That is not novel. Medicaid (for poor people, less likely to vote) pays healthcare providers less than Medicare (for old people, likelier to vote). Guess who will be likelier to see less qualified Nurse Practictioners/Physician Assistants rather than more qualified doctors?
The entire US healthcare system is well designed to direct different populations to receiving different levels of healthcare services. You don't even get the same level within Medicare!
Shitty AI healthcare for poor people.
Real doctors for rich people.
https://futurism.com/the-byte/openai-ceo-ai-medical-advice