From Texas or Russia, Medicare Scamsters Are All the Same -- Greedy

Categories: Schutze

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Here we are, with the biggest Medicare fraud in history going -- so we are told -- and The New York Times devotes its front page today to a story about Medicare fraud carried out by organized Russian gangs in ... oh, guess where! ... New York City!

What can we do down here in Dallas to get respect?

The thesis of The Times piece is that these former Soviet Union people, conditioned to despise government by life under despotism, come over here and practice their wily arts, despising and defrauding our poor little innocent government.

I always remember the year the Soviet Union fell, 1991, because it was the same year The Dallas Times Herald went under. As a jilted former employee, I tried for the longest to come up with a theory linking the two catastrophes. I could have done it, but it would have been a lot of work, and I had to get some freelance stuff going that would pay.

The thing is, that was a time ago. Is Soviet culture really what's driving the fraud scene in America today? Seems like a reach.

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Department of Justice
Maybe it's Dallas Bible Belt culture. We have the bigger scam. I bet I could come up with a theory linking Medicare fraud with the right-wing Republican belief system. But that seems like heavy lifting too.

Wouldn't it be easier to link Medicare fraud with Medicare? And, of course, we're talking about Medicaid as well. That just seems like less of a reach.

In 1995, I wrote a book about a doctor's wife in Huntsville, Alabama, accused and convicted (wrongly, I believe) of hiring a hit man to kill her husband, an ophthalmologist. One of the things wrong with the cops' case against her was an accusation that she did it to collect on some chintzy insurance policy.

This guy -- alive, kicking and doing eyeball exams -- was a goldmine for her, and she was the one who had turned him into one. She had been a nurse working in his practice before she married him. She was a kind of autodidact genius student of federal medical insurance programs.

In one year she showed him how to jack his personal income up from six figures to seven by running his indigent patients through every conceivable procedure that Medicare or Medicaid would pay for.

And I never heard a whisper of suggestion that any of it was illegal. It was just money sitting there on the table. Why not pick it up?

Early in the Obama administration, there were reports that people in the White House were all reading a new book about FDR -- Jonathan Alter's The Defining Moment, about FDR's Hundred Days at the launching of the New Deal. So, anyway, I read it, because I'm a hopeless Obamatoid. He's my Oprah.

One of the things in it I found most interesting was FDR's native distrust, as a moneyed blue-blood, of government spending programs. Based on both his own Oyster Bay aristocratic culture and his political experience, he assumed a handout program, however much good it might do, was an open invitation to scamsters.

Therefore Roosevelt established one of the toughest anti-fraud mechanisms in the history of the presidency, and by all accounts and reports fraud was at an all-time low level during the years of the New Deal, when the federal government was engaged in some of the grandest spending programs in history to date.

Isn't that how it has to be done? We don't give up on government because people cheat government. We catch the cheaters and put them in the pen.

Don't we have to simply assume that big spending programs will attract all kinds of scamsters, from those people who do that cool knee-dancing with the bear-fur hats to people in cowboy boots with big old bling crosses around their necks?

In order to do our best by people, we need to assume the worst. And then we need to go out there and catch the bastards red-handed. Or cowboy-handed as the case may be. Right?

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21 comments
vavamomto3
vavamomto3

Medicare Fraud is something that needs to be stopped.  This is taking money from the elderly and those who need medical care of all ages.  Plus, it in turns leads to increasing insurance premiums for private insurance.  There is a new Fiction Thriller Novel out right now that is actually set in Dallas and about Medicare Fraud (kind of ironic).  The book is great read, but then when the news came out about this doctor arrested the book became so real!  The book is Money Clip by Matt Harrison.

michael wind
michael wind

the center of medical and insurance fraud is south florida from sunny isles beach to fisher island and all along the beach is the biggest concentration of eastern european criminals with money laundering in 33154 where in surfside they have the biggest concentration of banks than any other place in the world,where they even control the local post office,where local police and town halls are working for the mob.....

John2247
John2247

Follow the money: 

Contributor Amount RecipientROY, JACQUES A DR $500 Tea Party Express/Our Country DeservesJACQUES ROY $250 Tea Party Express/Our Country Deserves JACQUES ROY $200 Tea Party Express/Our Country Deserves JACQUES ROY $200 Tea Party Express/Our Country DeservesJACQUES ROY $200 Tea Party Express/Our Country Deserves

Guest
Guest

In no way a defense of Dr. Roy, but the Medicareenvironment nowadays makes it fertile ground for fraud. Doctors are fleeing theMedicare system because of the endless and pointless requirements, regulations,and poor reimbursement. Thus those few clinics that are accepting Medicare haveto have staff, not doctors, to FULLY understand a FUBAR government system, so the doctors can just be good doctors and notworry about administrative and technical billing or money issues. Thus, anenvironment is cultivated for a select few, mostly non-doctors, to fullyunderstand the intricacies and loopholes of medicare and what they can get away with to exploit it for money andfraud. Its possible the doctor could be completely unaware of a scam running underhis/her name and license by a lay person with clever knowledge of the Medicaresystem with his/her info. Most doctors would like totake medicare as a duty to their country but when one adds up the expense and  risks, it’s just not worth it. All those thatare for ObamaCare need only to look at this story to get a small glimpse of what a small few dishonest people can do with government“regulated” health care health care.

Replay
Replay

The funniest thing is to read the government official statements, "Oh, we were on to this guy long before the "whistleblower" showed up"....BS.......give the whistleblower credit, and empower others to report fraud when they see it.....Dr. Roy and his cohorts would still be gaming the system had it not been for the informants. Please, $60 Billion of "leakage" every year, just in Medicare and Medicaid programs? The $375 Million "largest in history" is just a drop in the bucket. It is no wonder our deficits are exploding, and our country going down the tubes.

JBone
JBone

How patriotic are those that defraud the US Government..................sickening! 

Guest
Guest

"Therefore Roosevelt established one of the toughest anti-fraud mechanisms in the history of the presidency, and by all accounts and reports fraud was at an all-time low level during the years of the New Deal, when the federal government was engaged in some of the grandest spending programs in history to date.Isn't that how it has to be done? We don't give up on government because people cheat government. We catch the cheaters and put them in the pen.Don't we have to simply assume that big spending programs will attract all kinds of scamsters, from those people who do that cool knee-dancing with the bear-fur hats to people in cowboy boots with big old bling crosses around their necks?In order to do our best by people, we need to assume the worst. And then we need to go out there and catch the bastards red-handed. Or cowboy-handed as the case may be. Right?"

You damn right Jimbo - We need to catch all that defraud the US Government and hang'em up by the necks! 

BL
BL

No doubt it was the Whistle-Blower that exposed this whole thing. Kudos to them for saving the U.S. from millions more of stolen taxpayer dollars. 

Guest
Guest

We should go back to hanging's in Town Square for all the commit fraud upon the US.

JimS
JimS

Not Gingrich, though!

Paul
Paul

 thank you

Poindexter
Poindexter

Righhht. Keep on obfuscating there JimS.

stated goal: relief, recovery, and reform

political purpose: shelling out new deal money to gain political favor even if it resulted in outcomes contrary to relief, recovery, and reform.

Want another one for your sainted hero?

stated purpose: homeland securitypolitical purpose: incarcerating thousands unjustly so that white Californians would help you win an election:

"Interior Secretary Ickes lobbied Roosevelt through 1944 to release the Japanese American internees, but Roosevelt did not act until after the November presidential election. A fight for Japanese American civil rights meant a fight with influential Democrats, the Army, and the Hearst press and would have endangered Roosevelt's chances of winning California in 1944."

http://en.wikipedia.org/wiki/F...

Your boat don't float. Get over it.

JimS
JimS

In politics, what's the difference between stated goals and political purposes? It's like the differerence between success and profit in the private sector. There is none.  

Poindexter
Poindexter

Like I said:

Roosevelt's successful reelections were based on developing specific programs for a broad range of constituents, delivering on his stated goals, but also spending more at the margin for political purposes.

http://www.cfr.org/content/thi...

JimS
JimS

I think it was mainly accounting, requiring people to pony up good paperwork and then paying attention  to it. I suppose the scale of things was much smaller then, but they didn't have computers to help them. I seem to remember he formed a commission that had a lot of authority. The book also briefly recounts how many of the New Deal oversight agencies were later coopted by the industries they were supposed to be regulating -- Dept of Agriculture by Big Agriculture, SEC by Wall Street,etc., and then instead of strong arms of regulation they became instruments of State Capitalist Oligarchy. I suppose the will to guard against fraud probably eroded when that happened under Ike and Nixon, culminating with Reagan. The people we now call the one percent are really the heirs to that process -- the sabotage of true free market capitalism by the Republican oligarchy, supported by the votes of the moral zealots duped nto voting against their own interests.   

Poindexter
Poindexter

He prevented local and regional politicians from using relief programs to further their political ambitions in order to use relief programs to further his political ambitions at the national level.

Replay
Replay

Nahhhhhhhh, Santorum WOULD support the Spanish Inquisition, though.

Guest
Guest

A practice we know Santorum would support! 

Paul
Paul

 So what were FDR's methods to prevent fraud in the New Deal programs?

TIA

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