They don’t. I am convinced by now that this is all smoke and mirrors. The theft and corruption is in the private health insurers and they haven’t even mentioned that. They steal hundreds of billions a year and over charge Medicare and Medicaid by hundreds of billions. If DOGE wanted to be efficient they would create a single payer functional healthcare system operated by the government people that we the taxpayers hire to run it properly and bonus doctors who have healthier patients at the end of the year than they had at the beginning. A single payer system, and they take the middleman thieves completely out of it. They would save hundreds of billions possibly $1 trillion a year on that alone.  Then Bobby Kennedy fix the food supply so we’re not spending $1 trillion a year on diabetes that shouldn’t even exist. We could save all kinds of things but these people are talking about a few billion here and a few million there and they’re giving themselves a 4.5 trillion dollar tax cut and cutting Medicare and Medicaid to poor people. These people are greedy, lying fucking monsters.