When a professional colleague sends a patient your way, it helps to feel the weight of the responsibility. That person has passed on the responsibility of the patient who walked in his door to you. The less known about your skill as a provider and the benefits of aquatic therapy, the more work you must do. The information needs of the patient's payer are different still. Contrary to popular opinion, this is not evil.
Capitalism drives innovation.
In the absence of a profit motive, there would be no private sector third party payers. Yet it means that you must provide much different information than you would if the payer was nothing more than an earthly version of the archetypal fairy godmother. The provider who learns to cloak his or her thoughts with the right words is powerful. For once we accept the idea that we should be purveyors of information as well as providers of direct intervention, it all falls into place. Words can become footsoldiers in the war against therapeutic mediocrity.