As the 2024 election approaches, the Biden Administration is focused on finalizing healthcare regulations, including rules aimed at protecting consumers and lowering Medicare drug costs. Key measures include requiring private health plans to cover contraceptives without cost-sharing and enhancing maternal health care conditions. Meanwhile, Texas will end annual safety inspections for non-commercial vehicles starting January 1, 2025, raising safety concerns among experts as older vehicles dominate the roads. In contrast, Elon Musk plans to advocate for significant deregulation if Trump is re-elected, criticizing federal agencies for overreach, and suggesting a dramatic reduction in governmental regulations. Concurrently, a GAO report emphasizes the lack of an inventory of federal spending programs, highlighting shortcomings in the Office of Management and Budget's oversight. This lack of accountability raises concerns about the long-term implications of both spending and regulatory practices in the U.S.