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I don't think this is a good idea, especially if China is someone who is struggling to manage staff... As a manager I always try and keep staff at 'arms length', it makes it a easier when you need to performance mange them. The friendlier I get with staff the harder I find it to manage them...

I don't understand why this is a problem, there's many, many small to large companies that specialise in medical billing. Why would the struggle with your business? I'm in medical debt collection and we deal with many of them.