Every fall, Sen. Tom Coburn (R-Okla.) published an annual report, known as the Wastebook, highlighting dozens of the worst examples of wasteful spending by federal agencies.
Some of the items in the report may sound unbelievable, but this is the federal government, and one should never underestimate bureaucrats with tax dollars at their disposal. More ridiculous examples from the 2014 version of the report include the $387,000 the National Institutes of Health spent on Swedish massages for rabbits (yes, seriously) and the $200,000 the Department of Agriculture spent to help a New York-based brewer build a beer farm.
Coburn, who earned a reputation as a hardcore fiscal hawk, resigned from Congress last year after a second cancer diagnosis, leaving a need for transparency in federal spending. Sen. Rand Paul (R-Ky.) is stepping up to fill the void left by Coburn’s departure.
On Wednesday, Paul rolled out a new feature on his official Senate homepage, dubbed The Waste Report. According to a press statement, the periodical report “will identify egregious examples of wasteful spending throughout the U.S. government.”
The inaugural edition of The Waste Report focuses on medical waste, specifically a little-known U.S. Coast Guard program that costs taxpayers $1.2 million each year. The Travel to Obtain Health Care Program pays for Coast Guard members stationed in locations where there are no providers to seek medical care elsewhere. The program is available to members in Alaska, Hawaii, and Puerto Rico, though the latter two account for 7 percent of cases.
The Inspector General (IG) of the Department of Homeland Security released an audit in February detailing the inefficiency and lack of oversight in the Travel to Obtain Health Care Program, which costs taxpayers $1.2 million annually.
“[T]he IG uncovered trips from Alaska to Vail, Colorado; Orlando, FL; Scottsdale, AZ; and Savannah, GA, Paul’s report notes. “Though a doctor’s referral is supposed to be required before travel is approved, only twelve percent of records had such notes.”
“In total, 94 percent of all records were missing key elements including travel requests, approval forms, cost estimates, and/or doctor’s notes,” the report continues. “This lack of basic documentation prevented the IG from substantiating whistleblower claims that trips – even to Anchorage – were more for shopping than medical care, while also preventing the IG from affirming the need for accompanying spouses (who also traveled at taxpayer expense) to assist patients.
The Inspector General made three recommendations aimed at improving accountability and oversight in the program, including greater documentation requirements and training. But as The Waste Report explains, “one should not need special training to know that taxpayer funded medical travel should not be approved without a doctor’s note, especially if that travel is for couples’ trips to vacation hot spots.”