I'm afraid to know how my therapist bills or what she waives for other people. I pay her full fee in cash, and while it does bother me that I know she takes less from those who have insurance, it would piss me off if she waived co-pays on top of that. The fact that other people may be paying a lot for their health insurance premiums means nothing to me because I pay close to $600 month in premiums, and this therapist isn't a covered provider, so I get socked coming and going. The whole system sucks, but that doesn't make it okay to play footsies with fees.

I get in a twist over fairness and integrity issues like this. Whether we see them or not, people (like me) are harmed with side deals. Those kind of therapists will try to make up their lost money one way or another.