Unconscious fiscal convenience.
ABSTRACT Discusses "unconscious fiscal convenience," i.e., aberrant behavior where integrity and sound clinical judgment are mitigated and even compromised by monetary considerations. As long as insurance companies are paying the bills there are more and more patients willing to undergo unnecessarily protracted therapy, while practitioners rationalize the therapy in the interest of self-actualization. The author argues that 3rd party payment allowed the practitioner to develop a double standard, where overcharging the patient would be unthinkable but overcharging an insurance company is appropriate. Examples of such behavior are provided. It is further argued that such behavior hastened the growth of managed care, which holds the practitioner accountable for efficiency and effectiveness but brings a host of other problems. The need for practitioners to become active participants in managed care is emphasized. (PsycINFO Database Record (c) 2012 APA, all rights reserved)