Hospitals & Asylums
By Anthony J. Sanders
Constitution
of Hospitals & Asylums Non
Governmental Economics (CHANGE)
To enact parliamentary democracy
a non-governmental political organization named Hospitals & Asylums (HA)
was drafted by Tony Sanders in 2000. In
its ninth draft on President’s Day the Constitution reached 100 articles in
length. The history of HA
dates to the Naval Hospital Act of
CHAPTER
1 Military Democracy (MD)
To
amend Chapter One Navy Hospitals, Naval Home, Army and other Naval Hospital,
and Hospital Relief for Seamen and Others §1-40
and change the name of the Department of Defense (D0D) to the Military
Department (MD), purchase rights to African Command and the Iraq Reconstruction
Fund from the Author, Set a Military Spending Limit of $400 billion and Elect a
Competent Secretary of Defense. The US
has the largest national military in the world.
Only European forces are larger and they are strongly allied with the
United States of America under the North Atlantic Treaty Organization. The US Military employs an estimated 2.8
million US soldiers and 600,000 civilian employees. In FY 2006 military
spending was cut to $470 from $510 billion and the deficit was only $250
billion, down from $350 billion. Under the Nuclear Non Proliferation
Treaty the US, who has an estimated 10,000 warheads, must reduce their arsenal
to no more than 1,700 to 2,200 nuclear warheads by
2012. Elimination of various Cold War
weapons systems can save $50 billion from maintenance. Redeployment from Iraq and Afghanistan can
save another $50 billion. To balance the
budget, provided all bailout funds are repaid or rescinded, military spending
must be limited to less than $400 billion.
Since its foundation the US military has suffered 1,128,075
casualties. Over 4,000
CHAPTER
2 Attorney General Ethics (AGE)
To
amend Chapter 2 Soldier’s and
Airmen’s Home §41-70
and pass a Justice of the Peace Amendment to the US Constitution. Sixth
draft. As the number of prisoners
exceeds 2.2 million and we struggle to keep the international trade deficit
less than $800 billion, it is a time to rededicate us to the ideals that
inspired our founders. As a judicial
philosophy Title 24 adheres to the term “Justice of the Peace” that could be
realized with name changes in two Courts - Probate Court and the International
Court of Justice. The Court of
International Trade of the United States (COITUS) also needs to change their
name to
CHAPTER 3: Health and Welfare (HaW)
To amend Chapter 3 National Home for Disabled Volunteer Soldiers §71-150 fifth draft. To pass a Balanced Budget Amendment to the US Constitution. To adequately staff the Social Security Administration (SSA) to eliminate the disability backlog and supervise health care. To add cardiovascular disease the Disability Quick List. To change the name of the Centers for Medicare Medicaid and SCHIP (CMS) to National Health Insurance (NHI) and transfer the confidential government health insurance program to SSA. Freeze or limit medical cost increases to less than 3%. Allow for patients to refuse to pay for unnecessary, overpriced, or harmful medical treatment. Evolve to a universal health insurance system and then to a national health service that is free for all. Establish a 1% social security payroll tax for international development. Ultimately we must eliminate the income cap on SSA contributions to create a welfare system that would completely eliminate poverty in the United States. One-in-six Americans receives a Social Security benefit. At the end of 2008, almost 51 million people were receiving benefits: 35 million retired workers and dependents of retired workers, 6 million survivors of deceased workers, and 9 million disabled workers and dependents of disabled workers. During the year, an estimated 162 million people had earnings covered by Social Security and paid payroll taxes. Total benefits paid in 2008 were $615 billion. Total income was $805 billion, and assets held in special issue U.S. Treasury securities grew to $2.4 trillion. Together Medicare and Medicaid served 87 million people at a combined cost of $602 billion. Health care reform is social security reform. Medicare and Medicaid operate under Social Security statute, it is logical that they would follow SSA to independence, but SSA must be adequately staffed to enforce their pension for civil torts.
CHAPTER
4 State Mental Institution Library Education (SMILE)
To amend Chapter 4 St. Elizabeth’s Hospital §161-230, transfer §321-329 from Chapter 9 Hospitalization of the Mentally Ill National Returned from Foreign Countries to §189-194 of this Chapter and change the name of the Substance Abuse Mental Health Service Administration (SAMHSA) to the Social Work Administration (SWA) to administrate a review tribunal of hospitalizations by licensed social workers. Globally mental illness and psychological disorders stemming from substance abuse are estimated to affect a combined total of 450 million people, 7.3% of the population. 55% of Americans suffered from mental illness at some time in their life and 1 in 5 Americans experience a diagnosable mental disorder in any given year. In 1997 30,535 people died from suicide in the U.S, it was the 11th leading cause of death in 2000. Mental illness is the second leading cause of disability, costing disability insurance an estimated $24 billion and medical insurance $65 billion annually, with mental organizations accounting for around $38 billion in expenditures. The de-institutionalization movement has been successful in reducing the psychiatric inpatient population by half from 515,572 in 1970 to 198,195 in 1998. During 1999 there were 1.7 million admissions to inpatient psychiatric treatment, 424,450 were involuntary commitments. The District of Columbia Mental Health System was successful in reducing the inpatient population of the hospital from 7,000 to 600. This precedence needs to be followed around the nation for the number of inpatient hospital beds to decline by 75% but for the overall number of beds in the mental health system to double in five years, due to the increase in the number of residential treatment beds. MIRROR form.
CHAPTER
5 International Development (ID)
CHAPTER
6 Halfway House (HH)
To amend Chapter 6 Freedmen’s Hospital §261-270, fourth draft. A record 7 million people - or one in every 32 American adults - were behind bars, on probation or on parole by the end of 2005. Of those, 2.2 million were in prison or jail, an increase of 2.7% over the previous year. The US prison population quintupled between 1980 and 2004. In 1980 the US was a model judiciary with 503,586 prisoners (220 per 100,000). In 2004 the prison population was 2,085,620 (707 per 100,000). The US prison population is 24% of the 9 million global prisoners. The US has the most and densest concentration of prisoners in the world with an average of 724 prisoners per 100,000 citizens. For the US to achieve the legal limit of 250 per 100,000 the total number of local jail, state and federal prison beds must be limited to less than 740,000. 1 million is good goal. Nearly 650,000 people are released from prison to communities each year. There are over 3,200 jails throughout the United States, the vast majority of which are operated by county governments. Each year, these jails will release in excess of 10,000,000, 3.3% of the population, back into the community. Nearly two thirds of released State prisoners are expected to be rearrested for a felony or serious misdemeanor within three years after release. Racial disparities among prisoners persist in the 25-29 age group, 8.1% of black men - about one in 13 – were behind bars, compared with 2.6% of Hispanic men and 1.1% of white men. Under Section 6 of the Justice of the Peace Amendment to the US Constitution, States shall probate and parole criminal offenders to community correctional housing and equal employment opportunity programs to substantially and sustain ably reduce the prison population to meet international minimum standards of detention. A Human Rights amendment and a 10 Year Community Based Corrections Equality Plan amendment to Civil Rights statute will help achieve the legal limit.
CHAPTER
7 National Cemeteries (NC)
To
amend Chapter 7 National Cemeteries §271-296
and repeal Chapter 7a Private and Commercial Cemeteries §298,
free wills and
trusts from obligatory registration with the Court, set forth requirements for
the Probate Courts to change their name to the Justice of the Peace and improve
death and estate statistics, third draft. It can be estimated that 56,597,030 people
died around the world in 2004 an average of 863 deaths per 100,000, 0.86% of
the population. The preliminary number of deaths in
the
CHAPTER
8 Drug Administration (DA)
To amend Chapter 8 Gorgas Hospital §300-320 and transfer the DEA to the DHHS. It can be estimated that the global market for drugs is roughly $1 trillion with $600 billion in global pharmaceutical drug sales and $400 billion in illicit drug sales. Global per capita expenditure for both pharmaceutical and illicit drugs of $150. In the US pharmaceutical consumption is estimated at $160 and another $65 billion of illicit drug consumption. Per capita expenditure on drugs can be estimated at $750. An estimated 10 billion prescriptions are filled every year globally; 3.6 billion in the United States, nearly everyone consumes some sort of illicit, over the counter drugs, or prescription drugs. There are an estimated 180 million consumers of illicit drugs. Prohibition of narcotic drugs has oppressed the drug market for 75 years, drug arrests are down and it is time to free 500,000 US detainees to the substance abuse treatment community and permit the limited sale of cannabis by licensed cultivators and distributors. Patented drugs have led to a 25 year increase of life expectancy in developed countries and there is great hope that developing countries will also have access to life saving treatment without regard for their ability to pay. Greater than 5% of prescriptions result in adverse drug reactions of which 100,000 are fatal in the USA. To heighten phamacovigilance of drug administration the legitimate medical purpose must be pursued to protect consumers from the dangers of both regulated and unregulated drugs. To realize higher academic achievement in the regulation of drugs, the legitimate pursuit of medicine and science, the INCB and DEA must be adopted by their health agency respectively, the WHO and DHHS. A public health understanding of all the aspects of the drug trade, drug use, addiction, withdrawal and mental illness will make the people healthier, wealthier and wiser in their pursuit of happiness. MIRROR form.
CHAPTER
9 Public Health Department (PHD)
To amend Chapter 9 Hospitalization of Mentally Ill Nationals Returned From Foreign Countries §321- §329 and change the name of DHHS to the Public Health Department (PHD). Health statistics need to be provided on the Internet by all facilities and health districts. US health care costs are growing rapidly at around 7-10% annually and nearly 47 million Americans, more than 15 percent of the population, are uninsured, up 6.8 million since 2000. The current debate regarding the cost of health care and health insurance hinges upon the figure of 3% - to earn the 3% payroll tax rate Medicare must limit the inflation of public and private health care costs to 3%. The US has an average life expectancy of 77.85 years, 40th amongst 222 nations, and 14th amongst nations with populations over a million, 2,416,425 people died in the US in 2001, 8.48 per 1,000. Between 1993 and 2003 emergency department visits rose from 90,300,000 to 113,900,000 . It is confirmed that in 2004 there were an estimated 250,000 – 1 million deaths from medical malpractice. People with serious mental illness die at age 51, on average, compared with 76 for Americans overall, in the early '90s major mental disorders cut life spans by 10 to 15 years. Health spending per capita in the US is the highest in developed countries - 24% higher than in the next highest spending country in 2003, and over 90% higher than in many other countries that would be considered global economic competitors. There are an estimated 6.6 billion people in the world with an average life expectancy of 67.86 years. The world population showed a 1.15% average growth rate with a birth rate of 30.53 and 13.32 deaths per 1,000. The Americas, with 10% of the global burden of disease, have 37% of the world’s health workers spent more than 50% of the world’s health financing. Africa has 24% of the burden but only 3% of health workers, commanding less than 1% of world health expenditure.
CHAPTER
10 Armed Forces Retirement Home (AFRH)
To
incorporate the contents of Chapter 1 Navy Hospitals, Army and Navy Hospital,
and Hospital Relief for Seamen and Others §1-40
in Chapter 10 Armed Forces Retirement Home §400-435.
Sections 400 and 435 are original. The Armed Forces Retirement Home (AFRH) houses an estimated 1,600 veterans at the U.S. Soldiers' and Airmen's Home
(USSAH) in Washington, D.C and the U.S. Naval Home (USNH) in Gulfport,
Mississippi, that has been closed due to damages caused by Hurricane Katrina. The Naval Home was established in the
Naval Hospital Act of
Title 24 CFR Housing and Urban Development
Urban and community
planning. At the end
of 2006 there were $13.3 trillion in US mortgage loans. The number of home sales is expected to dip from 6.48
million in 2006 to 6.29 million in 2007, a drop of 2.7 percent, after of high
of 7.2 million in 2005. The number of foreclosure filings
rose from about 885,000 in 2005 to 1,259,118 in 2006, up 42 percent, one
foreclosure filing for every 92 U.S. households. An estimate 15.6%
of all sub-prime loans originated since 1998 either have ended or will end in
foreclosure and the loss of homeownership.
The median home price fell to $217,000, a drop of 0.3 percent
from a year ago. To stimulate the
economy the federal government will need to invest in residential real
estate. It can be
estimated that 3,000-5,000 emergency homeless shelters with 20 to 50 beds are
needed to make up for the loss of 115,000 beds between 1996 and 2005. To make progress towards the goal of
closing all state mental institutions and private psychiatric hospitals it is
recommended to push for around 500-1,000 new community mental health shelters
annually for 10 years to absorb the homeless inpatient population. There are
2.5 million admission to residential drug treatment annually it seems
reasonable to try to double the number of drug treatment facilities at a rate
of 1,000 facilities a year for 10 years.
The majority of the burden is on community corrections to purchase no
less than 25,000 houses a year towards
a ten year goal of 2.5 million beds, and 24 hour staff to resident ratio of 3-8
per prisoner, 500,000 employees. Tenant
landlord relations must be legislated to ensure that third party interference
is reported to clients.
Book
Proposal HA-24-8-07
The HA website receives around 1,000 visits a
month. The monthly report is sent to
about 100 subscribers and the quarterly is sent to around 10,000. I
would estimate that 25 people have read the HA manuscript in its entirety and
100,000 people have ever heard of the HA non-governmental organization and
maybe a million have read the statute under which 10,000 patients lead 50
million veterans and mentally ill Americans by example. The HA acronym goes much farther - the new
draft insures all 6.6 billion people on the planet and 300 million Americans,
in ten fields of study. I update
statistics and report breakthroughs on an annual schedule. I am also available to answer questions by
email and to publish submissions on the Internet. All that is needed is a seasoned publicist to
spread the word and we could all live in a more peaceful and prosperous
world. HA has
the unique potential to be the bestselling political philosophy and law of the
new millennium. The people have a
right to know about HA. The people have
a right to know who has been leading the nation while its leaders took a
holiday in
Hospitals & Asylums was discovered in
2000
Hospitals &
Asylums Manuscript © Christmas
Thank you for your
patience, Tony Sanders, title24uscode@aol.com
.