In a Dallas community hospital, a doctor told me about a “strange patient”—the same man had checked in four different times under four different names, each using a different Medicaid card. When he showed up again, a nurse recognized his tattoo and asked for ID. He immediately became defensive, insisting he was “borrowing a friend’s card to get care, not committing a crime.” Meanwhile, an immigrant mother holding her feverish daughter had already been waiting two and a half hours because she had no insurance and had to go last. When resources stretch to the breaking point, identity fraud doesn’t just strain Medicaid—it delays care for those who desperately need it. #MedicaidFraud #HospitalOverload #ImmigrantHealthcare #IdentityAbuse