A conversation somewhere in a doctor's office near you:
"I'm sorry the I chose to be a Blue Cross / Blue Shield provider, Mr. Smith, but I need to determine the money I need to earn, not an insurance company."
"How could you do such a thing? You have an obligation to continue our therapy! I've been seeing you for years! What you're doing amounts to nothing less that patient abandonment!"
"Mr. Smith, I am not abandoning you. I am only saying that under my new construct, I am not willing to take the negotiated price the insurance company wants me to accept. As we have discussed, I am willing to negotiate a reduced rate for you given our history, but I am not willing to see you for less than $100/session."
"You're so damn greedy. How could you do such a thing?"
"Did you really think that I would be willing to continue to see you for only $10 a session? This expectation has created a cost of care bubble expectation that is incredibly destructive to the realities of health care costs today. I would suggest that if you feel this reduced rate of $100/session is not fair that you consider seeing another psychologist. I'll keep your appointment on the books for next week at your regular time. I suggest you think about it, and if you decide to cancel, let me know."
With that, he left in a huff. Forty-eight hours later he called, asking that his appointment be cancelled. She complied and booked another new patient in his place.
* * *
Weeks passed. Then a phone message appeared amongst her many telephone messages:
"Doctor, would it be possible to see you next week at the reduced rate we discussed?"
* * *-Wes