2. There are additional issues other than reimbursement that are impacting the physical therapy profession. Robert Berkley and Pete Privitera made it clear that co-pays are another major issue currently in physical therapy. “The increase in co-pays influences how often patients attend physical therapy sessions”, Berkley explained. Privitera added that, “being in a small rural community people find it hard to pay that cost up front and as a business we had to change some policies and practices to help accommodate them or face the possibility that many wouldn't return to continue treatment.” Furthermore, Lori Michaels explained, “Hiring physical therapists is becoming more difficult in the upstate New York region because the salary is often
