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[quote=Anonymous][quote=Anonymous]If the practice isn't charging for cancellations etc that's a problem with its leadership and policies. Why are blaming parents and the whole field? [/quote]

If the issue is a high percentage of Medicaid clients, they cannot be charged cancellation fees. I agree that this is frequently a problem with organizational leadership and policies, but it is also a structural component to the system, not an individual culture issue. Practices with high Medicaid populations sometimes deal with this by having everyone have an hourly rate regardless of cancellations, but that's not common. If the practice cannot charge the patient a cancellation fee - and for Medicaid clients, they cannot - they are not going to pay the provider for their time.

FWIW working in an organization like this causes burnout for all kinds of healthcare folks. People working in community health, community mental health, and any kind of home-based support services have a really hard job and OP is experiencing that burnout. One symptom of it is compassion fatigue. This can be an organizational problem, but it is also a system issue rather than an individual one.[/quote]

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