My clients determine their own fee for their sessions. In essence, I am saying, collectively to my clients, I believe you are good, responsible and trustworthy to support me. I pledge to live lightly in order to make this as easy as possible. I do not feel a need to mandate a fee or deny the service. I do long for the day when access to healing is not limited by a patient's purchasing power nor a cure's profitability. The gifts of this planet and its inhabitants are given to us all. Thank you for your participation to demonstrate our fullest potential.
As this is an unorthodox practice, I offer this guidance. First, consider what another therapist would charge you and, if you consider it a fair and attainable price, let that be your fee. Second, you could choose the average per-client contribution per session or the break-even cost per session (fluctuates, see below). Third, you could contribute what you feel is fair and attainable based on your budget and means of support (family, employer, insurance, etc). In addition, be diligent in attending your scheduled sessions or, if you see a need to reschedule, do so as early as possible. As time goes along, please let me know your feelings and experience of this model as I continue to grow and learn also.
I am paneled as in-network with Cigna, Aetna, and the EAP's e4Health and Wellspring.
As of December 31, 2018:
Total expenses: $35,818.00
Total Contributions: $41,735.94
# of sessions: 1100
Average Client Contribution per session (pre-Tax Holiday): $53.50
Cost per session: $32.56
Average Client Contribution per session: $53.50
Cost per session: $32.56
This graph shows how the average client contribution of $53.50 was expended. In 2018,
due to my clients’ generosity from January to August, for the last four months of the year
we were able to make a demonstration of what it would be like to live within God’s
Economy: sessions were held but for no fees. The season was called a ‘Tax Holiday’ and
the ‘cost’-savings is represented by the blue wedge. The orange wedge represents the
difference between my total expenses ($32.56 per session) and client contributions. This
surplus has been deposited with the Self-Help Credit Union to provide low-interest loans
to persons normally excluded from the mainstream credit markets.
After operating expenses for the practice, my next largest expense was, yet again, taxes.
A large share of what you pay passes through my hands to teach and feed our children; to
construct highways and roads; to police, imprison, and deport our neighbors; to care for
our elders and those disqualified from work due to their abilities; to manufacture military
weaponry and war; and to pay interest to lenders of government debt.
To those who contributed above the $32.56 cost per session, from myself and those who
could only afford less, we are deeply grateful. Also, to those who, during the Tax Holiday,
made contributions to Farm Church, the Religious Coalition for Non-Violent Durham, the
Southern Coalition for Social Justice, and other organizations of your choice, thank you.
As I continue to strive to reduce the cost per session towards zero, to lower my income
and expenses further, and therefore to more freely trade in the gifts given to us, to more
fully live within God’s Economy, gift cards to the Durham Food Co-op on Chapel Hill St
may be given in lieu of fees.
Some other noteworthy statistics for the year: For every dollar of income this year, 21¢
came from third parties such as insurance companies and 79¢ from clients. In 2018, I
burned 496 gallons of gasoline and 5317 kw/h of electricity. In 2019, I hope to reduce
these to 400 and 4000 respectively. To help the health of our planet and all those who
depend on it, please join me.