Correction accepted. Eight failed audits. Would love to see the will to fix this specific item, but am not confident it exists. We spent hundreds of billions on war with Iran before we forgave student loan debt and instituted Medicare for All, for example. The evidence is clear these are active choices we can make. We actively choose the bad financial policy choices through governance outcomes.
The only branch of government I have faith in at the moment is the bond market.
The US spends ~$1.1T/year on Medicare today. US health care spending is estimated to continue rising and will reach nearly $6T a year by 2027. That means according to the federal government, the US will spend around $42.9T on health care over the next decade if we maintain the status quo. A recent study by Yale epidemiologists found that Medicare for All would save around 68k lives a year while reducing U.S. health care spending by around 13%, or $450B a year.
(for comparison, the DoD consumes ~$1T of spending, and debt interest costs ~$867B, annually as of this comment)
> The US spent $2 Trillion dollars on Medicare and Medicaid in 2024 [1][2]. If the US spent this money as efficiently as Japan (or UK [3], ...) it could pay for Healthcare for every single resident with this $2 Trillion dollars.
Existing Medicare spending and entire defense budget would cover it. Or reduce debt interest payments and keep defense spending.
Hmm.... I found this, I wonder if there is any way this line item in the budget could be reduced, it looks sort of big:
https://www.usaspending.gov/agency/department-of-defense?fy=...