Hospitals & Asylums
Public Health Department (PHD)
To supplement Chapter 9 Hospitalization of Mentally Ill
Nationals Returned from Foreign Countries §321-329. Everyone must learn their
lesson to win herd immunity against COVID-19 and future pandemics under 21CFR§330.10 and 42USC§300u: Hydrocortisone, eucalyptus, lavender, peppermint or salt
helps water cure coronavirus allergic rhinitis. Eucalyptus or lavender also
cure the wet cough of influenza. Mentholyptus cough
drops are the front-line treatment for both influenza and coronavirus, with a
little nose washing. To end COVID-19 place eucalyptus, lavender or peppermint
soap in public restrooms with instruction to “wash face and nose”. Epsom salt
bath, saline or chlorine swim cures coronavirus and sterilizes methicillin
resistant Staphylococcus aureus (MRSA). Use Lysol cleanser. During a
pandemic both staff and patients must be treated, whereby intensive care units
(ICUs), waiting rooms, classrooms and public airspaces should be sterilized
with eucalyptus humidifiers (diffusers). Although vaccination may cure
coronavirus in two shots and reduce the risk of further severe infection and
death, like the placebo influenza vaccine, COVID-19 vaccination does not
alleviate the need to know how to treat the contagious "Pinocchio
nose" nor truly end the pandemic. Furthermore, it is necessary to treat
drug resistance propaganda. Hydrocortisone crème treats coronavirus,
carcinogenic aspergillosis and many inflammatory, asthmatic and allergic
conditions. Pneumovax 23 is recommended for adults over and under 65 to prevent
pneumococcal infection of heart, lung and brain damage, otherwise Ampicillin is
indicated for Azithromycin resistance. Co-occurring Streptococcus and Staphylococcus
cause toxic shock syndrome. Doxycycline treats bubonic plague, Lyme disease and
MRSA (not for use by pregnant women or children under 8). Clindamycin treats
MRSA in pregnant women and children under 8. Metronidazole treats antibiotic
resistant Clostridium difficile and Helicobacter pylori (not for
use in first trimester). Onions, garlic and Gingko giloba
improve insulin production. Stonebreaker (Chanca
Piedra) cures urinary and gallstones (not for pregnant women). There is a drug
abuse warning on pseudo-ephedrine and statin brain shrink under 42USC§242. Repeal Office of National Drug
Control Policy intoxication 21USC§1701 et seq. Repeal extraneous tobacco
definitions in 21USC§321(rr) para. 2-4. Repeal international mail theft (IMF) and counterfeit
justification in 21USC§381(u). Insert online pharmacy consumer before
pharmacist in 21USC§384(a)(1). Delete 'from Canada' in §384(b). Replace 'to
submit to the Secretary' with 'record' at §384(d)(1). Insert 'foreign' before
establishment and delete 'within Canada' in §384(f). Repeal paragraphs i to end §384(i-m). Repeal 'Medical records and
payments' from Fair Credit Reporting Act 15USC§1681a(x)(1). Re-authorize human services legislation, restore Title IV Part A
Sec. 401 – 417 of the Social Security Act 42USC§601-§617 to the 1995 condition
and order all money from Biden-Harris American Families Plan support AFDC
benefits.
Be it
enacted in the House and Senate assembled
1st Ed. 2 Aug. 2005, 2nd 7 April 2006, 3rd 7 April 2007, 4th 9 Aug. 2007, 5th 26 Sep. 2009, 6th 28 August 2011, 7th 4 June 2018, 8th 30 July 2018, 9th 19 June 2021
1. This work supplements Title 24 US
Code Chapter 9 §321- §329 Hospitalization of Mentally
Ill Nations Returned from Foreign Countries.
The U.S. spends more on health care as a share
of the economy, than any other nation — nearly twice as much as the average
OECD country. National Health
Expenditure (NHE) as a percent of gross domestic product (GDP) was estimated to
have increased from 5.6% in 1965, to 7.1% in 1970, to 8.9% in 1980, to 12.6% in
1990 to more than 16% in 2000 to as high as 17.8% in 2013 when the 17.3% of GDP
deflator of 2009-2013 was broken. A lot
of this is the result of self-interested, chronic overestimation, serving to
exaggerate just how extortionate the most extortionate health care system in
the world is, for the either the relief it provides or reduction in the
aftermath. In review, NHE is not, and never
reached 18% of GDP; in fact, NHE probably never exceeded much more than 15% of
GDP, went down to 14.9% and 14.7% after the termination of the individual
mandate before the COVID-19 pandemic relief for investigational new medicines
to suppress the fact that hydrocortisone, eucalyptus, lavender, peppermint or
salt helps water cure coronavirus. 15% of GDP is significantly higher than the
next highest spenders of 11% of GDP in France, Germany and Japan, the global
norm is about 9.9%. The trend in NHE for the past four decades has been
ostensible hyperinflation, mitigated by non-payment and bankruptcy, to pay for
fewer and fewer decidedly unpleasant health professionals and hospital beds,
and more unpleasant lawyers with meningitis and prison beds. Although many
people went to the hospitals to be ventilated and as of June 2021 600,000
Americans had died from COVID-19, the same number as died from the Spanish flu
of 1918, initial reports indicate the COVID-19 pandemic actually saw a
significant reduction in health care procedures. Infected persons were diverted from primary
care to testing centers, and thence to hospitals and intensive care units. Patients switched to telemedicine and
deferred conventional care due to a mutual risk of contracting coronavirus, for
which health care providers know “no treatment” [sic].
National Health Expenditures 2017-2024
(billions)
|
2017 |
2018 |
2019 |
2020 |
2021 |
2022 |
2023 |
2024 |
|
|
Private Health Insurance NAIC |
573 |
631 |
649 |
667 |
706 |
715 |
735 |
755 |
|
Federal Medicare, Medicaid, CHIP |
1,264 |
1,323 |
1,346 |
1,419 |
1,559 |
1,677 |
1,741 |
1,828 |
|
Medicaid State |
57 |
61 |
64 |
66 |
68 |
70 |
72 |
74 |
|
CHIP State and local |
3.9 |
4.0 |
4.1 |
4.2 |
4.3 |
4.5 |
4.6 |
47 |
|
Other health insurance programs |
99 |
101 |
104 |
106 |
109 |
113 |
116 |
119 |
|
All Health Insurance Payments |
1,997 |
2,120 |
2,167 |
2,262 |
2,446 |
2,580 |
2,669 |
2,823 |
|
Other third-party payers and programs |
244 |
250 |
257 |
263 |
274 |
282 |
290 |
299 |
|
Out-of-pocket payments |
375 |
384 |
394 |
404 |
416 |
429 |
442 |
455 |
|
Investment |
159 |
160 |
162 |
164 |
169 |
174 |
179 |
185 |
|
Public Health |
127 |
130 |
134 |
137 |
141 |
145 |
150 |
154 |
|
National Health Expenditure |
2,902 |
3,044 |
3,114 |
3,230 |
3,446 |
3,610 |
3,730 |
3,916 |
|
Gross Domestic Product |
19,317 |
20,369 |
21,224 |
21,000 |
22,030 |
23,500 |
24,563 |
25,537 |
|
NHE as % of GDP |
15 |
14.9 |
14.7 |
15.3 |
15.6 |
15.3 |
15.2 |
15.3 |
Source:
Health United States, 2014; HHS FY 22
2. The mission of the
U.S. Department of Health and Human Services (HHS) is to enhance and protect the
health and well-being of all Americans by providing for effective health and
human services and by fostering sound, sustained advances in the sciences
underlying medicine, public health, and social services. HHS receives a total
of $1.5 billion in federal outlays and manages an estimated $2.4 trillion
including state contributions and out-of-pocket copays and deductibles FY 22.
To heighten scrutiny of their accounting HHS needs to be divided into its three
components. One, a Department of Health, or Public Health Department (PHD) to
isolate its Public Health Service (PHS). Two, health insurance, including the
Affordable Care Act, managed by Centers for Medicare and Medicaid Services
(CMS) that would take over the claim to be the biggest spender of federal tax
dollars for comparison of the shrinking number of health professionals with
growing Social Security Administration (SSA) population. Three, a Human Service
Administration (HSA) and/or absorption of the biomedical experimentation
terminating Administration for Community Living (ACL) into the Aid to Families
with Dependent Children (AFDC) paying Administration for Children and Families
(ACF). According to this budget review of the agency budgets underlying the
novel HHS Budget by Operating Division table, the total HHS budget request for
federal outlays, after informed consent terminations, is $1,488 billion FY 22,
12% less than the $1,662 billion outlays and 10% less than the duplicitous
$1,638 billion FY 22 budget authority. This $1.5 billion request is a
hyper-inflationary 6% more than $1.4 billion FY 21, whereas the President's
$1.6 billion request is 7% more than FY 21.
This bid for loyalty from the all-weather American terrorists, in
Republican war and Democratic peace, is justified in HHS's FY 21 COVID-19
diagnosis. HHS now knows the COVID-19 diagnosis, they are, two years and
600,000 dead, late with the hydrocortisone, eucalyptus, lavender, peppermint or
salt help water cure coronavirus treatment needed to safely reopen schools,
without secretly executing any more vaccinated elder infecting, “snot nosed
children”. The old President's obstructively expensive American Jobs Plan and
Biden-Harris American Families Plan for an elderly majority in Congress, are
actually typically duplicitous schemes to abort lawful 3% annual raises for
minimum wage child care and home health care workers.
Health and Human Services, Outlays FY 17 - FY 24
(millions)
|
FY 17 |
FY 18 |
FY 19 |
FY 20 |
FY 21 |
FY 22 |
FY 23 |
FY 24 |
|
|
Health Department |
||||||||
|
Food and Drug Administration |
2,811 |
2,675 |
3,249 |
3,266 |
3,311 |
3,635 |
3,749 |
3,778 |
|
Health Resources Services Administration |
6,003 |
5,975 |
6,835 |
7,047 |
7,218 |
7,834 |
8,069 |
8,311 |
|
Indian Health Service |
5,039 |
5,011 |
5,804 |
6,047 |
6,236 |
8,471 |
8,724 |
8,985 |
|
Centers for Disease Control and Prevention |
6,368 |
5,732 |
6,543 |
6,916 |
7,040 |
7,458 |
7,809 |
7,991 |
|
National Institutes of Health |
33,188 |
33,020 |
38,557 |
40,073 |
41,282 |
43,815 |
45,224 |
46,584 |
|
Substance Abuse Mental Health Services Administration |
4,111 |
4,091 |
5,588 |
5,737 |
5,870 |
9,587 |
9,879 |
10,180 |
|
Department Management |
3,430 |
3,051 |
3,128 |
4,084 |
4,209 |
5,097 |
5,250 |
5,408 |
|
Public Health Service Outlays |
60,950 |
59,555 |
69,704 |
73,170 |
75,166 |
85,897 |
88,704 |
91,237 |
|
Health Insurance |
||||||||
|
Centers for Medicare & Medicaid Services Outlays |
1,030,278 |
1,068,391 |
1,096,915 |
1,150,737 |
1,247,595 |
1,315,774 |
1,376,052 |
1,445,354 |
|
Human Services |
||||||||
|
Administration for Children and Families |
54,852 |
56,510 |
61,877 |
60,777 |
61,704 |
83,184 |
85,925 |
88,456 |
|
Administration for Community Living |
1,896 |
1,931 |
2,130 |
2,687 |
2,834 |
2,987 |
3,160 |
3,324 |
|
Human Services, Subtotal Outlays |
56,748 |
58,441 |
64,007 |
63,464 |
64,538 |
86,171 |
89,085 |
91,780 |
|
Health and Human Services Total Outlays |
1,147,976 |
1,186,387 |
1,230,626 |
1,287,371 |
1,387,299 |
1,487,842 |
1,553,841 |
1,628,371 |
Source: HHS Budget-in-Brief FY 19 & FY 22 Program Level
P.L. are removed to eliminate confusion regarding inter-HHS transfers to the
national outlay total.
3. Human Services (HS)
is a component of the Department of Health and Human Services (HHS) comprised
of the Administration for Children and Families (ACF) and Administration for
Community Living (ACL). To
separate the two Departments the simplest thing to do would be to amend Chapter
43 of Title 42 Public Health and Welfare to Department of Health and all
references in the United States Code and Code of Federal Regulations to the
Secretary or Department of Health and Human Services to Secretary or Department
of Health respectively, except in those rare instances, where a law
specifically pertains to the Human Services Administration or its Secretary to
be codified in a new Chapter 162, whereas Joint Funding Simplification in
Chapter 52A was repealed, or new Title 55 of the United States Code. The exact
details would need to be worked out the Human Services Secretary, Congress and
President. Although Reorganization Plan No. 1 of 1953 is very simple, the
Department of Education Re-organization Act of 1980 and Social Security Independence and Program Improvements Act of 1994 are
quite elaborate. The total Human
Services administration budget request for FY 22 is $86.4 billion, a 34%
increase from $64.5 billion FY 21. The primary reason for this dramatic
increase is the $15.2 billion price tag on the Biden-Harris American Families
Plan, secondarily, there is a 10.2% across the board increase in discretionary
spending, mostly for refugee programs, especially unaccompanied minors, and
Head Start child care. The budget requests $83.2 billion for ACF a 35% increase
from $61.7 billion FY 21 and $3 billion FY 22 for ACL a 7% increase from $2.8
billion FY 21. Having already paid the nice people at Head Start and refugee
assistance a 10% discretionary spending increase the mandatory portion of the
Biden-Harris American Family Plan to provide child care, that is already 88%
subsidized, is sued with a support order requiring that any money be 100% used
to pay for the reinstatement of AFDC benefits pursuant to 18USC§228 and Art. 26
of the Convention on the Rights of the Child (1990).
Human Services Administration FY 19 – FY 24
|
Budget Authority |
FY 19 |
FY 20 |
FY 21 |
FY 22 |
FY 23 |
FY 24 |
|
Administration for Children and Families (ACF) |
||||||
|
Total Discretionary Budget Authority |
26,530 |
24,586 |
24,837 |
30,778 |
31,695 |
32,757 |
|
Total, Mandatory Budget Authority |
35,347 |
36,191 |
36,867 |
37,168 |
38,536 |
39,534 |
|
Total, Federal Outlays |
61,877 |
60,777 |
61,704 |
67,947 |
70,231 |
72,291 |
|
Total, Proposed Mandatory Authority |
0 |
0 |
0 |
15,237 |
15,694 |
16,165 |
|
Total ACF Budget Request |
61,877 |
60,777 |
61,704 |
83,184 |
85,925 |
88,456 |
|
Administration for Community Living (ACL) |
||||||
|
Total ACL Budget Request |
2,130 |
2,687 |
2,834 |
2,987 |
3,160 |
3,324 |
|
HSA Program Management and Inspector General of Civil Rights |
250 |
258 |
265 |
|||
|
Human Services Administration (HSA) |
||||||
|
Total HSA Budget Request |
64,007 |
63,464 |
64,538 |
86,431 |
86,183 |
88,721 |
Source: HHS Budget-in-brief FY 22
4. 10 million Aid for Families with
Dependent Children (AFDC) benefits were cut FY 96 – FY 00 by the Personal Responsibility and Work Opportunity
Reconciliation Act of 1996 that created the Temporary Assistance for Needy
Families (TANF) Program, and enrollment continues to go down.
Cutting spending for children and families constitutes failure to pay legal
support obligation under 18USC§228. As a result, child poverty in the United
States has risen from the normal poverty rate of the time of 15.8% in 1996 to
22%-33% of children growing poor, 45% below 150% of the poverty line, while 10%
of adults and 9% of elders are poor, today. After 2000 child welfare grew only
a little slower than normal. The fake TANF spending total, less than 25% are
still spent on actual benefits to needy families, remains the same and funding
for Child Support Enforcement and Family Support declines 5.5% FY 22. The
Biden-Harris American Family Plan must be sued for all their money with a
support order to refinance AFDC basic benefits.
US infant mortality remains high and the US is
the only country in which maternal mortality rates have risen. 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. Unemployment
compensation must be adjusted to insure families against the high cost of
hospital delivery and 6 months exclusive breastfeeding, with 6-month sabbatical
every ten years, for other contributors.
Due to chronic neglect to adjust the federal minimum wage it takes 68.1
hours at $7.25 to earn the $494 a week it takes to keep a family of four above
the poverty line. After 12 years, a 36%
increase in federal minimum wage to ‘$10 in 2021 and 3 percent more every year
thereafter while inflation continues to run between 2% and 3% as it has since
1980’ is needed to amend 29USC§206(a)(1)(D).
Parent(s) earning the federal minimum wage would then only need to work 49.4
hours a week to sustain a poverty line income for a family of four in 2021 and
due to the +/- 0.5% advantage over consumer prices inflation written into this
law, would only need to work an estimated 49.2 hours a week to earn a poverty
line income in 2022 and +/- 0.995 less every year thereafter.
TANF Monthly Average Number of Families 1988-2013
|
1988 |
1994 |
2001 |
2006 |
2013 |
|
|
Total Families |
3,748 |
5,046 |
2,202 |
1,957 |
1,749 |
|
Family with Adults/Not Employed |
3,137 |
3,799 |
993 |
826 |
781 |
|
Family with Adults/Employed |
244 |
379 |
421 |
259 |
302 |
|
Child-Only/SSI Parents |
60 |
171 |
172 |
177 |
156 |
|
Child-Only/Noncitizen Parent |
48 |
184 |
126 |
153 |
196 |
|
Child-Only/Caretaker Relative |
189 |
328 |
256 |
262 |
235 |
|
Child-Only/ Other |
72 |
185 |
235 |
281 |
7 |
Source: Falk, Gene. Temporary Assistance for Needy
Families (TANF): Size and Characteristics of the Cash Assistance Caseload.
Congressional Research Service. January 29, 2016
5. The total budget
request for federal outlays for public health is $85.9 billion FY 22, -8.8%
less than the Secretary's request of $93.5 billion FY 22, due to the
termination of CDC and NIH fluctuations, stabilized
with terminations of the programs that do not enjoy informed consent for the
purposes of the Nuremberg Code. $85.9 billion FY 22 is $10.7 billion, 14.2%
more than $75.2 billion the previous FY 21. The increase is 56% due to a $3.7
billion, 63% increase in SAMHSA spending, and much needed $2.3 billion increase
for IHS, a 37% increase from the previous year.
The NIH has not consented to the $6.5 billion
proposed Advanced Research Projects Agency for Health (ARPA-H) that must be
rejected like all the accounting frauds subjected to this sham legal
proceeding. The Public Health and Social Services Emergency Fund (PHSSEF)
that finances the Biomedical Advanced Research and Development Program (BARDA),
that marketed the COVID-19 vaccine, is fined up to an affordable $100 million
to provide hydrocortisone, eucalyptus, lavender or peppermint products to cure
both COVID-19 and influenza, especially with eucalyptus humidifiers in the
hospital waiting rooms and ICUs, with the Strategic National Stockpile under
15USC§1. CDC Injury Prevention and
Control and the Department of Justice must immediately terminate all financing
for Office of National Drug Control Policy grants to steal marijuana to push
methamphetamine due to the corruption of the health sector, since FY 19 with
“two bag meth” pseudo-ephedrine and TMJ causing psychiatric drug, the
pseudo-ephedrine, cures coronavirus and is indicated to clear the viral and
bacterial sinusitis, but shrinks the brain and causes insomnia and illiteracy
for a week from one exposure. The US
Supreme Court has been unpublished since June 20, 2019 and CDC pseudo-ephedrine
abuse is suspected of causing the dimwitted public and global health response
to the COVID-19 pandemic. There is a
drug abuse warning on pseudo-ephedrine and statin brain shrink under 42USC§242.
Repeal Office of National Drug
Control Policy intoxication 21USC§1701 et seq. Repeal extraneous tobacco
definitions in 21USC§321(rr) para. 2-4.
Public Health Service, Outlays and Program Level FY 17 - FY
24
(millions)
|
FY 17 |
FY 18 |
FY 19 |
FY 20 |
FY 21 |
FY 22 |
FY 23 |
FY 24 |
|
|
Health Department |
||||||||
|
Food and Drug Administration |
2,811 |
2,675 |
3,249 |
3,266 |
3,311 |
3,635 |
3,749 |
3,778 |
|
FDA P.L. |
4,754 |
5,143 |
5,727 |
5,941 |
6,050 |
6,528 |
6,694 |
6,879 |
|
Health Resources and Services Administration |
6,003 |
5,975 |
6,835 |
7,047 |
7,218 |
7,834 |
8,069 |
8,311 |
|
HRSA P.L. |
10,338 |
10,605 |
11,697 |
11,885 |
12,056 |
12,553 |
12,788 |
13,030 |
|
Indian Health Service |
5,039 |
5,011 |
5,804 |
6,047 |
6,236 |
8,471 |
8,724 |
8,985 |
|
IHS P.L. |
6,388 |
6,363 |
7,156 |
7,291 |
7,480 |
9,756 |
10,198 |
10,498 |
|
Centers for Disease Control and Prevention |
6,368 |
5,732 |
6,543 |
6,916 |
7,040 |
8,536 / 7,458 |
7,809 |
7,991 |
|
CDC P.L. |
12,099 |
11,415 |
12,094 |
12,892 |
13,968 |
15,412 / 14,334 |
14,655 |
15,043 |
|
National Institutes of Health |
33,188 |
33,020 |
38,557 |
40,073 |
41,282 |
50,315 / 43,815 |
45,224 |
46,584 |
|
NIH P.L. |
34,229 |
34,067 |
39,933 |
41,685 |
42,936 |
51,953 / 45,453 |
46,916 |
48,322 |
|
Substance Abuse Mental Health Services Administration |
4,111 |
4,091 |
5,588 |
5,737 |
5,870 |
9,587 |
9,879 |
10,180 |
|
SAMHSA P.L. |
4,258 |
4,237 |
5,735 |
5,884 |
6,017 |
9,734 |
10,027 |
10,328 |
|
Department Management |
3,430 |
3,051 |
3,128 |
4,084 |
4,209 |
5,097 |
5,250 |
5,408 |
|
Department Management, P.L. |
3,574 |
6,699 |
3,474 |
4,426 |
4,567 |
5,453 |
5,618 |
5,786 |
|
Public Health Service Federal Outlays |
60,950 |
59,555 |
69,704 |
73,170 |
75,166 |
93,475 / 85,897 |
88,704 |
91,237 |
|
PHS Program Level |
75,640 |
78,529 |
85,816 |
90,004 |
93,074 |
111,389 / 103,811 |
106,896 |
109,886 |
Source: HHS Budget-in-Brief FY 19 & FY 22
6. This review
estimates Centers for Medicare and Medicaid Services (CMS) outlays of $1,316
billion FY 22 with 3% growth from the previous year, the President $1,320
billion FY 22 overestimating 6% growth to over-emphasize his predecessors’ cuts
to program management and fail to blame him for 9% CMS “hydroxychloriquine”
inflation FY 20 – FY 21 rather than prescribe hydrocortisone, eucalyptus,
lavender, peppermint or salt helps water cure coronavirus. CMS requests funding for four
annually-appropriated accounts including Program Management (PM), discretionary
Health Care Fraud and Abuse Control (HCFAC), Grants to States for Medicaid, and
Payments to the Health Care Trust Funds. Children’s Health Insurance Program
(CHIP) spending is included in Grants to States. Federal outlays are supplemented with State
payments, mostly for Medicaid and CHIP, interest income, withdrawal from trust
funds, certain interagency transfers and substantial premium revenues, designed
to pay 25% of cost, for Supplemental Medical Insurance (SMI). Not including less than $100 billion
transfers from states for Medicaid and CHIP, Total Program Level (P.L.) for CMS
is estimated at $1,677 billion FY 22, $361 billion more than outlays. Concessions to the American Medical and
Hospital Associations in the legislation of Medicare premiums, for only social
security beneficiaries, primarily serves to cause hyperinflation. Medicare insured a total of 62.2 million
OASDI beneficiaries for a total cost of $711 billion and is predicting
super-hyperinflation FY 20 - FY 22.
Medicare estimates spending of $995.7 billion for 65.0 million
beneficiaries FY 22. In FY 2022 more than 77 million people will be insured by
Medicaid for only $467 billion. Although
Medicare premiums and treatment is much nicer than private health insurance, it
costs more than twice as much to treat 12 million fewer people, and is the
reason for most subversive propaganda regarding there being more elderly people
than children, although Medicaid pays half of nursing home dollars, Medicare’s
willingness to pay for medical hyperinflation, permit copays, deductibles and
unfair competition with even more expensive private insurance, is responsible
for most of the national health overspending.
Going forward with a Medicaid price for all strategy, CMS must study how
a dwindling number of health professionals and hospital beds cause medical
hyperinflation.
Centers for Medicare and Medicaid Services FY 17 – FY 24
(millions)
|
Accounts |
FY 17 |
FY 18 |
FY 19 |
FY 20 |
FY 21 |
FY 22 |
FY 23 |
FY 24 |
|
Program Management |
3,966 |
3,948 |
3,966 |
3,975 |
3,975 |
4,316 |
4,446 |
4,579 |
|
HCFAC - Discretionary |
725 |
725 |
765 |
786 |
813 |
837 |
862 |
888 |
|
Annual Appropriations for Grants to States for Medicaid |
262,004 |
284,798 |
276,236 |
284,244 |
313,904 |
323,321 |
333,021 |
343,011 |
|
Advanced Appropriation |
115,583 |
125,220 |
134,848 |
137,932 |
139,903 |
144,100 |
148,423 |
152,876 |
|
Total Annual Appropriations |
[377,587] |
[410,018] |
[411,084] |
[422,176] |
[453,807] |
[467,421] |
[481,444] |
[495,887] |
|
State Medicaid Spending |
[57,030] |
[61,475] |
[64,098] |
[66,021] |
[68,002] |
[70,042] |
[72,143] |
[74,308] |
|
Hospital Insurance Payroll Tax |
259,700 |
264,600 |
281,400 |
295,900 |
310,500 |
325,600 |
339,300 |
354,500 |
|
Other HI Income & Assets |
[37,800] |
[40,100] |
[43,200] |
[49,700] |
[58,000] |
[68,000] |
[77,700] |
[74,300] |
|
Supplemental Medical Insurance SMI Part B General |
309,600 |
316,700 |
331,800 |
356,200 |
394,400 |
426,100 |
455,600 |
490,100 |
|
Premiums, Interest, & Transfers Part B |
[112,800] |
[124,900] |
[113,518] |
[123,619] |
[154,600] |
[182,400] |
[179,900] |
[196,100] |
|
SMI Part D General |
78,700 |
72,400 |
67,900 |
71,700 |
84,100 |
91,500 |
94,400 |
99,400 |
|
SMI Part D Premiums, Transfers from States, Interest & Assets |
[26,500] |
[27,600] |
[28,500] |
[28,900] |
[30,300] |
[40,900] |
[35,400] |
[38,300] |
|
Total Outlays |
1,030,278 |
1,068,391 |
1,096,915 |
1,150,737 |
1,247,595 |
1,315,774 |
1,376,052 |
1,445,354 |
|
P.L. |
1,264,408 |
1,322,466 |
1,346,231 |
1,418,977 |
1,558,497 |
1,677,116 |
1,741,195 |
1,828,362 |
|
Refundable Premium Tax Credit and Cost Sharing Reductions |
45,629 |
39,909 |
59,178 |
47,600 |
40,400 |
60,897 |
n/a |
n/a |
Source: CMS Agency Justifications of Estimates for Appropriations Committees FY 19 & FY 21 pg. 88. Treasury FY 21
7. The Affordable Care Act (ACA)
decreased the number of uninsured non-elderly
Americans by 20 million from 17% in 2010 to 11% in 2019. However, since 2010 the underage death rate
significantly increased, from 245.5 per 100,000 in 2010 to a high of 261.5 per 100,000 in 2017.
In 2018, after the tax penalty was reduced to zero, the death rate declined to
255.8 per 100,000 and in 2019 to 255.3 per 100,000, and remains higher than it
was in 2010. The estimated reduction to 254.3 per 100,000 in 2020 is overruled
pending release of COVID-19 fatalities. The sky-high elderly death rate of 4,432 per 100,000 in 2018 continues to go down, as
it has since 1900. More national health
expenditures are not what the United States
needs. The problem in the ever meaner,
more extortionate, more torturous, and less popular health sector seems to be
that health insurance puts a bounty on so-called beneficiaries that requires a
disease for everyone, from the placebo prescribing physician to fairly skillful
surgeon, to withdraw from, and poisoning is the way for abused, abusive working
people, especially health and legal professionals and their lay-fans, unhappy
with the hyperinflationary premiums, and constant switching between and
associating with abusive health insurance plans and health providers, to think
they contribute to the economy by poisoning.
Short of abolishing the ACA, whereas, the elderly Biden Administration
has increased funding, to increase enrollment of working age people in the ACA,
it should help reduce the class warfare for CMS to pay for the ACA refundable
premium tax credit and cost sharing reductions, rather than the Treasury. Health insurance and professions need to
reduce national health expenditures (NHE) and improve national health,
happiness and honesty with curative “precision medicine”, not more lay-money.
US drug overdose deaths 1970-2020
|
Year |
Total Deaths |
Per 100,000 |
|
1970 |
7,101 |
3.5 |
|
1980 |
2,492 |
1.1 |
|
1990 |
4,506 |
1.8 |
|
2000 |
17,415 |
6.2 |
|
2005 |
29,813 |
10.1 |
|
2010 |
38,329 |
12.4 |
|
2015 |
52,404 |
16.3 |
|
2016 |
63,632 |
19.7 |
|
2017 |
70,237 |
21.6 |
|
2018 |
67,367 |
20.6 |
|
2019 |
71,130 |
21.5 |
|
2020 |
85,519 |
25.8 |
Source: CDC, HHS FY 22
8.
The term “drug
dependent person” is defined to mean a person who is in a state of psychic or
physical dependence, or both, arising from the use of that substance on a
continuous basis. Drug dependence is characterized by behavioral and other
responses which include a strong compulsion to take the substance on a
continuous basis in order to experience its psychic effects or to avoid the
discomfort caused by its absence under 42USC§201(q). An estimated 19.3 million
American adults had a substance use disorder in 2019, and approximately 841,000
people have died from a drug overdose between 2000 to 2019. After the CDC
reported an unprecedented reduction in the second half of 2018, preliminary
data suggest that overdose deaths accelerated during the pandemic from 71,130
in 2019 to 85,519 in 2020, a 20% increase. An estimated 21.2 million Americans
needed treatment for a serious substance abuse problem in 2018. Substance
misuse increases the likelihood of homelessness, loss of employment, loss of
family unity, failure to complete education, and suicide. Drug overdose deaths have risen the past two decades, and
are the leading cause of death from injury in the United States. From 2000 to
2018, it is estimated that nearly 754,000 people died from drug overdoses. Since 2001 opiate overdoses have increased
1,000%, first in prescription opiate drugs such as Oxycontin, by 2005 the
epidemic had spread to methadone treatment, driving 4% of controlled
prescription drugs (CPDs) consumers to heroin, that became contaminated by
2013. Nearly 80% of heroin users reported misusing prescription opioids prior
to heroin. Opiate overdoses in children have doubled since 2005. Where there
were around 1,000 prescription opiate overdose deaths annually before 2000, and
less than 10,000 heroin overdoses, there were an estimated 22,000 opiate
overdose deaths in 2016, 116
per day. Since 2016 synthetic opioids, specifically
fentanyl have become far and away the leading cause of
fatal drug overdose. In 2019 in order of frequency synthetic opioids accounted
for 11 deaths per 100,000 population, cocaine 5 per 100,000, psycho-stimulants
with abuse potential 5 per 100,000, heroin 5 per 100,000, and prescription
drugs 5 per 100,000. Naltrexone became clinically available in 1985 as a
new narcotic antagonist. Its actions resemble those of naloxone (Narcan), but
naltrexone is well is well absorbed orally and is long acting, necessitating
only a dose of 50 to 100 mg. Buprenorphine is also used in treating opiate
addiction, and has been approved for use in opiate addicted pregnant women.
Diagnosis and Treatment of Respiratory Infections
|
Infectious Agent |
Symptoms |
Treatment |
|
Common Cold |
||
|
Coronaviruses |
Upper respiratory tract infection (URI) lasting for a week, nasal congestion |
Hydrocortisone, eucalyptus, lavender, peppermint or salt help water. Mentholyptus cough drops. For SARS ventilate, levofloxacin (Levaquin), and corticosteroids Methylprednisolone IV and then oral Prednisone. Pfizer and Moderna COVID-19 vaccines cure in two shots, no lasting immunity from contagious allergic rhinitis. Clean with Lysol. |
|
Rhinoviruses |
URI, Swollen lymph nodes, upper respiratory tract infection, nasal infection, peak misery after two days, lasts a week |
Over-the-Counter: Diphenhydramine (Benylin, Benadryl), Chlorpheniramine (Telachlor, Chlo-Amine, Chlor-Trimeton, Aller-Chlor), Brompheniramine (Bromphen, Nasahist B, Dimetane Extentabs), Ipratropium intranasal (Atrovent) |
|
Echovirus |
URI, sore throat, skin rash, harpangia, croup, may inflame endocarditis, pneumonia, meningitis, prevalent in summer and fall in US |
None, clean. Immune Globulin Intravenous (IGIV) for serious infections |
|
Adenoviruses |
URI and lower respiratory tract infection (LRI), may also cause conjunctivitis, bladder infection, inflamed pharynx, diarrhea and rheumatism of the lower extremities for a week, prevalent in late winter, spring and summer |
None, clean. Vaccine re-authorized to Teva Pharm on contract with the U.S. Army. |
|
Flu Like Symptoms |
||
|
Influenza A & B |
Body or muscle aches, chills, cough, fever over 101° F, 38°C, headaches, and sore throat, incubates for two days, lasts two days, prevalent in winter. |
Mentholyptus cough drops. OTC Theraflu, Allegra (Sanofi-Aventis) and Children's Allegra (fexofenadine) and Allegra-D (fexofenadine and pseudoephedrine); Prescription Oseltamivir (Tamiflu) and Zanamivir (Relenza). Antibiotics for pneumonia. Vaccine ineffective. |
|
Parainflueza Types 1-4 |
LRI in children, URI in adults, prevalent in fall and winter |
No vaccine, clean. Treat secondary infections with Antibiotics |
|
Respiratory Syncytial Infection |
LRI and breathing passages. Most otherwise healthy people recover from RSV infection in 1 to 2 weeks |
Ribavirin (Virazole), asthmas inhalers ie. corticosteroids: flunisolide (Aerobid), beclomethasone (QVAR), (Flovent); triamcinolone, (Azmacort), Antibiotics for pneumonia or ear infection |
|
Bacterial Agent |
||
|
Whooping cough Bordetella pertussis |
Sporadic epidemic respiratory infection begins with runny nose that lasts a week, before the infection descends to the lungs for six weeks of mild rheumatism and coughing |
Antibiotics only cure if taken the first week before the infection descends into the lungs. Antibiotics taken later reduce contagiousness. Clean. |
|
Strep Group A Rheumatic Heart Disease: Streptococcus pyogenes, acquired from young adults |
Highly contagious URI, sore throat, lasting a week, rheumatic heart disease sets in after a week with a 25% chance of dying over 10 years, if untreated |
Cured quickly with antibiotics. Pneumovax |
|
Strep Group B Gout: Steptobacillus agalactiae acquired from nursing mothers |
LRI infection, persistent endocarditis, hyper uremia and severe prolonged rheumatism of the lower extremities |
Cured with a full course of antibiotics. |
|
Pneumonia: Streptococcus pneumoniae, Chlamydia pneumoniae and Staphylococcus aureus acquired from hospitals, Strep + Staph = toxic shock syndrome |
The term pneumonia is used to describe any severe respiratory infection, these strains are most highly contagious, also cause meningitis, ear and skin infection, endocarditis and mix and mutate with other resistant systemic bacterial and viral infections. |
Pneumovax. Penicillin, ceftriaxone, cefotaxime and cardiovascular exercise. The corticosteroid Prednisone is also used, but is immune-suppressant. Ventilation in hospitals saves lives. Antitoxin for Step/Staph toxic shock syndrome. Eat vegan. Drink safely. Clean. Avoid people for their sake. |
|
Fungal Agent |
||
|
Histoplasma capsulatum |
The Ohio and Mississippi River valleys are the most heavily contaminated regions in the United States, although distribution of the organism is worldwide. Infection results from the inhalation of spores from an environmental source and leads to several clinical states. |
A total dose of 500 to 1000 mg of amphotericin B is used to treat severe primary infections, and 2 to 2.5 gm is used to treat all symptomatic disseminated infection. Ketoconazole 400 to 800 mg/day are used for non-meningeal infection and 800 to 1200 mg/day for disseminated infections with meningitis. |
|
Aspergillus fumigatus, A. flavus, A. niger and others |
Allergic aspergillosis, invasive or disseminated infection or fungus ball (or mycetoma), allergic bronchopulmonary or invasive disease, releases carcinogenic aflotoxin. |
A total dose of 500 to 1000 mg of amphotericin B is used to treat severe primary infections. Oral sporanox (itraconazole) is reported to be effective. Hydrocortisone crème used topically on affected bonchopulmonary region-chest or nose, cures. |
Source: Hospitals & Asylums HA-24-4-11
9.
The COVID-19 pandemic occurred because the
placebo seasonal influenza vaccine is allowed to outsell childhood vaccines and
Pneumovax combined, especially in the United States and Great Britain. The
people (of China) need to know eucalyptus cures both the wet cough of influenza
and allergic rhinitis of coronavirus, but whenever there is an outbreak, the
news media and public health authorities, publish solicitations for vaccine
development, whereby testing laboratories are to send the live virus to vaccine
development laboratories, and this is both a news and laboratory leak, and the
live virus is maliciously spread back into the community causing a massive
pandemic, and the public, including health professions, are not informed of the
cure, only the most expensive and dangerous possible procedure they might
consent to ie. Hospital ventilation pneumonia risk
and experimental vaccine development. The Centers for Disease Control in
Atlanta develops flu vaccines for the United States to protect from whatever
viruses were in Asia six months earlier. But sometimes new viruses occur in the
U.S. without first showing up in Asia, and sometimes the viruses change [sic]
and pandemics occur. Systematic review of 51 studies found no evidence that the
flu vaccine is any more effective than a placebo in children. Studies published
in 2008 found that influenza vaccination was not associated with a reduced risk
of pneumonia in older people. In the winter flu season of 2012-2013 the flu
vaccine was only 8% effective. These studies do not indicate that there is any
benefit over natural human immunity from receiving a seasonal influenza
vaccine. It is necessary that the public is informed: Eucalyptus and lavender
essential oils are highly effective at curing influenza. Mentholyptus
cough drops are the frontline treatment for wet cough of influenza,
prescription Oseltamivir
(Tamiflu), Zanamivir (Relenza) and Amantadine (Symmetrel) are also effective.
Death Rate Per 100,000, by Age 1940-2020
|
Total |
Under 65 |
65 and Over |
|
|
1940 |
1,919.8 |
750.1 |
9,718.8 |
|
1950 |
1,561.9 |
570.2 |
8,173.7 |
|
1960 |
1,454.3 |
503.2 |
7,795.4 |
|
1970 |
1,340.0 |
485.7 |
8,036.3 |
|
1980 |
1,136.9 |
384.3 |
6,154.3 |
|
1990 |
1,021.3 |
333.6 |
5,606.3 |
|
2000 |
960.7 |
281.0 |
5,492.3 |
|
2010 |
820.8 |
248.5 |
4,636.1 |
|
2015 |
815,3 |
255.2 |
4,549.7 |
|
2016 |
808.7 |
260.8 |
4,495.1 |
|
2017 |
812.5 |
261.5 |
4,461.0 |
|
2018 |
800.5 |
255.8 |
4,431.9 |
|
2019 |
795.5 |
255.3 |
4,397.1 |
|
2020 |
828.7 |
317.6 |
4,531.0 |
Source: SSA.
Farida et al. Provisional Mortality Data — United States, 2020. Morbidity and
Mortality Weekly / April 9, 2021 / 70(14);519–522
10. From 2019 to
2020, the estimated age-adjusted death rate increased by 15.9%, from 715.2 to
828.7 deaths per 100,000 population. COVID-19 was reported as the underlying
cause of death or a contributing cause of death for an estimated 377,883
(11.3%) of those deaths (91.5 deaths per 100,000). The
United States is reported to have the highest
COVID-19 death rate in the world. 600,000 US fatalities out of 328 million,
nearly 16% of the 3.85 million global deaths, with only 4.25% of the global
population. Contrary to news reports, in India there have been only 345,000
deaths and in China only 4,636 died. Life expectancy in the US fell by a full
year in the first half of 2020, to 77.8 years, according to a report by the
Centers for Disease Control. The European Union reports 736,000 deaths out of
448 million, 19% of global COVID-19 deaths. Brazil counts 498,000 COVID-19
deaths. In 2020 coronavirus was the third leading cause of death overall, with
only heart disease and cancer claiming more US lives. At times, most notably
during the third wave of cases, it spiked higher than both heart disease and
cancer. The death toll in the US is more than 10 times higher than the number
of Americans who died from influenza and pneumonia the year before the
pandemic. The first wave in the spring began as most of the country went into
lockdown and was followed by a second albeit less severe wave in the period
from late summer to early autumn, before peaking in December and January
2020-2021. Vaccines have helped to cure many people with chronic coronavirus in
two doses, restrictions have been eased, germy masks are now optional, swimming
pools are open and curing people. However, the vaccine does not truly make
people immune from the contagious disease, and the pandemic rages on officially
untreated, with fewer malicious vaccine sales and more incentives to agree with
the killer's objective, and there is no reason that pandemic deaths won't spike
when the children go back to school, it becomes too cold to go swimming and the
American medical memory is again wiped clean to abet a new ordeal by the same
poison. Uncounted snot nosed children are all slated to return to school in the
fall, to be taught by vaccinated teachers. The vaccine has caused pericarditis
in teenagers and young adults and is certain to cause development defects in
small children. Children are susceptible to coronavirus, but are less prone to
severe illness and only 654 are reported to have died from COVID-19 as of
January 2021. To end the pandemic, for all ages, it is medically necessary that
schools be instructed in the use of eucalyptus, lavender and peppermint soaps
for children to wash their face and nose in the restroom and eucalyptus
humidifiers (diffusers) in classrooms.
Sanders, Tony J. Chapter 9: Public
Health Department. 9th Draft. Hospitals & Asylums. HA-19-6-21.
654 pgs. www.title24uscode.org/PHD.pdf