The Medicaid system in South Carolina is about to change. And that's going to affect more than 850,000 people who get health care assistance. Governor Mark Sanford says under his plan, the state can better control the rising cost of Medicaid. But some Medicaid recipients say the plan would do more harm than good

The new plan would create personal health accounts. The beneficiary would also choose their coverage. And the state would give incentives for saving money. The governor believes the federal board that oversees Medicaid will approve his plan, which means it could be in effect as early as next January.

"This notion of personalized care, of a greater degree of control can impact the quality of care. I think it can impact access to care in South Carolina and I think it can drive prevention, spending money earlier than later in the healthcare process," said Sanford.

But Medicaid recipient Dale Cribb is skeptical.

"That's the biggest thing I think most folks are looking at, is out of pocket expense. And if you can't afford it now when it's $3 a prescription, how are you going to afford it when it goes to $7?" asked Cribb.

The 35-year old, who was born with cerebral palsy, works part time at the Disability Resource Center in North Charleston. He helps other disabled people get Medicaid benefits.

He doesn't think the system will get any less complicated under the new plan.

"Change is always difficult for people. They get used to things being a certain way and that's what they expect," said Cribb.