These are the sorts of huge operations which are everywhere throughout the Spectrum blocks.
There are literally tens of thousands numbers, all doing fake free health insurance/Medicare benefits for each and everyone.
The names and details vary but they’re all the same.
Sadly this is one of the highest value scams, ably supported by the very uneducated clots who are supposed to be experts on everything. Billions being paid directly to the criminal consortiums by big govco and the bureaucrat gravy train who don’t give a flying fuck about tax dollar waste.
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