It's a business. They aren't going to risk their career to help you.

I had a conversation with a psychiatrist who had done Skype sessions with patients while he was in Australia. That was okay with his malpractice insurance. He turned me down on the grounds that his insurance wouldn't cover the patient being remote. He was willing to take a risk on a former patient that was interested in remote sessions. For what its worth I would be willing to sign away my rights for progressive care.