My 90 year old aunt got a letter today saying her medical assistance would be discontinued on April 13 because the cost of living increase she got from Social Security on January 1 had pushed her income beyond the allowable limit by $3.49. I kept reading the black type over and over, sure I wasn't seeing it right. She is making $3.49 a year too much to qualify for Medicaid benefits, and so they are taking away her home care and hospital inpatient care and doctor visit coverage. I had an instant headache. If you disagree, the letter said, you can file a fair hearing to protest this. Now I have to get the lawyer involved again and spend months untangling this so my aged, completely disabled aunt who cannot do anything for herself, who can barely get words to form in her mouth, who cannot shuffle from the chair to the bed without someone there to catch her, who cannot bathe or feed herself or recall if she took her medication, can be cared for. Just $3.49 a year is all it takes to send the whole sham house of cards crashing down. Seriously?