I am currently on Medicaid. There is no nephrologist in my county that accepts my Medicaid. I have to travel 60 miles to see my doctor. It doesn’t sound like a big deal but I suffer from low vision. I have to arrange a shuttle service for my Dr visits. Even though I have had a double organ transplant I still have CKD. My original nephrologist will not accept my Medicaid but offered to see me at half price. That was nice but if Medicaid were to become aware of any paid visit that would cancel my coverage. In essence this complicates the routine maintenance of my life saving double organ transplant.