I'm no expert, but I thought you can't deduct money from your yearly business that you never rec'd. Therefore it is a waste of time, energy, effort, and money to send out 1099 forms to dead-beats or even include that data in your tax information.
There really is a thing called " the cost of doing business ". It is up to the business owner to control costs. If you make bad purchases, keep on letting your bad debts grow, or provide a service not financialy efficient, then the gov'ment doesn't let you claim a smaller tax bill.
As a small business owner, physicians have control over these issues. But you have to take control.
Nate