Who am I?

I am now living and working in Brazil. I am working in my office in my home in the following address:
Rua Corinto 492
30220-310 Belo Horizonte, MG
Phone: 011-55-31-3284-3121

I am writing my latest thinking in the beginning of this page so that people can follow it by scrolling down. I still work with HMOs/Managed Care patients because I believe that a substantial number of Americans can't afford to pay a psychiatrist out of pocket. Besides, by having insurance they are already sharing the costs, trusting that they will have access to health care when they and their families need it. But I am not convinced that the US model of corporate health care will work. There are now 50,000,000 Americans without insurance. I am for a Single Payer Health Care System where everyone shares the costs and everyone has access.

I am a Psychoanalyst and a Board Certified Psychiatrist. I have worked in two countries, Brazil and United States. I have also worked in many health care settings: straight office private practice, public and private hospitals, community mental health centers, VA and universities. I started a small hospital in Brazil with some partners: Central Psiquica Ltda (CEPSI). Not so long ago, I came to the conclusion that access to health care is a right of all citizens in a civilized society. The task ahead  is how to develop a good quality, affordable health care system that offers universal access. Every country in this world accepts this universal right to health care, except the United States.

Since I dislike the present health care system in the United States, I am trying to do something about it. I realize that my chances of changing the system are close to none. Nevertheless I must do what I must do. I believe that we, the health professionals, who work on the front lines treating patients could have more voice if we could get together to share our experiences and concerns. The patients are our natural allies in this battle. Without us any health system will not function.

In a presentation in American Psychiatric Annual Meeting in Toronto in 1998, I outlined the conditions and issues that should be negotiated with the HMOs and Managed Care Corporations from the point of view of a Solo Psychiatrists like me.


Marcio V. Pinheiro MD
Born in Belo Horizonte, Minas Gerais, Brazil
US and Brazilian Citizen

Medical School
Federal University of Minas Gerais
Belo Horizonte, Minas Gerais, Brazil

Internship:                                                                                                                                                                                  Belo Horizonte, MG, Brazil
Mercy Hospital
Baltimore, MD

Residency in Internal Medicine
St. Agnes Hospital
Baltimore, MD

Residency in Psychiatry
Institute of Psychiatry and Human Behavior
University of Maryland School of Medicine
Baltimore, MD

Psychoanalytic Training
Circulo Psicanalitico de Minas Gerais
Belo Horizonte, MG, Brazil

Work experience
Private Office Practice in USA (Baltimore, MD, USA) and Brazil (Belo Horizonte, BR)
Sheppard & Enoch Pratt Hospital (Baltimore, MD, USA)
CEPSI, Central Psiquica (Belo Horizonte, BR)
University of Maryland Department of Psychiatry (Baltimore, MD, USA)
Springfield Hospital Center (Sykesville, MD, USA)
Southeastern Community Mental Health Center (Dundalk, MD, USA)
Key Point Mental Health Clinic (Dundalk, MD, USA)

Returned to Belo Horizonte, Minas Gerais, Brazil in 2001. No longer working with health insurance and mental health managed care, thanks God. I am now working in Belo Horizonte in an office in my home and I treat patients sliding scale fee for service the way I see fit. No more paperwork, hassles, disgust as I used to feel working within the USA Health Care System. See my address above, in the beginning of the page.

American Board of Psychiatry and Neurology

Life Fellow American Psychiatric Association.
Maryland Psychiatric Society
Associação Brasileira de Psiquiatria
Associação Mineira de Psiquiatria.

Papers among many:
1. U.S.A., 13 Years Later. Psychiatry, Nov. 89
2. The Selling of Clinical Psychiatry in America, Hospital and Community Psychiatry, Feb. 92.

Marcio V. Pinheiro MD