Beside the other stations, there is a station in a rehabilitation center where people are direct payers. Often this people come from abroad
, because they heard about a lot about positive progress of patients which have already been there. They pay a lot of money to make some progress and they often have a lot of expectations in the doctors and therapists. Because they pay a lot of money, they also want more therapy sessions than the patients which aren’t direct payers. As physical therapist in such a rehabilitation center with direct payers, it is not always easy to support their claims. Often these patients are in a chronic stage of their illness, where the rehabilitation potential is not as high as in patients which are in the acute phase. Sometimes direct payers get 2 sessions per day, when indirect payer get one therapy session or only 2 per week, considering the lack of therapists in such a center. For the therapists the question raises: Who is the one who can decide about the appropriate amount of therapy? What is fair an what is unfair?