Donald Berwick decries Medicare and Medicaid fraud and waste in parting interview. In his tenure at CMS, the department has stepped up its efforts and preventing Medicare and Medicaid fraud. Berwick told the Times that he estimates that Medicare and Medicaid could save between $150 billion to $250 billion a year by eliminating waste. ... Berwick decries Medicare and Medicaid fraud and waste in parting interview - McKnight's Long Term Care News So here is the former head of Medicare SAYING up to $250 billion..BILLION is wasted in Medicare/Medicaid! So how is it then that people still want "BIG government" if it is so blatantly wasteful? I mean really why would anyone have ANY confidence that ANOTHER big government program will be efficient? The Post office losing money! Amtrak losing money! Medicare/Medicaid WASTING $250 billion a year.. WHAT more proof is needed that local /state government has at least better record of NOT being as wasteful!