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In a first-world country such as the United States society expects that we provide social services such as health care in a reasonable cost-efficient manner as many other developed nations such as Britain Spain and New ZealandPBS 2008 Capitalism has prevailed and we have chosen a mix between a private and public system While the public system provides mostly for the poor Medicaid and senior citizens Medicare the private system attempts to support the rest The United States Department of Health and Human Services along with its subsidiary called the Centers for Medicare and Medicaid services regulate this industry US Department of Health and Human Services 2009The US Department of Health and Human Services has the duty to regulate public-health-care risks and provide programs for the welfare of communities They are the overarching organization that manages the federal health care exchanges as well and helps to implement new laws that come into account HHS 2013 The Centers for Medicare and Medicaid Services organize and regulate these services in partnership with each of the states Congress created this under the HHS umbrella in an attempt to regulate and normalize standards across the board in the public health-care system CMS 2013 Within these departments new rules are proposed and current laws are supposedly closely regulated Rarely discussed by these organizations fraudulent activity is rampant According to Lewis Morris of HHS this close regulation is lacking He explains The Federal Bureau of Investigation FBI estimates that fraudulent billings to public and private health care programs are 310 percent of total health spending Morris 2009 The FBI provides field and investigative assistance to these departments of government after fraud is committed In a team effort there is also a partnership with the Department of Justice to investigate vulnerabilities in the system As the private sector continues to grow and establishes new fraud-protection systems the
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