We have a balless Congress unwilling to enforce its authority under the system of checks and balances.
They are too busy catering to their donor class and ceding their power to a faceless bureaucracy.
We have a Republican congressional staff that is either to lazy or too incompetent to do the research.
I’ll bet 99% of all HHS expenditures can be found with internet searches combined with FOIA of state agencies which are constantly being bribed with big bucks projects combined with friendly tips from staffers at the state agencies. With a little subterfuge, it isn’t hard to get the Fed staffers to boast about the projects they are funding.
We lose because we are either lazy or incompetent. This isnt just in HHS. Take vote fraud as a totally unrelated example. Conservative vote fraud groups are either lazy or ignorant in that they clearly dont know how it works.
“Where is the administration getting the money to fund these Obamacare programs?”
I know, I know! China (they buy the debt).