Tom Delay is a crook.
OK, I'm not really adding a Tom Delay scandal of the day feature... But the point is, I could. This one is just particularly funny because of the aggressively chincy nature of the scam.
It's like those "contests" in the back of the newspaper where you write a poem or short story or something and then they try for like 6 years to get you to buy the book with your "winning" poem in it.
What's maybe a little more scary is that there are this many physicians out there willing to pay $1250 for a fake award.