Add a dynastic rule called “Poverty” with the following text:

An Unseated Player who has less than $50 is called a Poor Player.  Poor Players may not become Seated.

There is an entity called “Uncle Sam” who has his own row in the GNDT.

Whenever a Seated Player wins a positive amount from the Pot or any Side Pots, 5% (rounded up) of their total winnings is transferred to Uncle Sam instead of the Seated Player.  This is called being “taxed”.

Any Player may at any time transfer a positive amount of money (not to exceed their current amount) to Uncle Sam.  This is called “giving generously”.

If Uncle Sam has at least $40, any Poor, Wounded Player who has not done so in the past 24 hours may use $40 of Uncle Sam’s money to go to the doctor (see rule “Doctor”) instead of using his own money.

As a daily action, any Poor Player may transfer a positive amount of money (not to exceed Uncle Sam’s current amount or $10 or the amount of money that would put the Player at exactly $50, whichever is the smallest) from Uncle Sam to himself.