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Angered by managed care, practitioners look to unions
James Dean, PhD, one of New York's "independent practitioners," wonders these days just how independent he really is.
Dean, who has been practicing for a decade, conducts 80 percent of his business with the giant managed-care companies that dominate health care. They have cut his income by 30 percent in the last three years and, he adds, the firms have smothered him in paperwork in an increasingly intense effort to control his treatment plans.
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Legal defense fund helps make Psychology's case
When Doug Moore, PhD, an Independence, Ohio, psychologist, started treating a client for depression, he never envisioned that he could run into legal difficulties--all because he insisted on protecting the privacy of his patient.
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"Like the ozone layer of the atmosphere, there has been a gradual, but constant, erosion of [privacy and confidentiality]."
Donald Bersoff,
Villanova Law School and the Medical College of Pennsylvania
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