How recent are you talking about? I have Medicare and Medicaid. I have so far, in my case, not noticed any difference with the Medicare (I keep straight Medicare, no HMO!) - but a few years ago, Straight Medicaid was no more here - forcing a HMO on it - I ABSOLUTELY HATE IT! - Managed care - yeah, managed by me and my doctors, and no one else is what I am looking for.
And with that change, first off I had to find a different place to get some medical supplies, one product is only once a year, and it I actually got higher quality than before (that a a wrist brace for Corporal Tunnel), but the other two it's every month (Diapers and Cathadors - Urine both leaks and retains) - Well the cathadors are the same brand and all that, but the lubricant is not way too thin for my taste, so I end up paying for a better one myself (no more than a few bucks, but on a low-fixed income, it still matters) the Diapers, I had to get from yet another place, due to while I had been getting both from the same place - starting last September, the diapers there were completely uncomfortable, and worst did not work all that great. That was due to changes, now instead of up to 200 per month, they only want to pay for up to 180. That Supply place did not want to slit up a case (I was actually getting 192) - I manged to get the same diapers through ActivStyle just one pack less. That doesn't sound like a big deal - but again low-fixed income - and I do end up self-paying for 1 pack per month (I found a place to get that same brand for about $12 per pack).
I also since the Medicaid HMO, now I pay a few bucks per prescription, when I had straight Medicaid, provided my Medicare Part D covered that drug, it cost me $0.
Any one of those may not be a big deal, but add them all together....
Basically, I feel like I am getting nickle and dimed to death - AND I CAN NOT AFFORD IT! (in fact I am so poor I can't afford to pay attention - )
And with more and more issues coming up lately - I have no doubt it will just keep happening - if this keeps up - well I just don't know - but this is nuts - we have basically nothing, but you want us to come up with more - well, YOU CAN'T GET SOMETHING FROM NOTHING!