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SecondClass Medicare for Dually Eligible People Violates Civil Rights Worsens Disparities and Harms Millions A Case Study of Dually Eligible People with Medicare and Medicaid in New Orleans Sheldon M Hersh MDJanuary 2022infonacdep. org EXECUTIVE SUMMARY The COVID19 pandemic is disproportionately affecting dually eligible individuals racial and ethnic minority groups and individuals with disabilities. Centers for Medicare Medicaid Services February 18 2021 Government policy worsens racial healthcare disparities for lowincome dually eligible people. The COVID19 pandemic exposed racial healthcare disparities for dually eligible people with Medicare and Medicaid the elderly and disabled poor.