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In Pictures: The 10 Worst States To Be Sick And Poor

Bernadette Sheridan, a doctor at Grace Family Medicine in Canarsie, Brooklyn, has stopped seeing patients covered only by Medicaid, the Federal-State partnership that pays for medical care for the poorest Americans.

Why? Sometimes Sheridan didn't get paid, and when she did, it took forever. New York takes 140 days to process most claims, compared with 41 for South Carolina, according to AthenaHealth (nasdaq: ATHN - news - people ), a company that helps doctors get paid. But the worst thing was that all the specialists to whom she wanted to refer patients had already stopped taking Medicaid. If a woman showed up with a lump in her breast, Sheridan had to just send the patient to a clinic or emergency room.

In Pictures: The 10 Worst States To Be Sick And Poor

What scares her most, she says, is that the many people with families who suffer from chronic illnesses are "only a pink slip away" from a hard-to-navigate system that she calls "a horror."

Medicaid is the primary medical insurance for 55 million Americans. Another 47 million are uninsured and finding ways to cover these people is expected to be a big point of focus for the administration of President-elect Barack Obama.

But what you get varies widely depending on where you are. Unlike Medicare, which takes care of senior citizens, Medicaid is a patchwork of 51 different state programs that get federal funds of between 50 cents and 77 cents for every taxpayer dollar they spend.

Banks that are getting taxpayer bailouts awarded their top executives nearly $1.6 billion in salaries, bonuses, and other benefits last year, an Associated Press analysis reveals.

The rewards came even at banks where poor results last year foretold the economic crisis that sent them to Washington for a government rescue. Some trimmed their executive compensation due to lagging bank performance, but still forked over multimillion-dollar executive pay packages.

Benefits included cash bonuses, stock options, personal use of company jets and chauffeurs, home security, country club memberships and professional money management, the AP review of federal securities documents found.

The total amount given to nearly 600 executives would cover bailout costs for many of the 116 banks that have so far accepted tax dollars to boost their bottom lines.

Rep. Barney Frank, chairman of the House Financial Services committee and a long-standing critic of executive largesse, said the bonuses tallied by the AP review amount to a bribe "to get them to do the jobs for which they are well paid in the first place.

"Most of us sign on to do jobs and we do them best we can," said Frank, a Massachusetts Democrat. "We're told that some of the most highly paid people in executive positions are different. They need extra money to be motivated!"

The AP compiled total compensation based on annual reports that the banks file with the Securities and Exchange Commission. The 116 banks have so far received $188 billion in taxpayer help. Among the findings:

The gap between rich and poor is getting bigger in the world's richest countries -- and particularly the United States -- as top earners' incomes soar while others' stagnate, according to a 30-nation report released Tuesday.

In a 20-year study of its member countries, the Paris-based Organization for Economic Cooperation and Development said wealthy households are not only widening the gap with the poor, but in countries such as the U.S., Canada and Germany they are also leaving middle-income earners further behind, with potentially ominous consequences if the global financial crisis sparks a long recession.

Inequality threatens the "American Dream" of social mobility -- children doing better than their parents, the poor improving their lot through hard work -- which is lower in the U.S. than countries such as Denmark, Sweden and Australia, the report found.

The two decades covered in the study -- 1985-2005 -- saw the development of global trade and the Internet, and a period of overall strong economic growth. The countries covered are mostly developed nations, especially in Europe.

The United States has the highest inequality and poverty in the OECD after Mexico and Turkey, and the gap has increased rapidly since 2000, the report said. France, meanwhile, has seen inequalities fall in the past 20 years as poorer workers are better paid.

OECD Secretary-General Angel Gurria said that the study, which took three years to complete, would be useful to policymakers because it is coming out just as the world is undergoing "the worst crisis in decades."

With several OECD countries already in recession, the "key question" raised by the report is whether governments can prevent a possible drop in top earners' incomes from sparking "a second wave" hit to the lowest-income households, Martin Hirsch, France's high commissioner for fighting poverty, said at a news conference.

Also speaking at the report's presentation, Oxford University economist Anthony Atkinson noted that the widening inequality gap had coincided with a period of strong economic growth.

"What will happen if the next decade is not one of world growth but of world recession? If a rising tide didn't lift all boats, how will they be affected by an ebbing tide?" Atkinson said.

With governments around the globe announcing trillions of dollars in rescue financing to shore up banks, "I think that citizens of OECD countries are going to expect that if you can find funds to rescue banks, then governments can fund an effective unemployment insurance scheme, and they can fund employment subsidies," Atkinson said.

Atkinson said governments need to act to support employment as a response to widening inequality and faltering economies.

"If the government can take on the role of lender of last resort, then we should think about the government taking on the role of employer of last resort. Put bluntly, governments have to step up. Step up to the plate as Roosevelt did in the Great Depression," Atkinson said.

The OECD's Gurria urged governments to address the "divisive" issue of growing inequality. He said they should do more to educate the whole work force -- and not just the elite -- while helping people get jobs and increasing incomes for working families, rather than relying on social benefits.

"Greater income inequality stifles upward mobility between generations, making it harder for talented and hardworking people to get the rewards they deserve," he said in a statement. "It polarizes societies, it divides regions within countries, and it carves up the world between rich and poor."

In the United States, the richest 10 percent earn an average of $93,000 -- the highest level in the OECD. The poorest 10 percent earn an average of $5,800 -- about 20 percent lower than the OECD average.

Social mobility is lowest in countries with high inequality such as the United States, United Kingdom, and Italy, the report said.