As the trial begins of Healthsouth CEO Richard Scrushy for the largest outright health care fraud ever, it’s good to know that in America you can start a huge company from nothing, be totally responsible for all its success, pay yourself vast amounts of money–enough not only to buy all the cars, houses and planes you need but also to sponsor Christian rock boy bands and hire in actors from The Wonder Years as PR Monkeys–and go through seemingly dozens of CFOs. And all the while you never need to have any idea at all about the financial state of your own company.