Folks, if you want a perfect example of how leftist governance turns a golden state into a giant piggy bank for scammers, look no further than the exploding home health care fraud racket in Los Angeles. Under the Trump administration’s watch, the lid is finally blowing off this multibillion-dollar scam that’s been draining Medicare like a busted fire hydrant. Billions—yes, billions—of your hard-earned tax dollars funneled to fake clinics, phony patients, and crooked operators who treat end-of-life care like an ATM. And guess where the epicenter is? Good old California, where one county alone sucks up a ridiculous chunk of the nation’s billing while delivering jack squat in actual care.
The LA Fraud Factory: How They Pull Off the Heist
This isn’t some nickel-and-dime operation—it’s industrial-scale theft. Crooks set up sham home health agencies and hospices faster than you can say “free money.” They recruit patients who aren’t sick enough to qualify—healthy seniors dragged in off the street, promised gifts or cash kickbacks. Doctors, often in on the take, sign off on fake certifications claiming these folks are terminal or need constant in-home care when they don’t need a bandage, let alone round-the-clock nursing.
Los Angeles hospice fraud reaches billions as Medicare providers scam federal system with fake companies
Medicare chief says fraudulent providers scam taxpayers with ghost patients and sham companies in scheme involving corrupt doctors.. California leadership Sucks pic.twitter.com/o7TkWc2AUb— Mr. To you (@MRBN36AR) February 2, 2026
Once enrolled, the fraudsters bill Medicare for services that never happen: phantom visits, unnecessary therapies, expensive meds, the works. Patients get shuffled between home health and hospice like poker chips, maximizing payouts because hospice reimbursements are fat and steady. Kickbacks flow to recruiters—sometimes thousands per head—while the bosses launder the cash through shell companies or straight into luxury rides and mansions.
In Los Angeles County alone, they’ve exploded to nearly 2,000 hospice providers—more than 36 entire states combined. That’s not organic growth; that’s a criminal enterprise exploding because oversight was a joke for years. Fake companies pop up, bill millions, then vanish when the heat turns up. One guy pleads guilty to a $17 million scheme involving sham hospices and home health. Another outfit gets nailed for $16 million in bogus hospice claims. Multiply that by hundreds, and you’re talking real money stolen from programs meant for actual dying Americans.
California’s Outsized Slice of the Nationwide Rip-Off
Get this: Los Angeles County—home to about 3% of the U.S. population—accounts for roughly 18% of all national Medicare billing for home health and hospice combined. Eighteen percent! That’s not a hotspot; that’s a black hole. Statewide, California’s cut is even fatter, with fraud estimates hitting $4 billion just in hospice and home health scams. Nationwide takedowns in 2025 uncovered over $14 billion in alleged health care fraud, and a huge chunk traces right back to the Golden State’s wild west of phony providers.
Truly insane levels of fraud!
18% of home healthcare billing nationwide is coming from one county in California … https://t.co/D7bez2Esan
— Elon Musk (@elonmusk) February 2, 2026
Why California? Years of lax rules let anyone with a clipboard open a hospice after they lifted moratoriums on new licenses. No real checks, no enforcement—perfect for grifters. The state raked in federal dollars while turning a blind eye, and now the bill is due. Recent crackdowns revoked 280 hospice licenses in one swoop, but that’s just scraping the surface after the barn door’s been wide open.
Time to Shut Down the Gravy Train
The new administration isn’t playing nice anymore. Heads are rolling with indictments, guilty pleas, and prison sentences piling up. Prosecutors are hitting these schemes hard—$33 million here, $54 million there, all from bogus claims dating back years. One operation alone tried to scam $150 million out of Southern California health programs. And the top brass is calling it out: this is organized theft on a level that makes street hustlers look amateur.
American taxpayers—especially working stiffs in flyover country—are footing the bill for California’s chaos. Money that should go to real veterans, real seniors, real end-of-life dignity gets vacuumed up by fraud rings while Sacramento shrugs. Enough. Clean house, claw back every dime, and make sure these parasites do hard time. America First means protecting our wallet from this kind of third-world corruption right here at home. The party is over, scammers—pack it up or get locked up.