$14.6 Billion: The Biggest Healthcare Fraud Bust in DOJ History
Trump’s administration is cracking down on criminals looting our system—and the DOJ says these fraudsters aren’t even American.
$14.6 billion.
It was the single biggest healthcare fraud bust in Department of Justice history.
Trump’s administration is actually fighting back against the criminals who loot our system and steal your tax dollars.
And you won’t believe who the DOJ says is behind it all—they're not even from the America.
It was a bombshell that came out of left field.
Both Trump and Kennedy had promised to tackle the waste, fraud and abuse in healthcare, today they were delivering on that promise.
This morning, The Justice Department announced the LARGEST healthcare fraud takedown in its history, a sweeping operation that officials say marks a new era in fighting corruption in America’s healthcare system.
At the heart of this unprecedented crackdown is $14.6 billion in alleged fraudulent claims—a staggering figure that pinpoints just how vulnerable taxpayer-funded programs like Medicare and Medicaid have become.
Matthew Galeotti, chief of the DOJ’s criminal division, described the moment as a turning point.
“Thank you all for joining us today as we announce the largest coordinated healthcare fraud takedown in the history of the Department of Justice,” he said, calling it “a decisive moment in our fight to protect American taxpayers from fraudsters and to defend the integrity of America's healthcare system.”
The charges span 324 defendants across the country, accused of orchestrating elaborate schemes to siphon billions in false claims.
Galeotti laid out the sheer scope of the operation:
“We are announcing, today, charges against 324 defendants for their alleged participation in healthcare fraud schemes, involving approximately $14.6 billion in false claims submitted to Medicare, Medicaid and other healthcare programs.”
This is where it gets even wilder.
The DOJ says these aren’t just small-time scams.
They've been tracking transnational criminal organizations exploiting the American healthcare system on a massive scale.
Russian and Pakistani fraudsters were among those accused of literally siphoning money from American taxpayers. Galeotti laid out the alarming details.
“We are seeing a disturbing trend of transnational criminal organizations engaging in increasingly sophisticated and complex criminal schemes that defraud the American healthcare system.”
“As part of this takedown, we've identified and charged defendants operating from Russia, Eastern Europe, Pakistan, and other foreign countries.”
“These individuals have infiltrated our healthcare system to steal American taxpayer dollars.”
One scheme was particularly audacious.
“We dismantled a scheme involving a sophisticated operation run from Russia and Eastern Europe that strategically bought dozens of medical supply companies in the United States and submitted more than $10 billion in fraudulent healthcare claims to Medicare.”
It was more than just money lost—it was personal. Galeotti revealed the chilling human cost.
“To make matters worse, these perpetrators used the stolen identities of more than 1 million Americans, spanning all 50 states, to perpetrate this scheme and submit these false claims.”
He closed with some relief for taxpayers.
“But I'm pleased to report that federal agents intercepted and arrested key members of that organization at U.S. airports and the US-Mexico border, cutting off their intended escape routes.”
As the DOJ cracks down, Dr. Oz says the real change is in how they're fighting fraud: stopping the scams before the money is even gone.
He called it a paradigm shift.
“What we're doing today is changing the paradigm,” he explained.
“Not just going after bad guys and putting them behind bars, but actually getting ahead of these schemes, so the money never leaves our bank account.”
He warned that once the money is stolen, it’s practically impossible to get back.
“Because by the time we find out that these criminals have stolen and the money has left the building, it's already offshore, somewhere in some foreign country's vaults where foreign leaders are rejoicing in the fact they took advantage of the American people.”
That’s why, he said, this approach is so aggressive.
“That's why we use the word CRUSHING fraud, waste, and abuse.”
He made it clear this isn't an old-fashioned fight.
“Because this is not just a nice thing to do in an accounting sense, picking up what we can claw back. It doesn't happen that easily.”
“This is a modern era. There are modern tools being used to attack us, and we need even more modern ways, including AI, to take them down.”
Dr. Oz also made a direct appeal to Americans, calling on them to be part of the solution. He asked ordinary people to help expose fraudsters by becoming whistleblowers.
“We need your help. That's my big plea. We need your help, the American people.”
He highlighted just how much this effort depends on everyday citizens.
“Why? Over half of the whistleblower tips that we get are for healthcare fraud and over half of the fraud against our government is in healthcare.”
“So we need your help; both to protect your own important information—don't give it away because con artists come to your door and try to get it—but give us tips.”
He reiterated that patriotic Americans are critical allies in the fight.
“It only happens in health care because we know we have allies, the American people.”
He even left viewers with the number to call.
“Write this down, 1-800-HHS-TIPS.”
Finally, Dr. Oz shined a light on the even bigger problem lurking behind fraud: outright abuse and waste in the healthcare system.
“And I'll leave you with one last thought,” he said.
“In addition to the massive fraud, especially from foreign entities trying to invade America using their financial tools and criminal mindsets, we also have 25% of all of our money being spent probably subject to abuse.”
He clarified the difference.
“And that's not fraud. This is abuse and waste. Money not being used wisely.”
To tackle this, the Centers for Medicare and Medicaid Services are rolling out a new model.
“We just launched a new model called ‘Wiser’ with the Centers for Medicare and Medicaid Innovation—that is looking at ways for us to identify inappropriate use of services, services that are wasteful and should not be offered to the American people because they could hurt them.”
For Dr. Oz, this isn’t just about money. It’s also about keeping Americans safe.
“They're not providing value for these wonderful Americans whose health is being taken advantage of to generate higher revenue for providers.”
He closed with a promise that the fight isn’t stopping here.
“We're not going to tolerate it anymore, and we're going to use data analytics, real-time monitoring—and unhesitating and unwavering pursuit of the law to make sure this happens.”
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Dr.Oz has been targeted by the pharmaceutical industry as a likely subject to throw shade on RFK and his plans for changes on vaccines. Article this morning from substack. I’ll try to find the post.
You know something is up and or not right when they start calling the American people, "American taxpayers". And "to protect American taxpayers from fraudsters and to defend the integrity of America’s healthcare system". Yeah, right.
“We’re not going to tolerate it anymore, and we’re going to use data analytics, real-time monitoring — and unhesitating and unwavering pursuit of the law to make sure this happens.”
And there it is. Explaining why, in the nearby future, public surveillance with the use of AI is gonna get intensified. Practically one cannot monitor the integrity of America's healthcare system in real-time without the use of AI, that's impossible.
It gets even funkier: "As the DOJ cracks down, Dr. Oz says the real change is in how they’re fighting fraud: stopping the scams before the money is even gone." and “This is a modern era. There are modern tools being used to attack us, and we need even more modern ways, including AI, to take them down.” So how in the hell are you going to stop the scam before the money is even gone without some sort of Minority Report vibe going on?
They found out that the identity of over 1 million people have been used in the fraudulent business, but they still need the help of the American people by asking "ordinary people to help expose fraudsters by becoming whistleblowers.". And "So we need your help; both to protect your own important information—don’t give it away because con artists come to your door and try to get it—but give us tips.”?? And how does this whistleblowing action takes place? By giving tips? And how were those 1 million stolen identities stolen? Any insights to share of how they managed to do that?
How come for example there were loads of "transnational criminal organizations exploiting the American healthcare system on a massive scale" but there were only charges made spanning 324 defendants across the country? I thought this was a transnational scheme. So what happened to the rest of those transnational thugs? I mean they "identified and charged defendants operating from Russia, Eastern Europe, Pakistan, and other foreign countries.". So where are the voices from across the borders? You can't just mention those countries and just leave it like that. What happened there?
And that's when and why WISeR (Wasteful and Inappropriate Service Reduction Model) comes into the picture. According to their own website this model "will help protect American taxpayers by leveraging enhanced technologies, such as Artificial Intelligence (AI) and Machine Learning (ML) along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services." Yeah right! It's a part of the foundation of the implementation of the upcoming digital currency and digital id.
Also, if a politician says something like: “They’re not providing value for these wonderful Americans whose health is being taken advantage of to generate higher revenue for providers.” then you know, or should know, he’s lying his a$$ of and speaking with a double tongue. First question on this: how does one provide value for people? What’s that all about? And it’s their wealth, not their health which is taken advantage of.
And how come he spoke of “to generate higher revenue for providers” as if that was the goal of the theft instead of the enrichment of the thieves? Wasn’t the general message that they busted the transnational gang? Or was the message that there will be no more higher revenues for providers? Were the providers in on it? Or was the gang big pharma itself? Speculations generates even more questions especially when moments later he said “We’re not going to tolerate it anymore”. So they used to?
Either way, it seems to be perfectly clear: The con artists coming to your door trying to get ‘your own important information’ are already in your house. They go by the name Government and Big Pharma, and they're scamming you into getting whatever they want (remember corona). Because otherwise those transnational boogeymen are first going to steal your identity and then they’re going to steal the money the Government already stole from you in the first place.
My apologies, as English is not my native language, but here in the Netherlands we would say: 'This stinks an hour in the wind'! Unfortunately, the smell is going to last for way, way more than an hour I guess.