In this episode, Dr. Kari Roberts discusses why many pelvic health therapists choose not to work with insurance companies. She explains the limitations and restrictions imposed by insurance that can impede patient care. Dr. Roberts emphasizes the importance of a personalized approach, where treatment plans are decided by the therapist and the patient together, free from third-party interference. She also highlights the economic forces at play and how they affect the quality of care provided. Ultimately, she advocates for out-of-network care as a way to ensure the best outcomes for patients.