text:  You pay the doctor in cash or credit, right? Plastic surgery is a perfect example. A lot of plastic surgeons don't even take insurance anymore. Those plastic surgeons don't, they are, forget it, man. They screw up a face, their business is done. They can't rely on insurance, government, nothing. People come in, it's cash and carry. The customer cares about the price. Hey, man, I need my nose fixed or whatever. Some boxer smashed my face in.