Article ID: CBB325451411

The Senator and the Sting Operation: Politics, the Media, and Frank Moss’s Exposé of “Medicaid Mills” (2024)

unapi

In September 1975, Frank Moss, an eighteen-year veteran of the Senate from Utah, donned the scruffiest clothes he could find and walked into a small clinic in New York that catered to Medicaid patients. Using a phony Medicaid card supplied to him by a New York District Attorney, he posed as a patient with symptoms he feigned to assess the quality of care he would receive. Appalled by what he experienced, he and a team of staffers from his office embarked on a four-state tour of what he termed “Medicaid mills,” visiting more than 200 clinics in an undercover investigation that exposed alarming levels of provider fraud and abuse of the government health insurance system. This dramatic expose was covered by CBS’s widely watched Sunday-night news program 60 Minutes. The subsequent Senate hearings were a media sensation, leading to accusations that the Senator was “grandstanding.”This article looks at the political climate in which the congressional sting operation, the media attention it garnered, and the subsequent legislation enacted sought to address a persistent, growing problem of fraud and abuse in Medicare and Medicaid. The article argues that Moss’s effort was an example of entrepreneurial politics, as defined by Craig Volden and Alan Wiseman in 2016, and something more as well. Moss was reacting to a political setting in which the legitimate authority of political institutions, including Congress, had been called into question by the Watergate scandal and other revelations. At the same time, organized medicine in America was dealing with its own version of this challenge to its authority. The result was a dramatic episode that focused on fraud and abuse in the ten-year-old Medicare program and that raised wider questions about changes in cultural authority in politics and medicine.

...More
Citation URI
https://data.isiscb.org/isis/citation/CBB325451411/

Similar Citations

Book Sasha Mullally; David Wright; (2020)
Foreign Practices: Immigrant Doctors and the History of Canadian Medicare (/isis/citation/CBB114184842/)

Book Anna Kirkland; (2016)
Vaccine Court: The Law and Politics of Injury (/isis/citation/CBB053136475/)

Book Andrew Lakoff; (2017)
Unprepared: Global Health in a Time of Emergency (/isis/citation/CBB434578273/)

Book Melissa Diane Armstrong; (2020)
An Ambulance on Safari: The ANC and the Making of a Health Department in Exile (/isis/citation/CBB935246702/)

Book Litsios, Socrates; (2008)
The Third Ten Years of the World Health Organization, 1968--1977 (/isis/citation/CBB001213556/)

Book Julie M. Feinsilver; David E. Apter; (1993)
Healing the Masses: Cuban Health Politics at Home and Abroad (/isis/citation/CBB703326652/)

Article Mills, John A.; Dyck, Erika; (2008)
Trust Amply Recompensed: Psychological Research at Weyburn, Saskatchewan, 1957--1961 (/isis/citation/CBB000930177/)

Book John M. Kirk; H. Michael Erisman; (2009)
Cuban Medical Internationalism: Origins, Evolution, and Goals (/isis/citation/CBB019661975/)

Article Atsuko Naono; (2022)
“Going ‘the Last Mile’ to Eliminate Malaria” in Myanmar? (/isis/citation/CBB996132296/)

Book Brier, Jennifer; (2009)
Infectious Ideas: U.S. Political Responses to the AIDS Crisis (/isis/citation/CBB001200310/)

Book Starr, Paul; (2011)
Remedy and Reaction: The Peculiar American Struggle over Health Care Reform (/isis/citation/CBB001214284/)

Article Poblete, Joanna; (2013)
The S. S. Mongolia Incident: Medical Politics and Filipino Colonial Migration in Hawaii (/isis/citation/CBB001200326/)

Book Jones, Marian Moser; (2013)
The American Red Cross from Clara Barton to the New Deal (/isis/citation/CBB001214280/)

Authors & Contributors
Bhattacharya, Sanjoy
Brier, Jennifer M.
Dyck, Erika
Festle, Mary Jo
Fraser, Jennifer
Jones, Marian Moser
Journals
Canadian Bulletin of Medical History/Bulletin Canadienne d'Histoire de la Medecine
Journal of the History of Medicine and Allied Sciences
Archiv für Sozialgeschichte
Centaurus: International Magazine of the History of Mathematics, Science, and Technology
História, Ciências, Saúde---Manguinhos
Journal of the History of the Behavioral Sciences
Publishers
McGill-Queen's University Press
University of California Press
World Health Organization (WHO)
Johns Hopkins University Press
New York University Press
Palgrave Macmillan
Concepts
Medicine and politics
Medicine and government
Public health
Health care
Medicine
Epidemics
People
Barton, Clara
Forbes, William Smith
Time Periods
20th century, late
21st century
20th century
19th century
20th century, early
Places
United States
Canada
Cuba
Great Britain
India
Philippines
Institutions
World Health Organization (WHO)
American Red Cross
African National Congress
Comments

Be the first to comment!

{{ comment.created_by.username }} on {{ comment.created_on | date:'medium' }}

Log in or register to comment