Columns
Ohio Medicaid story needs facts, not speculations
Calling an open case a ‘Bhutanese scam’ is a verdict delivered on an active investigation from the other side of the world.Ankit Sapkota
When a Daily Wire report alleged a billion-dollar Medicaid fraud scheme involving resettled Bhutanese immigrants in Ohio, The Kathmandu Post’s coverage did what responsible journalism on an unresolved case should do: It laid out what was known, what was alleged and what remained unverified. The Post noted that the $1.2 billion figure cited in Congress is ‘an estimate of potential fraud, not a confirmed official finding’. No indictments tied to the community had been announced, and critically, “the allegations involve a subset of operators and businesses, not the community as a whole.” That is the standard a story like this calls for—caution, sourcing and a clear line between specific allegations and an entire diaspora.
Unfortunately, in contrast, a recent piece in Grab News by Bhusan Dahal, a prominent journalist, does not meet that standard. Writing about an unresolved case, Dahal draws sweeping conclusions about the identity and integrity of an entire community, using the moment to make broad claims and declare: “The scam is Bhutanese—call it what it is.”
For an influential voice in Nepali journalism, that is not analysis. It is speculation dressed as journalism, and it carries real consequences. Within days of the original story breaking, federal officials began referencing ‘Nepalese and Bhutanese populations’ in sweeping terms, and members of Congress used the phrase ‘foreign fraudsters’ in the aggregate. Tens of thousands of people who spent decades building lives in the United States found themselves nominally swept into a scheme most had never heard of.
The line in the wrong place
The central move of the piece is to separate ‘Lhotshampa Bhutanese refugee’ from ‘Nepalese nationals’—two groups sharing a language but not nationality. Historically, that is accurate. But functionally, in the communities living this story, it is a line that barely exists. Bhutanese-Americans and Nepali immigrants in places like Columbus and Reynoldsburg in Ohio worship at the same temples or churches, attend the same cultural programmes, work the same jobs, and increasingly marry into each other’s families. For most people, this legal distinction is a historical footnote, not a lived reality, and certainly not how neighbours, employers or a congressional task force perceive them.
Separating ‘Bhutanese’ from ‘Nepali’ does not resolve the issue of collective blame. It just narrows the target. Former refugees who are now US citizens—many working across prestigious areas including medicine, IT, aviation, engineering, education, military and government—are left exactly where they started: Associated with a ‘fraud network’, just under a more precisely drawn label. That is not accountability. Calling an open case a ‘Bhutanese scam’ is a verdict delivered on an active investigation from the other side of the world.
Selective use of history and moral consistency
There is a strange asymmetry in how history is being used to analyse this crisis. Critics correctly establish that the Bhutanese government’s 1980s policies of citizenship stripping and forced expulsion amounted to state-engineered ethnic cleansing. Yet, they use this history only to establish distance, claiming these people are not Nepali because they lived in Nepal as ‘guests’. Missing from this narrative is the fact that Nepal recognised them as refugees, hosted them for nearly two decades and worked alongside the UN to resolve a crisis it did not create. If the diaspora’s reputation matters, that chapter of shared humanity belongs in the story too.
This selective standard becomes even more glaring when examining where these critical voices were during the recent Fake Bhutanese Refugee Scandal in Nepal. In that case, high-level officials in Nepal’s state apparatus trafficked Nepali nationals as ‘Bhutanese refugees’ to orchestrate their resettlement abroad. It was a direct assault on the identity, the suffering and the legal status of every genuine Bhutanese refugee.
Yet, during that time, the Bhutanese-American community demonstrated remarkable patience and maturity. There was no hysteria on social media, no vitriol directed at the Nepali state, but rather a dignified silence and respect for Nepal’s judicial process. It is deeply hypocritical that voices that remained conspicuously quiet when that crime was unravelling in their own backyard now choose to deliver harsh commentary from a distance about an active investigation on the other side of the world.
Certainty about an uncertain case
Commentators are treating an open investigation as a closed case when it is convenient to their argument, claiming the perpetrators are definitively ‘Lhotshampa Bhutanese refugees’ and linking it to the fake refugee scandal in Nepal as ‘chapters of the same story’. No evidence of an operational connection is offered beyond the fact that both stories involve Nepali-speaking people and the word ‘fraud’.
Shared language or ethnicity is not evidence of a shared criminal network. Just because a single branch of a tree begins to rot, no one has the right to set the entire forest ablaze. If accountability requires precision, that precision must be directed at the alleged individuals and businesses under investigation—not at an entire national or ethnic label.
Reality of contribution
Set against the ‘fraud network’ framing is a much larger reality: The immense contribution of this community. Former refugees and their children are taxpayers funding the very systems under scrutiny, professionals filling chronic workforce shortages and service members in uniform. Furthermore, many arrived as adults whose credentials did not transfer. They spent years in factories, warehouses and meatpacking plants under difficult conditions, doing the gruelling work that keeps supply chains running. This is not the profile of a population coasting on public assistance.
The Bhutanese-American community has already lived through the trauma of having its identity stripped away by an outside government. Its identity today is not a gift bestowed by commentators writing from outside that experience. It was built on the resilience of ancestors, the sacrifices of elders and the determination of its youth.
Trust the legal process, let it run its course and hold accountable those whom the evidence actually points to. Bhutanese-Americans and Nepali immigrants are neighbours, colleagues and family members who deserve to be left out of a story they did not write. Unity, not identity politics, is what this moment demands.




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