You are absolutely correct. I have been very unhappy with how I have been expected to practice within the constraints of managed care. Many companies automatically approve med visits and that is all! That was an important part of the motivation for the article. I am trying to change minimum standards of care so that I can properly administer care throughout my practice. (About 2/3's of my patients see me for psychotherapy.) I almost never see a patient if they are not, at a minimum, seeing a therapist other than me. A very few patients are seen for meds only. If you are one of my patients, could you tell me about your dissatisfaction at our next meeting?
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