Interesting. I have a non-disabled friend in the same state that is very poor (lives in a trailer home, cannot get a decent job as an ex-con, etc.), and Medicaid covers all of his medical expenses - even psychiatric. He's not always happy with some of the things they provide, but he's also the type of person that never would be. He gets what he needs, but not always what he wants. Perhaps your poor, sick friend just needs the proper guidance and/or motivation.