From the LymeNut Forum:
Q: Why is it that llmd [Lyme Literate doctors] only takes cash? Does anyone know why they don't take insurance or any kind?
A: The insurance companies in conjunction with other unfriendly dudes* have been trying and succeeding in shutting down Lyme treating doctors because Lyme treatment can be expensive and insurers don't want to pay. Blame the insurance industry, not the doctors who are still hanging in there.
This is the standard conspiracy-laced answer that most Lyme activists want people to believe. Yet, it doesn’t explain why insurance companies routinely pay for HIV and diabetes treatments, which are life-long in nature, and expensive. Nor does it explain why insurers pay for the months-long—sometimes year-long—treatments for persistent bacterial infections like TB or Q Fever.
The real reason LLMDs don’t seek insurance payments is because they cannot provide insurers with convincing evidence of an actual Lyme infection. Insurers understandably want to pay only for proven treatment regimens for an actual illness. No one would expect an insurance company to pay for chemotherapy in the absence of a cancer. Likewise, they should not be expected to pay for open-ended treatment of alleged “chronic” Lyme infection based solely upon the alleged “clinical judgment” of some self-described “Lyme literate” doctor.
Another reason is that so-called LLMDs claim that all Lyme infections are chronic, hard to treat, and therefore require months to years of often expensive antibiotics. Numerous clinical treatment trials of actual Lyme patients have shown otherwise, but such facts are irrelevant to activists and the LLMDs they prompt and protect.
Finally, there is good old-fashioned greed. Cash only—and high fees at that—means no paper trail, no nosy insurer questions, and no pesky taxes to pay. There are plenty of rich LLMDs in the U.S. Of course, some get a little too greedy and wind up being charged with fraud and other crimes. A few have been put in jail. Some have been sued by their former patients.
So don’t blame the insurance industry. Blame the combination of greed and quackery that are characteristic of the LLMD community. And blame the activists for prompting them to often gullible and desperate people, and later protecting them from legal, ethical and professional scrutiny.
*No idea what “in conjunction with other unfriendly dudes” is supposed to mean. Perhaps anyone who doesn’t buy into Lyme activism?