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Musk, Johnson, Ramaswamy

Tesla CEO Elon Musk, co-chair of the newly announced Department of Government Efficiency (DOGE), carries his son on his shoulders at the U.S. Capitol after a media availability with fellow co-chair Vivek Ramaswamy and Speaker of the House Mike Johnson on December 5, 2024 in Washington, D.C.

(Photo: Andrew Harnik/Getty Images)

Hey Elon and Vivek! Here's What a Real 'Department of Government Efficiency' Would Do

A new report identifies what a DOGE "based on evidence, not ideology, would include—from slashing drug prices to ending privatized Medicare to reducing the wasteful Pentagon budget."

While the U.S. Senate on Wednesday held confirmation hearings for several of President-elect Donald Trump's Cabinet nominees, the watchdog Public Citizen sounded the alarm about a new commission and its billionaire leaders, who don't require congressional oversight but could significantly impact federal agencies, regulations, and spending.

Despite being called the Department of Government Efficiency, DOGE is not a government department. It is a presidential advisory commission that Trump announced after his November win. He has asked billionaires Elon Musk and Vivek Ramaswamy to co-lead it.

Public Citizen co-presidents Lisa Gilbert and Robert Weissman on Monday wrote to Trump's transition team, asking to join DOGE. While their group has concerns about the commission's "structure and mission," including potential conflicts of interest regarding Musk and Ramaswamy's financials, the watchdog leaders made the case that they could serve "as voices for the interests of consumers and the public who are the beneficiaries of federal regulatory and spending programs."

"There is nothing 'efficient' about hitting a pre-determined target for spending cuts, least of all one that is infeasible."

The pair highlighted that their appointment "would be an important step towards compliance with the Federal Advisory Committee Act," and outlined some ideas they have "to slash drug prices, end privatized Medicare, reduce the wasteful Pentagon budget."

Weissman expanded on the group's recommendations in a Wednesday report titled DOGE Delusions: A Real-World Plan to Reject Elon Musk and Vivek Ramaswamy's Misguided Agenda, Crack Down on Corporate Handouts, Tax the Rich, and Invest for the Future.

"Every sign from DOGE suggests that it aims to use 'efficiency' as a cover to shrink government, benefit corporations by cutting regulations, and advance a predetermined ideological agenda," Weissman said in a Wednesday statement. "This report identifies what an efficiency agenda based on evidence, not ideology, would include—from slashing drug prices to ending privatized Medicare to reducing the wasteful Pentagon budget."

The report's introduction notes that Trump and Musk's suggestions that DOGE would cut $2 trillion in yearly spending, even though "many commentators have pointed out the effective impossibility of cutting $2 trillion annually from the federal budget, given that all federal discretionary spending—including the Pentagon budget and veterans' benefits—totals less than $2 trillion."

Musk even admitted last week that $2 trillion is unlikely, after which experts said his lower target of $1 trillion is still "too large."

"Few would argue with the purported goal of 'government efficiency,' but there is nothing 'efficient' about hitting a pre-determined target for spending cuts, least of all one that is infeasible," Weissman wrote. "Nor is there anything 'efficient' about ideologically driven notions of shrinking government or corporate profit-driven plans to roll back regulatory protections."

"Additionally, 'efficiency' is not a primary value," he continued. "Whatever the government does, it should strive to do efficiently (mindful of other considerations), but the real question is what the government should be doing in the first place."

The 35-page report features sections on ending Big Pharma's price gouging, shutting down privatized Medicare, cutting Pentagon waste and curbing contractor greed, taxing the rich and corporations, taxing high earners and the wealthy, eliminating oil and gas subsidies, regulating efficiency, the costs of not regulating, investing in the care economy, and investing to avert a climate catastrophe.

Many of the proposals overtly conflict with the priorities of the incoming Trump administration and the new Republican-controlled Congress, which are expected to swiftly and aggressively pursue tax cuts for wealthy individuals and corporations, expansion of Medicare Advantage, and the Big Oil-backed president-elect's campaign pledge to "drill, baby, drill" for climate-heating fossil fuels.

The GOP has promoted additional fossil fuel extraction despite the costly and devastating impacts of the climate emergency, as seen with 27 U.S. disasters with losses exceeding $1 billion in 2024—the hottest year on record—and in Los Angeles, California, which is currently enduring what could be "the costliest wildfire disaster in American history."

The Public Citizen report points out that the monetary costs of climate inaction "will severely reduce the size of the global economy. Depending on how quickly we move and how severe we let climate chaos become, the insurance giant Swiss Re suggests the annual dollar costs could be 11% to 14% of total global economic output by 2050—amounting to around $23 trillion annually—and around 7% of North American economic output. These costs will compound and grow even worse over time."

The watchdog estimates that one of its related proposals—ending handouts to fossil fuel companies—would save about $20 billion annually. Ending privatized Medicare would save $100 billion each year, and modest cuts to the Pentagon budget would save $100 billion yearly. More serious defense cuts could save $200 billion, the same figure for measures to reduce prescription drug prices. The biggest savings from the group's recommendations would come from fair tax reforms, at $500 billion annually.

"If DOGE is interested in saving taxpayers and consumers money and making sound investments that will generate a positive return to the government and society," the report concludes, "there is a clear set of evidence-based measures for it to pursue."

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