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But why did it take HCFA so long to learn about the scandalous behavior of IMC, and why did HCFA continue to allow illegal activity to occur once it knew about it? Why had HCFA decided to provide IMC with its first HMO contract when other more stable HMOs, such as Kaiser Permanente in California and others in Minneapolis and Milwaukee, had been in operation much longer and had demonstrated sound operations and fiscal responsibilities? Why did HCFA allow the use of official government stationery for a mailing to all individuals in South Florida on Social Security, urging them to sign up with the fledgling Medicare HMO? Is it the job of the federal government to endorse and advertise for a proprietary organization, such Why did HCFA allow medium and high-level government employees to leave government to work for IMC, the organization that HCFA was supposed to regulate? Why did HCFA establish rules that limit Why did HCFA, despite articles in the South Florida Medical Review describing such activity, allow IMC physicians to perform pre-enrollment physicals on elderly Medicare patients at Medicare's expense, and then enroll only those who were healthy while Why did HCFA, despite ample documentation over a period of several years, allow IMC and several other South Florida HMOs to use devious methods to enroll elderly patients, who often did not know that they had signed up with an HMO, and had signed away their rights to see other physicians or visit other Why did HCFA allow IMC to continue to use expensive advertised solicitations for elderly Medicare patients after they were expressly forbidden to enroll more Medicare patients? Why did HCFA allow IMC to continue to spend millions of dollars on expensive advertisements in Florida newspapers and on television and radio, when the HMO was already demonstrating evidence of financial instability and an inability to pay its financial obligations to physicians and hospitals? How could IMC be financially insolvent when its founder and chief operating officer, Manuel Ricarey Jr., was reported by the Miami Herald How could Congressman Claude Pepper (D-Dade) continue to defend and support Mr (trazodone withdrawal gingival recession).

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