Pat Dobbins, an employee of Hendry and Glades County Departments of Health, speaks out against the state enrolling Medicaid patients in managed care plans during a public meeting at the Joseph D'Alessandro Building in Fort Myers for a public meeting surrounding upcoming changes in the Florida's Medicaid system on Friday, June 17, 2011. At public meetings throughout the state the agency sought public input on legislation passed this spring to move three million Medicaid patients statewide into managed care plans to save millions in dollars. Critics say patients will lose access, quality care and more by the move. David Albers/Staff

Photo by DAVID ALBERS

Pat Dobbins, an employee of Hendry and Glades County Departments of Health, speaks out against the state enrolling Medicaid patients in managed care plans during a public meeting at the Joseph D'Alessandro Building in Fort Myers for a public meeting surrounding upcoming changes in the Florida's Medicaid system on Friday, June 17, 2011. At public meetings throughout the state the agency sought public input on legislation passed this spring to move three million Medicaid patients statewide into managed care plans to save millions in dollars. Critics say patients will lose access, quality care and more by the move. David Albers/Staff

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