Ten years ago today I started a private practice as a nutrition therapist in Austin, TX. I remember the excitement I felt just thinking about the lives I would help shape, the confidence I would help my clients build as they made better choices about nourishing their bodies.
But before I could even focus on my real work, I had to first traverse the reality that all health care providers face: navigating the system. Applying to be a Medicare provider, signing contracts with insurance companies, obtaining malpractice insurance, and complying with the ambiguous laws and regulations that relate to protecting personal health information–that’s what consumed most of my time.
To say the process was easy would be laughable; to say the process was simple, even more hilarious.
At one point, after many unsuccessful attempts at finding an answer to a question about the provider enrollment application with one of the major insurers, and after being unable to connect with anyone by phone, I drove to the regional office and waited at the entrance for an employee to arrive at work. Little did I know, the office wasn’t open to the general public, and although she was a bit surprised by my presence, one kind employee did answer my question.
And then there was the time I had a claim denied because I had forgotten to include the “plus 4” zip code on the form, something that wasted another 30 minutes of my work day.
And another time, I remember receiving a phone call from a man who sounded very concerned about his family’s health. He explained he’d been gaining weight, and that his wife and son had too. He was ready to make a change. He didn’t want to continue down the path he was on, and he didn’t want that for his loved ones either. But after completing the hour-long process of contacting his insurance company to determine his coverage details, and after discovering that his visits would only be covered for a diagnosis of diabetes (which he did not yet have), his response was that he would have to wait to schedule an appointment until he or one of his family members had a qualifying diagnosis.
Sure, you could make the case that each of us should value our health enough to find the means to care for ourselves properly. But the reality is, we pay a lot for health care already. And unless we get really, really sick, we rarely see a return on investment. The high cost of insurance and non-covered medical expenses make paying out-of-pocket for preventive services nearly impossible for most Americans.
And being a Medicare provider meant that I was legally bound to charge all of my clients the same fee, which also meant I couldn’t offer a discounted rate to cash paying clients. For obvious reasons, this didn’t sit right with me, and I eventually found other ways to reach those who weren’t able to access my services via the conventional health care system.
But I quickly began to see that a single provider practice, especially as an allied health care professional, in a system that doesn’t recognize the value of preventive care, was anything but viable as a business model–at least, not for the kind of provider I wanted to be.
And after realizing that many of the people who needed my help the most weren’t able to access my services, I began to consider new possibilities.
At the time, there was a new buzz word swirling around: coaching. A local organization that focused on helping individuals manage diabetes had begun using this approach successfully, and I started seeing more peer-reviewed studies reference things like “motivational interviewing” and “health behavior change.”
I began reading more about Martin Seligman’s work in the field of positive psychology, and the next thing I knew I was working for WebMD as a corporate health coach at Dell, working with employees at the company’s onsite clinic and fitness center.
I’m so thankful that I listened to my inner wisdom and transitioned to a path that is more aligned with my heart. It’s my mission to remove the stigma that’s often associated with self-care, and help more people see and feel the power that comes from taking ownership of our health and well-being.
When we remain open, we provide the space for amazing things to happen.
I’m currently in the process of developing a training program that’s designed to guide clients through the process of creating a personalized self-care plan, and my heart is absolutely overflowing with joy.
Are you transitioning to a lifestyle that includes more self-care?
Would you like to?
To learn more about this upcoming program that will be launching in early May, and to stay connected to Living Upp’s news and events, sign up to receive our periodic Warm Upp.