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One reason disability is such a fraud today is that some states use federal disability to avoid paying for unemployment, welfare and healthcare out of state funds. It's also the reason these red conservative states are fighting healthcare reform. They know they'd have to prove their state hasn't the funding to provide first out of state taxes for these programs. They don't want the federal government prying into how they use their state taxes. Even when it's used fraudulently for these programs? Who'd have known 7 TX HMOs bilked Medicare out of $350 million from 2006 to 2012 if the Justice Dept. hadn't cracked down on Medicare fraud? They'd still be filling their bank accounts with Medicare funds and healthcare premiums.