CMA do most of the work for the providers, the ones who play politics with managers and doctors have long careers with the state. But the ones who stay away from the clicks and put in hard days work rarely get any praise. The gossip is mean, It kinda of mean girls movie if you even seen it. If you get a job watch your back even with the doctors. Try to do your best and leave the job at work because none of them care about any there patients. Its sad they are not giving the kind of care they should and the nurse talk about the patients as if they are better than any of patients. They are to help the poor but its about how much they will pay.