02/26/2026
Well, we had something unexpected happen...
A patient of ours was scheduling with their primary care and was basically given an ultimatum:
See the Naturopathic Doctor (ND) and you're fired here as a patient.
Stay here as a patient, you cannot see the ND.
😳Wait, come again?
Not only this the office doubled-down: a follow up conversation from the office manager thereafter to further bully them into submission with this policy. And a bold statement of "if you go elsewhere there is a website where we can see all health-transactions and we will know you are lying."
(Disclosure: This might be traceable to some extent with using health insurance but this is NOT the case in a cash-based practice. And HIPAA otherwise protects patients--if XYZ calls an office asking is patient John Doe a patient--we cannot disclose ANYTHING without patient consent).
This is not the first time that allopathic medicine has had prejudice against an ND. It also will not be the last. This is no skin off the back of our practice/business, it will go on.
It is, from what I can recall over the going on 15 years of practice, the first time an office has created a policy to penalize THEIR PATIENT (AND CUSTOMER) for having autonomy in their healthcare choices outside of that office.
Wild.
I still haven't fully put this altogether in my brain. I feel awful for this patient, having had this experience. I feel bad for the patients we have referred to this practice with confidence (as soon as last week), as we didn't know this was taking place behind the scenes. How does this enhance patient care? How does this improve outcomes? Is this in the best interest of the patient?
Healthcare is already intimidating and overwhelming for patients. They may already be afraid to ask questions, afraid to advocate for themselves, but now they have to worry about this dynamic, and what...NOT disclosing who else they see? Or lie about who they see/do not see so they can still receive care via insurance? Or having to argue over the legitimacy of an ND's background and training (which is not their job, it's easily researchable by anyone, as the patient already did).
I don't really have any advice here, I'm still processing for this poor patient and other patients that we know will face this conversation sooner or later when they go in. I hope none of you experience this, but I guess it is something to consider and look for as you are navigating your healthcare provider choices.
BTW the above is an office-specific policy, not a policy of an entire healthcare system. Edited to add: We also don't even know if this is was decided by a specific provider or by an administrator at the office.