A software CEO was convicted for orchestrating a $1 billion Medicare fraud scheme — a reminder that DOJ enforcement on healthcare theft hasn't gone dark entirely. The strategic read: large-scale billing fraud depends on weak audit infrastructure and regulatory capture. Every billion that exits Medicare through fraud is a billion that feeds the 'program is broken' narrative used to justify structural cuts. Prosecution is necessary but not sufficient — the question is whether CMS closes the software-enabled billing loopholes that made the scheme possible.