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forumposter123@protonmail.com's avatar

I've worked in Medicare and Medicaid for years including institutions directly responsible for prosecuting fraud. And more broadly I've worked for the government and contractors and private industry and around CMS and the DC area.

I would not take estimates of fraud too seriously. That is, I think all official estimates are probably low. Laughingly low. If your defense is "some agency said its only X%" you should ask what would happen to that agency if it provided a higher number.

"Its foolish to talk about fraud because its only X%" is basically you just grabbing onto a number you want to hear because you don't have to change your priors fundamentally if its true.

I would also say that "fraud" is usually only considered "fraud so brazen and retarded that even under a system that incredibly hard to convict it can be convicted on."

There is a far larger amount of fraud that is painfully obvious to anyone that looks at it, but we can't get it prosecuted. I remember finding a pharmacy charging 100x cost for a compounded pill whose contents if actually taken would certainly cause death...and I was told there was likely nothing we can do about it. The pharmacy was literally named "(pharmacy fraud name) 2", which they started down the street from "(pharmacy fraud name) 1" which they shut down every few years and start a new one.

And even that isn't all of "fraud". There is also just "providing services you know are useless to poor people with no copays so they don't care." That's not technically fraud, but it costs a lot of money and does no good. You might call it "waste" but again you run into "anyone with common sense knows this is bullshit but you can prove it in court (and appeals court)."

Anyway, it's pretty obvious that MN democrats sold money to Somali's for votes. This is basically how every single urban (often ethnic) political machine works. The history of the Democratic Party is as urban political machines going back forever.

This is especially a problem now because so much spend (such as medicaid) is almost entirely paid for by the federal government. So "defrauding" the federal government brings money into the state. Local politicians are often incentivized to steal from the state and the state politicians and incentivized to steal from the feds. This was by design with Obamacare BTW, and blue states should thank heaven red states haven't expanded Medicaid and turned it into the massive fraud machine it is.

Old Scamel's avatar

As someone who works in the system in Minnesota, I can tell you the Somali criminal welfare fraud network is so much worse than anyone knows! A fraud complaint from a government worker or a member of the public against any other ethnic group will be investigated, but not Somalis. If you report Somali fraud, it can hurt your career. If a fraud investigator tries to investigate, they will be directed to work on “higher priority” issues. If a prosecutor tries to go after it, the State Dept of Human services will not cooperate. So far, it has been vastly understated by all except the highest federal estimates of 9 billion—likely just since it turbocharged in 2020, but it has been known since 2000. The legislative auditor reported just a tiny bit of it in a report in 2019 which was a limited hangout. The ability to “not notice” at every level of government is huge. No other immigrant group has ever done this level of criminal fraud—the Hmong did not, the Mexicans did not, the South Americans did not, the Ukrainians did not. We have never encountered this before, and unlike other groups, it doesn’t even slow down in the next generation. There are so many deserving families on the day are subsidy waitlist…but there is no safety net for them, because the Somalis took it all. Are there honest Somalis? Sure! They don’t receive any form of welfare & they work at least 40 hours per week. That is how to recognize them.

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