GRANDSTAND Rand still self-righteously beating his chest and getting nothing done where MAGA is concerned!
Rand Paul isn’t grandstanding. But he would communicate better with specifics. For example:
When I entered IT Anderson Consulting (Now Accenture) their bible was “If centralized, decentralize. If decentralized, then centralize.” The HHS swamp has followed this mindless, costly approach. HHs has the biggest budget with the biggest waste through approaches like this.
Currently Mediicaid (and EBT, TANF, WIC, SEC8, etc) has Deloitte IES-Integrated Eligibility System in 25 states. Once enrolled by IES, Gainwell (or similar) then receives and pays claims from hospitals or other providers for services to members.
The swamp direction is to decentralize this. The swamp is pouring billions of taxpayer dollars into consultants to further decentralize this with many contracts to many consulting firms. Most of these consultants are well intentioned but know nothing about welfare programs. Most are either H1b or middle class and do not understand welfare people or welfare programs.
IES has a poorly designed EMPI Enterprise Master Person Index. Welfare programs are very inefficient and the #1 reason is the Deloitte IES. Most of the inefficiency of Gainwell is in trying to handle the mess that Deloitte IES sends to Gainwell.
The solution is for non-Deloitte to take over eligibility and design a proper Master Person Index. But the current de-centralize effort does not see this need, nor lesser needs. The current de-centralize only sees unlimited contract hours doing something with no end in sight.