Ancillary providers have not solved the problem one whit–may even make it worse. There are nearly 10 psychologists for every psychiatrist and even more social workers. In Louisiana, where psychologists were given Rx privileges (Who needs undergraduate chemistry! I don’t need no stinking science!), the psychiatrist shortage is greater than ever as the old model of living off the fees from the less impaired patients while losing money on treating the severely impaired has broken down as psychologists position themselves to skim the former while shunning the latter.