The 340B Drug Discount Program was created in 1992 and requires pharmaceutical manufacturers participating in Medicaid to sell drugs to “Covered Entities” (CEs), including non-profit hospitals like the Cleveland Clinic, at discounts of 20 to 50 percent. The program grew from $9 billion in 2014 to $66 billion in 2023, making it the second-largest federal […]
The anniversary of September 11, 2001, is always difficult for the millions of Americans who lived in New York and Washington, D.C. and saw the terrorist attacks firsthand, and everyone else who watched the attacks and heard about the crash of the fourth plane in Shanksville, Pennsylvania. Thousands of first responders were involved in the […]
Improper payments have long been an avoidable drain on the federal budget and are often prominently featured as an example of wasteful spending. It is therefore not surprising that in the August 12, 2025, Government Accountability Office (GAO) updated report on open recommendations to improve government operations, reducing fraud and improper payments was first on […]
The 340B Drug Discount Program was created in 1992 to help federally funded clinics and public hospitals that serve a large uninsured population cover the cost of drugs and provide discounts to patients. But the lack of guardrails on the program and failure to define a patient has led to it being abused by hospitals […]
On President Trump’s first day in office, he issued an executive order establishing of the Department of Government Efficiency (DOGE). As of July 26, 2025, DOGE estimated that its actions and recommendations, including the cancellation of contracts and grants, asset sales, and workforce reductions, if fully implemented, would save $199 billion, or $1,236 per taxpayer. […]
President Trump’s decision to relocate the Federal Bureau of Investigations (FBI) headquarters from the crumbling J. Edward Hoover FBI Building, where the agency had been located since 1974, to the Ronald Reagan International Trade Center, which opened in 1998, was a prime example of the commonsense approach being taken by his administration to save money. […]
Whisperings of privatizing the United States Postal Service (USPS) began before President Trump took office. He mentioned it in December 2024 (he had floated the idea in his first term as well) but by February 2025 decided it would not be pursued. While Elon Musk was apparently disagreed with that decision, discussions of USPS reform […]
Citizens Against Government Waste (CAGW) has supported spectrum auction authority for the Federal Communications Commission (FCC) for many years. H.R. 1, the One Big Beautiful Bill Act (reconciliation) passed by the House of Representatives restores this authority through fiscal year (FY) 2034, more than two years after it expired on March 9, 2023. The renewal […]
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