Lean times

Hey, I throw in 11% that doesn't override the rest of the comment. 11% is huge. That's why I talked about what they have recently done to improve it.
But you reaction is based not on the numbers, but on your assumptions. "Government is overreaching" that's an assumption or better yet your bias. "they are outside their span of control". Again a bias or at best an assumption. Have you tested their "span of control". Do you really know its breath? Based on these two untested and untestable assumptions you reach the conclusion that waste and fraud will continue or get worse." "ObamaCare is simply opens the door to more opportunity" Again a conclusion with no support at all.
You have to know the capabilities of Federal systems and be able to test them to make the judgements you are. When Medicare was implemented Federal "span of control" was very low. A top of the line computer system used tape for I/O. The legislation gave them 6-12 months to implement new features/programs. Current computer systems are thousands of time more productive. Project development techniques are orders of magnitude better. And the Affordable Care Act staged implementation over a number of years. True these systems process millions of transactions per day and thats a real task for any operation. But they have the tools to do it today that they didn't have in the 1960's. The "span of control" today is huge. A medicare for everyone program is very doable. Minimimzing errors is very doable. Checking and preventing deliberate fraud is very doable today (credit card fraud detection is orders of magnitude better than just a few years ago). The Affordable Care Act provides te opportunity to greatly reduce real fraud. Nothing will reduce error too much.