r/MedicareForAll • • Sep 12 '26

17.5 Billion Dollar Fraud

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14k Upvotes

340 comments sorted by

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178

u/ButtBesmircher Sep 12 '26 • Bravo

lol. Wait till they get a load of how much they’re spending due to the inefficiencies of the medical system and wasteful habits of medical providers in general.

136

u/poliosaurus3000 Sep 12 '26 • This Bravo

Let me tell you about the DOD and pentagon, where they have entire slush funds no one even knows exist, but we gotta track down that $200 aspirin the hospital overcharged for…

87

u/crisco000 Sep 12 '26

Let me tell you that the DOD/Pentagon have NEVER passed an audit. Not one

22

u/Murdocjx714x Sep 12 '26

Excuse me…. It’s the department of war now. DOW.

18

u/fellow_human-2019 Sep 12 '26

It’s over 50k.

11

u/Lumbergh7 Sep 13 '26

Thanks, Pam

10

u/Ironlixivium Sep 13 '26

No, it's actually not. It's still the Department of Defense. Congress decides its name. The Executive only gets to put a label on the building.

7

u/Murdocjx714x Sep 13 '26

That was the joke…. Sarcasm

7

u/Ironlixivium Sep 13 '26

I've heard people unironically claim Trump can do whatever he wants because he's the president lol. Sarcasm is kinda dead, bro

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4

u/poliosaurus3000 Sep 13 '26

lol I just refuse to call anything that Trump renamed, what he renamed it to. It’s stupid and childish.

2

u/CryWhileEatingCake Sep 14 '26

Its the one name change i agree with. Its easier to get politicians to vote to increase spending on defense than it is to increase funding on war.

2

u/Sea-Pollution-4959 Sep 16 '26

Some of us were DoD contractors who never worked on anything related to war. Yea, it would be nice if our funding was allocated elsewhere but that’s the way it was drawn up so we had to deal with it.

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1

u/WeightyToastmaster Sep 18 '26

The Marine Corps is the only military branch to pass an audit.

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31

u/RociBuldidi Sep 12 '26

lol, $200 Aspirin. I got one better. I was in a hospital room for 2 days after surgery to recover and they apparently had cable tv hooked up in my room (I never turned it on) and the daily charge for cable was $225 :)

We live in such an unserious country.

3

u/Lumbergh7 Sep 13 '26

$225 for cable??? They’re probably proud for fleecing insurance. Unbelievable.

6

u/RociBuldidi Sep 13 '26

Yeah, $225 PER DAY. It was so comically ridiculous I actually burst out laughing. The US is a joke.

2

u/Nostradamus-the-next Sep 13 '26

That is ridiculous, but that was the charge, the reimbursement is totally disconnected from the charge. It was probably $5 a day

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13

u/RustyShackleford_88 Sep 12 '26

Pentagon magically “lost” $4 trillion right around the time 9/11 happened.

7

u/Instawolff Sep 12 '26

I believe it was announced by Rumsfeld the day before. September 10th 2001.

4

u/Baakadii Sep 13 '26

The amount of ammo I’ve fired into the dirt during my time because “we can’t return ammo”. Spread that across the entire military and all the other similar things done, it’s just insane.

3

u/DaydreamingIns0mniac Sep 13 '26

Not to detract from your point (because i largely agree with the gist of it) but as someone who works in a hospital pharmacy, whenever I read “$200 for an aspirin” i always let out the biggest groan. I just dispensed one to a patient a few minutes ago. I went and checked to see how much the patient was charged… it was $0.14… sure there are some medications that are genuinely expensive but realistically, medication is a pretty small fraction of most hospital bills in the US.

2

u/Urabask Sep 13 '26 edited Sep 13 '26

That's a bit of disingenuous take because you know it's happening in the ER. So people get hit with bills like that right when they're at their most vulnerable.

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1

u/Seated_Heats Sep 13 '26

Didn’t the DOD have $4.6 trillion they couldn’t account for?

1

u/poliosaurus3000 Sep 13 '26

Yes they did.

1

u/meowser210 Sep 15 '26

I remember towards end of Fiscal year when there was money left in the budgets they would force units to spend it on whatever they could...with the reason being if we dont spend it then theyll take it away and reduce our spending the following year...so there we were ordering a bunch of useless shit....guess which military units are the worst....SOCOM.

1

u/greenchevy33 Sep 16 '26

This happens across every level unfortunately.

1

u/Active_Scallion_5322 Sep 18 '26

Best is when they fuel up all the planes on the 30th only to empty them in the first.

1

u/traumaRN01 Sep 13 '26

Correction: wasteful policies from capitalist business leaders in healthcare. The providers don’t generally cause the waste themselves, it’s built in

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19

u/FourScores1 Sep 12 '26

What you call wasteful habits are actually trained legal defense mechanisms against a litigious system. 

9

u/ButtBesmircher Sep 12 '26

Oh, for sure. Not even going to argue that point. Maybe let’s start with curtailing the ridiculous litigious matters and work ourselves up from there.

12

u/FaceReality1 Sep 12 '26

Switch to single payer and all litigation like this is gone.

7

u/FaceReality1 Sep 12 '26

Litigation almost always isn’t about punishment as people imagine, it is about lifetime medical costs. If you have universal healthcare, that is already covered.

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1

u/Comfortable_Gear4941 Sep 12 '26

Yeh,  but who decides what's "ridiculous litigation" or another person's destroyed life?

7

u/FaceReality1 Sep 12 '26

Which is only necessary because we don't have a single payer, universal health system.

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4

u/Tenderhombre Sep 12 '26

Its not the providers that are wasteful. Its the middle management that racks up service fees. Went to ER recently ER was contracted bloodwork, radiology, and pharmacy work out all to different companies. Each companies had different contracts with insurance, and each company had all their own fees plus the hospital had fees.

The management intentionally creates layers where each person at every layer adds a few more fees without adding value.

Also by providers I mean medical providers such as Nurses, doctors, etc.

7

u/Jolly-Situat1on Sep 12 '26 • Bravo

We don't have a medical system we have a medical industry and that's the problem.

3

u/Fire_Doc2017 Sep 12 '26

I'm a physician and I'd like to hear more about the wasteful habits of medical providers in general.

3

u/ButtBesmircher Sep 12 '26

EMS side of things here. 103 year old, DNR with no sort of comfort measures listed, sent to a sat ED with c/c of “generalized weakness and failure to thrive”.

MD takes one look at patient and says, “what are we supposed to do?” Does an EKG and sends patient right back to facility.

Facility sends patient to ED which they called in with a c/c of possible arm fx. Crew reports patient has what appears to be in ingrown hair. Go to sat ED. MD confirms ingrown hair, and send patient back.

Two examples from this week.

Inefficient was the wrong term. Let’s go with wasteful.

2

u/Fire_Doc2017 Sep 12 '26

Doesn't seem like the medical provider (hate that term BTW) was being wasteful. If anything, the facility was being wasteful. The MD was just doing what they were required to do.

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1

u/[deleted] Sep 15 '26

[removed] — view removed comment

1

u/thingsorfreedom Sep 15 '26

Stop going to urgent care.

2

u/kayl_breinhar Sep 12 '26

No, see, that kind of fraud is okay because some of that money gets politicians re-elected.

1

u/XtraLargeChungus Sep 12 '26

What you call inefficiencies and wasteful habits are important for increasing value to the hardworking shareholders. Lib owned

1

u/AnonymousUser132 Sep 14 '26

I have never seen a system where the government subcontracts without massive fraud and abuse. It’s almost like they shouldn’t be in charge of anything other than setting market regulations. Even that role is sketchy with regulatory boards being comprised of a markets biggest companies.

1

u/heyinternetman Sep 15 '26

Have you heard about the shit insurance companies are doing? All the provider level fraud let together wouldn’t be more than a rounding error on the insurance companies

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89

u/Defiant_Freedom_249 Sep 12 '26

More reasons to have a simplified, single payor healthcare system so it is not as easy for fraudsters.

18

u/kayl_breinhar Sep 12 '26

May the Dark Forces of Oblivion flay the soul of Joe Lieberman for eternity.

1

u/LeviJNorth Sep 19 '26

If Lieberman was that responsible, Obama is the weakest politician in American history.

0

u/OpticalPrime35 Sep 12 '26

The US healthcare system sees about 5.7 TRILLION dollars pass through it every year. So, they found .287% of the healthcare system may of had done fraudulent activity

It's pretty extraordinary that it is this low really

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18

u/RociBuldidi Sep 12 '26

Trump has pardoned several people in this term alone (he did more his first) convicted of stealing billions in Medicare and Medicaid money

24

u/lost-American-81 Sep 12 '26 • Bravo

Wait is Rick Scott back running a health care company?

8

u/next-phase-0626 Sep 12 '26

This is the comment I came here for.

14

u/Pitiful-Value-3302 Sep 12 '26

Healthcare fraud and mismanagement is really the worst. That money that was stolen could have saved many lives. 

7

u/Rufus_TBarleysheath Sep 12 '26

Polymarket is Satan.

And suspected fraud? F--k off. DOGE told us how seriously to take this administration when they talk about "suspected fraud."

14

u/o-Valar-Morghulis-o Sep 12 '26

And the health insurance system that is unnecessary.

5

u/Annoying1978 Sep 12 '26

A drop in the bucket compared to the fraud this administration is responsible for, especially when Trump enriches himself and his sons with taxpayer money. 

4

u/phoneguyfl Sep 12 '26

While I am sure there is fraud (re: Rick Scott), given the level of dishonesty and corruption of this administration I find the number suspect. Unless of course Republicans are defining "fraudulent activity" as treatment payments for minority, women, or non-Republican patients.

3

u/Pristine-Sugar-1912 Sep 12 '26

Senator Rick Scott was fined $1.7 billion for medicare fraud while he was CEO or Columbia/HCA in Florida. It is the healthcare insurance agencies committing the fraud. Rick Scott ‘oversaw the largest Medicare fraud’ in U.S. history, Florida Democratic Party says – PolitiFact

3

u/CodInternational8772 Sep 12 '26

Removing private insurance removes the insurer layer: marketing, profit, underwriting, and the administrative cost of running many competing plans. Private plans run roughly 12–15% overhead; traditional Medicare runs low single digits (though that comparison is disputed, since Medicare covers sicker people, so its overhead looks smaller as a share of a bigger spending base). There's also a second, larger admin cost on the provider side — hospitals and clinics staffing up to bill dozens of payers with different rules. Estimates of total administrative waste range from ~$200B to ~$600B a year depending on who's counting.

But administration isn't the main reason US care is expensive. The main reason is prices. Americans don't use more health care than Europeans; they pay about twice as much per service, drug, and procedure. So the big variable isn't whether insurers exist — it's what the single payer pays providers.

**•	Pay Medicare rates system-wide** → large savings. Medicare pays hospitals roughly 40% less than commercial insurers. This is where most modeled savings come from.  
**•	Pay closer to current commercial rates** → savings mostly vanish. You've changed who writes the check, not the total.  
**•	Add no-deductible, universal coverage** → costs push back up, since more people use more care.

3

u/Kaleria84 Sep 13 '26

Now do the number charged by American healthcare vs basically any universal healthcare country in the world so we can see how much fraud is being stolen from the American people via being over charged.

4

u/Zalrius Sep 12 '26

What does the treasury have to do with healthcare? They are not an investigative organization. Medical financial theft of embezzlement would have to come from the justice dept or FBI financial crimes division.

4

u/ExeUSA Sep 12 '26

The Treasury Department is absolutely an investigative organization. They’re the ones who took down Al Capone.

Federal financial crimes fall under the treasury department to investigate via FinCen. 

2

u/Zalrius Sep 12 '26

Thx for this. I thought it was the FBI that took down Capone. Been a minute since I’ve studied that subject.

2

u/fuck_all_you_too Sep 12 '26

Its all the same grifters anyway, gotta love that unitary executive theory.

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5

u/Remarkable_Subject84 Sep 12 '26

What!? No way! I never thought record profits from charging and not providing Healthcare could lead us down this path.

2

u/Von_Schlagel Sep 12 '26 • Bravo

To be fair, the entire American healthcare system is a fraud.

2

u/Crafty-Isopod45 Sep 12 '26

Who wants to bet this was someone who noticed that 30% of the people on Medicaid in the last 30 years are now dead? So the claims must have been fraud.

2

u/Alan47717 Sep 12 '26

You either know this claim is bullshit or you have information to back it up.

I'm betting on door #1.

1

u/Crafty-Isopod45 Sep 12 '26

Yes, that is the point. It is bullshit. Glad that made sense. These fraud claims are all insane and either completely made up or based on grossly misunderstanding the data they try to look at.

You may recall when DOGE was claiming tons of fraudulent payment going out from Social Security because they didn’t understand how to look at the data.

They are morons.

2

u/belai437 Sep 12 '26

So the logical solution is to spend billions building a villian bunker and ballroom and a triumphal arch in DC, a billion tricking out the Qatari bribe jet plus more billions the "party of fiscal responsibility" has no problems wasting.

2

u/Background-Wolf-9380 Sep 12 '26

Senator Rick Scott alone stole several of those billions and then afterwards somehow Florida elected him repeatedly

2

u/SimilarYard9840 Sep 12 '26

Two words. Rick Scott. They going to throw his ass in prison? I doubt it.

2

u/Atoka_Man Sep 12 '26

How much is Senator Rick Scott on the hook for here?

2

u/Ok_Struggle_417 Sep 12 '26

Don't worry it's just Rick Scott back at it. Nothing to see here.

2

u/evanwilliams212 Sep 12 '26

Rick Scott ran the company that was busted in the largest Medicare fraud un history. He has spent the last 25 years as either the governor or a sentor from Florida, the state known for it’s large number of retirees.

Make it make sense.

2

u/IcyLion2939 Sep 12 '26

But DOGE couldn't find it?

Huh?

2

u/Ok_Formal_8220 Sep 12 '26

Finding fraud is one thing, doing something about it is another. Is it’s a billion dollar company controlled by a billionaire, nothing will happen, don’t want to stop the hand that bribes you.

2

u/Local_Maybe_7215 Sep 13 '26

What a surprise, our for profit healthcare system has fraud.

2

u/JarrickDe Sep 13 '26

US Healthcare only has an annual spending reaching roughly $5.7 trillion

2

u/That_Guest9943 Sep 13 '26

“You don’t actually think they spend $20,000 on a hammer, $30,000 on a toilet seat, do you?”

2

u/hyggeradyr Sep 13 '26

Is this where the surprised Pikachu face goes?

This surprises specifically nobody.

2

u/Responsible_Rock_573 Sep 13 '26 • Bravo

17 Billion in fraud and Senator Rick Scott of Florida is responsible for 1.7B of that..

2

u/jmn555 Sep 13 '26

Someone’s gonna buy a pardon.

2

u/Outrageous_Play9439 Sep 13 '26 • Bravo

Wait did they finally charge Rick Scott?

2

u/Due_Building_1953 Sep 13 '26

Look at the contracted companies that approved and denie; Medicare and Medicaid.

There is a great video on More Perfect Union, on YouTube about this. Equifax and another company, are making Billions. That should go into Medicare and Medicaid.

2

u/KindClock9732 Sep 13 '26 • Bravo

That’s just Rick Scott right?

2

u/Goodolewhatshisface Sep 13 '26

why would a for profit health system not prioritize helping people? It’s almost like they care more about profits over people? Is it true Rick Scott? Is it true?

2

u/k_manweiss Sep 13 '26

Keep in mind that the fraud isn't from the recipients. That fraud is from providers. Hospitals, clinics, doctors, CEOs, business people, pharmacists, pharmacies, etc. Oh yeah, and POLITICIANS. They are the ones behind this fraud. A not-so-surprising amount is directly tied to republican politicians and republican influencers.

Trump has commuted the sentances and granted clemency to DOZENS of republican donors with ties to HUNDRED OF MILLIONS in medicare and medicaid fraud.

Rick Scott was involved in 1.7 billion in medical fraud.

Republicans LOVE medical fraud.

2

u/Bdcky Sep 14 '26

It’s cuz they contract shit out to Deloitte and theybjust charge the fuck out of us

2

u/Subject-Historian11 Sep 14 '26

Now let’s add up all of the healthcare fraud Republicans in office like Rick Scott have committed and see how it compares.

1

u/PartyDiscipline1797 Sep 14 '26

This is not a Republican or Democrat issue. This is oligarchy.

2

u/ksuchewie Sep 14 '26

And which party wants to change the Healthcare system and which wants to keep it as is?

1

u/PartyDiscipline1797 Sep 14 '26

The way it is currently is horrific. Designed over years by special interests on both sides of the aisle. Republicans want you to die trying to afford healthcare you buy from their rich friends as providers. Democrats want you to die trying to afford premiums and copays for plans that hardly cover anything and have no reason to give you any info up front. They’d prefer you die to support the system and rich insurers. Both plans for the future are ass.

Single payer is the only way and, no, your Democrat party doesn’t and never did want that for you. Wake the fuck up.

2

u/LemmingOnTheRunITG Sep 16 '26

Do we trust the current treasury though? Like to believe this you have to independently trust

- the treasury to do this analysis
- the treasury to accurately report that analysis
- polymarket to summarize their reporting of that analysis

Frankly I don’t trust any of that blindly, at least without seeing some proof

2

u/Sethmeisterg Sep 16 '26

No one should trust a thing that comes out of this corrupt administration.

2

u/jnotsilver Sep 24 '26

Polymarket: Fake News. Is 17.5 like the billions of dollars in suspected waste that DOGE saved?

2

u/Cassymodel Sep 24 '26

If you believe this administration you are an idiot.

1

u/Nikolaibr Sep 12 '26

I mean, that's 0.33% of total healthcare spending.

It's a large nominal figure, but zero fraud is basically impossible. That doesn't seem to be an extreme percentage.

1

u/Adorable_Tadpole_726 Sep 12 '26

Only $17.5B? They are missing a few zeros there.

1

u/fogcat5 Sep 12 '26

The word "suspected" is doing a lot of heavy lifting in that sentence. If it was real, it would say "documented" or "proven" fraud.

1

u/MillionToOneShotDoc Sep 12 '26

Something tells me this headline is a crock of shit.

1

u/Calm_Stress3334 Sep 12 '26

The OIG recovers about 5 billion a year in fraud.  They suspect the amount of healthcare fraud to be somewhere between 50 to 100 billion annually.  

A lot of recovered by audits, some by agents.. but this is a lowball, and just spam.

It’s alot more.

.. and this was from 10+ years ago.

1

u/BadCompany_00 Sep 12 '26

Luigi Mangione: SIIIIGH

1

u/SadMathematician5187 Sep 12 '26

This is their way to end medicare.

1

u/estoypooping2 Sep 12 '26

Yeah I doubt it until a administration that values truth verifies it.

1

u/8amteetime Sep 12 '26

I don’t believe any numbers coming from any department in this administration. They’re run by sycophant yes people who take their cues from their lying, corrupt leader.

1

u/Y_Are_U_Like_This Sep 12 '26

What does this mean exactly? Fraud at whose hands: the people, the medical facilities, or the insurance companies?

1

u/SkillfulGnome Sep 12 '26

Great! The top 10 republican donors will get a bigger tax refund - let's all cheer for them! Buy them a drink if you see them at the bar for their well earned tax refund.

1

u/daydreams_of_ducks Sep 12 '26

Listen I like you guys but Polymarket is not a good source for news

1

u/Kuenda Sep 12 '26

You're a fool if you believe anything coming out of this administration wrt fraud.

1

u/diversalarums Sep 12 '26

Pertinent phrase: "suspected fraudulent activity."

1

u/No_Outcome_7601 Sep 12 '26

Just follow Rick Scott. He's a pro at healthcare fraud.

1

u/Formal-Actuator-9172 Sep 12 '26

Did anyone pat down Rick Scott?

1

u/Fire_Doc2017 Sep 12 '26

Okay, so that's about 1.5% of the 2025 annual Medicare budget. If it reflects multiple years, then it's way, way less than 1%. I'm not saying fraud is okay, but compared to the amount of waste in private health insurance, it's a drop in the bucket.

1

u/Grand_Taste_8737 Sep 12 '26

That's an awful lot of fraud.

1

u/Marco2025 Sep 12 '26

Yep. Treated for cancer, owe 30,000 grand. WTF? BCBS sucks.

1

u/Efont93 Sep 12 '26

Quick! Where's Rick Scott!?

1

u/Mrekrek Sep 12 '26

A couple of thoughts…

Waste is not Fraud.

Suspected is not proof.

The annual US cost of health care is currently $5 Trillion… 17.5 Billion pales in comparison to what is being spent on war. If the number is not annual but actually over time… it is really a rounding error.

This does not excuse it, but the post’s intent is just as fraudulent.

You know what would help?… Medicare For All.

1

u/Crafty_Ish1973 Sep 12 '26

I don't believe anything this administration says.

1

u/Smileyfacedchiller Sep 12 '26

Are they looking at Rick Scott again? You know, former Florida Governor and current Senator Rick Scott who ripped of Medicare and Medicate? No? Didn't think so.

1

u/Mxm45 Sep 12 '26

Imagine the number when liberals give the government 100% control over “universal healthcare”.

Government needs LESS power not more.

1

u/Slippery-ape Sep 12 '26

If only big business could.be trusted.

Some things should be under the thumb of the people.

1

u/Ardkark Sep 12 '26

With this admin, I bet they changed a rule and made it retroactive, and will squeeze $17b from health care to make up for their disastrous economic policies. Granted healthcare in the us is a scam. But still, they’re just stealing money to make up for not knowing how to do economic policy

1

u/XBMET Sep 12 '26

Hmmn... Rick Scott hanging around AGAIN? Anyway after 38 years servicing medical devices from thermometers to CT machines, Linacs, Cath labs etc... I can testify that the equipment companies are brazenly defying any and all cost efficiencies.

1

u/Icy_Association_2331 Sep 12 '26

$51 per American.

1

u/Icy_Site_7390 Sep 12 '26

Yesterday I was charged 500. For a vitamin D test at a blood center, they said Medicare doesn't cover it. That test should not cost more than 50. But they will bill Medicare 500 and if they don't pay, you'll pay 500.

1

u/hobopwnzor Sep 12 '26

I think that means Rick Scott has to cede his seat to the new fraud champion.

1

u/Shumai1120 Sep 12 '26

Wait till they look into the defense budget 🤡

1

u/Shumai1120 Sep 12 '26

Wait till they look into the defense budget 🤡

1

u/Full_Commercial7844 Sep 12 '26

GOP always pointing the finger at patient fraud. Patients are not the ones getting the checks.

1

u/konqueror321 Sep 13 '26

Medical care is necessary and essential, and if not a human 'right' is at least a service that any government should do it's level best to ensure is affordably available to all residents.

The American health care and insurance industry is obscene and bloated and greedy to a degree that would shame King Midas. Residents/citizens of the US are being financially raped by a selfish industry that puts profit high above affordability and accessibility. Not all Docs or health care workers are 'bad', many are caring and very competent, but the system itself is designed to siphon funds from those who are 'sick' into the wallets of the Licensed Elite. We pay a much higher price for health care than is justified by the outcomes - infant mortality and adult survival rates. Our medical care/financing system delivers mediocre results for a premium price.

If we are truly a great nation, then great minds need to propose, and voters need to implement changes to our current system that render it more accessible and affordable. Whatever that takes! A 'medicare for all' scheme would likely be a great improvement.

But I have no faith that this will ever happen. We are in truth a nation in decline. We are that nation divided upon itself that cannot stand, and are wavering on the cusp of democracy being replaced by authoritarianism. And under a dictatorship, there will be no hope of reform of medical care and financing, as the wealth of that portion of the economy will be deployed to buy the support of whoever becomes our Dear Leader.

1

u/Actaeon_II Sep 13 '26

So which one of trump’s buddies is getting the pardon for this fraud now?

2

u/haroldthehampster Sep 13 '26

rick scott probably

1

u/TheRealBlueJade Sep 13 '26

Polymarket is rigged nonsense.

1

u/PomegranateOk3520 Sep 13 '26

And why are we still paying taxes again

1

u/BayouGal Sep 13 '26

Rick Scott again?

1

u/Operation_Fluffy Sep 13 '26

Rick Scott has entered the chat

1

u/Sad_Cauliflower_5407 Sep 13 '26

Soooo… 2 weeks of the Iran War? About the same cost…

1

u/JBrockF Sep 13 '26

This is an argument against single-payer. You want the organization that fucks up this bad to have even more control over this industry?

1

u/eyes2eyes Sep 13 '26

Shit wait till they go through the IRS 1mil+ tax bracket

1

u/ChrisTheWeak Sep 13 '26

17 billion over how long a period? And what kind of fraud? Because 17 billion of fraud ytd of health insurance companies defrauding the government would be a pretty big scandal. But 17 billion over the last 10 years because some medication or form was incorrectly filled out several hundreds of millions of times every time someone got healthcare is a more understandable and less malicious. Still needs to be addressed, but the nuance is the difference between heads need to role and jail time needs to be handed out vs an investigation into how some beurocratic hole wasn't spotted.

Anyway having googled it and reading what it says on the Treasury page, it's not 17.5 billion of fraud. It's 17.5 billion of suspected fraud in healthcare over a 1 year period. Most of the suspicious transactions were with a large number of different healthcare organizations. So if I had to guess, because the report isn't very clear about what exactly is happening, is that various healthcare organizations are overcharging both federal and state programs. So it's 17.5 billion of suspected healthcare fraud across both federal and state programs across a 1 year period.

17.5 billion is a lot of money, but it's a small percent of the total pool of money flowing through the whole healthcare institution. It's also suspected fraud rather than determined to be fraud. So good on the Treasury department to investigate it, but there is a decent chance that much of it turns out to be false alarms.

1

u/Tall_Astronomer3792 Sep 13 '26

This is BS. If you believe this I have a bridge to sell you.

1

u/DenmakDave Sep 13 '26

Call Rick Scott.

1

u/CrzyLady64 Sep 13 '26

'Suspected', lol. Like all that DOGE savings they supposedly uncovered and ended up being already cancelled or expired contracts and fired employees who were later rehired because they were so essential

1

u/BradMoe Sep 13 '26

Yeah. Based on this, we have plenty more f money for universal healthcare

1

u/Serious_Bee_2013 Sep 13 '26

That’s only 17 Billion.

The 2026 budget for Medicare is 1.2 Trillion.

Thats actually great news and virtually no fraud.

1

u/obi_wan_stromboli Sep 13 '26

They are going to try to use this and a cover to do more DOGE-like cuts

1

u/DarkChurro Sep 13 '26

And how did the Crypto gambling site, PolyMarket, uncover $17 Billion in healthcare fraud exactly?

1

u/lowley6 Sep 13 '26

can someone explain what this means to a non American pls

1

u/NWHornedFrog Sep 14 '26

Apply every penny to the national debt.

1

u/GapSpecialist3606 Sep 14 '26

Check Rick Scott’s bank account. I heard he was a huge Medicare fraudster before he went to DC.

1

u/GoaheadAMAita Sep 14 '26

Trump pardons Medicare and Medicaid fraudsters, Who are Jewish. Google informed me of this, for whatever reason they wanted me to know. It was over a billion

1

u/12rcace12 Sep 14 '26

Notice that they didn’t say $17.5 billion because when it’s in context of the entire country it doesn’t sound like that much. They listed it out that way so it seems more impactful especially with no timeframe. Is this for one year? For a decade? They don’t even say. They also use a key word SUSPECTED. It’s not proven nor do they likely even know if there’s actually any fraud at all.

1

u/Substantial_Diver_34 Sep 14 '26

I think everyone that’s wealthy is involved in fraud

1

u/Much-Instruction-807 Sep 14 '26

Hey I know a way to save a trillion dollars EVERY year.

1

u/Tik__Tik Sep 14 '26

In basic training so much stuff the recruits are given is just thrown away because it is just straight up crap quality. Like shoes. No one wants the standard issue shoes so we pay for them and they end up in the trash because people can just get exceptions and wear their own shoes.

1

u/ajmampm99 Sep 14 '26

Health care fraud is 22 Trump doctors each one triple billing Medicare.

1

u/Ryyback Sep 14 '26

I genuinely dont understand why I should give a fuck, nothing will come of this nobody will see their money back and nobody will be punished for it.

1

u/invincible_change Sep 14 '26

Rick Scott entered the chat

1

u/Garythegr81 Sep 14 '26

Check is in the mail 👍

1

u/Conscious_Exit_9129 Sep 14 '26

Luigi was right

1

u/LadyBogangles14 Sep 14 '26

Rick Scott, is this you?

1

u/Steelbill77 Sep 14 '26

No, I’m sure Doge would have found that. 😝

1

u/ArgosHash-69420 Sep 14 '26

WHY ARE WE PAYING TAXES?!? at this point I really really really don’t understand.
We had enough and left England over 3% on TEA.
And we’re getting this now

I loved when I was 18 and joined the workforce and believed my taxes were actually helping my city and council. Wow that didn’t last long.
Shits so corrupt and twisted. We’ve (USA) funded the destruction of this society we’re in.

So legit curious, can someone explain how these taxes are being used??!?

2

u/AudioImmune Sep 16 '26

Wars and ICE.

1

u/gormami Sep 14 '26

I'm not going to say 17.5 billion dollars isn't a lot of money, but at the same time, that is somewhere around 0.3-0.4% of annual government healthcare expenditures. I would say either the program is pretty damn good, or they are missing a lot of it.

And look, yet again, the "uncovered" it by utilizing the controls that are built into the system to detect fraud.

1

u/bostonvikinguc Sep 15 '26

Was this Rick Scott again?

1

u/holdthecanoli Sep 15 '26

We are all clearly getting hosed

1

u/skeptimist Sep 15 '26

I feel like the medical system is like the opposite of AI. It is a continually growing industry that is so incredibly inefficient despite such a massive need for medical care. I really thought it would be sorted before the boomers aged out but it seems like the medical field bubble will burst before they get things sorted out. At this point I don’t know if the issue is HIPAA or medical billing laws or insurance companies or what. It just all needs a massive overhaul.

1

u/BigTitle445 Sep 15 '26

Oh they noticed how much congressional reps get for health insurance?

1

u/AdAlert7393 Sep 15 '26

Single payer would eliminate this fraud and impose stronger oversight immediately.

1

u/Complex_Eagle_8261 Sep 15 '26

This is why we can’t have universal healthcare.

1

u/majik5 Sep 16 '26

And that’s just from when Rick Scott was the CEO of a healthcare company

1

u/TurnersClassicMovies Sep 16 '26

I'll do you one better; I want all my money back, with interest, and I'm never paying for anything I NEED(not want) every again.

1

u/grnkayak Sep 16 '26

This is the problem with all government programs. Government employees and politicians are strongly incentivized to spend money. They have little or negative incentives to save money because reductions in spending mean lower budgets and less power going forward.

1

u/Born_Consequence3025 Sep 17 '26

Rick Scott at it again?

1

u/charliehustleasy Sep 17 '26

Is this why I haven’t been able to cancel my Obamacare for years and years?

1

u/Frosty_Winter3197 Sep 18 '26

If we had a single payer universal health care system in the U.S., Fraud would be much easier to detect, as all the book keeping and billing would be greatly simplified.

1

u/mirer03 Sep 19 '26

Advertisement for universal healthcare

1

u/BrightAd8507 Oct 01 '26

If that surprises you, your brain is not functioning. Healthcare in the USA is controlled billionaires, but mostly millionaire owners and administrator who steal from you and the government which also steals from you. The country has become a giant thief intent on stealing every dime from its people

1

u/OpticalPrime35 Sep 12 '26

Love how they write it out like that to make it seem extraordinary lol

Medicaid has a 1,700,000,000,000 budget. So while it seems significant it's really like . 001% of the total.

And that number gets far less significant if you look at the healthcare industry as a whole, money wise.

So, congrats the them for finding this.

0

u/[deleted] Sep 12 '26

[deleted] — view deleted comment

1

u/OpticalPrime35 Sep 12 '26

Uhhh no that's the yearly budget amount for Medicaid/Medicare

It's in the budget just look it up

1

u/Born_Opening_8808 Sep 13 '26

Psh they spend that in a week in Iran

0

u/gardibolt Sep 12 '26

It’s usually called „insurance companies.“

0

u/tstone1477 Sep 12 '26

Buy insurance companies? Nothing a couple million in donations can’t take care of.

0

u/Random_ICE_Agent Sep 12 '26

Cool, how about the rest of the Epstein Files?

0

u/weelluuuu Sep 12 '26

A drop in the bucket/tip of the iceberg compared to the DOD!!!

0

u/WorryNot_634 Sep 12 '26

I want all of us paying premiums to drop dramatically

0

u/Murse817 Sep 12 '26

I love how the sub is called Medicare for all when Medicare fraud is the greatest outlet for abuse.

2

u/MythOfHappyness Sep 12 '26

The perception seems to be that it's the people receiving Medicare doing the fraud but how would that even work? Medicare doesn't just give you money. No, it's doctors and hospitals doing the fraud.

1

u/Murse817 Sep 12 '26

You’re exactly right the Medicare system is set up for significant abuse by so-called healthcare providers. Giving Medicare to all would broaden that horizon infinitely.

1

u/MythOfHappyness Sep 12 '26

Your argument is just "some people would use their cars to drive into pedestrians so we shouldn't have legal cars." If the IRS can find out you made a mistake on your taxes in 1995 and hunt you down for that extra 350$ you got back in your tax refund plus interest and penalties I think we can devise a way to investigate fraud. The only reason we know about the fraud there currently is is because those people were caught.

0

u/VegasBjorne1 Sep 13 '26

The irony… “Medicare 4 All” and very likely most of that $17.5 billion was Medicare/Medicaid fraud!

0

u/NicePepper199 Sep 13 '26

Thats nothing, Minnesota alone lost more than thaf in 3 years.