A doctor is with a patient. The doctor has a note that is on fire.
The doctor's note is on fire and not burning him.
Why is the doctor's paper on fire?
Your insurance company got back to us.
scene: a doctor's office description: A doctor is with a patient. The doctor has a note that is on fire. uncanny: The doctor's note is on fire and not burning him. entities: Fire, Patient. caption: Your insurance company got back to us.
A joke about the inadequacy of some insurance plans --- the joke is that some plans don't cover many procedures and the resulting  medical bills can be significant. The "NO" from the company was so strong, that the paper literally caught on fire.