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      Estate recovery only applies to people on Medicaid, and has been around since 1993. Each state writes its own rules, so details will differ depending on where you live. If you search pubmed what you’ll most likely find is that the lab-synthesized versions of those naturally derived substances are overall more effective, as the dosage is standardized and tested, where the dosage derived from natural sources can vary wildly depending on factors such as time of year, weather, technique used to extract the compounds, etc.