STAT July 1, 2024
Richard G. Frank

There has been much handwringing about how difficult it is for Americans with mental health issues to see a psychiatrist. Failures in the health insurance market are often blamed for the problem. As a new class of psychiatry residents begins work in hospitals across the country this week, I see an additional cause: the lack of commitment to honor the subsidies that made it possible for psychiatrists to enter the profession.

In the apparent zeal of public and private insurers to control costs and avoid attracting enrollees with mental illness — who are more costly to care for — they have designed their networks, established fee schedules, and created administrative barriers to make services by psychiatrists paid for by insurance...

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