A higher percentage of visits to international medical graduates were made by patients expecting to use Medicaid (including those dually eligible for Medicare and Medicaid) or SCHIP as their primary payment source (17.6%) compared with U.S. medical graduates (10.2%) (Figure 2). A smaller percentage of visits to international medical graduates were made by patients expecting to use private insurance (46.6%) compared with U.S. medical graduates (55.2%)