Hospitals & Asylums
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 http://hospitalsasylums.blogspot.com
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 ethics@communityhealthcenter.org
(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
Send Comments to Tony Sanders sanderstony@live.com