In #2, doing the DOGE way you cut by 30% but the efficiency is now lower than 70%. Government is now less effective, costs less, wastes more. Cuts in education, research and consumer protection will cost a lot long term.
For #3 there is like dozens of models from different countries around the world. The U.S. could start by looking into those.
I you ask the locals about the health care systems in those different countries - I am from one - they'll tell you that it has it's own set of serious problems.
A lot of the savings in those systems come from simply not providing certain costly treatments that are common in the US.
That's not to say the US system is the greatest etc, but many Americans have a really idealized view of the alternatives.
For #3 there is like dozens of models from different countries around the world. The U.S. could start by looking into those.