Whenever a physician chooses to operate outside of the insurance industry, his charges to the patient are going to be much higher. I have seen a few specialists that operate this way. Some were charlatans. Some were well meaning, but useless when it came to advice that improved my health. I've not seen Dr. Cheney. I agree with the poster who said his investment in Dr. Cheney was beneficial as it allowed him to keep working and supporting his family. So, it all depends what you're looking for in a doctor. The biggest misunderstanding is to expect a physician that operates outside of insurance to be similar to one who takes insurance. A totally different situation. One is operating through assembly line medicine and the to the other one, time really is money. One has to be careful and do their homework before investing money they can poorly afford in an ME specialist. Knowing exactly what you expect to get out of the consultation is paramount. Then you need to communicate this to the office when you call. Basically, you need to interview the services to see if they are a good fit for you. If not, move on. A good naturopathic physician that is close by and easily accessible may be a better fit.