One thing has become clear in the debate over President Trump’s “One Big Beautiful Bill”: Democrats don’t really care about waste, fraud and abuse in Medicaid or Affordable Care Act coverage (i.e., ObamaCare). That’s obvious from their opposition to Republican efforts to audit those programs to ensure only eligible people are enrolled.

To be fair, Democrats do care about health care fraud if a private health insurer or drug company is accused of defrauding a government health care program, regardless of how tenuous or unsubstantiated the accusations. But the real fraud arises from millions of ineligible people being enrolled in Medicaid and Obamacare.

That’s why it’s important to regularly audit means-tested health care programs, just as it’s important to regularly audit voter rolls — which Democrats and liberal groups also oppose — because populations change.

Some Medicaid or Obamacare beneficiaries or their spouses may take jobs that provide health coverage. Or their incomes may rise above the limit. Or they may turn 65 and enroll in Medicare, or they move out of state without notifying officials. And, of course, some die.

There can be honest mistakes, but fraud appears to be widespread.

For example, the U.S. Department of Health and Human Services’ Office of Inspector General

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