Medicaid coverage often has many requirements to qualify. Most notably, in many jurisdictions, there is an aggressive asset limit that requires you to liquidate almost everything you own, in order to get coverage when disabled or elderly. Those limits can apply retroactively up to five years, and can also prevent disabled people from being able to marry, because they would lose benefits due to a partner's assets.
The Medicaid trust is the way around that. It's not a great solution, but it's at least something if you're in that position and have the time to plan.
I live in Texas, and as far as I know as an adult man, I'd not qualify since it is not a medicaid expansion state. Perhaps if needed I could move to a different state, but that poses plenty of problems as well. My plan is mostly to save every dollar I can in the event that I'm unable to find suitable employment. I'm actually pretty happy with my job now, but it seems inevitable that that changes; every employer I've ever had is now out of business or consumed by private equity and a shell of what it was. I guess that's helping the GDP though and I should be happy? I'm not particularly though.
Have you actually been disabled with significant health needs on Medicaid? It sucks super, super hard.
Managing your medicaid "benefits" is a part time job