Medicaid is a joint federal and state-controlled health care insurance entitlement. It is not financially sustainable in its current form unless the federal debt or taxes are significantly increased.

Yet, health care is simply an economic activity, albeit where the activity between a provider and a patient is the most personal interchange an individual will ever have. However, because of the complexity, the vast majority of patients in the U.S. don’t completely control their medical finances and, in many cases, their medical decisions.