LB:
Chessed? ithout a question, that would be a wonderful thing. But the physician, or other health care professional, entered the field in order to provide parnosoh for his family. To establish himself in a manner that cheats on the bottom line, offering his services for far less than they are worth, might provide much less income than planned. I am not talking about doctors going on expensive vacations or driving fancy cars. I am talking about paying tuitions.
I cannot judge the doctor who calculates that he can fill his practice with patients whose reimbursements are greater than what Medicaid offers. His obligation to do chessed might lie elsewhere, not in his decision about how to run his practice. I know of doctors who extend their services far beyond the billables, and are huge donors to the finest tzedokos in the community. Are we to judge just how someone should do chessed? That does not lie in my domain, and I strongly believe that us commonfolk lack the insight into Divine calculations that would be needed to judge here.