So, if the customer is dying (and we're all dying), it's not a scam, but if the same service is provided to someone else, it's a scam? That almost sounds like, (...wait for it...), the service isn't the scam.
> Therapy has become fashionable.
Nothing worse than services that have become fashionable.
> Everyone is "working on themselves" and plenty of therapists like patients that are well off and so can pay regularly.
Nothing quite like customers who can afford to pay for your services. Mercedes dealers tend to focus on those people too. ;-) Is it your position then that services that only wealthier people can afford are a scam? Is it not possible that they're receiving some benefit from the service that others would benefit from if they could somehow afford them?
> My point is that a lot of people who go to therapy probably don't need therapy, and even if they do they don't need as much as they think they do, the techniques in therapy are not very effective even in the best case, and that therapists are not incentivized to stop seeing patients that are paying them well and triage to cases that need more urgent intervention and probably can't pay them regularly.
Ice cream is similarly a scam, because a lot of people don't need ice cream, but they think they do. The ice cream is not very effective for them even in the best case, and ice cream makers are not incentivized to stop selling it to people who don't need it.