P Is for Peril

penciling approval on charges he should have examined more closely. The notion of Dowan actively debunking the government is incomprehensible."
    "Suppose he did, though. I don't understand how he benefits. If Medicare or Medicaid is overbilled, aren't those monies paid to the operating company? Seems like it's really their responsibility, isn't it?"
    "Absolutely. But outside providers, such as ambulance companies and medical supply businesses, can collect thousands of dollars for services never rendered, or goods not delivered, or goods billed out at inflated prices. If someone in Dow's position were in league with them, the contracts could mean thousands of dollars to the companies involved. For this, he'd receive remuneration-a kickback-perhaps under the heading of a professional discount or a referral fee. Now that HCFA-excuse all these acronyms, that's the Health Care Financing Administration, which regulates Medicare and Medicaid programs-"
    "Gets complicated," I remarked.
    "Very. At any rate, now that HCFA has stepped in, they're insisting on documentation for every such transaction, including the lease agreement, which is where we come in."
    "But you don't think he's really guilty."
    "I don't. At the same time, it isn't looking good for him."
    "You think he left to avoid disgrace?"
    "Possibly," he said. "If he felt unable or unwilling to face the charges. I'm not sure how he'll deal with the humiliation if they decide to prosecute. I'm not sure how any of us would deal with that. He's a man in big trouble. I don't like to think of him as a coward as well."
    "When did you see him last? Do you remember the occasion?"
    "Of course. September 12, the day he disappeared. I took him out to lunch."
    "I didn't realize that. Was this at his request or yours?"
    "His. He called and asked to see me. Of course, I said yes. By then, I knew about his difficulties. I had some other business in that part of town so we met at a little place in walking distance of Pacific Meadows. Just a hole in the wall called Dickens, a mock English pub. It's quiet and affords a measure of privacy, which I knew he'd appreciate."
    "Did he talk about the problems with Medicare?"
    "Not directly. He did ramble on a bit about the ongoing investigation. He was clearly upset. He seemed to want reassurances that Harvey and I would come to his defense. I did what I could to put his mind at rest, but I told him I couldn't condone anything underhanded. I don't mean to sound pompous, but in truth, if the charges turn out to be provable, then Dow's actions are not just unethical, they're illegal. As much as I like and admire the man, there's no way I'd be willing to cover for him, even if I could."
    "But why would he risk it? Especially at his age and station in life. He couldn't need the money."
    "I'm not so sure about that. Dow always did well for himself financially, but Crystal is high maintenance. She costs him a bundle. He has two houses to maintain-you know he bought Crystal that beach house at her insistence. Nothing would do, but she had to have that place. Plus he has Fiona's alimony, which is burdensome to say the least. Crystal likes to travel and she does it in style, including first-class airfare and accommodations for Griffith's nanny along with everyone else. She's the kind of gal who insists on being gifted-birthdays, anniversaries, Christmas, Valentine's Day-she expects to receive jewelry and nothing cheap. She makes sure of that. Dana's theory is she's busy accruing personal assets in case the bottom drops out."
    The phone rang again. This time his eyes didn't even flicker, so I went right on. "You think she married him for his money?"
    He considered the question briefly and then shook his head. "I wouldn't say that. I think she genuinely loves the guy, but she's been poor all her life. She wants to make sure she's safe just in case something happens to him."
    "What about the rumors of an extramarital affair on her part?"
    "You'd have to ask Dana. She's the one who spotted that piece of shenanigans. I prefer to steer clear."
    "Did Dr. Purcell say anything to suggest he might flee?"
    Joel shook his head. "I don't remember anything of the kind. Is that the direction the police are leaning in?"
    "Well, they can't rule it out. Apparently, his passport and a substantial sum of money are missing."
    Joel stared at me as though trying to take that in. "If he ran, he'd have to continue running for the rest of his life."
    "Maybe that's not as bad