When I call an in-network practice, they usually tell me the next available appointment is in four to six weeks—or that the doctor isn’t taking new patients, it goes without saying all of this is contrary to information updated by my insurance weekly. I push a little or ask about seeing an available doctor, the conversation suddenly shifts to my insurance. As soon as they find out I have a subsidized plan, I sometimes get told they don’t accept it. Is this happening because of recent changes in federal policies, budgets, or staffing? Are providers running into issues processing claims from these plans?