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Sara is late for her appointment with her 2-year-old, Mia. She arrives to the office visibly flustered, with tears in her eyes. Her last visit was a no-show. Records indicate that she has an unpaid bill with the clinic of about $70. When the front office staff indicates that it might be difficult for Sara to be seen today because she’s late, she becomes angry and shouts at the front office staff, “Do you know how hard it was for me to get here today!”

Luckily, the pediatrician is able to see them. Mia is a healthy 2-year-old coming in...

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