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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."
"We can offer views that are untainted by the appearance of corruption or self-dealing."
Public Citizen co-presidents Lisa Gilbert and Robert Weissman on Monday requested to serve on U.S. President-elect Donald Trump's Department of Government Efficiency "as voices for the interests of consumers and the public who are the beneficiaries of federal regulatory and spending programs."
Shortly after Trump's November victory, the Republican announced that he asked billionaires Elon Musk and Vivek Ramaswamy to co-lead DOGE, a presidential advisory commission that he said would work "to dismantle Government Bureaucracy, slash excess regulations, cut wasteful expenditures, and restructure Federal Agencies."
Since then, numerous watchdog groups, Democratic lawmakers, and others have sounded the alarm about DOGE and its leaders, blasting the commission as a thinly veiled attack on federal programs—including Medicaid, Medicare, and Social Security—connected to the GOP trifecta's effort to pass more tax cuts for wealthy individuals and corporations.
"Public Citizen has concerns about DOGE's structure and mission," the group's co-presidents wrote to Howard Lutnick and Linda McMahon, co-chairs of Trump's transition team. "In structure, an advisory committee led by individuals such as Messrs. Musk and Ramaswamy who hold financial interests that will be directly affected by federal budgetary policies presents substantial conflict of interest concerns that threaten to undermine public confidence in the committee's recommendations to the administration."
"Mr. Trump and OMB should take steps to ensure that DOGE's advice and recommendations take into consideration the viewpoints of the consumers and citizens who would be directly affected."
Musk, the world's richest person, has leadership roles at companies including Tesla, SpaceX, and X. He has often been at Trump's side in the lead-up to next week's inauguration. Ramaswamy, who ran for president in the latest cycle before ultimately backing Trump, has founded a pharmaceutical company and an investment firm.
Gilbert and Weissman wrote that DOGE's mission to advise the Office of Management and Budget (OMB) "on how to 'slash excess regulation' and 'cut wasteful expenditures' puts at risk important consumer safeguards and public protections, because it focuses only on eliminating rules and spending without considering the other half of the picture: more efficiently regulating corporations to better protect consumers and the public from harmful corporate practices, and making sound and efficient public investments."
"In light of the significant influence that DOGE is expected to have on the administration's fiscal and regulatory policy," they argued, "Mr. Trump and OMB should take steps to ensure that DOGE's advice and recommendations take into consideration the viewpoints of the consumers and citizens who would be directly affected by the regulatory and spending proposals that DOGE will advance, not only the viewpoint of wealthy businesspeople."
The pair made the case that their appointment to the commission "would not raise conflict of interest concerns."
Before Gilbert joined Public Citizen, she was an advocate at the U.S. Public Interest Research Group and worked as a campaign director to pass legislation on social justice and environmental issues for various organizations. Weissman previously directed the corporate accountability group Essential Action, edited the magazine Multinational Monitor, and worked as a public interest attorney at the Center for Study of Responsive Law.
"Unlike Musk, neither Rob nor I, nor Public Citizen, has a financial interest in federal government contracts and spending. In bringing the consumer and public perspective to DOGE, we can offer views that are untainted by the appearance of corruption or self-dealing," Gilbert said in a statement.
Weissman emphasized that "all signs suggest the nonrepresentative DOGE co-chairs aim to use 'efficiency' as a cover to drive a pro-corporate, anti-regulatory agenda, and an ideologically driven social service cuts program. This would constitute an anti-efficiency agenda."
"On the other hand, Lisa and I are prepared to offer a range of evidence-based efficiency proposals—to slash drug prices, end privatized Medicare, reduce the wasteful Pentagon budget—that would save American taxpayers and consumers hundreds of billions of dollars every year," he explained. "We also have recommendations for smart, efficient public investments—in human development and to address climate change—that will have a positive monetary return for the government and society."
As the letter highlights, Public Citizen—which "has worked to hold the government and corporations accountable to the people, including by focusing on research and advocacy with respect to regulation of health, safety, consumer finance, and the environment" since its founding in 1971—has already offered DOGE some recommendations.
"Consistent with Public Citizen's mission—and that of DOGE—Public Citizen on December 20, 2024, sent Messrs. Musk and Ramaswamy a letter proposing two measures that would save the government and taxpayers billions of dollars, while improving health and access to medicines: authorizing generic competition to anti-obesity medications and implementing the Medicare drug price negotiation and inflation rebate programs to lower drug prices," Gilbert and Weissman wrote.
They also noted that appointing them to DOGE "would be an important step towards compliance with the Federal Advisory Committee Act (FACA), which requires 'the membership of the advisory committee to be fairly balanced in terms of the points of view represented and the functions to be performed by the advisory committee.'"
In addition to outlining concerns about Musk and Ramaswamy, they detailed that "DOGE member Katie Miller's background is in handling press relations for government officials. William McGinley worked as a lawyer for various Republican Party groups and big law firms. Other people reported in the media as connected with DOGE also appear to have corporate backgrounds. These individuals lack the consumer and public interest perspective needed if Mr. Trump expects DOGE to have any hope of complying with FACA."
"Americans see right through Musk's scheme to pay for his own tax breaks by defunding Social Security, Medicaid, and Medicare," said one critic.
Mega-billionaire Elon Musk conceded Wednesday that he's not likely to achieve his fantastical goal of slashing $2 trillion from the federal budget, an admission that one critic said underscores the folly of the so-called Department of Government Efficiency.
"President-elect [Donald] Trump hasn't even taken office and Elon Musk is already admitting failure on DOGE's deeply unpopular and unrealistic agenda," Lindsay Owens, executive director of the Groundwork Collaborative, said in a statement. "Americans see right through Musk's scheme to pay for his own tax breaks by defunding Social Security, Medicaid, and Medicare."
Musk, the world's richest man and a close ally of Trump, said in an interview Wednesday that cutting $2 trillion in federal spending would be an "epic outcome" but described it as a "best-case" scenario. Economists have dismissed Musk's $2 trillion target as absurd, given that the entire annual discretionary budget was $1.6 trillion for Fiscal Year 2024.
Bobby Kogan, senior director of federal budget policy at the Center for American Progress, said Thursday that Musk's lower target of $1 trillion in cuts is also "too large," noting that "if you protect Social Security, Medicare, vets, and defense, it would mean cutting every other program by 45% on average." Republican lawmakers have floated similarly outlandish cuts.
Opponents of the Department of Government Efficiency—an advisory commission set to be led by Musk and fellow billionaire Vivek Ramaswamy—have warned it is a thinly veiled effort to target Social Security, Medicare, Medicaid, and other nondiscretionary programs, a concern amplified by recent comments from GOP supporters of the panel.
"I am a strong advocate of discussing this and reevaluating them, and I do believe, at the end of the day, there will be some cut," Rep. Greg Lopez (R-Colo.) said of Medicare and Social Security outside of the first meeting of the House DOGE Caucus.
Musk said ahead of the 2024 elections—on which he spent heavily to influence—that spending cuts he envisions would "necessarily" bring "some temporary hardship," but he hasn't specifically detailed which programs he would target.
"If the incoming president follows through on even a fraction of the $2 trillion in cuts that Musk and his allies have promised, the pain will be felt well beyond struggling small-town America," journalist Conor Lynch wrote for Truthdig earlier this week. "Veterans, especially, who voted overwhelmingly for the president-elect, could be in for a rude awakening."
"Shortly after being tapped to be Musk's co-chair at the so-called Department of Government Efficiency, Vivek Ramaswamy posted on X that the first order of business should be to eliminate all spending on programs with expired authorizations from Congress, which amounts to over half a trillion dollars," Lynch noted. "Users were quick to point out that if Trump followed Ramaswamy's advice, he would instantly defund healthcare for veterans, which is by far the largest spending program on that list."