Hospitals & Asylums    





April 2008


April was devoted entirely to health.  The primary achievement was the drafting of a hundred page manuscript on National Health Insurance: Compromise to Immediately Achieve Universal Single Payer Social Insurance and Progressively Realize National Health Insurance, That is Free for All.  The United States continues to lag behind other industrialized nations in health outcomes and stands out as being the only nation that does not provide universal coverage.  Although the oldest person in the world lives on Medicare and Social Security in the United States the gap in life expectancy between the rich and poor has increased from one year in 1980 to five years in 2000.  In the end the class struggle brings down everyone so that poor Brits live longer than wealthy Americans.  Change is definitely needed in the health insurance system.  The American system of private voluntary health insurance has failed and the nation must adopt either a national, tax based, or social, employer mandate based, health insurance system.  Both of these systems are less expensive, guarantee universal coverage and produce better health outcomes, probably as the result of limiting financial interests in health, that is an advanced study in its own right and should not be complicated by choices in sub-optimal health insurance carriers about whom there is insufficient information.  Reform will not be easy, as the mental health study shows, the bureaucrats are entrenched, non-responsive, and take centuries to achieve their clearly written objective to be free of organized crime.  Although the chapters on National Cemeteries and the Public Health Department were not revised this year, the campaign to be buried under law and change the name of the Department of Health and Human Services continues.    


National Health Insurance HA-28-4-08


The United States is the only industrialized country in the world without a universal health insurance system.  Although the US spends more life expectancy is lower and infant mortality higher than in other developed nations.  Almost 20% of the non-elderly population lacks health insurance at any given time.  In 2007 15%, 45 million people, including 9 million children, were uninsured.  54%, 162 million were insured through their employers.  5%, 15 million were insured individually.  13%, 39 million were insured through Medicaid.  12%, 36 million were insured through Medicare.  1%, 3 million are insured through other public insurance.  80% of the uninsured were employed.  America’s Health Insurance Plans (AHIP) proposes that the federal government would provide subsidies for the purchase of private coverage to individuals and families with incomes under 400 percent of the FPL. Individuals with incomes under 300 percent of the FPL should receive proportionally greater assistance.  People at 100 percent of the FPL should be eligible for Medicaid.  The Physicians’ Working Group for Single Payer National Health Care System (PNHP) endorses the National Health Insurance Act H.R. 676 that offers to create a national single payer health care system, financed with tax dollars, that would be free for everyone.  NHI would cause the loss of as many as 2.5 million jobs in private insurance companies, clerical and administration staffing, as the result of the reduced administrative burden of single payer national insurance.  The finding of this report is that Congress should enact single payer universal health insurance by passing the HR 676 with a clause abstaining from prohibiting the sale of private insurance in section 104 until sometime in the future.  This compromise would immediately achieve Single Payer Universal Coverage and progressively realize National Health Insurance that is free for all.


National Health Care Debate HA-28-4-08


Cincinnati Children’s Hospital Medical Center and the Congressional Institute hosted a Congressional Debate on National Health Care on April 28, 2008 beginning at 2 pm in Sabin Auditorium.  The free show was sold out and an estimated 250 guests spilled over into a second auditorium where live footage was projected onto a screen.  The panel was divided by the moderator, Ms. Romero of National Public Radio, into two teams of four Democrats and four Republicans.  The party platforms became evident.  Democrats are committed to quality, affordable health insurance for everyone.  Republicans do not want government health care.  The people of the USA must have access to the best health care. Talks break down on the critical issue of single payer insurance that is a requirement for either a social or national insurance scheme to bring us out of the failed voluntary private health insurance market.  The Democrats must defend single payer health insurance as the method with which a comprehensive electronic record system will be implemented.  Republicans defeat themselves and will need to come over to the Democratic camp.  More Americans are not covered by their employer.  More Americans are not getting preventative care.  Bi-partisan support is essential to guarantee everyone access to quality affordable health care.  Republicans insist there are different opinions, although they do not have a qualified one.  Health care is one of the great problems of our time. 


The Street MAP HA-27-4-08


Mentalhealth Access Point (MAP) was founded in 1997 by a nurse named Diana McIntosh.  The purpose of MAP is to connect people who have just been released from jail or a psychiatric or are new to the community, to mental health services.  The objective, to be “the front door to mental health services” still needs to be achieved.  The intake of involuntary psychiatric patients continues to be performed primarily by Mobile Crisis and Psychiatric Emergency Services (PES) as enforced by special police officers.  Residents call Mobile Crisis and the alleged mentally ill are kidnapped.  Mobile Crisis and PES need their contracts with the Mental Health Board terminated and should be evicted from University Hospital so that they could have a normal psychiatric hospital.  Diana McIntosh is now the Vice President of Clinical Services for the Hamilton County Community Mental Health and Recovery Services Board.  From her new position she can also arrange for the Board to assume responsibility of the adjudication of people who are involuntarily hospitalized from the Probate Court liberating that institution from its centuries old human trafficking sentence to clear the way for them to change their name to the Justice of the Peace.  These two reforms are needed for MAP to be the “front door to mental health services” and for the mental health and legal systems to achieve the democratic ideal of “free will”.


CHAPTER 7 National Cemeteries (NC)


To Amend Chapter 7 National Cemeteries §271-296 and repeal Chapter 7a Private and Commercial Cemeteries §298, second draft.  Federal regulation of the funeral industry is currently limited to the National Cemeteries under the supervision of the Secretary of Veteran’s Affairs and a prohibition of unfair and deceptive advertising on the part of the funeral industry that must provide a general price list to consumers. The vast majority of regulation of the funeral and cemetery industry is done by state license boards under state statute.  The US and Canada are unique in that they embalm their dead.  This Chapter bridges the division between National and Private and Commercial Cemeteries in the federal law so that Americans can proudly acclaim from the Arlington Memorial Amphitheatre, “Americans are buried under the law”.  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 United States for 2004 was estimated at 2,398,343, representing a decrease of 49,945 from the 2003 total.  The preliminary estimate of life expectancy at birth for the total population in 2004 reached a record high of 77.9 years. The leading cause of death was heart disease, followed by cancer, medical malpractice, stroke, respiratory disease, accident and diabetes.  To process the 0.83% of the population that dies every year 0.05% of the population is employed in the death care industry.  There were 23,015 death care service establishments with 164,823 employees, generating revenues of $12.6 billion, with a payroll of $3.5 billion, not including the manufacturers of caskets and funeral supplies. Per death receipts for funeral services are estimated to total $4,166 for a burial and $1,080 for a cremation on an average.


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.


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