It is famed for being similar to a 'six step program to success in life'. There are currently four steps or "Baptisms of fire" as Gary often jokingly refers to them whilst briefing attendees during the first morning of their vital treatment. The treatment is regarded as being one of the worlds most controversial therapy treatments since it directly ties the treatment with the ability of a patient to pay. Alongside this commercial element, if the patient refuses certain elements, then he/she is only declared more sick and is forced to pay more to get better, thus creating a scenario of entrenchment.