But if DOGE started with the meaningful stuff like the constant, year over year, decade over decade, disaster that is Pentagon spending, then resolve Medicaid, then resolve Medicare
Medicaid and Medicare are just not problems. The fraud rate is extremely low. Even most people who are lying about their income on Medicaid applications would still qualify even if they told the truth as they are typically declaring no income while they have some, but are still below the income limits. Medicare fraud is even lower. The same federal government that provides the Medicare processes the taxes and knows what the recipients' income is. Even when people don't file taxes, the financial institutions report account balances and dividends to the federal government, which then disseminates this information to states. The eligibility workers processing Medicaid applications in the states and counties (some states are centralized, some delegate) receive distillations of that data that tell them about assets and income, and are obligated to act on such reports and discontinue eligibility when recipients are over income limits.
If you wanted to cut health care costs in America, what you would do is eradicate the health insurance companies and put everyone on Medicare, and expand Medicaid further so that the people for whom paying 80% of costs (which is what Medicare does) is insufficient would be covered. The health insurance companies' entire reason for existence to make a profit from human suffering. The ACA capped their profits at a percentage of cost of care, so they now lobby to increase the cost of care and to prevent Medicare, VA and so on from negotiating those prices down. While the prohibition on denying care for pre-existing conditions in the ACA has saved lives, everything else about it is unsustainable.
APTC, the Advance Premium Tax Credit, puts money directly into the pockets of the insurance companies. We The People are paying typically $600-1000 per month per APTC recipient for a plan which provides MEC, and this still leaves citizens paying co-pays which are increasing as drug prices increase. And then there's a whole other SNAFU with the way drug approval is done in the USA — to bring a new version of an existing medication to the market, you do not need to prove efficacy, only that it doesn't kill statistically significantly more people than the prior version. Then the drug companies publicize the side effects of the prior form while pretending the new form doesn't have all the same ones, and are allowed to advertise directly to patients who then demand the new form of the drug, while also paying physicians both directly and with lavish vacations masquerading as educational events to prescribe their new versions.
every 2 years or so, 60 minutes has a report on a(nother) Pentagon cluster- mess that is billions...hundreds of billions of dollars over budget.
The DOD never, and I mean never passes an audit. Those clusterfucks are SOP and intentional. The MIC has had a death grip on our balls as a nation ever since its inception. It gets to hide behind secrecy which is allegedly justified by military needs. Corporate lobbyists fund campaigns and then hire politicians as lobbyists when they leave office to benefit from the connections they made while employed in alleged service to The People. And they promote military conflict so that their goods and services will be in constant need, so the MIC is literally making sure people are blown up so they can profit. That joke about the billion dollar airplane firing a million dollar missile at a fifty dollar tent isn't actually a joke, it's just the way the MIC does business.