How We Get Paid

On therapy, fee-for-service, and the hidden costs of clinical work

This three-part series is for clinicians who have been quietly carrying questions about money, burnout, and why this work can feel so hard even when it matters deeply.

Across these essays, I explore:

• how fee-for-service and insurance billing came to shape clinical care

• why relational work struggles to fit medical payment models

• how moral injury shows up in everyday clinical life

• and what changes when we stop blaming ourselves for structural problems

This work is offered freely, because shared understanding is a form of support — and because these conversations are easier when we don’t have to hold them alone.

Share This With a Colleague or Friend

You’ll see an option at checkout to send this as a gift.

If there’s a colleague, supervisee, or friend who’s been:

• questioning whether they can keep practicing this way

• navigating money decisions in isolation

• feeling worn down but unable to name why

You’re welcome to send this directly to them.

What Happens Next

After checkout, you’ll receive:

• immediate access to the full three-part downloadable

• the option to send it as a gift if you choose

• occasional emails from me related to this work

You can unsubscribe at any time.

Thank you for being here — and for the care you offer in a system that doesn’t always make that easy.

— Hilary