Comment by renewiltord

It's not particularly complicated. Every government scheme is eventually exploited. In this case, it is that Medicaid pays out well for autism diagnosis and treatment. Once upon a time it was dialysis centers but nephrologists had to keep their patients on bare minimum before eventually referring them to their family's dialysis center. Good business because government covers and it lasts forever.

Autism is even better because you can diagnose it in anyone and the treatment can show whatever results you want. It's a spectrum you see.

I think elder care or in home care in NYC is a similar operation.

The sheer weight of human productivity is unbelievable. You have some two hundred to two fifty million Americans producing things through labour. They're all taxed and it goes into one or two places. Tap that keg and you get unbelievable wealth.