Hospitals & Asylums
Spring Equinox 2017
Vol. 17 No. 1
By Anthony J. Sanders
Brief on the Budget
Declaration of the United States of America to the Secretary-General of the
United Nations HA-18-3-17
Life is a picnic. In the
United States Anthony has been the most popular name for baby boys reported by
the Social Security Administration (SSA) for years. Senator Bernie Sanders may
have sold his soul to the Democrats; but it is not too late for representative
democracy to benefit the people with the passage of
Title 7 IRS Form 1040 Section 15 Voluntary 1-2% of Income United Nations
Contribution of the Social Security Amendments of
January 1, 2017. This is the final brief you, Antnio,
shall receive from me, Anthony, without reciprocity under Art. 36 (2)(4) of the
Statute of the Court regarding this Declaration of Non-Self Governing
Territories under Chapter XI of the UN Charter. The United States President has
not submitted his budget contents to Congress by the first week of February
under 31USC1105. The new Republican White House Office of Management and
Budget (OMB) director may be impeached for impeaching the Historical Tables,
specifically required to be downloadable for picnicking, comparison and
reconciliation by Title X State of the Union Section 24 To White House Office
of Management and Budget (WHOMB) of the Social Security Amendments of January
1, 2017 above. Until late
fall of 2017, for the winter burn season until it ends in spring of 2018, the
Secretary shall not prescribe any burns on Forest Service land under
16USC551c-1(a). 1,000 wildfires in California in the summer of 2016
negligently fails to maintain control of the heat of prescribed fires on
Non-National Forest system lands that invariably damage the National Forest
System under 261.5(g). Specifically, no permits causing timber, trees, slash,
brush or grass to burn shall be authorized during the spring, summer, and early
fall months under 36CFR 261.5 (c) shall be
issued due to the melting of the Antarctic icecap in 2016 whereas it is
unlawful to engage in open burning of waste on land under the Antarctic
Conservation Act of 1978 under 16USC2403(a)(4) & (b)(I)(B). The White House OMB website now links to
the historical budget documents and tables since 1996. America First: A Budget Blueprint to Make
America Great Again omits legislature, judiciary and ledger; does not accurately
account for agency spending; and it is not lawful for military spending to increase
more, or much less, than 2.5% over $583 billion reported by DoD FY 2017 (not
$587 billion in the FY 2017 Historical Tables) - $598 billion FY 2018. DoD FY congressional budget
justification must delete the Topline, Baseline, Overseas Contingency
Operations (OCO) and Other rows from the Department of Defense Budget Since
the Attacks of September 11 to help OMB to account government spending growth
in both the civilian and military along the lines of 2.5% = % new employees + %
pay-raise, 3% in-kind welfare and average 4% cash welfare benefit spending growth
that might be more like 7% in OASDI spending due to the surge of new Baby
Boomers and 3% cost-of-living-adjustment (COLA) or 250% if the rich are taxed
the full 12.4% OASDI tax on all income to end poverty by 2020 and begin to pay
16-24 children growing up poor.
Social
Security Amendments of January
1, 2017 HA-1-1-17 ; PDF
To make insulin dependent diabetes
mellitus and orphan qualifying disabilities for SSDI or SSI $777 (2018).
To legislate a 2.4% DI tax rate that is
legible on paystubs to pay for a 3% 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)II401.
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 26USC3101 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 2.7% in the Consumer Price
Index (CPI) under Sec. 215(i) of the Social Security
Act 42USC415(i).
Disability 27-2-17
Statistics relating to
disability beneficiaries must recognize the existence of two programs - DI and
SSI. The number of beneficiaries in both programs have never been publicly
added together to explain official estimates regarding 16-17 million disability
beneficiaries receiving 19 million social security benefits, the sum of 10.6
million DI benefits plus 8.3 million SSI benefits. Without any new taxes on the rich, the total number of disability
beneficiaries in calendar year 2017 is estimated to be 8.3 to 8.4 million SSI
beneficiaries + 10.6 million DI beneficiaries = 18.9 19.0 million social
security disability beneficiaries. SSA also paid a total of 43 million retired
workers and dependents of retired workers + 6 million survivors of deceased
workers = 49 million OASI beneficiaries. At a high 4% rate of population
growth, due to the retirement of the Baby Boomers who nearly bankrupted the DI
trust fund, the OASI population is expected to increase to 51 million OASI beneficiaries
in 2017, a year from the annual report of January 22, 2016. Therefore, 51
million OASI beneficiaries + 19.0 million disability beneficiaries = a total of
70 million SSA benefits for more than 67 million beneficiaries. The
International Classification of Functioning, Disability and Health (ICF) checklist
provides a fair estimate of the disabled worker. As of 2011, the prevalence of chronic pain in the general population
of the United States has been estimated to be as high as 116 million adult. Arthritis and rheumatic conditions
affected an estimated 43 million Americans in the late 1990s and this number is
expected to increase to an estimated 60 million by the year 2020, about half of
all painful conditions. Approximately 21 million people have osteoarthritis (OA), 3.7 million have fibromyalgia and 2.1 million have rheumatoid arthritis (RA). Rheumatoid
arthritis is associated with a high rate of disability, more than one-third of working
persons who develop RA are unable to work after five years. Musculoskeletal
diseases are the leading cause of disability and absence from work in
the United States. SSA reports the rate of musculoskeletal and connective
tissue disabilities has increased from 24.7% in 2009 to 33.6% in 2015. Between
2001 and 2016, the prevalence of musculoskeletal procedures drastically
increased in the U.S, from 17.9% to 24.2% of all operating room procedures
performed during hospital stays. In a study of hospitalizations
in the United States in 2012, spine and joint procedures were common among all
age groups except infants. Spinal
fusion was one of the five most common OR procedures performed in every
age group except infants younger than 1 year and adults 85 years and older.
Laminectomy was common among adults aged 1884 years. Knee arthroplasty and hip replacement were in the top five
OR procedures for adults aged 45 years and older. Autologous chondrocyte implantation (Carticel, MACT) is much less invasive than total knee
replacement. Every year more than 15 million people in the U.S.
have surgery and some 40 million people will undergo a procedure
requiring an anesthetic. Some 2,000 of these patients will die from causes
related to their anesthesia care. An anesthesia death rate of 1 in 20,000. The U.S. surgical death rate is estimated that 1.14 percent of patients who
go in for surgery never leave the hospital. Researchers in the United Kingdom looked
at more than 46,000 patients in 28 European countries who underwent non-cardiac
surgery. They found that 4 percent of them died before they could make it out
of the hospital. Nearly 75 percent of patients in Europe who died did not get
admitted to an intensive care unit (ICU). The surgery death rates that the researchers
found in other countries ranged from Latvia, which at 21.5 percent had the
worst death rate, to Iceland with a rate of 1.2 percent. Disease modifying Anti-rheumatic Drugs (DMARDs) of
least resistance are methotrexate an anti-neoplastic drug approved by the FDA
for the treatment of arthritis that costs $1 a week; $1 clotrimazole
(athletes foot crme) and hydrocortisone crme; Amantadine (Symmetrel)
for flu, Ampicillin (Principen) for pneumonia,
Doxycycline or Clindamycin (Cleocin) under age 8 for
Staph, Metronidazole (Flagyl ER) for infectious
diarrhea and joint infections. Studies dating back to the 1980s recommend glucosamine and chondroitin sulfate
1,000 mg to 2,000 mg of glucosamine and 800 mg to 1,600 mg of chondroitin
sulfate every day. Because the
pills are so large probiotic supplementation is needed for gastrointestinal
health. Following
dextrose prolotherapy
patients experienced statistically significant decreases in pain, sustained
improvement of over 75% was reported by 85% of joint pain patients. Dextrose prolotherapy ameliorates chondromalacia of the patella,
shoulder, groin, hip and elbow and improves physical ability.