โ† All Governments
๐Ÿ‡บ๐Ÿ‡ธ

United States

#13 of 18 by healthy life years

Current employee: Donald Trump

Official government site โ†—
โš”๏ธ Military : ๐Ÿงช Trials Ratio
1,094:1

For every $1 spent finding out which medicines work, United States spends $1,094 on military.

๐ŸŽฎ Game Metrics

โค๏ธ Healthy Life Years (HALE)
66.1
Global avg: ยท Target:
Needs +18.9 years to hit treaty target
๐Ÿ’ฐ GDP Per Capita
$80.0K
Median income: $33.9K
World Bank 2023

๐Ÿ’ฃ Military vs ๐Ÿงช Medicine

๐Ÿ’ฃ Military Spending$886B/yr
๐Ÿงช Clinical Trials$810M/yr

Scaled to the same axis as military โ€” the bar is 0.09% of military spending

๐Ÿงฌ Total Medical Research$47B/yr
๐Ÿฅ Health Spending / Capita$12.6K

๐Ÿ“Š Spending Profile

๐Ÿ’ฃ
Military Spending/yr
$886B
3.4% of GDP
SIPRI 2024 โ†—
๐Ÿฅ
Health Spending/capita
$12.6K
CMS 2023 โ†—
โณ
Life Expectancy
77.5 yrs
CDC NCHS 2023 โ†—
โš–๏ธ
Military : Trials Ratio
1,094:1
Weapons per $1 of government clinical trials
๐Ÿ”ฌ
Military : Research Ratio
18.8:1
Weapons per $1 of total government medical research
๐Ÿงฌ
Gov Medical Research/yr
$47B
Total research budget (basic science + overhead + admin)
NIH total budget FY2024; 31% admin costs, 40-60% indirect overhead โ†—
๐Ÿ”ซ
Arms Exports/yr
$24B
SIPRI Arms Transfers 2023 โ†—
๐Ÿ’ณ
Debt
123% of GDP
CBO 2024
๐Ÿฆ
Corporate Welfare/yr
$92B
Cato Institute โ†—
๐Ÿ›ข๏ธ
Fossil Fuel Subsidies/yr
$20B
IMF 2023 explicit subsidies โ†—
๐ŸŒพ
Farm Subsidies/yr
$38B
USDA ERS 2023 โ†—

๐Ÿ’€ Body Count

๐Ÿ’€
Body Count
4,500,000
1945โ€“2025
Summed from 1 sourced government death ledger entry โ†—
โ˜ข๏ธ
Nuclear Warheads
5,044
FAS Nuclear Notebook 2024 โ†—
๐Ÿชฆ
Civilian Deaths
1,000,000
Watson Institute + Airwars โ†—
๐Ÿ’ฅ
Countries Bombed
30
Congressional Research Service โ†—
๐Ÿšซ
Sanctions Deaths
500,000
UN estimate โ€” Iraq sanctions child deaths 1990-2003

๐Ÿ’ฅ Countries Bombed

Korea, Vietnam, Laos, Cambodia, Libya, Iraq, Afghanistan, Syria, Yemen, Somalia, Pakistan, Sudan, Serbia, Panama, Grenada, Lebanon, Iran, Guatemala, Dominican Republic, Cuba, Nicaragua, El Salvador, Honduras, Chad, Bosnia, Colombia, Philippines, Uganda, Niger, Burkina Faso

๐Ÿ“œ Death Ledger

Sourced regime and conflict entries summed into the body-count total.

US-led wars and interventions
Existing Optimitron grouped estimate covering Korea, Vietnam, Iraq, Afghanistan, drone wars, and proxy wars.
Period
1945โ€“2025
Deaths
4,500,000
legacy-composite

โš–๏ธ Justice & Domestic

๐Ÿ”ช
Homicide Rate /100K
6.4
CDC WONDER 2023 โ†—
โ›“๏ธ
Incarceration /100K
531
World Prison Brief 2024 โ†—
๐Ÿ”
Murders Solved
52%
FBI UCR 2023 โ†—
๐Ÿš”
Drug Prisoners
350,000
BJS 2023 โ†—
๐Ÿ’Š
Drug War Spending/yr
$47B
ONDCP FY2024 โ†—
โ˜ ๏ธ
Overdose Deaths/yr
107,941
CDC WONDER 2023 โ†—
๐Ÿšจ
Police Killings/yr
1,096
Mapping Police Violence 2023 โ†—
๐Ÿ—๏ธ
Private Prison Population
115,000
The Sentencing Project 2023 โ†—

๐Ÿ›๏ธ Agency Report Cards

Spending over time vs. outcomes over time. If the lines diverge โ€” spending up, outcomes flat or worse โ€” the agency is failing its mission. Letter grade is computed from trend analysis.

๐Ÿ’Š Drug Enforcement Administration

Enforce controlled substance laws and reduce drug availability

F
20072016200120002024$47B108K
Total Drug War Spending (ONDCP: DEA + enforcement + interdiction + incarceration)
โ˜ ๏ธ Drug Overdose Deaths

Total drug war spending grew from $18.5B to $47B/yr while overdose deaths went from 17,415 (2000) to 107,941 (2022) โ€” a 520% increase. Since the DEA was created in 1973, deaths went from ~5,000 to 108,000 โ€” roughly 20x worse.

๐Ÿ”ฌ National Institutes of Health

Seek fundamental knowledge and apply it to enhance health

D
20032013202020002024$47B59
NIH Annual Budget (USD)
๐Ÿ’Š FDA Novel Drug Approvals (NMEs)

Budget increased 164% while drug approvals remained volatile and flat on trend. Only 3.3% of the budget reaches actual clinical trials.

๐Ÿฅ Food and Drug Administration

Protect public health by ensuring safety and efficacy of drugs and food

F
20042003202420002024$7B3K
FDA Annual Budget (USD)
๐Ÿ’ฐ Avg Cost to Develop a New Drug (USD, millions)

FDA budget increased 454% while the cost to develop a new drug increased 287%. The agency meant to make drugs accessible made them more expensive.

๐Ÿ“š Department of Education

Promote student achievement and preparation for global competitiveness

F
200220092015202320002024$80B308
DoEd Annual Budget (USD)
๐Ÿ“Š NAEP Math Score (17-year-olds)

Budget increased 124% while math scores for 17-year-olds declined. Scores are now lower than in 1990.

๐Ÿ’€ Department of Defense

Provide military forces needed to deter war and protect security

F
2001200320102013202120002024$886B$1M
US Military Spending (USD)
๐Ÿ’€ US-Caused Military Deaths (cumulative since 2001)

Spending tripled since 2000 while causing over one million deaths in the 'War on Terror.' The department meant to deter war started several.

๐Ÿšง Immigration & Customs Enforcement + CBP

Protect national security and public safety through immigration enforcement

F
200320062017201920032023$29B$2M
CBP + ICE Combined Budget (USD)
๐Ÿšถ Border Encounters/Apprehensions

Budget tripled from $10B to $29B while border encounters increased 166%. More money, more crossings.

โ›“๏ธ Bureau of Prisons (DOJ)

Protect public safety through correctional management

D
20102018200820002024$9B218K
BOP Annual Budget (USD)
๐Ÿข Federal Prison Population

Budget increased 136% while prison population grew then declined. Recidivism remains at ~67% regardless of spending level.

๐ŸŒฑ Environmental Protection Agency

Protect human health and the environment

B
200720002024$10B35
EPA Annual Budget (USD)
๐Ÿ’จ Air Quality Index (days above AQI 100, national avg)

Unhealthy air days dropped 69% with moderate budget increases. One of the few agencies that demonstrably improves its target metric.

๐Ÿ” Federal Bureau of Investigation

Protect the American people and uphold the Constitution

D
200120042013201620002024$11B65
FBI Annual Budget (USD)
๐Ÿ” Murder Clearance Rate (%)

Budget tripled ($3.4B โ†’ $11.3B) while murder clearance rate dropped from 63% to 52%. Nearly half of all murders go unsolved despite record funding.

๐Ÿ›ก๏ธ Cybercrime Enforcement (FBI IC3 + CISA)

Protect the nation from cyber-based threats

F
201720182020202120152024$4B$17B
CISA + FBI Cyber Division Budget (USD)
๐Ÿ’ธ IC3 Reported Cybercrime Losses (USD)

Cybercrime budget grew 173% while reported losses exploded 1,409% ($1.1B โ†’ $16.6B). Complaints tripled. The threat is growing 8x faster than the defense.

๐ŸŽ–๏ธ Department of Veterans Affairs

Fulfill Lincoln's promise โ€” to care for those who have served

D
200720142017202220002024$325B6K
VA Annual Budget (USD)
๐Ÿ’” Veteran Suicides Per Year

Budget increased 622% ($45B โ†’ $325B) while veteran suicides remained flat at ~6,200-6,400/year. The money grew but the deaths didn't shrink.

โœˆ๏ธ Transportation Security Administration

Protect the nation's transportation systems

C
20062010201520022024$11B1
TSA Annual Budget (USD)
๐Ÿ’ฅ Terrorist Attacks on US Transportation (incidents)

Zero major aviation attacks since creation, but attacks on transportation were near-zero before TSA too. GAO tests show 70-95% failure rate detecting test weapons. $11B/yr for security theater.

๐ŸŒพ USDA (Farm Subsidies)

Provide leadership on food, agriculture, and natural resources

F
2014202020002024$45B2K
Farm Subsidy Spending (USD)
๐Ÿšœ Number of US Farms (thousands)

Hundreds of billions in subsidies over decades while number of farms declined 12% and food prices rose 83%. Subsidies flow to megafarms while small farms die.

๐Ÿ  Department of Housing and Urban Development

Create strong, sustainable, inclusive communities

F
2008201720002024$73B653K
HUD Annual Budget (USD)
๐Ÿ•๏ธ Homeless Population (HUD PIT count)

Budget increased 137% ($30.8B โ†’ $73B) while homelessness decreased only 10% then reversed. 2023 count (653K) is the highest ever recorded.

๐ŸŒ State Department (Sanctions Regime)

Lead America's foreign policy through diplomacy and sanctions

F
20032012202220002024$63B36
State Dept + Sanctions Enforcement Budget (USD)
๐Ÿšซ Countries Under US Sanctions

Sanctioned countries quadrupled (9โ†’36) with no evidence of regime change. Estimated 700K+ civilian deaths from sanctions, primarily children. Sanctions punish populations, not leaders.

๐Ÿฆบ Occupational Safety and Health Administration

Ensure safe and healthful working conditions

C
201020002024$632M4.3
OSHA Annual Budget (USD)
โš ๏ธ Workplace Fatality Rate (per 100K workers)

Workplace fatality rate declined from 4.3 to 3.5 per 100K (19% drop) with modest budget increases. However, the rate was already declining at the same pace before OSHA existed (from 61 per 100K in 1900 to 18 in 1970).

๐Ÿ’ธ Internal Revenue Service

Provide America's taxpayers top quality service by helping them understand and meet their tax responsibilities

D
201320172022202320002024$14B700
IRS Annual Budget (USD)
๐Ÿ•ณ๏ธ Tax Gap (USD, billions)

Budget was effectively flat/cut for a decade while the tax gap doubled to $700B. Audit rate collapsed from 1.1% to 0.25%. The IRA funding in 2022 is slowly reversing the damage.

๐Ÿฆ Federal Reserve System

Promote maximum employment, stable prices, and moderate long-term interest rates

F
20082020202220002024$6B0.058
Fed Operating Expenses + Interest on Reserves (USD)
๐Ÿ’ต Dollar Purchasing Power (1913 = $1.00)

The dollar has lost 97% of its purchasing power since the Fed was created. The economy grew faster without it (3.8% vs 2.7%). Canada had zero bank failures during the Great Depression without a central bank. The Fed's balance sheet went from $900B to $8.9T โ€” printing money that went to the top 1%.

๐Ÿ“ˆ Before vs After: Did the Agency Change the Trend?

The red dashed line shows when each agency was created. If the trend was already improving before the agency existed and didn't accelerate after โ€” the agency didn't help.

Department of Education

Did creating a federal Department of Education improve student achievement?

1980 โ€” Created197120201980
NAEP Reading Score (17-year-olds, scale 0-500)
Agency Created

NAEP reading scores for 17-year-olds were 285 in 1971 (before DoEd) and 287 in 2020 (40 years after DoEd) โ€” a statistically insignificant 2-point gain. Meanwhile, inflation-adjusted per-pupil spending increased 280% since 1960. SAT verbal scores dropped from 466 in 1967 to 424 in 1980 and never recovered to pre-DoEd levels. The US ranked 11th out of 12 countries in the 1964 international math test โ€” it has never been at the top.

FDA (Kefauver-Harris Efficacy Amendment)

Did requiring efficacy proof (in addition to safety) speed up or slow down drug access?

1962 โ€” Created195020251962
New Chemical Entities Approved Per Year (avg)
Agency Created

New drug introductions dropped from ~43/year (pre-1962) to ~16/year (post-1962). Drug development time went from ~7 months to over 10 years. Cost per new drug rose from $179M (1970s) to $2.6B (2010s) in constant dollars. An estimated 21,000-120,000 lives lost per decade from delayed access. Countries with faster approval (UK, France) had similar drug safety withdrawal rates (~3-4%), suggesting no safety benefit from the delay.

Drug Enforcement Administration

Did creating the DEA reduce drug use, drug deaths, or drug availability?

1973 โ€” Created196820231973
Drug Overdose Death Rate (per 100,000 population, age-adjusted)
Agency Created

Drug overdose deaths went from 2.5 per 100,000 in 1968 to 32.6 per 100,000 in 2022 โ€” a 13x increase. The rate was stable or slightly declining in the 1970s (when the DEA was new), then began an exponential increase that continues to this day. Over 1.1 million Americans died from drug overdoses between 1968 and 2020, with 85% of those deaths occurring after 1999. The DEA budget went from ~$75M in 1973 to $3.5B in 2024 โ€” a 47x increase โ€” while the problem got 13x worse.

Occupational Safety and Health Administration

Did OSHA change the already-declining trajectory of workplace fatalities?

1970 โ€” Created192619701970
Manufacturing Injury Rate (per million man-hours)
Agency Created

Workplace fatalities were ALREADY declining steeply before OSHA. Manufacturing injury rates dropped from 24.2 per million man-hours in 1926 to 15.2 in 1970 โ€” a 37% decline BEFORE OSHA existed. Workplace deaths went from ~14,000/year in 1970 to ~5,283/year in 2023, but the pre-OSHA trend (driven by mechanization, safety engineering, and liability law) was already achieving similar rates of decline. Coal mining injury rates fell from 89.9 in 1931 to 42.6 in 1970 โ€” a 53% reduction without OSHA.

Department of Defense / US Military

How has military spending evolved and what has it produced in terms of lives lost?

1947 โ€” Created189820201947
Defense Spending (% of GDP)
Agency Created

Defense spending consumed 1-2% of GDP from 1900-1916, spiked to 22% in WWI, 41% in WWII, 14.6% at the Korean War peak, and has been declining from ~10% (Cold War) to ~3.5% today. US wars have killed ~623,000+ US military personnel and millions of foreign combatants and civilians. The post-9/11 wars cost over $8 trillion and killed an estimated 900,000+ people (Brown University Costs of War Project).

Federal Reserve System

Has the Federal Reserve preserved the dollar's purchasing power as mandated?

1913 โ€” Created180020251913
Consumer Price Index (1967 = 100)
Agency Created

From 1774 to 1900 (126 years, no Fed), there was only 4.09% total inflation. From 1900 to 2025 (125 years, with Fed from 1913), there was 3,858% inflation. The dollar lost 97% of its purchasing power since the Fed was created. The CPI was essentially stable from 1800 to 1913 (fluctuating between CPI 25 and 51) but exploded from 29.7 in 1913 to 967.5 in 2025. The acceleration after 1971 (end of gold standard) was particularly dramatic: CPI 40.5 in 1971 to 967.5 in 2025 โ€” a 24x increase in 54 years.

HHS/CMS (Medicare & Medicaid)

Did Medicare/Medicaid improve life expectancy outcomes relative to spending growth?

1965 โ€” Created190020231965
US Life Expectancy at Birth (years)
Agency Created

Life expectancy was increasing FASTER before Medicare/Medicaid. From 1900-1965: gain of 23 years (47.3 to 70.2). From 1965-2024: gain of only ~7 years (70.2 to 77.6), and it actually DECLINED after 2014. Meanwhile, per-capita healthcare spending went from $146 (1960) to $15,474 (2024) โ€” a 106x increase. The US now spends more per capita than any other country and ranks ~40th in life expectancy. Singapore spends about a quarter of what the US spends and its citizens live 6 years longer.

Immigration & Customs Enforcement / CBP

Did creating DHS/ICE/CBP reduce unauthorized border crossings?

2003 โ€” Created198020232003
Southwest Border Apprehensions
Agency Created

Border apprehensions peaked at 1.6M in 2000 and were already declining before DHS existed. They dropped to 340K by 2011, then surged to 2.5M by 2023 โ€” despite the budget tripling.

Bureau of Prisons / Mass Incarceration

Did mass incarceration reduce crime?

1986 โ€” Created192520241986
US Incarceration Rate (per 100K)
Agency Created

US incarceration rate was flat at ~100 per 100K from 1925-1972. After mandatory minimums, it exploded to 531 per 100K โ€” the highest in the world. Violent crime dropped at the same rate in states that did NOT increase incarceration.

Environmental Protection Agency

Did EPA accelerate the improvement in air quality?

1970 โ€” Created196320241970
National Ambient Air Quality โ€” Days Exceeding Standards
Agency Created

Air quality was already improving from the Clean Air Act of 1963 and 1967 โ€” both passed 3-7 years BEFORE EPA existed. The trend continued at a similar pace after EPA was created. EPA's main contribution was enforcement capacity, not the original legislation.

Federal Bureau of Investigation

Did the FBI's counterterrorism pivot improve crime-solving or prevent terrorism?

2001 โ€” Created196520242001
Murder Clearance Rate (%)
Agency Created

Murder clearance rate was 93% in 1965. It has been declining for 60 years and accelerated after the 2001 CT pivot, reaching 52% by 2022. Nearly half of all murders in America go unsolved.

Department of Veterans Affairs

Did expanding the VA budget reduce veteran suicides?

2001 โ€” Created200120242001
Veteran Suicides Per Year
Agency Created

VA budget increased 622% ($45B to $325B) while veteran suicides remained flat at ~6,200-6,400 per year. In 2014, the VA wait-time scandal revealed veterans were dying while waiting for appointments โ€” and officials falsified records to hide it.

Transportation Security Administration

Were terrorist attacks on US soil declining before TSA was created?

2001 โ€” Created197020242001
Terrorist Attacks on US Soil (incidents)
Agency Created

Domestic terrorism incidents were already declining through the 1980s and 1990s. The major pre-TSA attacks (1993 WTC, 1995 OKC) were NOT prevented by the security that existed at the time. Post-TSA, GAO red teams got 67 of 70 test weapons through checkpoints (95% failure rate).

๐Ÿ—ณ๏ธ United States Politician Alignment

Every politician's votes scored against what citizens actually want via pairwise comparison. The gap between what they vote for and what you'd vote for, expressed as a single number.

See Politician Scores

๐ŸŽฏ Fix United States's Score

United States spends $886B/yr on military and $810M/yr testing which medicines work. The 1% Treaty redirects 1% of the first number to the second. The deposit funds the campaign to make it happen.

United States Government Scorecard | The Earth Optimization Game