In this powerful edition of Ohio Counseling Conversations, Michael Desposito joins the Ohio Counseling Association’s Insurance Advocacy Committee to unpack the systemic challenges that keep counselors undervalued and underpaid — not because of competence, but due to structural barriers in insurance reimbursement and antitrust limitations. Together with co-guest Dr. Derek Lee, they explore how opaque contracts, paneling delays, clawbacks, and fractured negotiating power have contributed to inequities in pay and access to care. More importantly, they offer hopeful, practical solutions — from building trade associations and integrated networks to advocating for enforcement-oriented parity and shared business literacy — to help counselors regain dignity, strengthen their practices, and improve client access across Ohio. Tune in to hear a clear, advocacy-focused discussion on how the counseling profession can organize for equity and sustainable impact.