The $880 billion figure reflects documented fraud patterns in Medicaid—like North Carolina's $11 million toxicology testing scam—projected across a decade of lax oversight. No time machine needed when past fraud predicts future waste. 

Take Georgia’s work requirement program: over 80% of its budget burned on consultants, not patient care. The fix? Mandate clawbacks for every misspent dollar and install real-time payment tracking. Either bureaucrats enforce accountability or the looting continues. 

Taxpayers deserve systems that work, not scams that bleed them dry.