They studied, honed their skills and opened practices, joining health insurance networks that put them within reach of people who couldn’t afford to pay for sessions out of pocket.

So did more than 500 other psychologists, psychiatrists and therapists who shared their experiences with ProPublica.

But one after another, they confronted a system set up to squeeze them out.

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projects.propublica.org/why-i-

Although federal law requires insurers to provide the same access to mental and physical health care, these companies have been caught, time and again, shortchanging customers with mental illness ...

“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,” said Ron Howrigon. “One way to get rid of those people or not get them is to not have a great network.”

2/

It is often the insurers, not the therapists, that determine who can get treatment, what kind they can get and for how long. More than a dozen therapists said insurers urged them to reduce care when their patients were on the brink of harm, including suicide.

Therapists have tried to stick it out.

They have forgone denied payments.

They have taken second jobs.

My partner Dr Song has been experiencing this with different insurance companies since she opened her private practice last year ...

She's working two jobs and trying to justify the hours she spends with clients for low insurance payouts or just denial of services for some. It's a racket. She wants to help people ... that's why she spent hundreds of thousands on getting a PhD ... but insurance companies make it impossible and paying out of pocket for many is impossible ...

@thewebrecluse

It’s hard when you have a heart for service & then institutionalized power brokers fight against the difficult work you’re putting yourself forward to do.

Not that it’s the only job undergoing this daunting challenge, but it is pretty Sysiphean to live with as part of what you love to do.
Mental health work should be creative, freeing and empowering for counselor and client.

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