- Where are you. I live in a city (Austin, Texas) where there are a lot of doctors. A surprising number of them either don't know or don't care about COPD. I do NOT tolerate them and I tell them straight up and don't pay them. Luckily it's not too hard to find one, here, anyway, who does know and care. It makes all the difference. It's your money, your Medicare, your insurance, you are the paying customer, you are the boss. Act like it. They are there to serve you, it's not the other way around. Make them perform or fire them. I do. You have every right to the best medical care available. Demand it.