Reply to The ethics of price gauging special needs families

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[quote=Anonymous]This is a multifaceted problem.  The system itself is broken, and healthcare is unaffordable and often unavailable (All of these services are healthcare).  Beyond healthcare, we don't have a social system that adequately meets people's needs, and the inequality is profound.

Most schools are understaffed, underpaid, and staff have unreasonable caseloads.  It's not possible to give 100% when caseloads are outrageous, and that's where issues with reports happen.  There is insufficient training and support for school staff, and there is also a serious shortage of school psychs, SPED teachers, speech therapists, OT's, and, to a lesser degree, school social workers.

I am a school social worker & parent of neurodivergent children.  I have seen a ton of private evaluations over the years, and they range in quality and thoroughness.  I have seen some awful reports where the provider "diagnosed" a child with something, but collected truly insufficient and incomplete data and then slapped a label on the child, which is often ADHD or ASD.  The parent has then paid all this money $1,000-$2,500 or more for a complete cr*p report and I just feel for them.

The parents put their trust in a provider and tried to take the initiative, but ended up with an awful report.

I have seen several incredible, thorough private evaluations.  I saw one earlier this year that I was so impressed by! It was the most thorough report I have ever seen and if I ever need to seek a private eval in the future for my kids....that is where I'm going!

Most of the time though, the private reports fall somewhere in the middle.

I think there is a market for some exploitation and we saw this during the pandemic with certain virtual therapy providers and virtual psychiatrists that provided awful care.

That being said, A lot of providers are not looking to exploit families and just trying to make ends meet and probably pay off their student loans.  
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