This article describes the medically indigent population in the United States and the governmental care provided to this population. The level of care is a product of one's state of residence and generally is very inadequate. The situation is exacerbated by increasing competition among hospitals and the growing use of very sophisticated medical technology. A national health care solution appears unlikely because of the huge federal deficity and the continuing influence of governmental structure and ideology. © 1991, Taylor & Francis Group, LLC. All rights reserved.