Complex Systems with Patrick McKenzie (patio11) Picking Uncle Sam's pocket, with Jetson Leder-Luis
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Oct 24, 2024 
Jetson Leder-Luis, an economist and fraud expert at Boston University, dives into the complexities of government program fraud. He exposes shocking healthcare fraud tactics, from hospice manipulations to ambulance service schemes. The conversation reveals how systemic flaws and poor policy designs enable these abuses. They discuss the economic fallout of fraudulent claims, the ROI on anti-fraud measures, and the ethics of vaccine distribution during COVID-19. Jetson advocates for innovative solutions to enhance regulatory frameworks and deter fraud.
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Hospice "Fraud"
- For-profit hospices admit patients who may not die within six months, deemed as fraud.
- This "fraud" saves the government money and improves patients' quality of life.
Fraud vs. Efficiency
- Fraud is defined by breaking rules, not necessarily by economic inefficiency.
- Hospice "fraud" demonstrates that rule-breaking can sometimes be beneficial.
Ambulance Fraud
- Ambulance services are susceptible to fraud due to low startup costs.
- Organized crime exploited ambulance transportation for dialysis patients, costing the government billions.
