Of all of the promises forwarded in support health care reform, the most risible is that it will reduce fraud and abuse. Think for a moment how much legislative energy is devoted to "closing loopholes" in one set of statutes or another. Look at how many bills seek to amend current laws because of unanticipated exploitation that degrades the law's effectiveness. the simple fact is that in most cases, people who make their living exploiting laws are much, much...much smarter than the politicians who make those laws.
When a ship is commissioned, it is customary to subject it to a "shakedown cruise" to work out glitches in the ship's systems, uncover defects in design or construction and generally verify that the vessel is suitable to the purposes for which it is intended. Obviously, every eventuality cannot be foreseen, and problems only become apparent when subjected to real-world use. Now consider that our Congress seeks to impose a novel scheme, creating over a hundred new entities that are to interact somehow, onto an industry that involves sixteen percent of the American economy. Does anyone seriously think that the system will not contain a miasma of faults, opportunities for fraud, insufficient oversight and inefficiencies born of too much wishful thinking and not enough experience?
Some people will become fabulously wealthy exploiting the half-baked policies, venal pandering and sheer stupidity that Congress will apply to healthcare. Anyone who can't see this coming miles away simply isn't paying attention.