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LaPelusa A, Bohlen J. Medicare, Medicaid, and Military and VA Healthcare Programs. StatPearls [Internet]. 2023."},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Park I, Lee K, Yim E. Does Maintained Medical Aid Coverage Affect Healthy Lifestyle Factors, Metabolic Syndrome-Related Health Status, and Individuals\u2019 Use of Healthcare Services? Healthcare (Basel). 2023;11.","DOI":"10.3390\/healthcare11131811"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Lee DW, Jang J, Choi DW, et al. The effect of shifting medical coverage from National Health Insurance to Medical Aid type I and type II on health care utilization and out-of-pocket spending in South Korea. BMC Health Serv Res. 2020;20:1\u201310.","DOI":"10.1186\/s12913-020-05778-2"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. van Kippersluis H, Galama TJ. Wealth and health behavior: Testing the concept of a health cost. 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