The establishment of well-intentioned programs that fail to achieve their objectives and waste taxpayer dollars is an unfortunately frequent occurrence in the federal government. A prominent example of such an outcome is the 340B program, created by Section 340B of the Public Health Service Act of 1992, which requires pharmaceutical manufacturers participating in Medicaid to […]
Senate HELP Committee Questions Cleveland Clinic’s 340B Funding Transparency
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 […]
Markwayne Mullin Wants to Make 340B Work for Oklahomans
The federal 340B Drug Pricing Program was intended to provide discounts on drugs to patients but the lack of a clear intent and patient definition, along with inadequate oversight, has led to the program being exploited by hospitals and contract pharmacies to generate millions of dollars in profit. The discounts are supposed to be provided […]
Mayor Bowser’s Billion-Dollar Mistake
District of Columbia (D.C.) Mayor Muriel Bowser and the City Council are proposing to give a billion-dollar taxpayer handout to the Washington Commanders for a new football field to replace Robert F. Kennedy (RFK) Stadium. While Mayor Bowser is championing the deal as a defining achievement of her administration, giving more than $1 billion to […]
Ending Regional Commissions: A Prime Cut for DOGE
Congress can advance government efficiency by cutting corporate welfare programs.





