Something didn't look right. Maxim Healthcare nurses were showing up at Richard West's house according to one schedule, but Maxim was billing the government according to another.
West complained to the state: The company was charging for hundreds of hours of work it never did. Officials blew him off, he said. He alerted Medicaid the state and federal program that paid for his care. Nothing happened.
He told a social worker. She expressed concern, but did nothing. But West, a Vietnam vet with muscular dystrophy, kept pushing and pushing, building a giant, accusatory snowball that landed last week — eight years later — on Maxim's Columbia headquarters.