Transparency regarding fee structuring

 Within the existing societal structures of the US, women and minorities are paid less than their white and male counterparts. I believe strongly that women, especially women of color, should be appropriately compensated for their labor. As a (cis)female practitioner of color who is not owning class and carries high student debt, I balance the need to be compensated for my work with a deep commitment to financial accessibility. The costs of medical school, continuing education, and professional fees for naturopathic doctors is comparable to those of conventional medical doctors, while the typical salaries of NDs are a fraction of the earnings of MDs. Unfortunately, naturopathic doctors in the State of Michigan are not eligible to bill insurance due to licensing status and deliberate exclusion by insurance companies. As a result of being unable to bill insurance for services, my practice is fee-for-service. My commitment is to make services as accessible as possible while remaining sustainable, which is why I offer a sliding scale. The ‘standard’ fee is the actual cost of the service based on typical billing for a practitioner with 13+ years of experience; the ‘sustaining’ rate offers a 25% discount which is still within a sustainable level of income; the ‘sustained’ rate is for is low-income clients only and is made possible by the fairness of those who pay at the standard end of the fee scale. I understand that even at the sustained level the fee is still prohibitive for some, and I maintain a small number of openings for clients on a pay-what-you-can basis. These slots are prioritized for POC, LGBTQIA+, elderly folks, people living with chronic illness or disability. Please contact me directly to inquire at info (at)