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The medically needy group under Title XIX of the Social Security Act primarily includes individuals who may not have enough income or resources to cover their medical expenses but do not qualify for Medicaid under the standard income criteria. This includes the indigent who are aged, blind, or disabled, as they often face higher medical costs despite their low income.

This group is significant within the context of the Medicaid program, as they are eligible for assistance when their medical expenses exceed a certain percentage of their income. The program aims to prevent individuals from falling into poverty due to high healthcare costs, reflecting a compassionate approach to healthcare access for vulnerable populations.

In contrast, individuals with high incomes do not qualify as medically needy because they can afford their medical expenses. Children in families with income and individuals over 50 years of age are not specifically categorized as medically needy; their eligibility could depend on their family's overall income or resources rather than their individual circumstances.