LCPCs, LMHCs make up a much larger portion of
         | therapists over PhDs and PsyDs. All take much less schooling.
        
           | timr wrote:
           | I know someone who is in training to be a therapist. It still
           | takes an absurdly long time and a lot of money to get any of
           | those degrees. In New York, for example, there's a mandatory
           | multi-thousand-hour internship that essentially treats you as
           | indentured labor for several years -- and this is _after_
           | getting a masters, which you usually pay for. The average
           | case ends up substantially in debt, for a field where private
           | practice pays mediocre salaries.
           | 
           | (Hot take: the masters was the truly offensive part of the
           | equation -- most of the content was total bullshit / pseudo-
           | intellectual woo. At least you're getting supervised
           | practical training in the internship, even if your salary is
           | low.)
        
           | pas wrote:
           | for anyone else wondering WTF is going on :P
           | 
           | LPC - Licensed Professional Counselor, 24 states + DC
           | 
           | LMHC - Licensed Mental Health Counselor, 7 states (NY)
           | 
           | LCPC - Licensed Clinical Professional Counselor, 7 states
           | (IL)
           | 
           | LPCC - Licensed Professional Clinical Counselor, 6 states
           | (CA)
           | 
           | ...
           | 
           | MSW is likely Master of Social Work
           | 
           | ( https://www.psychotherapynotes.com/decoding-counselor-
           | alphab... )
        
             | smeej wrote:
             | Where are you getting state counts, and what do they mean
             | here?
             | 
             | As far as I know, most states have procedures for licensing
             | several of these categories, and a couple more besides
             | (Licensed Marriage and Family Therapist, for example).
        
       | Arubis wrote:
       | Finding an insurer that pays therapists a rate in line with their
       | level of education and specialization can be nearly impossible,
       | and time spent filling out the billing paperwork (often only to
       | be rejected for payment or even "clawed back" after the fact)
       | isn't billable.
       | 
       | Many folks I know that have private clinical practices address
       | the tension between this and ensuring that there's access for
       | people that can't afford the full rate out of pocket by charging
       | a really high rate for most patients and then doing sliding
       | scale/pro bono work.
        
         | nothercastle wrote:
         | Keep in mind that most therapists only get to keep 50-60% of
         | the paid rate. So if insurance covers 200$ an hour, they take
         | home 100-120. Which seems decent until you realize they only
         | have 5-6 or so billable hours a day and the rest is paperwork
         | and insurance bs. Also a typical Ph.D had an additional 10 or
         | so years of post secondary education income/opportunity loss.
        
       | pipeline_peak wrote:
       | >"The way to look at mental health care from an insurance
       | perspective is: I don't want to attract those people. I am never
       | going to make money on them,"
       | 
       | Exactly why healthcare should be a human right and not a
       | business. As someone who's grown more conservative over the
       | years, this is where I draw the line. Unfortunately since people
       | will always see mental health as secondary to physical, this will
       | always be overlooked.
        
         | feoren wrote:
         | > As someone who's grown more conservative over the years, this
         | is where I draw the line
         | 
         | At the thing that personally affects you. Just like all
         | conservatives: all problems are fake problems until they're
         | real for you. Disgusting.
        
           | pipeline_peak wrote:
           | Never claimed it personally affected me. You can think it
           | does because that's convenient and fits your narrative but we
           | both know you don't know.
           | 
           | Comments like these are lazy, destructive and downright
           | judgmental. They only further explain why we can't get along,
           | take care friend.
        
       | jeffheard wrote:
       | So let's set aside for just a moment the notion of single payer
       | healthcare as an answer to this. Why hasn't a point of
       | competitiveness between insurance companies ever been that they
       | keep your workforce healthier, more productive, and easier to
       | retain than the competition?
       | 
       | The biggest cost to an employer is always their roster. The fewer
       | sick days people need, the less burnout causes them to churn, and
       | the healthier and happier people are overall, the lower the
       | training, recruiting, and redundant staffing cost.
       | 
       | It feels natural to me that in an employer paid healthcare system
       | like the one we have in the us, the employer should demand the
       | highest quality coverage possible by that metric as long as it
       | reduces staffing overheads.
        
         | galdosdi wrote:
         | My guess is that despite the strong long term overall link,
         | it's too difficult to draw a meaingful link between any
         | particular executive decision on this and any particular
         | outcome, causing a tragedy of the commons. I think it's a good
         | guess because it's a powerful explanation for many other such
         | questions about "Why don't they just ____?"
        
         | coryrc wrote:
         | My employer offers therapy solutions like Lyra, so somebody
         | agrees with you. No reason for BCBS to be involved.
        
         | Mountain_Skies wrote:
         | By far the number one thing any employer I've worked for has
         | done to reduce my number of sick days and visits to the
         | doctor/pharmacy was remote work. Offices and gathering large
         | numbers of people from over a wide area into a confined space
         | by its nature is a vector for spreading infections. This is
         | before even getting into issues like what a stressful commute
         | does to the body and how it limits one's time that could,
         | though not necessarily will, be used for healthier activities.
         | But just the elimination of picking up colds, flus, and other
         | infections from the office has had a significant impact on the
         | number of sick days I've used. There also have been times when
         | I was sick but not too sick to be productive. In the past I
         | would have had to consider if using up a sick day and having no
         | productivity was a good trade-off for not going into the office
         | and possibly infecting others.
        
         | janalsncm wrote:
         | > competitiveness between insurance companies
         | 
         | Maybe we should question this assumption that insurance
         | companies intend to compete. It strikes me as very difficult to
         | compare insurance companies. Some of them don't even keep up to
         | date information about the doctors that are in network (you
         | have to call the doctor to ask).
        
           | nradov wrote:
           | Payers (insurance companies) do compete aggressively, but
           | they mainly compete on issues relevant to benefits
           | administrators who make the decisions at large employers
           | about which health plans to offer to employees. Those
           | administrators need to hold down costs for self-insured
           | employers, and having larger provider networks means higher
           | costs.
        
         | matrix87 wrote:
         | > The fewer sick days people need, the less burnout causes them
         | to churn
         | 
         | I mean, does more therapy lead to fewer sick days though? Or
         | more sick days?
        
         | feoren wrote:
         | Because those are long-term effects, and most companies have
         | literally zero decision makers with any incentive to care about
         | the long term. They all know the game. They're there to
         | parasitize as much value as possible from the company or its
         | common-stock holders in the short term and then fail upward and
         | repeat the cycle. The long-term health of the company is
         | completely irrelevant to everyone who matters.
        
         | nitwit005 wrote:
         | People switch insurance fairly frequently, so if you could pay
         | to improve someone's health, the insurance company is not all
         | that likely to see much benefit.
         | 
         | Most employees at my current firm stay 2-3 years. That means
         | that if you could "fix" a medical issue, it would often need to
         | pay for itself in a year or two, which is unlikely.
         | 
         | Unfortunately, the economics to seem to favor what the
         | insurance companies are often accused of doing: finding excuses
         | to deny treatment.
         | 
         | Edit: Typo
        
         | grecy wrote:
         | Increasing employee pay would also boost morale, but it would
         | be detrimental to retention - move money in their pocket means
         | people have more options to quit outright or find a different
         | job.
         | 
         | The same applies to good healthcare - employers WANT their
         | employees to be utterly dependant on them and just barely
         | scraping by so they're stuck.
         | 
         | Crappy coverage is a feature, not a bug.
        
       | robswc wrote:
       | I often wonder if therapy is "over prescribed" these days.
       | 
       | I've struggled with various problems and therapy has seemingly
       | always made it worse. We would "explore" things which caused me
       | to dwell and dedicate so much brain power to "untangling" ideas.
       | Eventually, I would always be "cured" after some relentless
       | distractions and not the therapy. I truly believe the therapists
       | wanted to help, and our progress felt real... but looking back,
       | it was probably worse than doing noting.
       | 
       | I bring this up because I believe some people need therapy, but
       | many people are encouraged to seek it out for problems that could
       | be overcome with other methods, causing a "therapist shortage."
       | This has downstream effects, like the one posted here.
        
         | DevX101 wrote:
         | Agreed. There's a lot of therapy that used to be addressed via
         | talking an issue out w/ friends/partners/family/church, or
         | other built in cultural institutions. There's a lot of therapy
         | that our in person social networks should be doing (and we
         | should be giving). As we become more lonely and our social
         | institutions fall, it opens the door for the therapization of
         | our modern culture, which seems like a bandaid on a deeper
         | problem. This isn't to admonish therapy, but ideally it should
         | probably be for more severe issues.
        
         | borroka wrote:
         | I will go even further than that. Talk therapy is the scam of
         | the 2000s. The trickle that brought what we call therapeutic
         | language into everyday life, the constant references to the
         | narcissism of a partner who, if we are honest, had the great
         | fault of just not wanting us anymore, the masochistic lingering
         | over traumas that are nothing more than everyday life, the safe
         | spaces, the escape from responsibilities that should be ours
         | but we have been taught to assign to society, has had
         | disastrous effects on human relations and also on political
         | discourse.
         | 
         | On top of that, I have rarely, if ever, found people
         | participating in talk therapy getting better. If it were a
         | pill, no honest doctor would prescribe it.
        
           | sneak wrote:
           | Cognitive behavioral therapy, the most common type of "talk
           | therapy" these days, shows effectiveness on par with
           | medications in a broad range of studies with good
           | methodology.
           | 
           | It is important to remember that anecdotes are not data.
        
             | borroka wrote:
             | What kind of medications are we talking about, for what
             | "issue" (suicidal thoughts or "my parents are disappointed
             | because I did not go to college and I am feeling
             | worthless") and what is the effectiveness, especially long-
             | term, of either medication or talk therapy?
             | 
             | I certainly present anecdotes, and I also live in this
             | world and I notice and I observe and I evaluate. The
             | comment I am responding to does even less.
             | 
             | The second scam is, of course, couples counseling. I have
             | sporadically watched Showtime's "Couples Therapy," and I
             | know several people who have gone to a couples therapist.
             | The cost of a 50-minute session with the therapist
             | presented on the show seems to be $700. After watching
             | parts of the program, I can give my prescription to all the
             | couples featured, free of charge: You need to break up and
             | find someone else. It may be a collection of anecdotes, but
             | I have yet to see a couple "fall in love again" or "settle
             | their differences" after expensive couples counseling
             | sessions. It's time to move on.
        
             | Veen wrote:
             | Does that demonstrate that therapy is effective or that
             | medications are ineffective?
        
               | hirvi74 wrote:
               | Not the GP, but I'll comment about ADHD, since that is
               | what I have relevantly read research about.
               | 
               | For ADHD, it appears that therapy < medication < therapy
               | + medication.
               | 
               | When compared head-to-head, therapy is almost as useful
               | as medication, but the issue with therapy is that once
               | the patient stops attending, the benefits tend to
               | diminish rapidly.
               | 
               | However, therapy tends to have less side-effects and less
               | stigma. According to some research, medication efficacy
               | also tends to diminish overtime as well.
               | 
               | For other conditions, I cannot tell you. I feel like it
               | would be too large of a brush to try and paint with. I
               | could see conditions like personality disorders not
               | benefiting from medication as much as therapy. Conditions
               | like schizophrenia might not truly benefit from either.
               | For conditions like depression and anxiety, I think the
               | medications are efficacious if not perhaps less so than
               | therapy, but do not quote me on this one.
        
             | robswc wrote:
             | CBT worked well for me. Unfortunately though after the
             | first few weeks, doing the exercises and thinking about my
             | problems seemed to reel me back into the gravitational pull
             | of my problems right as I felt I was escaping. As you point
             | out, its an anecdote and a sample size of one... but is a
             | factor in my opinion.
        
           | robswc wrote:
           | Mostly agree with this. In my heart of hearts I truly believe
           | many problems are best left to be abstractions and not
           | "explored." When you explore your problems, you dwell on them
           | and when you dwell on them, you're often not in a good place.
           | 
           | It is all anecdotal of course but like you, I notice that my
           | friends and family that constantly go to therapy never seem
           | to get better... and often times worse. I don't think its a
           | case of correlation either, I think they've just made a
           | mountain out of molehill.
           | 
           | Now, I do want to say there are _many_ people that absolutely
           | need therapy. I think if you just can't function, you need
           | professional help. That shouldn't be discouraged.
        
         | kylehotchkiss wrote:
         | I'm thinking aloud with you here and not dissuading anybody
         | from taking care of their mental health but wow people really
         | need to learn long term coping techniques. The amount of times
         | I see the word "gaslighting" used to describe everyday
         | interactions has really made the word meaningless in sincerely
         | emotionally abusive situations. Tiktok brain telling everybody
         | that they are screwed together wrong really should be addressed
         | at a policy level.
        
           | robswc wrote:
           | I've noticed this too. Like you, I hate expressing the idea
           | that therapy is "over prescribed", lest someone with real
           | issues put off not going... but man, people over complicate
           | things.
           | 
           | Knew someone that went to therapy b/c they constantly thought
           | the world would end any second. Why? Because they kept going
           | on reddit/the internet where every top comment is "the world
           | will end soon." They would talk about their "progress" and
           | all sorts of techniques. Their life seemingly revolved around
           | their new problem to the point you didn't want to hang out
           | with them very long because it would come back to their
           | issues. IMO, the "cure" to this problem is talking a long
           | walk in a park or downtown and get the hell off the internet.
           | Out of curiosity, I just checked and they're still posting...
           | latest posts are about monkeypox and how it will kill
           | hundreds of thousands... sad to see.
        
             | kylehotchkiss wrote:
             | The world ending would be less treacherous than living each
             | day with the fear of it. Yeah, the cure is just to live in
             | the moment. This is a coping technique. Kids need to be
             | taught this stuff in school.
        
         | zeroCalories wrote:
         | I don't think the problem is that people can't be helped, I
         | think the problem is that most therapists are bad at their job.
         | I would not meet with anyone that has not gotten a PhD
         | equivalent or gone to med school at a reputable place.
        
           | robswc wrote:
           | I can agree with this.
           | 
           | Just a quick anecdote. One of my problems was public
           | speaking. This was in HS so my parents and teachers
           | encouraged therapy. Unfortunately, this now meant dwelling on
           | my fear of public speaking 3 times a week. We went so "deep"
           | with why I was afraid but tbh it was probably best to keep it
           | as simple as "I'm afraid to mess up"
           | 
           | I was "cured" of this fear by a damn video game. It was
           | coming out the day of my presentation and 90% of my brain was
           | focused on the anticipation of the game, only 10% left to
           | worry about the public speaking. I got up, did the
           | presentation on autopilot and then realized "oh, this isn't
           | the worst thing ever" and never had a problem after. Sure, I
           | get nervous but before I would actually throw up on days I
           | knew I had to speak so... I consider it cured :)
           | 
           | My therapist was a great and qualified person... but I think
           | I would have never made any true progress... just dwell on
           | and dissected my fear into adulthood.
        
           | harimau777 wrote:
           | For what it's worth, I have a family member who ran a non-
           | profit mental health clinic. According to them, studies have
           | found that advanced degrees have little impact on outcomes.
           | From what I recall, he argued studies showed that the key
           | elements for a successful therapist where following some sort
           | of framework/plan (e.g. cognitive therapy, behavioral
           | therapy, Jungian therapy, etc.) and to be contentious (keep
           | records of each session, come into each session with a plan,
           | etc.).
        
             | nothercastle wrote:
             | It's not the degree that matters, it's just that most
             | people have no way to screen for properly trained
             | practitioners of one of the above plans. A top school will
             | be more likely to have trained the students in these plans
             | correctly by experienced trainers
        
             | opihnb wrote:
             | About me: tenured faculty at APA and APS accredited
             | clinical PhD program. Went to a top clinical program in the
             | US.
             | 
             | Your family member is correct. However, the
             | "framework/plan" in that research is _not_ necessarily a
             | manualized empirically supported therapy, it 's having some
             | kind of guiding theory about what's going on and a plan for
             | how to proceed. Much more basic than the EST idea. Research
             | generally doesn't show any replicable differential effect
             | of therapy paradigm, especially after you control for
             | publication bias.
             | 
             | Many of those studies of experience and degree were done
             | long ago though, and I'm kind of interested how more recent
             | studies would hold up.
             | 
             | In general though the most important things are having some
             | working theory and plan about the client, rapport and
             | comfort between the client and therapy, things like that.
             | What makes therapy work is sort of nebulous and hard to pin
             | down.
             | 
             | There are studies, for example, showing that there are
             | better therapists than others, but figuring out what makes
             | someone a good therapist has been much more difficult, and
             | to the extent researchers have done so, it doesn't really
             | track well with the manualized protocol-driven paradigms
             | that have dominated the scientific therapy literature for
             | the last 30 years or so.
             | 
             | It makes me wonder if what someone needs is highly
             | individual-specific, and part of the trick to doing good
             | therapy is figuring that out all around, and successful
             | rapport stems from that.
        
           | nothercastle wrote:
           | Absolutely this. Only trust phds from top schools
           | practitioners of evidence based therapies. Unfortunately
           | there is a lot of quality dilution in the field and good
           | practitioners don't get reimbursed any more than quacks
        
         | harimau777 wrote:
         | I suspect that the opposite may be true: That everyone needs
         | talk therapy and this was traditionally provided by pastors,
         | village wise men, extended family co-habitation, etc. Like many
         | things in life, as our society has become more complicated and
         | specialized, clinical social workers have become the
         | specialists who perform that role for many people in society.
        
           | robswc wrote:
           | I could agree with this. I believe there is a benefit in not
           | having "on-demand" access to a therapist and boundaries with
           | the people you talk with.
        
         | gruez wrote:
         | >I often wonder if therapy is "over prescribed" these days.
         | 
         | Relevant: "Bad Therapy: Why the Kids Aren't Growing Up"
         | https://www.amazon.com/Bad-Therapy-Kids-Arent-Growing-ebook/...
        
           | pas wrote:
           | can you please provide a tl;dr? what's the main argument,
           | what data is it based on?
           | 
           | ...
           | 
           | okay, I didn't want to be that lazy, so looked up the author.
           | (Her name is interestingly not on the cover :o)
           | 
           | Abigail Shrier, hm. okay, at least there's a wikipedia page
           | about her. she seems to be a layman when it comes to
           | psychology/psychiatry. and her 2018 book about "Transgender
           | Craze" ... uh, okay.
           | 
           | ...
           | 
           | https://thingofthings.substack.com/p/bad-therapy-review-
           | fift...
           | 
           | """
           | 
           | Much of Shrier's book is devoted to critiquing Internet
           | Mental Health Culture, [...] I broadly agree with her
           | critiques.
           | 
           | [Her] preferred alternative to Internet Mental Health Culture
           | is what you might call Fifties Dad Mindset.
           | 
           | [...]
           | 
           | Shrier explicitly says that the right response to "minor
           | cutting" is to ignore it.
           | 
           | """
           | 
           | Amazing book.
        
         | matrix87 wrote:
         | simple, some people just make a religion out of it. it's a way
         | of life for them. the same way some people obsess over the
         | bible
         | 
         | for some people, it's about finding solutions to specific
         | problems, the scope is well defined, nothing wrong here
         | 
         | for others, it's this monolithic worldview that asserts itself
         | as an authority on problems and solutions
        
       | Insanity wrote:
       | Healthcare (in the US) is insanely expensive for physical health,
       | often with insurance being "difficult". Hence not sure why anyone
       | would be surprised that mental health is similar.
        
       | logifail wrote:
       | (Genuine Q) why do so many Americans [appear need to] have a
       | therapist compared with - sorry, not sure how to put this - the
       | rest of the planet?
        
         | Nifty3929 wrote:
         | It's not a question of need, it's a question of want, and
         | available resources to support those wants. The US is
         | sufficiently productive that it can allocate people to
         | relatively less important tasks. If a country barely produces
         | enough to eat, then there's no room for therapists. No knock on
         | therapists - this is basically true of everything. The more
         | productive we are, the more "extra stuff" we can afford to
         | have/do.
        
         | Red_Leaves_Flyy wrote:
         | >It is no measure of health to be well adjusted to a profoundly
         | sick society. J. Krishnamurti
        
         | harimau777 wrote:
         | I suspect there's a number of factors:
         | 
         | If you are comparing to the population of the world as a whole,
         | then I suspect that's because many people in poorer regions
         | simply don't have access to therapy.
         | 
         | If you are comparing to wealthy industrialized nations (e.g.
         | Western Europe and Scandinavia) then I suspect that America's
         | lack of work life balance, lack of social safety net,
         | repressive moral culture, high gun violence, etc. play a role.
         | 
         | I suspect that in some cultures people like pastors and family
         | members play some of the role of therapists to a greater degree
         | than in America.
        
           | logifail wrote:
           | > I suspect that America's lack of work life balance, lack of
           | social safety net, repressive moral culture, high gun
           | violence
           | 
           | Are Americans in therapy directly affected by those issues,
           | or - how can I put this - merely worried about those issues
           | in general terms?
           | 
           | The Economist wrote recently about how political views appear
           | to affect mental health in the USA. The title feels
           | unnecessarily inflammatory, for which I apologise, the
           | article's content feels much more balanced.
           | 
           | https://www.economist.com/united-states/2024/04/04/are-
           | ameri... ( https://archive.is/iWAaP )
        
             | tomjakubowski wrote:
             | What do you mean by "directly affected?" The lack of a
             | social safety net makes me worry about myself (and loved
             | ones) and what might happen in the event of severe job loss
             | or health misfortune. In my city I see people living on the
             | streets almost every day - it is a recurring reminder of
             | the thin line.
             | 
             | Almost by definition, anyone who is directly suffering from
             | the lack of a safety net -- because they are falling
             | through where it would be, and living on the street -- is
             | unable to gain access to therapy, because they wouldn't
             | have money to pay for it.
        
               | gruez wrote:
               | From OP's linked article:
               | 
               | >It is possible that liberalism does not just correlate
               | with sadness but may exacerbate it. Musa al-Gharbi, a
               | sociologist at Stony Brook University, has noted that
               | educated, affluent white liberals have come to endorse
               | the idea that America is systemically racist, leading
               | them to view other racial and ethnic groups more warmly
               | than their own. "This tension--being part of a group that
               | one hates--creates strong dissociative pressures on many
               | white liberals," he wrote in the journal American
               | Affairs. Another hypothesis, advanced by Jonathan Haidt,
               | a social psychologist, and Greg Lukianoff, a lawyer, is
               | that liberals are performing a reverse cognitive
               | behavioural therapy on themselves: promoting not
               | resilience and optimism about incrementally improving the
               | world but catastrophic rumination about problems such as
               | climate change and fearfulness of disagreement even on
               | university campuses. Such habits of mind can deepen
               | depression.
        
         | impendia wrote:
         | Roughly speaking, I'd conjecture that it is because America has
         | always been an idealistic country.
         | 
         | As the Declaration of Independence says, "We hold these truths
         | to be self-evident, that all men are created equal, that they
         | are endowed by their Creator with certain unalienable Rights,
         | that among these are Life, Liberty and the pursuit of
         | Happiness." This is not a uniquely American sentiment, indeed
         | the phrase was largely borrowed from the writings of John
         | Locke, an Englishman -- but it does feel very American to me.
         | (Moreover, the fact that about half the signers of the
         | Declaration were slaveholders puts an odd twist on it, which
         | also feels quite American.)
         | 
         | If some aspects of your life are going well, and not others? It
         | feels American to me to believe that you can have it all, that
         | if you're experiencing problems then you should not grin and
         | bear it, but rather that you can and should solve them.
         | 
         | This is my personal conjecture, and of course is highly
         | debatable.
        
           | recursivecaveat wrote:
           | This is a significant factor in overmedicalization in America
           | I think. Therapy catches a lot of it since it is both broad
           | in scope and difficult to objectify. It is a shame that so
           | much money is wasted to provide worse outcomes in some cases:
           | eg overprescription or overuse of inpatient stays.
        
         | zo1 wrote:
         | I'm not trying to jab or anything, but I think this is highly
         | due to social media. Some people genuinely have issues and
         | difficult mental problems, this isn't aimed at them, and they
         | do need professional help.
         | 
         | But there is a whole cottage movement of people advising people
         | to go see a therapist to deal with all sorts of
         | (controversially and arguably) benign stuff. Everything from
         | bad breakups, to "toxic traits" they need to address, to family
         | issues, to "issues" they got told is the cause of their dating
         | woes, etc. I haven't been able to put a finger on it
         | definitively, but it's present and is definitely influencing
         | people.
         | 
         | If I were to put my "right wing" hat on, I'd respond and say
         | it's because of all those damn lefties urging people to "talk
         | about their feelings and stuff". That might be a tad too
         | dismissive, but there is something to it behind the pointed
         | accusation; and we all know how heavily pervasive social-media
         | is at driving the behavior of the American populace, aided by
         | the heavily-left-leaning tech companies which actively don't
         | allow the natural immune reaction society has to large-scale
         | gaslighting.
         | 
         | For all we know, people are being gaslight on a large scale,
         | and therapy is trying to put a bandage of it because all these
         | affected people can't reconcile the real world with the
         | craziness of "The Narrative". Some people maybe just need
         | someone to talk to too, you know? Maybe there is more of that
         | in America because they're all forced to self-censor and
         | repress themselves.
         | 
         | </rant> This turned out to be a rant and I let my bias show.
         | 
         | Edit. Now that I think about it, there is arguably even more
         | censorship in the EU so maybe that's not it. Perhaps it's more
         | blatant and people all know it's "forbidden" speech, rather
         | than being forced or gaslight into thinking their thoughts are
         | wrong.
        
         | matrix87 wrote:
         | If I had to guess, more money in selling people meds that they
         | don't really need, profits get funneled into advertising and
         | media outreach, positive feedback loops, social contagion sets
         | in, etc
         | 
         | Therapists don't typically prescribe medication, but they have
         | a role in the pipeline of prescribing it
        
         | cflewis wrote:
         | It doesn't feel like a genuine question you followed it up with
         | a snide jab.
         | 
         | Assuming you didn't: as a non American who emigrated to the US,
         | the answer is fairly clear. My home country (UK) pretends like
         | if you need therapy you either mentally weak (time to man up!)
         | or on the verge of an inpatient psychiatric hold. Marriage
         | counceling is just a desperate prelude to divorce from people
         | that can't see the writing on the wall. I would never _ever_
         | tell anyone on the UK if I was taking psychiatric meds.
         | 
         | America doesn't have the same stigma, at least in the coastal
         | states. So people get help. People talk about getting help.
         | 
         | Modern life stress is not limited to the US. It's just the US
         | that talks about it the most. Mental illness is not limited to
         | the US either, they're just more willing to use medications.
         | And it saves lives. Had I been in the UK with mental illness I
         | have (just the very commmon depression/anxiety power combo) I
         | might be dead by now.
         | 
         | I also take great exception to the idea that there has been
         | some seismic change in life that has resulted in more mental
         | health crises. They were just manifested via more normalized
         | alcoholism and home abuse instead.
        
       | neilv wrote:
       | > _Several insurers told ProPublica that they are committed to
       | ensuring access to mental health providers, emphasizing that
       | their plans are in compliance with state and federal laws.
       | Insurers also said they have practices in place to make sure
       | reimbursement rates reflect market value and to support and
       | retain providers, for which they continually recruit._
       | 
       | Journalists could use an LLM to fetch the obligatory predictable
       | responses from corporate spokespeople, to insulate the
       | journalists' souls from that.
        
         | skybrian wrote:
         | The point is to give them a chance to respond. Then they can't
         | come back later and say "why didn't you talk to us?"
         | 
         | It's often not that helpful, but it's standard journalistic
         | practice to give them a chance.
        
       | bradleyjg wrote:
       | Your house is probably not going to burn down, but if it does the
       | financial impact would ruinous. So we pay a little bit each month
       | to insure against this rare outcome.
       | 
       | Some of health insurance looks like this, but many parts of it
       | don't.
        
       | screye wrote:
       | Cherry on the cake is - People start looking for therapists when
       | they're struggling the most.
       | 
       | Navigating the Kafka-esque mess is hard enough when you're well.
       | But if you're clinically depressed and struggling to get out of
       | bed, booking an appointment can feel like an unsurmountable wall.
        
         | nradov wrote:
         | Yes, that is difficult. But someone who might be suffering from
         | a severe mental health condition probably shouldn't start with
         | looking for a therapist. Instead it would usually be better to
         | make an appointment with their primary care provider and see if
         | a referral to a psychiatrist is medically necessary.
         | 
         | For lesser issues, many employers now offer Employee Assistance
         | Programs (EAP) as part of their benefits package. This can be a
         | relatively quicker path to get a few sessions with a therapist
         | or counselor.
        
         | halfcat wrote:
         | Not only that, but even if there were zero barriers with
         | insurance, finding a therapist is still hard.
         | 
         | Because finding good people that you click with is hard,
         | whether that's hiring employees, finding a romantic partner, or
         | finding a therapist.
         | 
         | The online therapy companies that provide an "instant match"
         | haven't really solved this, any more than a temp agency has
         | solved hiring top talent.
        
       | kristianbrigman wrote:
       | there is rula: https://www.rula.com
       | 
       | you put in your insurance and location, and they find you a
       | provider.
       | 
       | also, some therapists don't take insurance (or recommend you
       | don't use it) because supposedly if you do, then part of that
       | agreement is that they tell the insurance company your treatment
       | plan, which includes the diagnosis, that may be available to your
       | employer. doctor/patient confidentiality seems like there are
       | some exceptions here.
        
         | monktastic1 wrote:
         | Piggybacking on this to share my BIL's company
         | https://www.meetnirvana.com/. It helps therapists look up
         | patients' insurance details quickly and easily.
         | 
         | Not just a shameless plug, either: I really believe in their
         | mission, and did a short stint with them.
        
       | theogravity wrote:
       | I wanted to get short term therapy for a mental health related
       | thing this year, and made the mistake of switching from my PPO to
       | Kaiser thinking that Kaiser would cover therapy sessions since
       | they appeared to have thousands of therapists under their
       | network.
       | 
       | It turns out that Kaiser will only cover you if you have a
       | diagnosed mental condition (eg bi-polar / ADHD). If you don't,
       | then you're completely out of luck. Instead, they refer you to
       | use an app where you can get counseling via _text message_ , and
       | it's only for 90 days.
       | 
       | https://organizations.headspace.com/kp/faq
        
         | lukevp wrote:
         | Do you have access to an employee assistance program through
         | work? We have made use of the therapy multiple times and it's
         | been great. Totally free, 8 sessions per person per incident.
         | You can kick off another set of sessions if there's another
         | incident you need to discuss. It's not a long term solution but
         | it's good to fill in the gaps and get you seen soon.
        
           | theogravity wrote:
           | I haven't thought about it at all. I'll definitely check it
           | out, thanks!
        
         | theoreticalmal wrote:
         | It sounds like there's a financial incentive for therapists to
         | diagnose patients with conditions they may or may not
         | have...big yikes
        
           | KptMarchewa wrote:
           | Therapists don't diagnose, psychiatists do.
        
             | nothercastle wrote:
             | That is incorrect. Some do just depends on qualifications
        
           | theogravity wrote:
           | Psychiatrists / neurologists do the diagnosis. I'm not sure
           | about a financial incentive, or at least in Kaiser's case. It
           | would mean they'd have to cover that person's therapy
           | possibly indefinitely which isn't much of an incentive.
           | 
           | They're more incentivized to _not_ diagnose with a condition.
           | 
           | I was considered not bi-polar and do not have ADHD by a
           | psychiatrist and thus I couldn't get therapy covered.
        
             | MichaelZuo wrote:
             | There's an even deeper problem, which is that insurance as
             | a system simply doesn't make sense for things that are not
             | rare or that affect a sizable fraction of population
             | 
             | If it's that common, then there's no need for a large
             | bureaucracy of actuaries, accountants, agents, etc..., in
             | the middle or to serve as your intermediaries.
             | 
             | And a single paperwork error every five years, causing you
             | to spend a few hours sorting it out, would more than
             | outweigh all the tiny advantages that might theoretically
             | benefit the customer.
        
               | jeremywho wrote:
               | This has been my view for a while. Basically health-care
               | != health-insurance.
               | 
               | People I've talked to can't quite to wrap their heads
               | around that idea. Not sure why.
        
               | margalabargala wrote:
               | > might theoretically benefit the customer.
               | 
               | As with any for-profit business, benefit to the customer
               | is not a goal in and of itself, but rather an incidental
               | side-effect of obtaining money from the customer, in that
               | it is how the customer is convinced to give up their
               | money.
               | 
               | I would caution against assuming systems such as what you
               | described are intended to help the customer. It sounds
               | like instead, it is intended to help the company, by
               | causing you to have to spend your (not their) time and
               | potentially miss an appointment, saving the insurance
               | company money.
               | 
               | After all, what are you going to do, leave your employer
               | for another one with a different insurance company over
               | an insurance paperwork headache?
        
       | djoldman wrote:
       | Lawyers: where's the class action lawsuit on behalf of therapists
       | alleging a pattern of denial of payment?
        
         | halfcat wrote:
         | Don't think it would help people get therapy.
         | 
         | The big companies already have a pile of cash they've allocated
         | for when they get sued, as the cost of doing business.
         | 
         | So maybe a class action suit happens, and insurance companies
         | have to pay $1 billion in damages. Lawyers get their cut, a
         | bunch of therapists get a $1k check, and zero patients get more
         | therapy.
        
           | kmoser wrote:
           | There must be a pain point beyond which insurance companies
           | are willing to actually provide the services they promise.
           | Perhaps jail time for execs might move the needle?
        
       | 999900000999 wrote:
       | The entire American Medical Industrial Complex is designed to
       | extract as much money from customers as possible.
       | 
       | Fun fact, therapy is usually not covered by Medicare at all( and
       | when it is you can literally have a year wait). So you have a
       | system in which working class person just have to get through it,
       | and anyone with means will be told they have dozens of things
       | wrong with them.
       | 
       | Better Help sells user information. The venture capitalist tech
       | bros have a new market.
       | 
       | When I was at my lowest, broke , without any health insurance at
       | all, I had a friend who listened to me complain about my latest
       | eviction for hours at a time. That did more for me that any
       | therapist ( who almost always watch the clock to cut you off ).
       | 
       | I plan to pay for her children to go to college. I make a tech
       | bro salary and it's not a lot of money to me.
       | 
       | The Quest For Community and Tribe are great books on what's wrong
       | with modern society. In my grandma's time the average person
       | attended church ( I'm am atheist, but I value the community
       | aspects), at least one social club, and she was a member of a
       | union.
       | 
       | How many community connections does the average person have today
       | ?
        
       | dottjt wrote:
       | This is not to be taken as mental health advice (merely an
       | anecdote), but yesterday I was thinking about needing therapy to
       | deal with my issues and I had the thought to use ChatGPT. Wow, it
       | was absolutely incredible in providing me with what I needed.
       | 
       | I think therapy with a professional would be really useful if you
       | have no idea what your problem is, but I think if you're able to
       | put your problem into words then LLMs can be useful.
        
         | hirvi74 wrote:
         | I might have to give this a try one day. In my experience,
         | therapy as a tool to improve one's life is overrated and not
         | worth the money. But hey, that has been my experience over a
         | long period of time with many different providers. Everyone is
         | different.
        
       | tonymet wrote:
       | What does the business side of therapy look like ? How do they
       | measure success ? I've seen patient surveys , but stated
       | conditions are biased.
       | 
       | Therapy doesn't seem like healthcare . People enter the system
       | and receive care without recovery
       | 
       | It just seems like legitimized drug dealing. Just make the
       | psychotropics over the counter and save the world hundreds of
       | billions
        
       | smeej wrote:
       | I got new insurance this year through my state's insurance
       | marketplace. They said my existing therapist was in-network. This
       | was news to her. I called and spoke to them. They insisted. She
       | called and spoke to them. They insisted.
       | 
       | So they've been paying her $150 a week for me instead this year.
       | She doesn't know how she ended up being considered in their
       | network as she practices solo, but here we are.
       | 
       | The system is vastly more convoluted than I think anybody on any
       | side actually realizes it is.
        
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