Back when I was a real person, I worked for a doctor who flat out would not deal with WC. There was such a problem with no pay/slow pay. I hated trying to find a polite way to tell a potential patient that their insurance wasn't worth the paper the policy was written on and the doctor would only see him/her on a cash basis. I KNOW medical care is expensive and some of us aren't getting what we need but after working in an office for several years and had to deal with the insurance companies, I see the other side of the coin. It is hard to keep an office open when the ins. wouldn't pay up after approaving some treatment, therapy etc. If the ins. didn't pay up, he left the patients alone as he figured they had enough problems.