One should be careful of learning about the world from the media. Medicaid programs provide medical care for anyone without an income in the US. The biggest problem in health care is people who make enough to get by, but not enough to afford health insurance. For the most part, except for self esteem, you are better off to not work than to take a menial job.
As a person who is not making much money at all and had a lot of health problems over the past year, I can say the following:
1) Although it varies from state to state, typically you can't get Medicaid unless you have dependents or have been declared disabled.
2) If you show up at an emergency room, you will get treated.
3) If you need an operation, you will get it promptly.
4) Hospital stays are the biggest cost, but if you can't pay, they will often write it off. I got about $150,000 worth of treatment that I didn't have to pay for.
5) When they don't, they will set up a no-interest payment plan. I still owe around $27,000 that I will pay off over the next five years.
6) Physicians, anesthesiologists,
etc. will cut deals. I only had to pay 50% of the bill for the attending physicians, and I got about $300 off the anesthesiologist bill. My surgeon charged as his fee $350 for a full cholycystectomy (the big scar kind) plus removal of a Hickman catheter. I paid $500 for a $1900 MRI session.
7) There are free clinics to get ongoing health care. There are two of them in this town of 150,000 people.
All in all, I've been well pleased. I was extremely ill, and they fixed me up, and I'm all better now. I owe money, and I'm going to be paying it off, though if worst comes to worst I can declare bankruptcy. There was never the slightest hint that I would get anything but the best available care for having neither insurance nor money.
Actually, I got worse care when I was still covered under insurance from COBRA, during an earlier bout with acute pancreatitis (which was improperly diagnosed). And they messed up one of my veins with the IV, and the nurses were sadistic, and whatever they gave me zonked out my brain.
But I went to the smaller hospital for my second and third bouts and the cholycystectomy. The only time I had to wait was five extra hours for surgery, but that was because they brought in an accident victim that the surgeon needed to attend to first, but he stayed late to do me, and it turned into a long one, because he couldn't get at it with a laproscopic procedure and had to do the big incision. It wasn't all peachy; one night my blood glucose level went down to 24 mg/dl, and I could tell I needed sugar and got up to look for the ginger ale that I had squirreled away and got the attention of the nurse. Also, once when they brought me up from a laproscopic exam, they forgot to plug in my buzzer so I couldn't buzz to get a proper gown. And the contrast for the CATscan made me so sick that I had to refuse surgery and do it later (which is why I have to pay for that stay). And also, but I knew this from my father: if any nurses are reading this, if you have a patient with a Foley up his weenus, put some petroleum jelly on the tube, because otherwise a clot builds up and if he gets an erection it's like something out of Robert Mapplethorpe, and I don't mean the flower pictures, either.
But still, that didn't kill me.
If there's a problem, it isn't with delivery of health care but with the insurance companies. I tried to get individual health insurance but couldn't, because a long time ago I had a condition that I don't even have any more and didn't cost that much to treat when I had it. Several direct calls to insurers and the services of six insurance agents couldn't find me anything. The only thing would have been those questionable, possibly fly-by-night "discount" deals, but I wound up getting a bigger discount than I would have simply by talking people down. (This surprised me, because I didn't think I had that skill, but I guess I do.)