Just for the record: 1.29 billion dollars in overpayment in a 130 billion dollar program is about a 1% overpayment, or 99% efficiency in the program. 1.29 billion dollars is less than .1% of the federal budget. (Note that an organization the size of the US federal government would still have about $35 billion in "waste and fraud" even if it was 99% efficient.) Certainly, we should do better if we can, but it sounds like we are doing pretty well. A private business would be thrilled if only 1% of revenue was lost to "waste or fraud.".