It’s a “philosophical and ethical” position she’s held for more than 20 years. Now the executive director of the American Association of Physicians and Surgeons (with a membership of more than 4,000, including Dr. Rand Paul, U.S. senator from Kentucky), she says that more than half of them don’t take Medicaid patients, but they’ll take cash instead. Those patients are then free to wrestle on their own with their insurance companies to get reimbursed.