I think it should depend on where you work and the types of patients you get. Unfortunately, our country's insurance is a business. I haven't run into this issue in the US but I have in the Philippines where patients pay in cash. It was a while back so I don't know if there have been changes since then. But when I was there, if the patient did not have any money, they would put off buying medication, a procedure, or screen. We ended up suggesting cheaper ways they could get 'supplemental' treatment. It's sad but true.