The answer to that question is "sometimes." I know that's vague, but there's a good reason: cancer isn't just one thing. It's an umbrella term for cases of rampant cell division that have certain properties. But other than the properties that make something "cancer" it may have virtually nothing in common with another case of "cancer." Unsurprisingly, science has developed a better understanding of some cancers than others. Hence, the whole field of oncology.For that matter, by that view, does anyone even know what "causes" cancer.
I'm all for catching them before they become pros and never having anyone achieve that level. Obviously, no matter how good you make the system, someone is probably going to find a way to manipulate it, thus becoming "pro", but I hope you aren't saying that they shouldn't even bother trying to stop the little guys.It doesn't do much good to immediately catch the "pros" at the first incident when you have no idea how big it is. If they did that, then the headline might read "Medicare fraud caught at $1 million" or such (which isn't a piddling amount, but only about 1% of the total). Obviously they had to investigate and see how widespread it was. That's with any crime.
My point has nothing to do with guarentees. It has to do with incentives. If a business doesn't catch the fraud in time, they go out of business. As such, there is a huge incentive to catch the fraud as quickly as possible. If the government doesn't catch the fraud in time, they raise taxes to cover it. The only incentive to catch the fraud is to avoid political fallout (which is also accomplished by the fraud never coming to light) or to be able to show what a great job you've done in "stopping it".As for a private company catching it, maybe, but look at the big headliners these past couple of years... there have been a couple of rogue traders who traded millions to maybe a couple billion of their company's money and weren't caught right away and in fact, did bring the company down (I want to say one is Bearn something or other, but not positive. One was British, I'm pretty sure). On a smaller and local scale, there's plenty of cases in the news about people stealing from the company and not caught right away (as in, for several years). So there's no guarantee that a private company will catch fraud right away either.
I'm not saying that at all. But what I am saying is that for every little guy, there's a big guy. If you always focus on catching the little guys, you never catch the big guys. You wait long enough for the little guys to lead you to the big guys.I hope you aren't saying that they shouldn't even bother trying to stop the little guys.
The former is a given; of course businesses want to stay in business. I am just saying that it doesn't matter whether it's private or government - someone will "slip through the cracks" and beat the system long enough to run up a high fraud.If a business doesn't catch the fraud in time, they go out of business. As such, there is a huge incentive to catch the fraud as quickly as possible. If the government doesn't catch the fraud in time, they raise taxes to cover it.
Medicare is bankrupt and getting more and more expensive every year. Social Security likewise. Medicare is set up to pay doctors less each year. So far they keep passing what they call the "doctor's fix", which is basically postponing the cuts for another year. How long will they be able to keep that up?And the latter isn't true; Medicare taxes haven't been raised in a long time, despite the fraud that is ongoing with that program. I think the last time they were raised was in the 80's (I'm talking raising taxes specifically to cover Medicare shortfalls, not general tax raises that occur across the board). And indeed, that's one of the reasons why Social Security is projected to take in a negative income flow in 20 years or so.
It's not irrelevant when you sayRegardless, whether or not taxes have or have not been raised as a results of Medicare fraud is irrelevant to a discussion about incentives to eliminate fraud.
Fraud has been happening in Medicare for a long time (perhaps one of the reasons it's bankrupt) yet no taxes have been raised. *That's* the point I was trying to make, that your statement does not hold true.If the government doesn't catch the fraud in time, they raise taxes to cover it.