Possibly the biggest pile of waste in the federal government is the amount of "improper payments" made every year by the Medicare and Medicaid programs. In 2023, for example, those mistakes cost taxpayers more than $100 billion.
This is worth noting for two reasons in the wake of the news that President-elect Donald Trump has asked Elon Musk and Vivek Ramaswamy to head up a new Department of Government Efficiency (DOGE). Despite the name, the DOGE looks to be more of an unofficial advisory board that will work with the White House's Office of Budget and Management (OMB), and Trump says it will help "drive out the massive waste and fraud which exists throughout" the government's $6 trillion budget.
