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Earmarks have been controversial, but nevertheless were reinstated by Congress in 2021 after a 10-year moratorium.
Properly addressing the nation's aging infrastructure requires action not only at the federal level, but also at the state and local levels.
https://www.pgpf.org/blog/2023/04/state-and-local-infrastructure-spending-a-closer-look
“As the 2024 campaign heats up, voters are calling on candidates to show leadership by backing a fiscal commission to address our unsustainable national debt,” said Michael A. Peterson.
https://www.pgpf.org/press-release/2024/01/fci-press-release
The portion of health spending paid by the government is growing.
https://www.pgpf.org/chart-archive/0090-composition-health-spending
"Committee passage of the Fiscal Commission Act is an important step toward a comprehensive approach to stabilizing our rapidly growing national debt," said Michael A. Peterson, CEO of the Peter G. Peterson Foundation.
Most infrastructure spending in the United States comes from state and local governments
https://www.pgpf.org/chart-archive/0274_federal_state_local_infrastructure_spending
State and local governments outspend the federal government in every infrastructure category
https://www.pgpf.org/chart-archive/0275_infrastructure_spending_by_category
The growing cost of prescription drugs presents a significant challenge to the quality and affordability of healthcare in the United States.
Tax reform done right would promote economic growth, make our fiscal outlook more sustainable, reduce the complexity and burden of compliance, and increase the system’s transparency and fairness.