providing services to headache patients—no matter how needed they are—is often described as a money-losing proposition. The problem is twofold: headache medicine requires few procedures, while at the same time, necessitates long doctor-patient appoint­ments. This matters because in the United States reimbursement rates pay much higher dividends for procedures than “evaluation and management.”

Joanna Kempner in Not Tonight

Treatment and management of my migraines improved immensely once I left the US.