at the "1st responder"physician group practice level. When my insurance changed, I called to ask if the doc and practice took my insurance; yes, they did, but I did not ask the right question and, therefore, got the deceptive answer. Indeed they did take X company insurance--just not that company's plan under ACA. When I confronted a "surprise" bill, I proceeded to fire that doctor. Was doc concerned that the scripts prescribed would continue uninterrrupted by a change in the venue -- nope! Never heard from doc again for any reason.
After some research, my popular-with-family-and-friends doc had also been accepting additional income derived from the number of scripts prescribed for patients, for me!--to be fair, these were very typical but high-cost medications "appropriate" for the diagnosis.
More research yielded an even greater surprise -- those drugs would never cure, just alleviate the symptoms with side effects of their own, though a few lifestyle changes could bring better health to this patient. I implemented those instead and effectively controlled the major diagnosis out of existence.
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