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I am on a fix income pennyless no one cares and I have no secondary hospital I need to fight for my rights since my spenddown went from $48.00 and went up mid yrs to $157.00 I have no money to do these spenddown when Medicaid pays for the drs. I pay for my medicine. Sometimes it down not add up to $157.00 I ask for a fair hearing and need legal council to help since I am disable.