Look at the list of cities involved. You will discover that all of the doctors are located in the third world sections of urban areas where free stuff is the norm expected from the government. Another thought, how did the fraud take place if the government personnel were actually doing their jobs instead of arranging and attending multi-million dollar conferences in resort cities. If it doesn’t take a genius to defraud Medicare, think of the mentality of the bureaucrats running the program.
432 million is only the amount that they could come up on short notice. It’s probably really in the billions.
You will also notice that a good many of the doctors and nurses involved are immigrants, to go by their names, although Miami and Chicago have good old white American fraudsters.
Open borders and social welfare net means we deserve to get taken.