Criminal how?
Criminal in a figurative and literal sense. The complexities and confusion of Medicaire paperwork leads hundreds of millions of dollars (maybe billions depending on what study you read) of waste and fraud.
Patient record keeping and the inability or difficulty of doctors and hospitals sharing those records amongst themselves quickly and confidentially leads to disastrous patient care outcomes everyday. Things like drug interactions, overdosing and allergies cause thousands of deaths (maybe many more) every year. The Quaid baby case last year is a great example.
I think that this is an area where government and only government (or a government empowered private agency) could have significant and beneficial impact.