In the past on this blog I’ve addressed questions around being a practitioner like how much to charge, the problems with charging too little (or free) and so on.
I was thinking about this again today in the light of some really insightful comments that Shane made on a recent post. One of Shane’s points was that when a patient stands to receive insurance for their injuries, they heal much slower than a patient with the same medical trauma who has no insurance claim.
This is the well known problem of secondary gain, and it is important in RPT, and absolutely central to our New Technique to be launched here in 2012.
Money (paying it or receiving it) has a huge impact on our ability to heal.
This got me thinking, what if there were some way to reward the client for healing faster?
And I had this crazy idea. I don’t really think it will work in practice but I want your opinion.
What if I know that I could heal a client in one hour if they are 100% cooperative, but it will probably take four hours because of their secondary gains?
What if I charge that client up-front for four hours, with an agreement to refund the client for every hour that they don’t need?
So imagine if I charge $200 an hour, so the upfront fee is $800. The client gets better in 2 hours, and I quickly refund their $400. Total cost: $400 for a fantastic results-based healing. And what’s more I’ve probably saved them another $400 because it would normally take four hours to get that result.
In a perfect world, this makes logical sense. But it’s full of problems like: how do you explain to the client why this is important? (I mean a new client who doesn’t know about secondary gain.) What if the client doesn’t have that much cash together up front? How does the client know to trust you to do the refund? And how do you know for sure that the client has healed and not just saying “I’m great, refund my money please”?
Well there are lots of issues, but I think it’s a great idea for starting a conversation between us.
My question to you is simply: could this work? Do you think that a client would ever agree to go along with this model, instead of your usual pay-per-hour approach? How would you personally react if I told you “$800 less a refund of $200 for every hour we don’t spend together”? Would you be more or less motivated to heal?
I value your thoughts.
Simon
Too complicated (for reasons you stated). Doesn’t work in practice.
Also, you have to draw a line Simon – faster is not always better! Microwaves are a good example!
[Reply]
Simon Rose Reply:
December 20th, 2011 at 12:09 am
I agree with your first part – yes it’s too complicated to work in practice. It’s just a thought experiment to get people thinking.
I don’t know about your part 2 though. I think faster is almost always better, I cannot think of an example when it is not better to fix problems faster (provided you do it properly). Obviously don’t take short cuts… but all else being equal, faster is better.
Also microwaves are OK. The problem is heating food, not microwaves. We should all eat as much fresh raw fruit and vegetables as we can. That’s the real lesson here. But if I have some leftovers to heat up, it’s actually better for you to nuke it than to fry it or bake it. That’s because the microwave is faster. Faster = less damage. I think that’s the lesson for today kids.
Read here for some real science: http://www.abc.net.au/science/articles/2006/03/23/1597903.htm
cheers
Simon
[Reply]
Ben Ralston Reply:
December 20th, 2011 at 3:14 am
Ah you bugger, you’re right. Faster is better.
Actually, you made me realize that my aversion to microwaves is really pure superstition. I have no basis for my microwave phobia other than mistrust.
And the ‘slow is good’ thing – this is a real echo of my old mindset (very much enforced by my yoga studies and the resulting old attitude I had to spirituality)…
BUT. Nature is slow. And nature is good. Do you know what I mean? There is a rhythm that the natural world has, and I can’t help feeling that if we upset that rhythm, we step out of line somehow… but actually, that rhythm is the rhythm, of life and (coherent) consciousness. Do we have to take time coming back slowly to the right path? No, we can do it NOW if we want to. I suppose our Beingness should be slow – but our doings can be lightning fast if we allow them to
I answered my own question. There you go. Thank you Simon for a very thought-provoking ‘lesson’
[Reply]
Simon Rose Reply:
December 20th, 2011 at 5:42 pm
Hi Ben,
I slept on this question (I suppose a more spiritual person would say “I meditated on it.”)
I have to admit that this blog article, and my microwave comment, were a brain dump -> random idea to keyboard without the care and thought that I put into my usual blogs. Thinking aloud as it were. But last night I sat back to think about (a) how to solve this secondary gain problem; (b) microwaves; and (c) faster=better/worse.
My initial thoughts were that faster is not always better. Examples: sex, eating, sleep.
That got me thinking about Being versus Doing, or the Journey versus the Destination. Sometimes the focus is the journey, sometimes it’s the destination. Speed is a bonus where the destination matters. Slower is a bonus where it’s the journey.
Examples of Journeys: sex, eating, sleep. [all "doings" for the most part]
Examples of Destinations: being healthy, being happy, being fit, being where I want to be physically, being wealthy [all Beings]
So my considered conclusion is that speed gets us through the journey and to the destination, if that’s what we want. Since being healthy is a destination, it makes sense to speed through the healing journey.
I would just hate to speed through sex, food or sleep because the destination is not that interesting compared to the journey.
best wishes
Simon
ps you were spot on about the microwave thing being the very definition of superstition. I couldn’t have put it better myself. I have been working on a list of New Age superstitions and beliefs, all of them wrong. The funny thing is I used to hold all of these beliefs, as recently as 3-4 years ago.