Pentagon Doesn’t Know What Happened to $1.3 Billion in Afghanistan
The Pentagon isn’t able to tell federal auditors what happened to more than $1.3 billion in funds intended for construction projects in Afghanistan.
The money was dispersed through a program established to speed up the rebuilding process in Afghanistan by giving money directly to military officers to build roads, bridges, dams and other projects to avoid the lengthy bureaucratic procurement process.
But in the rush to spend and build, much of the money paid out by the Commander’s Emergency Response Program (CERP) between 2004 and 2014 has gone unaccounted for, according to auditors who spent the last year trying to find it.
Related: 7 Threats to U.S. Rebuilding Efforts in Afghanistan
A new report released Friday by the Special Inspector General for Afghanistan Reconstruction says the Defense Department could only provide its office with documentation for $890 million, or roughly 40 percent, of the total $2.2 billion in funds.
The auditors blamed the Pentagon’s financial and project management process for not sufficiently tracking spending, saying DoD’s system doesn’t contain enough data or comprehensive information relating to the actual costs of the projects.
The auditors took the information the Pentagon did provide and divided it up into categories like education, health care, water and sanitation. Aside from transportation, the item that had the most expenses was labeled “unknown.”
U.S. Central Command responded to the inspector general’s findings, or lack thereof, by saying that some of the unaccounted for CERP funds had been shifted to other military needs. “Although the report is technically accurate, it did not discuss the counterinsurgency strategies in relationship to CERP,” the Central Command said.
In total, the U.S. has doled out about $3.7 billion through CERP funds, with $2.2 billion coming from the Defense Department.
This is just the latest report from SIGAR highlighting the Pentagon’s problems keeping track of the enormous amount of money flowing into Afghanistan. Earlier reporting suggested the U.S. has lost some $100 billion in the reconstruction efforts.
Quote of the Day: The Health Care Revolution That Wasn’t
“The fact is very little medical care is shoppable. We become good shoppers when we are repeat shoppers. If you buy a new car every three years, you can become an informed shopper. There is no way to become an informed shopper for your appendix. You only get your appendix out once.”
— David Newman, former director of the Health Care Cost Institute, quoted in an article Thursday by Noam Levey of the Los Angeles Times. Levey says the “consumer revolution” in health care – in which patients shop around for the best prices, forcing doctors, hospitals and pharmaceutical firms to compete with lower prices – hasn’t materialized, but the higher deductibles that were part of the effort are very much in effect. “High-deductible health insurance was supposed to make American patients into smart shoppers,” Levey writes. “Instead, they got stuck with medical bills they can't afford.”
Congressional Report of the Day: The US Pays Nearly 4 Times More for Drugs
The House Ways and Means Committee released a new analysis of drug prices in the U.S. compared to 11 other developed nations, and the results, though predictable, aren’t pretty. Here are the key findings from the report:
- The U.S. pays the most for drugs, though prices varied widely.
- U.S. drug prices were nearly four times higher than average prices compared to similar countries.
- U.S. consumers pay significantly more for drugs than other countries, even when accounting for rebates.
- The U.S. could save $49 billion annually on Medicare Part D alone by using average drug prices for comparator countries.
Read the full congressional report here.
Chart of the Day: How the US Ranks for Retirement
The U.S. ranks 18th for retiree well-being among developed nations, according to the latest Global Retirement Index from Natixis, the French corporate and investment bank. The U.S. fell two spots in the ranking this year, due in part to rising economic inequality and poor performance for life expectancy.
About 90% of Trump Counties Have Received Trade War Farm Aid
President Trump won more than 2,600 of the nation’s 3,000-plus counties in the 2016 election, and residents in nearly 90% of those counties – or more than 2,300 – have received some level of aid from the administration’s Market Facilitation Program, a $16 billion effort that compensates farmers for losses incurred as a result of Trump’s trade war with China.
Drawing on a new report from the Environmental Working Group, The Washington Post’s Philip Bump says the data “show the extent to which [the farm] subsidies overlap with Trump’s base of political support.”
To be fair, about 80% of the counties Hillary Clinton won also received some degree of aid, Bump says, but there are many fewer of them, given the concentration of her supporters in urban areas.
Overall, residents in more than 2,600 counties in the U.S. have received payments from the farm aid program, with the heaviest concentration in the Midwest.
Number of the Day: $1.57
A new study from the Bipartisan Policy Center says that Medicare would save $1.57 for every dollar it spends delivering healthy food to elderly beneficiaries who have recently been discharged from the hospital. The savings would come from a reduction in the rate of readmissions to the hospital for patients suffering from a wide range of common ailments, including rheumatoid arthritis, congestive heart failure, diabetes and emphysema.
“If you were going to offer meals to every Medicare beneficiary, it would be cost-prohibitive,” said BPC’s Katherine Hayes. “By targeting it to a very, very sick group of people is how we were able to show there could be savings.”