America is in the midst of a mental health crisis. But finding a therapist who takes insurance can feel impossible. Insurers say that’s because there aren’t enough therapists. That’s not entirely true.

We spoke to more than 500 psychologists, psychiatrists and therapists in nearly all 50 states, from rural communities to big cities. Their stories underscore how the nation’s insurers — quietly, and with minimal pushback from lawmakers and regulators — have assumed an outsize role in mental health care.

Each provider said they faced a moment in which they had to leave their network; taken together, their stories help explain why it’s so hard to find a therapist who takes insurance.

Number of recalls within 12 months that Glenmark Pharmaceuticals issued for pills that didn’t dissolve properly, records show. All were made at the same factory in India. The Food and Drug Administration still hasn’t stopped the company from shipping other pills made there to the U.S.