“病人是找的，病历是编的，手术是假的”

Core Viewpoint - The documentary reveals a corruption case in the medical insurance fund management in Beizhen City, Liaoning Province, highlighting the collusion between public officials and a private hospital to defraud the medical insurance fund [1][5]. Group 1: Corruption Details - Nine public officials from the Beizhen Medical Insurance Center were investigated for collusion with the private hospital, Xinzhuguang Hospital, to defraud the medical insurance fund [1]. - The investigation began after public reports indicated that officials were colluding with the hospital to misappropriate funds, leading to the discovery of "yin-yang" accounts with fixed ratios of 2% to 5% for medical insurance expenditures [1][3]. - The hospital's fraudulent activities included creating fictitious medical records and procedures, with a significant number of false cataract surgeries reported in 2020, which did not align with local healthcare realities [3][4]. Group 2: Methods of Fraud - The hospital employed various deceptive tactics, such as offering free health check-ups and meals to lure patients, while using their identities to fabricate medical records for reimbursement [2][4]. - The hospital's management, led by Xu Hongmei, shifted focus from genuine medical care to fraudulent practices, with a structured plan to incentivize staff for patient recruitment [2][4]. - The fraudulent scheme was facilitated by bribing public officials, including Li Ying, who received a total of 685,000 yuan in bribes, resulting in significant losses to the medical insurance fund [5][6]. Group 3: Impact on Healthcare System - The corruption undermines the integrity of the healthcare system, leading to a loss of public trust and potential harm to patient health due to over-medication and unnecessary procedures [5]. - The involvement of public officials in corrupt practices compromises the intended benefits of including private hospitals in the medical insurance system, ultimately harming the public interest [5]. - The case illustrates the broader implications of corruption in healthcare, where personal gains lead to substantial losses in public resources meant for community health [5].