The Medicaid patients I care for more often than not simply don’t show up for surgery or appointments. What costs you nothing you value at nothing.
Precisely what I was trying to articulate on another thread, in the context of an article from a leftie which claimed that since there was always things that needed doing, there was no difficulty in creating government jobs which are “not demoralizing make-work.”But if your “job” costs your boss nothing, he will value your time accordingly. Viola! Instant “demoralizing make-work.” Even, in your case, when you are well-qualified, and your “boss” stands to directly benefit from your work.