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, António, 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 31USC§1105. 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 16USC§551c-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 16USC§2403(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)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 2.7% in the Consumer Price Index (CPI) under Sec. 215(i) of the Social Security Act 42USC§415(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 18–84 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 crŹme) and hydrocortisone crŹme; 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.