Medicare Bill is similar to a "Mafia Bust-Out"

Say you’re a gambler and I’m a mobster. I’ve lent you lots of money. But now you can’t cover your debt. I could pursue the matter through your kneecaps or toss you out of an office window, but instead I take a more constructive approach.

You own a shoe store. I take it over your operation, order everything under the sun and fence all the merchandise for as much money as I can get as quickly as I can. I run out every line of credit you have and generally squeeze the place of every dollar I can get out of it. And then when I can’t squeeze anymore, I torch the place and collect on the insurance money.

Sure, it’s not the most sustainable business model. But I have my money back, and what happens to you is your problem.