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Earmarks have been controversial, but nevertheless were reinstated by Congress in 2021 after a 10-year moratorium.
"Today’s CBO projections are the latest loud and clear warning about America’s unsustainable national debt," said Michael A. Peterson.
https://www.pgpf.org/press-release/2024/02/peterson-foundation-statement-on-new-cbo-report
Medicaid’s role in state budgets is unique, since the program acts as both an expenditure and the largest source of federal support in state budgets.
https://www.pgpf.org/budget-basics/budget-explainer-how-do-states-pay-for-medicaid
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
The portion of health spending paid by the government is growing.
https://www.pgpf.org/chart-archive/0090-composition-health-spending
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
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.
The growing cost of prescription drugs presents a significant challenge to the quality and affordability of healthcare in the United States.