The USA could save billions a year just by establishing whistle blower laws that generously reward and protect those on the inside in government, and those on the outside in private business. The waste and fraud needs ferreted out from those individuals on welfare to individual physicians and big pharma that rips off Medicare. Then send those at the highest level to prison as criminals, instead of slapping their wrist with civil fines, often against shareholders with no admission of guilt. To change behavior we need to make examples and take a hard line.