Informative and thoughtful article. The Obama and previous administrations have reported huge amounts of fraud in both the Medicare and Medicaid programs of billions of dollars. This fraud has not been sufficiently addressed by any administration, with the only action being throwing more money into the program.  Investigation and prosecution in this area would save billions.  Most government support programs have this problem.  Programs administered by the State of Hawaii and the City and County are in the same position.  I reported two separate instances of fraud in the Section 8 housing program to the State and the City.  Both were uninterested and gave the same answer. !. "we don't have anyone to investigate this". and @. We don't work after 4:30 pm.  It's the same with the food stamp program.  I talked to two people in the food stamp program about me witnessing a young female using an EBT card, telling her friend about her new car.  She then proceeded to her  BMW with paper plates.