“Part of the problem with the mental health system is the lack of availability to people of limited means. Judging by your extraordinary fee it doesn't look like you are interested in doing much about it." - Mrs C
Dear Mrs C,
I can understand why you may feel this way and I appreciate your openly expressing your views with me. In some cases I do slide my fee, when I believe there is a good fit between the patient and myself, and when I believe that the patient needs the service I offer, even though they cannot afford my full fee. But I do not bargain with people or offer them a lower fee just to get them to come in for the sake of filling my clinic, because to do so would not be congruent with my values.