Hospitals & Asylums
December 2016
By Anthony J. Sanders
Social
Security Amendments of January
1, 2017 HA-1-1-17
To make insulin dependent diabetes
mellitus (iddm) and orphan qualifying disabilities
for SSDI or $777 mo. SSI (2018).
To legislate a 2.4% DI tax rate to pay
for a 6% COLA for calendar year 2017 and 2.2% DI tax rate and 3% COLA every
year thereafter.
To amend
the DI tax rate from 1.80% in 2015, to 2.37% in 2016, to 2.40% in 2017, to
2.20% in 2018 to when all the Baby Boomer shall have retired. To increase the
0.9% DI tax in 2015 to 1.2% DI tax for employees and employers in 2017 and 1.1%
in 2018 under Sec. 201(b)(1)(S) of the Social Security Act 42USC(7)II¤401.
To amend the OASI tax rate
from 10.60% in 2015, to 10.03% in 2016, to 10.00% in 2017 and 10.20% in 2018
and thereafter to prevent the DI fund from being depleted and OASI Trust Fund
from premature deficit. To increase the 5.30% OASI tax in 2015 to 5.00% in
2017, to 5.10% in 2018, for employees and employers without increasing the
overall 12.4% OASDI under 26USC¤3101 and 26USC(C)(21)(A)¤3111 (as hacked in
2016) or 15.3% OASDI and Hospital Insurance (HI) Federal Insurance Contribution
Act tax-rate under 26USC(A)(2)¤1401.
To pay a 3% Cost-of-living adjustment
(COLA) 2017 and 3% COLA every year thereafter to protect benefit determination
from attrition by average estimated inflation of 2.6% in the Consumer Price
Index (CPI) under Sec. 215(i) of the Social Security
Act 42USC¤415(i).
Be it enacted in the House
and Senate assembled
White House Office of Management and Budget HA-21-12-16
It's the shortest day of
the year. The President elect is requested to submit these budget contents
reporting a $50 to $110 billion FY 2018 surplus depending on whether or not the
rich are taxed to end poverty by 2020 or the corporate income tax rate
reduction theory flops, in the first week of January to first week of February
to Congress under 31USC¤1105. The President is asked to begin his new administration with good
morale by announcing the change of name of (1) the Department of Health and
Human Services (DHHS) to Public Health Department (PHD) with a budget
permanently less than $1 trillion annually due to adoption of the true 2.5%
health annuity since 2014 and (2) the Department of Homeland Security (DHS) to
Customs to set Title 22 Foreign Relations (FR-ee) in
the 2017 State of the Union Address under Art. 2 Sec. 3 of
the US Constitution. These two departments are to report the costs
associated with their legal name changes in agency FY 2018 congressional budget
requests by the July 16, 2017 deadline for the new fiscal year October 1, 2017
under 31USC¤1106. This work ensures that the budget proposals of lame-duck
agencies are consistent with system-wide priorities for maintaining and
improving the quality of Federal statistics maintained by WHOMB under the Paperwork
Reduction Act as codified at 44USC¤3504(e)(2). The Executive Office of the President
and Agriculture outlays shall be updated and consolidated with the Social
Security report by January 1, 2017 to provide WHOMB and agency accountants
adequate time to accurately balance the federal budget FY 2017 and begin
turning a surplus FY 2018.
Children HA-8-12-16
United States population estimates
are disputed between the Census and Social Security Administration regarding a
total US population between 324 million and 330 million, respectively, a
difference of 2 percent, in 2015 and 2016. The under age 18 population is
estimated between 73.7 million by the American Children Brief
, 74.1 million by the US Census and 77.8 million by SSA. 74.9 million Baby Boomers were born
1946-64. 77 million children is the
number. The Census has clearly
erred with the 22.9% under age 18 revision in 2015 that
destroyed the population pyramid and
must return to 24% under age 18 used in the 2010 Census. Net
population-growth is bolstered by 1 million annual net migrants. The
United States has the highest birth rate (12.5 per 1,000 population), infant
mortality rate (6.1 infant deaths per 1,000 live births and 8 under age 5
deaths per 1,000 ) and maternal mortality rate (32
deaths per 100,000) of any industrialized nation. Since the 1989 the annual estimate of
about 4 million births is less than 4 million during Democratic administrations
and more than 4 million during Republican administrations under the Convention
on the Reduction of Statelessness (1961). More boy than girl babies have been issued social security cards
every year since 1940. In 2015 51.2% of babies were boys and 48.8% were girls.
However 50.9% of the 2010 census population are female
and 49.1% are male. 25% of
the world population attend school. 70-100 million
people attend school in the United States. At $11,100 per pupil US education spending
is the second highest in the world.
In 1996 before 10 million Aid for Families with Dependent Children
(AFDC)/Temporary Assistance for Needy Families (TANF) benefits were cut
1996-2000, 15% of children were poor, about average for any American. Estimates on the number of poor children growing up in the
United States have risen from 16 million to as high as 24 million, 20.8% and
31.2% of the 77 million Social Security Area child population
respectively. Child
poverty in the
United States is the highest of any industrialized country. 22 - 33 percent of all children
– live in families with incomes below the federal poverty level –
$23,550 a year for a family of four.
To end
child poverty it is necessary to tax the rich the 12.4% OASDI tax on all their
income, SSA would pay $777 child SSI benefits to 16-24 million poor children in
the first year (2017?) and end poverty with 50 million SSI benefits by
2020. To keep ahead of consumer
price inflation Federal minimum wage needs to be amended to $7.50 in 2017,
to $7.75 in 2018 and 8.00 in 2019 and 3% every year thereafter.' in one final
sentence at 29USC¤206(a)(1)(D).
FDA Category A drugs that pose no fetal risks in human
studies are penicillin, Ampicillin (Principen), cephalosporins, aminoglycosides, clindamycin (Cleocin Oral, Cleocin T), nitrofurantoin (Furadantin, Macrobid, macrodantin, and
acyclovir (Zovirax). Amantadine (Symmetrel)
for the flu and antipsychotic tic should probably be added to the short list of
safe drugs for pregnant women and children. Ethosuximide
seems to the safest anticonvulsant drug for pregnant women with epilepsy.
Statins are okay for atherosclerosis but heart disease and hypertension are
major causes of maternal mortality and pregnant women might be safely treated
with Hawthorn the supreme herb for the heart, but it is contraindicated with
most high blood pressure medicine. Hydralazine (Apreoline)
is often the initial antihypertensive medication of choice, given in 5 mg
increments intravenously until an acceptable blood pressure response is
obtained. Other antihypertensive
drugs used in emergencies are Nifedipine 10 mg po q 4-8 hr. Calculating the correct pediatric
dosage of medicine is a ratio of the child's
weight to average adult weight of 70 kg or 150 lb. Clark's rule is that the
child's dose = adult dose x child's weight in kg / average adult weight 70
kg. Clindamycin (Cleocin) 350 mg pills for the treatment of Staphylococcus
aureus in pregnant women and children under the
age of 8 who cannot take doxycycline. The pediatric dose for Cleocin is estimated in the monograph to be in the 8-16 mg
/ kg/ d range. So a 20 kg child would want 160 mg to 320 mg of medicine daily
in three or four divided doses of 40 mg to 100 mg. In that same time period an
adult would want 1.2 g to 1.8 g in three or four doses of the 350 mg pill. For
a 20 kg child the pill could be cut into quarters, and given three or four of
the quarters daily, for 5 days. Antibiotic resistant Clostridium
difficile can be treated in children with
metronidazole (Flagyl ER) 200 mg or 400 mg tablets,
but pregnant women cannot take metronidazole because it causes neural tube
defects in the first trimester. Stonebreaker (Chanca
piedra) treat gall and
urinary stones overnight but cannot be used in pregnant women because it might
be abortificent. Ampicillin (Principen)
250 g or 500 mg is the preferred drug for the treatment of pneumonia and
meningitis in children under the age of 6 months. In the case of penicillin
allergy or price Azithromycin (Zithromycin), the
world's best selling broad-spectrum antibiotic, is safe for pregnant women and
children over the age of 6 months for the treatment of Streptococcus spp.
The rest of the disease modifying anti-rheumatic drugs (DMARDs) every family
should have to cure painful infections include Amantadine (Symmetrel)
100 mg for influenza Type A, 1% clotrimazole
(athlete's foot cr¸me) for infections of the foot and shin and 1%
hydrocortisone for allergies, rashes and aspergillosis.