Catch 22. It is a societal problem.

Our country is designed to be operated by honest people not by selfish greedy people. As long as we gravitated away from selflessnes and to selfishness no thing that we do will work the way we idealistically want it to. No matter how good our intentions.

The medical industry is a case in point. If we loosen controls then the schisters will get control. If we tighten controls then the schisters will move to the controlling mechanism ie. whichever gov. agency we set up or strenghthen to clamp down on hucksterism.

First we make a honest good society then we can accomplish anything we want.