I pay cash at the doctor's office. I pay cash, because our insurance doesn't cover them--not that it would pay before the deductible anyway, but hey. I like them.
The billing specialist for the office was the one that dealt with me checking out and paying for services yesterday. She was really surprised that we continued to use their office, despite paying for it out of pocket, and asked if we had insurance. And then asked why we hadn't changed healthcare providers. I mentioned that we liked them, preferred to save them the trouble of billing an insurance that won't pay them, and that health care was a line item in the family budget.
She frowned--more confused and befuddled than anything else--and said, "Huh. Weird. I don't think I've ever even heard of that. In your budget? Wow."
And, as she'd rambling on in this vein, I'm thinking, "And that's why we got saddled with the 'Affordable' Care Act."
22 minutes ago