Isn't Medicade administered by the states?
The whole damn thing is a fraud... get enough people to be fraudulent together and it magically becomes moral and ethical. This is how it is possible that a segment of society becomes debased enough to do their countrymen harm, real harm, and not bat an eye... evil pure and simple. This is how the Dr’s at Auschwitz were able to overcome their natural human aversion to the pain and suffering of their captors. It was OK to perpetrate evil, because it was sanctioned by so many.