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Fact check: Dr. Oz claims quarter million americans fraudulently enrolled in medicaid. Illegal immigrants enrolled in Medicaid in California paid by the federal government

Checked on May 11, 2025

1. Summary of the results

Dr. Oz's claim about a quarter million fraudulent enrollments appears to reference a broader issue about 250,000 ineligible individuals improperly enrolled in the healthcare marketplace [1], though this number is not specifically tied to illegal immigrants or Medicaid. Regarding California's Medicaid program, the state has indeed expanded coverage to undocumented immigrants aged 26-49 [2], with projected spending of $9.5 billion on healthcare for undocumented immigrants in fiscal year 2024-2025 [2] [3].

2. Missing context/alternative viewpoints

Several important contextual elements are missing from the original statement:

  • Currently, 14 states offer some form of Medicaid or CHIP benefits to people without legal status [4]
  • Approximately 50% of unauthorized adult immigrants were uninsured as of 2023 [4]
  • California's total Medi-Cal spending was $130 billion in FY 2023, with $362.8 million recovered in fraud cases [5]
  • The expansion of coverage to undocumented immigrants was initially projected to cost $3.9 billion but has increased significantly [2]

3. Potential misinformation/bias in the original statement

The statement contains several potentially misleading elements:

  • Conflation of Numbers: Dr. Oz appears to conflate the 250,000 ineligible enrollees figure with illegal immigrant enrollment, which are separate issues [1]
  • Competing Claims: There are varying estimates of undocumented immigrant enrollment, with Elon Musk's team claiming 1.3 million illegal migrants have Medicaid [3]
  • Political Framing: The issue is part of ongoing political debates about federal funding for healthcare for undocumented immigrants [4]

Who Benefits:

  • Conservative politicians and media figures like Dr. Oz benefit from highlighting potential misuse of federal funds
  • Healthcare providers and insurance companies benefit from expanded coverage regardless of immigration status
  • State governments like California benefit from federal funding support for their healthcare programs
  • Advocacy groups for immigrant rights benefit from expanded healthcare access
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