Hospitals & Asylums
April 2016
By Anthony J. Sanders
I do not have the morale to calculate spending totals for both Health and
Human Services (HHS) and National Health Expenditures (NHE) and finish the 2015-2020
edition of the Public Health Department (PHD) this last day of April. I should have the federal health
spending limit of less than one trillion until NHE is less than 10% of GDP, fully
explained, before the middle of Armed Forces Month, to do Chuck HagenÕs
perpetual $500 billion military spending limit from FY 2013 equal opportunity
employment and educate, rather than replace, the Social Security Commissioner by
the summer solstice, before the Disability Insurance (DI) trust fund is completely
broken. I had to defend myself
against the emailed confession of the National Institute of Disability,
Independent Living and Research (NIDILR) in the Administration on Community
Living (ACL formerly the Agency on Aging) accused of having a bug in their
disability spending table, suggesting that they attempted to embezzle $1,000
from my debit card in two unauthorized transactions, wherefore I have to
equally suffer the end of the month loan with renters, until a new debit card
arrives. I have joined the Old Age,
Survivor, Disability Insurance (OASDI) and Medicare Actuaries in tardiness. I have reported on the 300% OASDI trust
fund ratio and just yesterday, the cruelest and most unusual 50% Medicare Part
B premium increase ever, respectively. For inflation in the social security
programs to be held harmless, it is necessary to account for 3% annual
Cost-of-living adjustment (COLA) in Social Security benefits and 2.5% inflation
in CMS and ACA premiums since January 1, 2016. A 2.5% health annuity will improve
administrative efficiency, to enable the USA to achieve an NHE less than 10% of
GDP by 2030. The Medicare Actuary should now be able
to complete his normal April FoolÕs day Annual Report
on the Medicare programs in May and is asked to also produce a new Annual
Report on Medicare, Medicaid, CHIP and the ACA, for the summer solstice issue and
250% increase in SSI.
Social Security
Amendments of January 1, 2016 HA-7-2-16
Retroactively Free DIRT
(Disability Insurance Reallocation Tax) and 3% COLA (Cost of Living Adjustment)
Act of January 1, 2016
To amend the DI tax rate
from 1.80% to 2.40% in 2016, 2.30% in 2017 and 2.20% in 2018; from 0.90% to
1.20% in 2016, 1.15% in 2017 and 1.10% in 2018 for employees and from 0.90% to
1.20% in 2016, 1.15% in 2017 and 1.10% in 2018 for employers under Sec.
201(b)(1)(S) of the Social Security Act 42USC(7)II¤401.
To amend the OASI tax rate
from 10.60% to 10.0% in 2016, 10.10% in 2017, and 10.20% in 2018; from 5.30% to
5.00% in 2016, to 5.05% in 2017, to 5.10% in 2018 for employees under
26USC(C)(21)(A)¤3101 (a) and from 5.30% to 5.00% in 2016, 5.05% in 2017, and
5.10% in 2018 for employers under 26USC(C)(21)(A)¤3111 (a) to avoid depletion
of the Disability Insurance (DI) Trust Fund in 2016 without increasing the
overall 12.4% OASDI or 15.3% OASDI and Hospital Insurance (HI) Federal
Insurance Contribution Act tax-rate under 26USC(A)(2)¤1401.
To legislate a 3% annual
COLA at Sec. 225(i) 42USC425(i)
retroactive to January 1, 2016 under Sec. 204(c) 42USC¤404(c) and a minimum
wage of 'not less than 3% annual growth, rounded to the nearest nickel, from
$7.50 an hour in 2016, to $7.75 in 2017, to $8.00 an hour in 2018 etc. under
29USC¤206(a)(1).
To legislate a 2.5% health
annuity and lead ACA and other private health insurance corporations to credit
customers with the difference between the new 2.5% health annuity rule of
January 1, 2016 and the 20% ACA premium increase and cruelest and most unusual
50% Medicare part B inflation in premium price, ever, it seems best to amend
the Amount of Premiums under Section 1839 of Title XVII of the Social
Security as codified at 42USC¤1395r liberally conserved to repeal the gross
income threshold, late enrollment premium increase, $1,000 rounding on
inflation, abuse of the rich by the health sector, or neglect of social
security beneficiaries earning less than 100% of the poverty line, and amended
as follows: Amount of Premiums Section 1839 of Title XVII of the Social
Security 42USC¤1395r(a)(1) The Secretary shall, determine
the monthly actuarial rate for enrollees age 65 and over equally with people
who would otherwise are eligible for Medicare Part B because they are Old Age
Survivor Disability Insurance (OASDI) beneficiaries. The premium is designed to
afford one-third of the total of the benefits and administrative costs
estimated to be payable per capita from the Federal Supplementary Medical
Insurance Trust Fund for services performed and related administrative costs
incurred in such calendar year with respect to such enrollees. (a) The
Secretary shall annually calculate the inflation adjustment of the monthly
premium of each individual enrolled by calculating 2.5% annual growth from the
premium price of $104.90 in 2015 rounded to the nearest 5 cents, $107.50
January 2016 to December 2016, before it goes up to $110.20 in January 2017 and
increased 2.5% every year thereafter (b) Upon the request of a State (or any
appropriate State or local governmental entity specified by the Secretary), the
Secretary may enter into an agreement with the State (or such entity) under
which the State (or such entity) agrees to pay on a quarterly or other periodic
basis to the Secretary (to be deposited in the Treasury to the credit of the
Federal Supplementary Medical Insurance Trust Fund) an amount equal to the
amount of the part B premium plus 2.5% inflation in premium price annually
rounded to the nearest 5 cents. (c) In estimating the benefits and
administrative costs for spells of illness which will be payable from the
Federal Supplementary Medical Insurance Trust Fund for (1)
reason under Section 1861(v)(1)(L)(viii)(v)(1)(L)(vii) or establishment of a
106 percent or median per visit limit under Section 1861(v)(1)(L)(i)(V) 42 U.S.C. 1395X or (2) Sec.1895 42 U.S.C. 1395Fff relating
to prospective payment for home health services; (3) the Medicare prescription
drug discount card and transitional assistance program under Section 1860D-31
42 U.S.C. 1395w-141. (d) Social security beneficiaries with gross income less
than 100% of the poverty line shall be insured and their treating physicians
shall be able to participate on an equal basis with other patients insured by
Medicare Part B Supplemental Medical Insurance and Part D Drug Insurance, even
if they do not voluntarily pay the premium, if their personal medical spending
exceeds the annual deductible, that is calculated not to exceed 2.5% annual
growth from 2015 (1) the SMI deductible of $147 in 2015, rounded to the nearest
five dollars - $150 in 2016, $155 in 2017, etc. and (2) in the Drug benefit
deductible of $320 in 2015, rounded to the nearest ten dollars - $330 in 2016,
$340 in 2016, etc. (3) in the Drug program the initial benefit limit and
catastrophic threshold, rounded to the nearest dollar, of $2,960 and $4,700 in
2015 respectively, $3,034 and $4,818 in 2016, etc.
To amend Annual Reports
Sec. 1161 of Title 11 of the Social Security Act 42USC(7)XI-B¤1320c-10
so that the Commissioner of Social Security will sign a combined Federal OASDI
Trust Fund and SSI Program Report and the Administrator of CMS would sign a
combined Annual Report on the Federal Medicare, Medicaid and Affordable Care
Act (ACA) due June 20th for perennial summer solstice issue
beginning in 2016.
To legislate a new ÔUnited
Nations Contribution: suggested donation of 1% to 2% of incomeÕ row on IRS form
1040.
Be it enacted in the House
and Senate, Assembled
Without Income Limit Law
(WILL)
To abolish the maximum
taxable limit on DI contributions on January 1, 2016 and OASI contributions
January 1, 2017 and repeal Adjustment of the contribution and benefit base
Section 230 of the Social Security Act 42USC(7)¤430.
To require the Social
Security Administration to pay for SSI Costs beginning January 1, 2017.
To share profits in excess
of social security program costs with the general fund of the U.S Treasury on a
negotiable sliding scale beginning year end 2016 DI 50/50 with the USPS, and
OASI in 2017 to eliminate the true federal budget deficit and maximize welfare
payments. Even without any new sources of revenues the true federal budget
deficit is estimated to be only -$71 billion in 2017 before disappearing and
making a surplus in future years, as opposed to the permanently wrong -$453
billion deficit estimate of the Office of Management and Budget (OMB).
Therefore there shall be a maximum allowable deficit (mad) of $100 billion. In
2020, if the United States balances the federal budget, the nation will be able
afford to guarantee everyone a poverty line income, without a balanced federal
budget the nation will only be able to afford to reduce poverty by half and
eliminate child poverty in schools. OASDI will save to pay for the peak in
costs of Baby Boomer generation in 2035 when the overall OASDI tax rate might
be raised from 12.4%.
Be it enacted in the House
and Senate Assembled
Maternity Leave Act
a.
Demonstration projects Section 305 of Title III of the Social Security Act
42USC¤505 will be repealed except for the relevant sentence in (a)(1) to expedite the reemployment of individuals who have established a
benefit year and are otherwise eligible to claim unemployment compensation
under the State law.
Maternity Leave Section 305
of the Social Security Act 42USC¤505
(a) To expedite the
reemployment of individuals who have established a benefit year to claim
unemployment compensation under the State law the Secretary of Labor shall
fulfill the 14 months of paid leave authorized for Maternity Leave by International
Labour Organization (ILO) Convention No. 183 (2000).
(1) The Family and Medical
Leave Act shall be repealed except in that workers's
positions who have served their benefit year, shall continue to be entitled to
up to twelve weeks of (unpaid) sick leave, 14 weeks of maternity leave and 24
weeks to care for an injured armed service-member.
(2) Employers shall provide
at least 3 weeks of paid leave annually to uphold the Holiday with Pay ILO
Convention No. 132 (1970).
(b) On production of a medical certificate,
stating the presumed date of childbirth, a woman shall be entitled to a period
of maternity leave of not less than 14 weeks. Cash benefits shall be provided
at a level which ensures that the woman can maintain herself and her child in proper
conditions of health and with a suitable standard of living.
(1)
Where a woman does not meet the conditions to qualify for cash benefits under
national laws and regulations or in any other manner consistent with national
practice, she shall be entitled to adequate benefits out of social assistance
funds, subject to the means test required for eligibility for such assistance,
from the Supplemental Security Income Program for the Aged, Blind and Disabled
under Sec. 1611 of Title XVI of the Social Security Act 42USC¤1382.
(2) Medical benefits shall be provided for the woman and her child.
Medical benefits shall include prenatal, childbirth and postnatal care, as well
as hospitalization care when necessary.
Be it enacted in the House
and Senate Assembled
Torture
18 U.S. Code ¤ 2340A(a) amended so 'outside the United States' is
removed so - Whoever commits or attempts to commit torture shall be fined under
this title or imprisoned not more than 20 years, or both, and if death results
to any person from conduct prohibited by this subsection, shall be punished by
death or imprisoned for any term of years or for life. Exclusive Remedies 18U.S.C¤2340B may be replaced with ÔThe
State shall ensure in its legal system that the victim of an act of torture
obtains redress and has an enforceable right to fair and adequate compensation,
including the means for as full rehabilitation as possible. In the event of the
death of the victim as a result of an act of torture, his dependents shall be
entitled to compensation under Art. 14 of the Convention
against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment
of 26 June 1987Õ. To repeal
the word 'enforcement' in
federal education statute, offending the Slavery Convention of 1926 in at least
two places yesterday (a) 'enforcement of Section 111' at 20USC¤112 needs to be
repealed like Prohibition under the 21st Amendment (1933) and, (b)
the words 'enforcement of' must be removed from the caption of Part 1200 so
that it states, Nondiscrimination on
the basis of Handicap in programs or activities conducted by the National
Council on Disability at the end of Education statute 34CFR¤1200.170,
and (c) General Definitions of the Office of Museum and Library Services at
20USC¤9101(1) replaced with (1) No stalking in the library 18USC¤2261A(2).
'Enforcement' also needs to be repealed from Child Support in Title IV-D of the
Social Security Act 42USC¤666 et seq. Passing these amendments the USA should
be qualified to ratify the Optional Protocol to the Convention on the Rights of
Persons with Disabilities (2006), the International Labor Organization
Conventions Holiday with Pay Convention No. 132 (1970) and Maternity Leave
Convention 183 (2000), will reduce poverty by half and eliminate child poverty
in schools or completely end poverty by 2020. Blessed are the poor (Matthew
5:3).