Government Efficiency and Effectiveness: Opportunities to Address Pervasive Management Risks and Challenges while Reducing Federal Costs, GAO-17-631T: Published: May 17, 2017. Publicly Released: May 17, 2017: “The federal government is on a long-term, unsustainable fiscal path—it is spending more money than it is collecting. We’ve made hundreds of recommendations through our High Risk list and our work on duplicative, overlapping, and fragmented federal programs that could help the government save tens of billions of dollars. In this testimony, we discuss some of these recommendations, including reducing improper payments (particularly in the areas of Medicare, Medicaid, and the Earned Income Tax Credit), improving IT management and cybersecurity of federal IT systems, and better managing federal real property.”