After Trump introduced Elon Musk and his so-called “Department of Government Efficiency,” several Republican-controlled states created their own DOGE operations. Like the one Musk launched, these were non-governmental, unelected, unaccountable cost-cutters, set loose to apply a chainsaw to state government.

John Thompson reports on what happened in Oklahoma.

CBS’s Sixty Minutes recently reported on the danger of H5N1 bird flu spinning out of control. It cited Dr. Kamran Khan who explained why “We are really at risk of this virus evolving into one that has pandemic potential.” Another expert agreed that “this flu could make Covid look like a walk in the park.”

This frightening reporting comes as the DOGE–OK seeks to cut nearly $150 million for programs that provide immunization services, pathogens surveillance, and emerging infectious diseases prevention, and provide Epidemiology and Laboratory Capacity for Prevention of Control of Emerging Infectious Diseases.

And this is only one reason for looking into the DOGE–OK process.

Anyone paying attention to Elon Musk’s leadership of the Trump administration’s DOGE campaign to cut federal programs has reason the fear the DOGE campaigns launched in 26 states. After all, as the Economic Policy Institute (EPI) explains, when Governor Kevin Stitt opened Oklahoma’s DOGE-OK, he called for a reduction in our personal income and corporate tax rates, thus making the state’s tax code even more regressive.

The EPI further explained that Stitt selected Marc Nuttle, “who was the ‘chief strategist’ behind Oklahoma’s 2001 so-called right-to-work referendum—a policy designed to disempower workers and lower wages (and contrary to proponents’ claims, it did not bolster job growth in the state).” The executive order empowered Nuttle to lead efforts of a newly formed agency to study the state budget.

Moreover, the EPI explains:

DOGE-OK is itself duplicative since the Office of the State Auditor and Inspector is constitutionally mandated to “examine the state and all county treasurers’ books, accounts, and cash on hand, stipulating that [the office] shall perform other duties as may be prescribed by law.” Similar to DOGE-OK, the auditor reviews staffing levels, assesses state spending, and issues public reports to promote transparency.

The DOGE-OK report now explains:

Once DOGE-OK ideas are received, they are analyzed and vetted with the appropriate group. If validated, ideas are added to the DOGE-OK website. 

But, when I studied the report, I found no sign of hard evidence to back its claims. For instance, they didn’t explain their methodology, and offered no cost/benefit analyses. DOGE didn’t explain what “groups” it considered to be “appropriate,” and what data was used to analyze and vet, and validate their ideas.  

Since the first DOGE headlines focused on $157 million in supposedly “wasteful health grants” by the federal government, I focused on Medicaid and Department of Health cuts.

These proposed cuts are especially disturbing because, as Shiloh Kantz, the executive director of the nonpartisan Oklahoma Policy Institute, explained, “Oklahoma already ranks among the worst in health outcomes.”

First, DOGE-OK claimed that $60 million per year would be saved if the state, not the federal government, performed eligibility checks on children. And, they cited two drugs that received accelerated approval without working, costing $42 million. But, they did not mention the number and the benefits of the other drugs, like the Covid vaccine, that received accelerated approval.

Also, DOGE-OK inexplicably said that easing the prescription drug cost cap would improve prices. And they recommended repeal of staffing requirements for Long-Term Care facilities in order to save $76 million annually, without mentioning harm to elderly patients due to under-staffing.

DOGE-OK also said that three Oklahoma State Department of Health programs should be cut by almost $150 million because their funding exceeded the amount necessary.  As already mentioned, in the wake of Covid pandemic, and as measles and bird flu spread, these programs provide immunization services, pathogens surveillance, and emerging infectious diseases prevention, etc. So, how did DOGE reach the conclusion that the full funding of those programs is no longer necessary?  

Then, DOGE-OK said that 7 programs should have cuts because of “duplication,” with partners doing the same or similar work. They said $2.2 million would be saved by getting rid of the team efforts necessary to improve health.

And Sex Education should be cut by $236,000 because of its low Return on Investment.

Again, I saw no evidence behind their recommendations for $157,606,300 in overall health care reductions. Neither did they address financial costs of implementing their ideas. And, there is no evidence that DOGE seriously considered the costs in terms of the lives that would be damaged or lost.

Given the history of the Trump/Musk DOGE, none of the DOGE–OK should be a surprise. When Gov. Stitt selected Nuttle, a true-believer in Milton Friedman, to run the project, Stitt said, “With his help, we’ll leave state government leaner than we found it.”

Is that the proper way to launch a supposedly balanced and evidence-driven investigation of such complex and crucial policy approaches?

Stitt’s news release previewed Nuttle’s methodology: “use his knowledge of the inner workings of government to comb through agency budgets, legislative appropriations, and contracts.”

So, to paraphrase the DOGE-OK report’s description of its methodology, its proposals would be “analyzed and vetted” by what they see as the “appropriate group.”

In other words, Oklahomans were never promised an open, balanced, evidence-based DOGE process for making our state better. But the same is also true for Musk’s federal DOGE chainsaw.