Brookmead Medical Associates-Osteopathic (BMAO) was started to help individuals feel better from aches and pain. These symptoms are a part of living but are amenable to Osteopathic Manipulative Medicine (OMT). Treatment is 1x/week and the effects are apparent to the receiver. We have elected to not accept insurance because Insurance acceptance means that insurance decides when and if they will pay the fees or discount the fees. In my attempt at cost control I elected not to need another expense that would increase the cost. Patients have the opportunity to experience 30 or 60 minutes 1:1 with the doctor and can pay down their deductible and receive a benefit as well. The time it takes to realize decrease symptoms or absence of complaints is running less than 5 treatments. Treatment includes a discussion of ways to avoid or modify activity that leads to body imbalance. Additional treatments, if needed, are 1 or 2 sessions. Individuals do elect if they wish, for maintenance treatment on a weekly basis.