In the US we choose everything and are familiar with having to research what we choose beforehand. We perhaps have more options than Sweden and don't have the state versus private conflict. If individuals are on a government health plan here, they don't have much choice, no other "insurance" and what is offered is what is offered and all the government will pay, it is not about the therapist. If individuals buy insurance they might be offered 10 sessions but they and their therapist can often negotiate for more or do sliding fee, go to a therapist offering more, etc. if they both decide that is a good idea. There isn't anything pre-meditated about it not being enough here and just wanting to collect money. The short-term therapy here is usually designed to be short-term and not go into much detail/history.