I'm a Medical Assistant.. not MD/RN..

My old job was one of the few places that accepted ACA. So that meant we were constantly slammed. This also meant we got paid significantly less (from the insurance companies) for the same work/effort put forth for a Pt that may have private. So a lot of doctors would skip steps. Not any that would potentially hurt or kill the Pt. but maybe he thinks the Pt isn't really having syncope. Just vertigo. Instead of ordering A, B, C, Q, F, Z test he ordered Q, F, and Z. And only A, B, and C if the rest came back negative.

It also lead to mean people. 9.9/10 times if a patient was being mean/bitchy/loud, it was a Pt with ACA. Now, I understand why. The shitty insurance makes them jump through more hoops than others to get things approved. But yelling at me or even the doctor won't change your insurance's mind. The Pt with ACA also always go for the extensive crazy in depth not needed self diagnosing demands. (Example: there for a cold. "I WANT A EKG, MRI, CXR, BW, and UA!")