If you are talking on the phone, stand up, move around and gesture. Make your message quotable by breaking it down into short, pointed sentences. Eat lightly, drink decaffeinated, sugar free beverages and no milk products. Patients are put on hold or in voicemail systems, because everyone is the phone with insurance plans. Physicians call back later at night, because they are calling Medicare and other insurance companies during the day.
Exams are shorter or are interrupted so doctors can sign forms and answer insurance questions.
Bills are confusing because charges linger for months unresolved or worse disappear and then show up again. Continuing education suffers. Charts are filled with billing documents that obscure the patients important clinical information. Nurses and receptionists are on the phone with Medicare or doing paperwork instead of helping patients. Calling bureaucrats about forms and payments instead of calling patients about care issues.