I dont suppose you'd take it's very complicated as an answer? Medicaid is almost impossible to get unless you are literally without a job or have a raft of children. I had it once and I only qualified because I was technically caring for an under 18. If you can afford rent you are pretty much out of the Medicaid game in MD, unless you have public housing and pay 1/4 rents (still on the list). They also constantly change up the rules so it's basically a full time job filling out aid forms and getting fingerprinted. Also a lot of providers wont take it because it pays less than insurance companies.I don't think that's true but maybe I'm wrong. American therapists talk a lot about community mental health centres which I think do Medicaid etc?
I do work for 2 charities for free, 1 charity for donations if sex workers want therapy then my private therapy is like $60 or whatever the exchange rate is. Not gonna be rich off it but it helps some folks I guess.