A pediatrician wouldn’t dismiss a parent’s hardship that hinders a child’s health because they know that the well-being of the child has a direct correlation to the well-being of the parents.
If the parents aren’t doing well (financially, emotionally, physically, etc), the child will have a hard time doing well as well. Thus, in order to appropriately provide care to patients, the parent issues need to be addressed first. Not doing so could be considered negligent.
This concept is no different in a “private” medical practice; whereas the wellbeing of the child is in direct correlation to the wellbeing of the practice’s welfare.
However many pediatricians don’t seem to grasp the concept that there is a direct correlation between the financial health of a practice and the welfare of patients.
Not addressing the revenue problems first is actually irresponsible and a disservice to patients. It is a responsibility to be profitable. Unless there are special circumstances, don’t offer a service that you don’t get paid for. Because doing so is also negligent.