People like heuristics. If we are constantly convoluted and indecisive about things, all the while taking a long time to give those qualified answers, then our perceived value goes down as a whole. Sure, sometimes we can't tell or we get referrals that are really tough. But we need to educate our referral sources about what we can and can't do, not just take those cases and respond with "Bla bla bla.....bla bla bla..., IDK."
Given how things are in health care, I have never once heard a supervisor suggest that we should ask people NOT to send us certain things, or for us to suggest that we might not be great at answering certain questions. Although this may be taboo, I think neuropsychologists really need to evaluate if we actually ARE reducing the costs of healthcare in the long term through our work, or if we use that argument in an empty manner whilst folks in actuality are trying to make a buck.
Generally insurance companies have a reason for limiting services based on
data. To not take insurance is not something I would ever consider, but that is just me and my own values. I also don't know anyone rich enough to pay out of pocket for that sort of thing, and am not interested in serving that subgroup of the population. Good thing I am not going into full time clinical work