It’s not just the fraud, but the fact that it takes years to detect it.
A growing number of politicians and Americans are buying into the single-payer concept largely out of frustration and the very misguided notion that they can have “affordability” and the unlimited access to health care most people now enjoy.
It ain’t going to work that way. The potential for massive fraud is one reason, but the mundane old reason of managing costs is another. Every single-payer government system in the world uses some form of budgeting and rationing to manage its costs. Americans do not understand the trade offs that are necessary and proponents of single-payer coverage are not inclined to explain.