If they aren't doing their job, you can fire them.
Here's your cardboard box. I expect your stuff in it by 5 p.m.
We actually had this issue come up years ago. We had an assistant who puffed on cigarettes outside our door during breaks and lunch hour as traffic passed by and gawked at us. My partner was the "heavy" at the time, becuase he signed her paycheck, and we didn't specifically give that reason, just told her she wasn't catching on to the billing, but you can bet she was dismissed probably mostly because of that nasty habit. That was the consensus of 2 other doctors in the practice besides him.
You can try to change Corporate America/small business or try to change yourself, I guess.
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