The debate over raising the federally insured deposit limit has been heating up following the failure of Silicon Valley Bank and Signature Bank, even though doing so would increase risk and moral hazard, and the banks’ demise was unrelated to the insurance cap. The Federal Reserve’s April 28, 2023, review of its supervision of Silicon […]
Louisiana Senator Cassidy Leads Effort to Reform Federal Drug Pricing Program
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 […]
No More Wi-Fi for School Buses
The Federal Communications Commission (FCC) continues to forge ahead with eliminating outdated regulations and streamlining processes that will make it easier and faster to enable new telecommunications and network capabilities. The September 30, 2025, monthly meeting included several items that will help achieve those objectives, some of which were included in Citizens Against Government Waste’s […]
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 […]
WSJ Reinforces Waste and Abuse in Healthcare
Federal healthcare programs are often well-intended but end up costing more than expected and become subject to waste, fraud, abuse, and mismanagement. One of the best (or worst) examples of such a result is the 340B Drug Pricing Program, which is administered by the Health Resources and Services Administration (HRSA). The lack of clear intent […]
DOGE on the Hill: Sniffing Out Waste in Congress
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. […]
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 […]
Consolidating Procurement to Drive Efficiency
The Trump administration has made improving efficiency and cutting waste across the federal government a top priority. On March 20, 2025, President Donald Trump issued Executive Order (EO) 14240 on Eliminating Waste and Saving Taxpayer Dollars by Consolidating Procurement. The order’s goal is to consolidate $400 billion of domestic “federal procurement for common goods and […]
Ignoring Reagan, Embracing Waste
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. […]
California’s High-Speed Failure
Since it was approved by Golden State voters in the 2008 Proposition 1A bond measure, the California High-Speed Rail (CHSR) project, which was intended to connect San Francisco and Los Angeles by passenger rail, has shoveled more than $111 billion into the furnace of government waste. The California High Speed Rail Authority (CHSRA) was tasked […]










