Each subheading resolves YES if any of the proposals under it are implemented by changes to policy or law at the federal level by 2030.
Here is the complete list of 30 proposals included in the letter, categorized into major areas of reform to save $2 trillion over the next decade:
Cutting Wasteful Spending at the Department of Defense (DoD)
1. Negotiate Better Contracts: Address contractor overcharging and tighten acquisition practices.
2. Recreate the DoD Renegotiation Board: Reduce contractor excess profits.
3. Convert Military Jobs to Civilian Roles: Replace over 300,000 active-duty personnel with civilians for cost efficiency.
4. Stop Corporate Welfare for Defense Contractors and Foreign Governments: End cost waivers for foreign arms sales.
5. Eliminate “Unfunded Priorities” Lists: Prevent agencies from inflating budgets with additional funding requests.
6. Increase Energy Efficiency: Reduce DoD’s energy consumption by 15-35%.
7. Encourage Competition in the Defense Sector: Reverse consolidation and encourage smaller vendors.
8. Tackle Repair Restrictions: Ensure DoD has intellectual property rights to maintain its equipment.
9. Avert Wasteful Plutonium Pit Production: Halt unnecessary production at the Savannah River Site.
Cutting Waste, Fraud, and Abuse in Federal Healthcare Programs
10. Curb Taxpayer Abuse by Medicare Advantage (MA) Insurers: Eliminate overbilling and fraud in MA programs.
11. Expand Medicare Price Negotiations: Broaden the drug price negotiation framework established by the Inflation Reduction Act.
12. Crack Down on Pharmacy Benefit Managers (PBMs): End inflated prescription drug pricing by middlemen.
13. Address Patent Abuses: Prevent pharmaceutical companies from blocking lower-cost generics.
14. Utilize Bayh-Dole March-In Rights: Leverage federal authority to lower drug prices on taxpayer-funded medications.
15. Exercise Section 1498 Powers: Allow federal agencies to license generic versions of overpriced drugs.
16. Break Up Healthcare Conglomerates: Reduce consolidation in the healthcare industry and limit private equity’s influence.
17. Promote Competition in Health Insurance: Increase antitrust enforcement to reduce costs.
Improving Efficiency Across Federal Agencies
18. Streamline Federal Hiring Processes: Reduce inefficiencies in federal workforce hiring.
19. End Duplicative Programs: Identify and eliminate overlapping federal initiatives.
20. Audit Federal Contracts: Conduct rigorous audits to prevent waste.
21. Improve Technology Procurement: Modernize federal IT purchasing to save costs.
Targeting Tax Loopholes and Inefficiencies
22. Close Corporate Tax Loopholes: Ensure corporations pay their fair share of taxes.
23. End Offshore Tax Shelters: Target companies exploiting offshore havens.
24. Reform the Tax Code for the Wealthiest: Address unfair tax advantages for high earners.
Miscellaneous Savings Initiatives
25. End Fossil Fuel Subsidies: Phase out unnecessary tax breaks for oil and gas companies.
26. Modernize Federal Infrastructure Projects: Focus on efficiency in planning and implementation.
27. Cut Unnecessary Farm Subsidies: Target subsidies that do not benefit small or medium-sized farmers.
28. Optimize Social Security Administration Operations: Streamline services to save administrative costs.
29. Reduce Improper Payments in Federal Programs: Identify and eliminate erroneous payments across federal agencies.
30. Strengthen Oversight of Federal Programs: Expand watchdog activities to monitor spending.
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