The issues in Medicare fraud in the US is rampant. Does this mean the security measures are slim or that they only discover after payments are made? The government has to answer these questions first though these are regular questions asked frequently regarding these issues. Secondly the seems to be some bias in reporting these cases. For the Americans who are involved in these fraudulent schemes, there seems to low publicity of the stories and for the Nigerians and other foreigners it is blown out of proportion. Until the authorities become objective, the won't be a solution in sight. It's bad already but what can they do when Democrats are shooting down attempts to amend the laws and processes and even Republicans are worse in attitude. The Republican planted this very evil solution and now they want to use it to discredit the current government. America must wake up to objectivity both in approach and design for the good of the world.