Primary care MDs get about 50c to see a Medicaid patient. If they see 4 patient in an hour, that's only $2 per hour, way below the minimum wage. Not mention MDs have to pay offices, employees, malpractice insurance, hospital privileges, etc on top of their loans to go to medical schools. How can MDs survive on $2 hourly income? I'd rather flip burgers than seeing Medicaid patients.