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right, but this has nothing to do with health care, nor nurses or patients

It is simply that bureaucrats have passed regulations where they do not understand the repercussions

Every domain that is bogged down by bureaucracy will have inefficiencies of various magnitudes.

This is not bureaucracy, it is fraud. They sold it as a way to save the government money, claiming that private insurers could do it more efficiently than Medicare. And then what actually happened was it costs more, because they fraudulently gamed the system.

This is fraud, not poor regulations. Insurance companies are misdiagnosing for the sole purpose of collecting more income. These people do not have these conditions. Many of these conditions are very rare and Medicare Advantage diagnosis rates are far above normal.

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