As a bit of an aside...
The biggest issue for me for dumping Medicare was the threat of being charged with a felony for charging someone less that Medicare rates, and this was (in Anchorage, anyway) interpreted to mean not aggressively pursuing co-payments or payment from the uninsured. Getting out of Medicare allows me to charge whatever I feel is right, and no, I don't have a clear and consistent policy. Some folks can pay and don't want to (as per Leslie) and some would struggle terribly. I have no wish to allow my compassion or judgment to be ruled by an algorithm or policy. I hound, fire, or send to collections those who blow me off, based a lot on how much or little I like caring for them. I write off the rest.
