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October 2010


Interactivity of Hospitals & Asylums website was dramatically expanded this month.  I now advertise those books which I rely upon for my articles.  I get 15% of any sales these links make for Amazon, and registered for pay per click from Google.  But it is doubtful that I will get more than a few pennies if anything.  Hopefully some of the nearly ten thousand hits the HA website gets a month will generate some revenue.  Yet the number of hits strangely increased from 1,000 a month to nearly 10,000 after I ceased the unsolicited delivery of my newsletter in 2008, so I have serious doubts if the Internet will ever be rational with me.  The website statistics are hard to believe.  What I really want is a more credible readership.  A readership that reads and understands what I have written.  In short, a readership that take a few minutes to write their opinion in the new unsecured Hospitals & Asylums blog at


American Popular Election: The United States has not had a Quorum for Democracy since 1900 HA-29-10-10


Just 26% of Americans say they are satisfied with the way the nation is being governed, the lowest in the history of the poll.  Fifty-eight percent of Americans believe a third major political party is needed because the Republican and Democratic Parties do a poor job of representing the American people.  The Democratic and Republican (DR) bipartisan system holds all public offices at all levels of government in a nearly totalitarian grip.  In 2005 ninety-nine of the one hundred U.S. senators were either republicans or Democrats, 434 of the 435 representatives in the House of Representatives are affiliated with one of the two major parties, all fifty of the state governors and more than 7,350 of the approximately 7,400 state legislators elected in partisan elections ran under major party labels.  The Democratic-Republican (DR) two party system evolved in six stages.  First, the Hamiltonian Federalist Party was defeated by the Democratic-Republican Party that ran virtually unopposed from 1800-1924.  Second, in 1824 the president became popularly elected but dissention within the Democratic-Republican Party led the Jacksonian Democrats and National Republican Party, later the Whigs to split the ticket.  Third the Republicans defeated the Southern Democrats in Civil War and militarily occupied them while blacks got the right to vote and as many as 2,000 were elected to public office, patronage kept voter turnout was high.  Fourth, by the turn of the century Jim Crow laws had suppressed the black vote and Republicans became decadent but held onto power until the Great Depression.  Fifth, the New Deal Democrats and their social welfare programs justified dramatic increase in taxation and government spending.  Sixth, the modern political system is known as the split ticket system because neither Democrat nor Republican seem to dominate and the President and Majority Party are more often than not from different parties.  To ensure the Democratic and Republican Parties are opposed voters are voting for legislators and Presidents from different parties, rather than remaining loyal to any one of the two major parties.  This game is however unequal to the challenge of redistributing wealth to the righteous.  The U.S. government is unpopular, the Democratic-Republican Party is deeply in debt to their aristocratic fantasies, the lack of a multi-party Democracy is glaring.  Public and private laws need to be made to redistribute not more than 25% of major party revenues and at least 50% of PACs to minor parties.   


Community Health Center Ethics Committee Viability Study HA-10-15-10


Proposed Advertisement: Community Health Center (CHC) social workers and Hospitals & Asylums have partnered to conduct an Ethics Committee Viability Study pursuant to E: 9.11 of the AMA Code of Medical Ethics that states, “Ethics committees in all health care institutions should be educational and advisory in nature. Generally, the function of the ethics committee should be to consider and assist in resolving unusual, complicated ethical problems involving issues that affect the care and treatment of patients within the health care institution. Recommendations of the ethics committee should impose no obligation for acceptance on the part of the institution, its governing board, medical staff, attending physician, or other persons. A wide variety of background training is preferable, including such fields as philosophy, religion, medicine, and law.  Ethics consultation services, like social services, should be financed by the institution.  Patients, employees and family are humbly invited to submit their ethics and human rights cases to (not operational)”.  CHC was initially founded in 1972 as the result of an extensive, grassroots, community-based effort, and exists today as a non-profit corporation, which enjoys IRS tax-exempt status.  The singular charitable mission of Community Health Center has remained relatively unchanged for over a quarter-century and that is to promote the health of low-income, working uninsured, and other vulnerable adults and children in Jackson County, Oregon. The services of CHC are made available pursuant to a generous sliding-fee-schedule, which is adjusted for household income and number of dependents.  Patients are permitted to make small monthly payments commensurate with their financial abilities.  The agency emphasizes a patient participation model, and offers a hand up but not a hand out.  No one is turned away because of their inability to pay.  In the 2009 Annual Report Board President Tilly Gibbs wrote that the 2009 Operating Budget was $5 million of which $4,065,019 was wages for 76 employees, an average salary of $53,487 a year.  9,135 unduplicated patients paid 35,452 visits.  95% of these patients were at 200% below the federal poverty line and 51% were uninsured, $1,836,675 was discounted.  Patients are 51 percent uninsured, 32% Medicaid, 12% Private Insurance and 5% Medicare.  Financial support comes 58.3% from patient fees ($2.915 million), 23.2% from federal grants ($1.16 million), 11.9% other grants ($595,000), 3.1% fundraising ($155,000), 1% Jackson County ($50,000), City of Medford 0.8% ($40,000), City of Ashland 0.7% ($35,000), United Way 0.6% ($30,000), other 0.2% ($10,000).


Rolling Back the Tobacco Tax of 2009 Act HA-10-10-10


Whereas small cigars and roll-your-own tobacco are preferred by the 31 percent of tobacco smokers who are poor; And the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA, Public Law 111–3) Title VII Revenue Provisions Section 701 Increase in Excise Tax Rate on Tobacco Products, imposed a 2,653 percent tax increase on small cigars and 2,159 percent tax increase on roll-your-own tobacco; And small cigarettes, large cigarettes, chewing tobacco, snuff, pipe tobacco, cigarette papers and cigarette tubes were subjected to a more reasonable 158 percent increase and large cigars a 155% increase and no floor tax. Therefore this cruel and unusual excise tax is excessive; And consumers of small cigars and roll-your-own are due the equal protection of the clause 26USC(F)(65)(B) §6423(c); To the full extent of their loss; Calculated by dividing the excessive tax hike on small cigars and hand-rolling tobacco by the 158 percent, multiplying by the two years the excessive rate was in effect and rounding to the nearest whole integer, wherefore; Small Cigars – Section 5701(a) of the Internal Revenue Code of 1986 as codified at 27CFR(I)(40)(C)§40.21 is amended by striking $50.33 and inserting $1.828 with a footnote that states, “refunded at this tax rate for excessive CHIPRA hike of 2009-2010 until April 1, 2045”.  Roll-Your-Own Tobacco- Section 5701(g) of the Internal Revenue Code of 1986 as codified at 27CFR(I)(40)(C)§40.25a is amended by striking $24.78 and inserting $1.0969 with a footnote that states, “refunded at this rate for excessive CHIPRA hike of 2009-2010 until April 1, 2038”.  And 100 percent of the proceeds of the Attorney Generals’ Master Tobacco Settlement shall be deposited in the Federal, State Children’s Health Insurance Program (S-CHIP) account. States, particularly those increasing rates 2009-2010, shall grant roll-your own and small cigar smokers refunds. Taxpayers shall not be eligible for the rolled back to the March 31, 2009 tax rate of 2008 for our traditionally cheapest rolling tobacco and small cigars, until they can prove they have reduced wholesale and retail prices to what they were before the tax increase, allowing for a 3 percent inflation rate and any new state excise tax increases incurred 2009-2010.  To express better understanding the Uniform Surgeon General Warning Labels shall read – Nicotine withdrawal is a mental illness.  Excessive smoking and addiction may irritate emphysema, cancer and heart disease and complicate pregnancy.  Accepting comments on the new Hospitals & Asylums blog.


Book 8 Drug Regulation (DR)


To amend Chapter 6 Gorgas Hospital §300-320.  The objective of this work on pharmacology and toxicology is to reduce demand for the 10 billion prescriptions and oppression that fuel the $1 trillion global drug market with $600 billion in pharmaceutical sales and $400 billion in illicit drug sales, $160 billion pharmaceutical and $65 billion illicit drug sales in the U.S. alone.  The name of the Drug Enforcement Administration (DEA) shall be changed to Drug Evaluation Agency (DEA), the Office of Diversion Control transferred to the Food and Drug Administration (FDA) and the rest abolished, particularly the international offices.  The name of the Substance Abuse Mental Health Services Administration (SAMHSA) shall be changed to Social Work Administration (SWA).  The Secretariat of the International Narcotics Control Board (INCB) shall be transferred to the World Health Organization (WHO) and Drugs removed from the U.N. Office of Crime.  Afghanistan shall be given 80% of the national and 75% of international opium quota until opium demand from the war economy has subsided.  A commission shall study the Psychotropic drug schedule to identify and remove from the circulation the pathogens that cause serious mental illness, reschedule Marijuana to Schedule III and terminate the automatically refilled military contracts under DEA Form 222, and repeal this loophole that hypothetically causes PTSD and Gulf War neurologic illnesses amongst soldiers, as well as suicide attackers.  The Controlled Substances Act, patent and Protection of Human Research subject statutes shall be amended to create a system whereby Regional Poison Control Centers shall assist the federal government to monitor the possession, transfer and use of all poisons and pathogens used in bio-medical research, to inspect those laboratories and receive reports from the public regarding the abuse of disease pathogens.  A rational classification system of Types of controlled substances shall enable Customs agents to control drugs and prohibit pathogens crossing the border.  As a matter of ethics doctors shall not be allowed to receive kickbacks from pharmaceutical companies and pharmaceutical companies shall not contribute to the Democrat and Republican (DR) parties instead diverting their political contributions to third party candidates.  Mandatory minimum sentencing shall be eliminated and sentenced reduced for illicit drug possession and trafficking.  Drug addiction treatment shall be safe, affordable and accessible.  MIRROR form….1085


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