A $1 payment is symbolically significant, but has little relation to the cost of the service being granted. I could see how a bill for one dollar (or ten) might just get buried on the dining room table.
It grates me that this essentially free service isn’t paid for, but the reality is that it is essentially free, and therefore prone to abuse. The real paperwork burden should be on the agencies that liberally grant free care to verify and monitor that it is needed. The burden on the Medicaid insured should be to comply diligently with said proof and monitoring of eligibility.
That one dollar represents a huge billing contract to some politician..if you don’t charge the dollar, the contract goes away... which is the right thing to do...but no, we go on paying what must be millions of dollars so that someone, somewhere in our government can continue to milk the tax payer.