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Steve Moore’s blistering comments on Carl Higbie’s FRONTLINE were right on target — what’s being exposed in the Obamacare system is a national disgrace and a betrayal of hardworking Americans who actually pay the bills. For years the left has sold expansive subsidies and bureaucratic control as compassion, but when fraud, fake enrollments, and pay-to-play enrollment schemes flourish, taxpayers and patients pay the price. Conservatives should be loud and clear: you cannot build a humane health-care system on a foundation of fraud and weak oversight.
Federal prosecutors have already unmasked brazen schemes that exploit those weaknesses, including an indictment alleging a $161 million Affordable Care Act enrollment fraud where brokers and marketers allegedly submitted fraudulent applications to pocket commissions. When private actors can game the subsidy system on such a scale, the problem isn’t merely corruption — it’s a design flaw that rewards chicanery over care.
A government watchdog’s probe underscores how rotten the system’s defenses are: inspectors were able to enroll fictitious people and found widespread signs of identity abuse and unauthorized agent changes that point to organized misconduct. This isn’t isolated bad apples — it’s systemic rot in the enrollment process that allowed fake enrollees and stacked Social Security numbers to draw down federal subsidies month after month. The public deserves to know how many millions of taxpayer dollars were funneled to phony policies and crooked middlemen.
Independent analyses now warn the problem is exploding, with one market institute estimating millions of improper enrollees and staggering improper payment totals that could reach into the tens of billions. Those numbers should terrify every American who pays taxes: we are funding an industry built on distorted incentives, where agents make money by gaming eligibility rules rather than serving real patients. Until Congress fixes the incentives and enforces verification, this gravy train will keep rolling.
This is not an abstract policy debate — it’s part of a larger pattern of health-care fraud that federal authorities are finally starting to tackle, from massive multi-district takedowns to prosecutions of providers over bogus billing and kickbacks. The scope of the 2025 national health-care fraud takedown, which charged hundreds of defendants in schemes involving billions, proves the problem spans Medicaid, Medicare, and ACA plans alike. If you care about public accountability, these prosecutions should be a wake-up call, not an excuse for inaction.
Americans who believe in limited government and personal responsibility should not shy away from outrage here: the left’s answer of more subsidies and more central control simply increases the stakes for fraudsters and corrupt middlemen. We must demand a return to market accountability — stronger identity verification, real penalties for fraudulent brokers, and audits that recover stolen taxpayer dollars instead of papering over failures. This is about protecting patients and restoring integrity to a system that has been riddled with perverse incentives.
Here’s a clean conservative prescription: end open-ended, enhanced subsidies that reward misreporting, require real-time income verification tied to IRS data, empower states to impose strict licensing on agents, and expand true private-market options like cross-state plans and HSA-centered coverage that place skin in the game back with consumers. Those are practical reforms that curb fraud and lower costs without surrendering patient care to Washington technocrats.
Patriots should take Steve Moore’s fury as a call to action: demand hearings, push for bipartisan audits, and elect lawmakers who will stop treating fraud as an acceptable collateral cost of big-government programs. The American people deserve a healthcare system that serves the vulnerable, respects taxpayers, and punishes the crooks — anything less is a disgrace we can and must fix.
