A GitHub repository led by Andrew Rexroad quantifies $98.6 billion in fixable waste within the US healthcare system, using open-source analysis of primary federal datasets. The project identifies specific problems, calculates their financial impact, and proposes policy solutions. Three key issues highlight systemic inefficiencies: Medicare overpaying for over-the-counter drugs ($0.6B/year), paying vastly higher prices for identical drugs than peer nations ($25B/year), and commercial insurers charging 254% of Medicare rates for the same procedures ($73B/year).

Each analysis relies on raw CMS cost reports, Part D claims, OECD statistics, and RAND studies, ensuring reproducibility. The findings underscore a critical gap between US spending ($14,570/person) and outcomes compared to countries like Japan ($5,790/person) with superior life expectancy.