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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