At the beginning of the new millennium, Americans were spending 1.3 trillion U.S. dollars annually for health care, everyone recognizes with a real understanding of human nature that when so much money is at stake, the unethical among us their personal profit endeavor at the expense of those around them. The IRS estimates that 3-10% may be the health care costs fraudulent. Even at minimum, that is lost completely paralyzing 39000000000 $, including more than 13 million U.S. dollars in MedicarePayments years.
Obviously something should be done. And yet, as so often, federal investigators and prosecutors generally leave on a heavy hand and foolish, rather than a consistent one, where the influx of money lost to fraud in health care. The strategy seems to be to bring examples of individuals, but as a systemic change that would be uncomfortable and difficult.
Statistics bear this out. According to the governmentStatistics, a mere 466 investigations of fraud in the health sector were carried out between 2005 and 2007, in 203 cases, only the actual costs of sentencing. Investigation and prosecution of fraud is certainly a complex field, but it seems obvious that a 39000000000 $ dollar problem is not caused by a mere 50-60 people every year.
The same human nature that leads to fraud in the health sector leads investigators and prosecutors to cut corners, trying to solve a legitimate problem, with minimalEffort and personal expenses. The problem lies in the fact that when the focus rather than individual persecution become systemic change, it is quite possible for the innocent harassed too much, even falsely accused or convicted wrongly.
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