Graham-Cassidy health care bill would be disastrous for US mental health care

US Capitol domeThe US Senate may take action this week on the Graham-Cassidy health care bill, a last-ditch effort by Senate Republicans to repeal and replace the Affordable Care Act. If Graham-Cassidy becomes law, the consequences for US mental health providers and their clients would be disastrous.

The nonpartisan Congressional Budget Office will not score the bill before a September 30 deadline for Senators to vote on it. But estimates suggest that under the bill, at least 16 million Americans would lose health insurance entirely after 10 years, given the bill’s similarity to prior Republican health care bills. This would leave millions paying out of pocket for mental health care that is currently covered by insurance.

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What single-payer health care would mean for California therapists

California flagThe Healthy California Act — California’s single-payer bill — continues to make progress through the state legislature. If signed into law, it would make California the first state to have a statewide single-payer health care system, even as the federal Affordable Care Act may be scaled back. How would single-payer health care impact therapists, counselors, and related mental health providers?

Here, I’ll do a quick review of what we know so far. It’s broken down into three questions providers rightly ask about the bill: How would it impact my client load? How would it impact my rates? And, How would it impact how I run my practice?

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The problem with life coaching

wooden-chestBecoming a therapist isn’t the only way you can put a psychology or counseling degree to work. You can also become a “life coach,” a growing profession that involves helping people come closer to reaching their life goals. Some clients who would resist going to therapy will happily visit with a life coach, as receiving coaching does not carry the same implications that going to therapy might. And some therapists see coaching as a way to diversify their practice, allowing them to market to clients who simply wouldn’t attend counseling or therapy.

Life coaching is a perfectly respectable and well-defined profession. The problem with life coaching isn’t the work itself, for which there clearly is a market. It’s with the people providing it.

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