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 an amount equal to your gross hourly wage. Please keep in mind that for each hour we sit together, another hour is spent in preparation, research, and documentation for each session. Lastly, be diligent to attend your sessions as scheduled 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 January 1, 2021, I will no longer accept reimbursements from health insurance companies. I’d like to take a moment to explain why. Our health care system is very broken. Private, for-profit health insurance plays a significant role. Employer-provided health insurance plans increase employee retention rates and the employer’s power to take advantage of employees. This also increases the stress of living and working in this economy and the deleterious ways we try to cope such as poor diets and alcohol use. Health care providers are paid for treating diagnoses. They pathologize people and treat diagnoses with little restraint because ‘insurance is paying for it’ and, without a diagnosis, they don’t get paid. Health insurance protects, not our health, but our wealth from the possibility that a health care provider would willingly bankrupt us if we were to fall seriously ill. As consumers, because our insurance has been paid for already, if there’s a chance something might be wrong, we go to the doctor ‘to make sure we get our money’s worth,’ driving up costs further. Over the last several years, my clients consistently pay 85% out of pocket. Insurance companies contribute 15% of my revenue. Fifteen cents on the dollar is a small sacrifice for a slightly better health care system. Thank you for your patience, understanding, and willingness to bear with the change.
As of October 31, 2020:
Total expenses: $28,942.56
Total Contributions: $36,313.76
# of sessions: 1078
Average Client Contribution per session: $55.27
Cost per session: $26.85
Average Client Contribution per session: $53.72
Cost per session: $33.10
This graph shows how the average client contribution for 2019 of $53.72 was expended. In
2019, due to my clients’ generosity from January through July, for the last five months of the
year we made a demonstration of what it would be like to live within God’s Economy where all
energy, material, and work are freely given to be shared by all. The season was called a ‘Tax
Holiday’ and the ‘cost’/savings is represented by the blue wedge. In 2018, $990 worth of gift
cards to the Durham Food Co-op were given. This made possible the extension of the Tax
Holiday by one additional month.
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 $33.10 cost per session, and gave Durham Food Co-op
gift cards, from myself and those who could only afford less, we are deeply grateful. Thank
Another noteworthy statistic: Insurance, a privatized, for-profit safety net meant to protect our
wealth more than our health, pays out a smaller share than one might think. For every dollar
of income I received this year 85¢ was paid directly by clients and 15¢ came from third parties
such as insurance companies.
In 2019, I burned 354 gallons of gasoline and 6106 kw/h of electricity. I also spent and earned
almost $39,000. Please join me in lowering all of these figures; for the health of this planet
and all those who live upon it, including ourselves. With deep gratitude, I say thank you.