The City Journal has reported a potential fraud within the California state program funded by Medicaid, In-Home Supportive Services Program, which allows people with no meaningful medical training to bill taxpayers for basic household tasks, or "homecare" for the elderly or disabled. The fraud is not entirely California's fault, but it is believed that it is widespread in other states. The scam involves creating a homecare company and submitting proper paperwork to Medicaid, but nobody seems to be checking this closely. Fraudsters in Georgia, Florida, and Missouri have been running their companies under stolen identities and nursing licenses for years. They often bribe doctors with kickbacks to write unnecessary referrals and select patients. The only way to compete in homecare is under the table, with bribery being a key component. The article suggests that the homecare program should be reformed to minimize fraud.