Doctors say new Medicaid rules 'like asking people to work with an anchor on their back'As many as 6.3 million people could lose Medicaid benefits as a result of the new change. Dr Gary Leroy’s patients are “salt of the earth”: inner-city people working in Dayton, Ohio as dishwashers, car mechanics and patient care assistants. Although the vast majority have jobs, most qualify for Medicaid, a public health insurance program which serves 74 million poor and disabled Americans.