Hospitals & Asylums
August 2017
By Anthony J. Sanders
Fiscal
Year 2018 HA-14-7-17
This July 16th
re-appraisement of Agency FY 18 budgets under Annualized Continuing Resolution
for Fiscal Year 2017 (CR17) produces a budget surplus FY 18. The surplus cannot
be attributed to any cruel and unusual budget cuts of civilian officials to
levy war, unlikely to prevail in any Departments but Labor and Commerce, health
insurance overestimates distorting totals are un-abolished, the FY 18 budget
surplus is the product of accurate accounting of the supporting documentation
of the agency outlay edger by HA. This FY 16 Ð FY 18 budget provides the most
secure Treasury total outlay estimates for the year end production of
undistributed offsetting receipts, to settle disputes regarding normal agency
outlay growth, to produce a budget surplus FY 18 surplus, that can be sustained
with or without taxing the rich to end poverty by 2020. Because of extra time
it takes to codify the fiscal year budget that is due on July 16th,
social security and other national welfare claim parts will be finished and
book finally edited before the total eclipse of the arson on August 21, 2017.
The Treasury may choose to retroactively abolish the refundable premium and
cost sharing reduction subsidy to health insurance corporations, including
those who fled, with profits more than 10% from FY 16, to turn the -$63 billion
budget deficit into a + $16 billion surplus FY 17
under 26USC¤6401. All Congress is requested to do is vote to tax the rich the 12.4%
OASDI tax on all their income to end poverty by 2020 and end child poverty in
2018 by repealing the Adjustment of the contribution and benefit base under
Section 230 of the Social Security Act 42USC¤430 on October 1, 2017 the first
day of FY 18. There are five
rows in the Outlay by Agency table that need to be deleted because they actually represent zero outlays because they are either not
instrumental to calculating total on-budget outlays or they are accounted for
by a Cabinet agency under 31USC¤101 - (1) Allowances, (2) Other Defense - Civil
Programs, (3) Other Independent Agencies on-budget and off-budget and (4) Small
Business Administration (SBA). Deleting the first three rows result in an
estimated $2 trillion - $1,950,164 million. Treasury Negotiations
regarding interest payments on the federal debt might reduce the debt to
86.5% of its current value of $506 billion to $478 billion FY18. Then with a
budget surplus pay only the 3.4% average interest rate on t-bonds $494 billion
FY19. When
the ledger is zeroed, agencies can reconcile their historical congressional
budget justifications with WHOMB it may concern the historical tables regarding
agency outlays, total outlays, surplus or deficit and gross national debt. It is advised that Social Security on-budget row change its
name to Human Services (HS) and adopt the total outlays of the Agency for
Children and Families (ACF), Administration for Community Living (ACL) and
Substance Abuse Mental Health Service Administration (SAMHSA) FY 18. Health and
human services must be separated FY 18 to keep 3% federal public health
spending growth from 2014 limited to less than $1 trillion for the time being.
The United States must begin to redress 22-33% child poverty rate with 8% TANF
growth FY 17, 4% every year thereafter. To end child poverty
it is necessary to tax the rich the 12.4% Old Age Survivor Disability Insurance
(OASDI) taxes on all their income to pay every poor child an SSI benefit 2018
and end poverty by 2020. To help federal health spending get under the $1 trillion
limbo bar, it is advised that WHOMB make certain changes the outlay by agency
ledger to recognize the graduation of HS. First, change the historical name of
Social Security on-budget spending, the SSI program, to Human Services (HS).
Second, make accurate notation of annual reports of total SSI outlays (benefits
+ administration) in the historical HS row or decide to use the existing
numbers to postpone the duty to re-total historical outlays, surplus or deficit
and debt. Third, graduate HS FY 18 so that it adds to or replaces Social
Security on-budget FY 18 whereas SSI is going off-budget if the rich are taxed
or HS is combined with SSI in the on-budget HS outlay row.
Government Outlays by Agency Ledger FY 16-
FY 18
Source: OMB Table 1.1 and 4.1 Agency FY17; Agency
Congressional Budget Requests FY 18; 2016 Annual Report of the Board of
Trustees of the Federal OASI and DI Trust Funds June 22, 2016
To end poverty by 2020 HA-19-6-17
To tax the rich to end poverty by 2020 and end child poverty CY18
by repealing the Adjustment of the contribution and benefit base under Section
230 of the Social Security Act 42USC¤430. To prioritize child poverty, before
taxing the rich, with current revenues, Congress and Commissioner must
immediately make insulin dependent diabetes mellitus (IDDM) and orphan as
qualifying disabilities for full SSI benefits $777 (CY19). The poor, children
first, shall be paid with SSI when the contribution base is expanded to include
incomes over the maximum taxable limit. By 2020 all 50 million poor
people will receive Supplemental Security Income (SSI). Eliminating tax havens
is a sustainable development goal. In the case regarding the maximum taxable
limit, failure to pay legal child support obligations under 18USC¤228(b) may be
treated as attempt to evade or defeat tax under
26USC¤7201. To sustain the Disability
Insurance (DI) trust fund a 2.2% DI 10.2% OASDI tax rate is needed for CY19 now
that all the Baby Boomers have retired. The OASDI tax rate must protect the
smaller trust fund from being depleted. Since 2000 the Actuary has not demonstrated
the ability to do the required calculus, enabling the DI trust fund to be
depleted, except for the temporary and illegible DI tax rate of 2.37% CY16-18
under the Bipartisan Budget Act. The recidivism to a 1.8% DI tax rate is
overruled to protect the smaller trust fund from further abuse. The FY 17 Defense budget total growth is
anemic and the FY 18 Òpre-decisionalÓ levy for war on steroids, the compromise
is to stabilize Defense spending at 2.5% annual growth from $580 billion FY16
to $595 billion FY 17 to $609 billion FY 18 so end-strength might grow at 0.9%
annually from 2,882,000 FY 16 to 2,907,938 FY 17 to 2,934,109 FY 18 and enjoy
the 1.6% basic pay raise FY17 and thereafter in peace. Total FY 17 spending
reported by the three military departments - Air Force $168.9 billion, Army
$148 billion and the Navy and Marine Corp $164.9 billion = $477.4 billion
military spending - $583.3 billion in federal revenues FY17 = $106 billion, of
$150 billion total, on-budget undistributed offsetting receipts that OMB uses
to recover unspent funds at year end, 70.7% from the Defense. Barack Obama won
the Nobel Peace Prize, complied with the Nuclear-Non-Proliferation Treaty,
reduced military spending FY2013-15 and most of all there were years of
peacetime when there was not a single fatality in the 2.8 million
volunteers. For Congress to make law, without a split ticket, the only opportunity, besides
the legal child support payments of the 'Labor Act', is for the informed voters
of the United States to buy the FY 18 budget surplus and seventh Hospitals
& Asylums (HA) stage of DR two party system political development, the
White House OMB Director set afire, with a unanimous roll-call vote to tax the
rich to end-poverty by 2020.
The ÔLabor ActÕ provides (1) to begin to reverse the alarming increase
in child poverty from 15.4% in 1996 to 22-33% in 2017 the federal minimum wage
must automatically increase from $7.25 an hour 2009-2017 to '$7.50 in 2018 and
3% every year thereafter.' under 29USC¤206(a)(1)(D). To replace Demonstration
Projects with 'Maternity
Protection' Section 305 of the Social Security Act 42USC¤50 to provide 14 week
paid maternity leave under Maternity Protection ILO Convention 183 (2000). The primary finding is that to reduce
the current fiscal year deficit and historical deficit and debt OMB must
abolish the Allowances, Independent Agencies, Other Defense Civil Programs,
Undistributed Offsetting Receipts off-budget rows because they are not agencies
instrumental to calculating Outlays by Agency under 31USC¤101. It is time for
Human Services (HS) to graduate from the Public Health Department (PHD) to
prevent true federal health spending from exceeding $1 trillions FY 18. Total federal spending on Human Services programs is estimated
to be $59 billion FY 16, $64 FY 17 and $69 billion FY 18 by CY 17. HS costs are combined with SSI FY 17 and
alone FY 18 in the Adjusted Agency columns to detail a $104 billion FY 18
on-budget surplus.
Preliminary SSI and OASDI Trust Fund
Operation Tables HA-31-7-17
The Social Security Trust funds
are established in Sec. 201 of the Social Security Act under 42USC¤401. They
are sustained by the Federal Insurance Contributions Act (FICA) to ensure
that an appropriate amount of tax dollars are
transferred from the General Fund to the Social Security Trust Funds under 26USC¤3121. Aside from effectively treating the
intellectually disabling effects of calculus upon the arteries, the most
important substantive social security issue in the United States pertains to
the law regarding the cost-of-living adjustment (COLA) under Sec. 215(i) of the Social Security Act under 42USC¤415(i). COLA has been neglected since the hyperinflation of the
early 1970s and religiously abused as an OASDI tax rate calculus substitute
since 2009. COLA must be re-interpreted to guarantee lower-income by law social
security and other welfare program beneficiaries a 3% COLA to stay ahead of
average 2.7% consumer-price-index (CPI) annually adjusted rate of inflation
since 1980, provided the combined OASDI trust fund has a trust fund ratio
greater than 20%, to comply with the Iron Law of Wages for high rates of
catch-up economic growth to escape the inflation of printing Engel's Law.
Neither nation nor labor budget can afford to irregularly pay reparations for
the resulting attrition of purchasing power. This attrition dangerously
impoverishes and depletes the savings of lower income Americans. Lower-income
social security and other welfare beneficiaries who do not have the patience to
find rental expenses less than 30% of income, destitute at the end of the
month. Lower-income workers, especially those with expensive children who need
to legislate an automatic 3% annual increase in federal minimum wage under 29USC¤206(a)(1)(D) and unemployment compensation contributions to ensure all 4
million women giving birth to United States citizens are equally paid maternity
leave for 14 weeks maternity protection under ILO Convention 183 (2000) to
reduce alarmingly high rates of legitimate demand by an industrialized nation
for Supplemental Security Income (SSI) under Sullivan v. Zebley
(1990) T with the payment of Temporary Assistance for Needy Families (TANF) under
Sec. 404 of Title IV of the Social Security Act 42USC¤604 and Supplemental
Security Income (SSI) Program for the Aged, Blind and Disabled under Sec. 1611
of Title XVI of the Social Security Act 42USC¤1382. There are three decisions that Social Security Administration
(SSA) needs to make now, for fiscal and calendar year 2018. Hopefully in the
first combined Annual Report on the OASDI and SSI Trust Funds. First, resolve
to pay the high cost DI estimate to afford all social security beneficiaries
their 3% COLA (or 2.7% 2018 and 3% every year thereafter to equal $777 SSI in
2019) and ensure working age contributing orphans and insulin dependent
diabetes mellitus patients (IDDM) are qualified disabilities for a
compassionate allowance. Second, compensate the DI Trust with 2.5% asset
accumulation plus interest, for not being able to perform the OASDI tax rate
calculation in a timely fashion 2009-2015, for an interest adjusted estimate of
$240.4 billion transfer from OASI to DI in 2018. Third, create a Supplemental
Security Income (SSI) trust fund to distribute the tax on the rich to end
poverty by 2020 with a full SSI benefit, beginning with all 16-24 million
children growing up in poverty in 2018.
Temporary Assistance for Needy Families
FY 17 HA-17-8-17
TANF, the Temporary Assistance for Needy Families program,
was created in the 1996 welfare reform law (P.L. 104-193). This $20 billion a
year block grant to States replaced Aid to Families with Dependent Children
(AFDC) and other related welfare programs in Sec. 401 of Title IV-A of the
Social Security Act as codified 42USC¤601 et seq.
Like the federal minimum wage, TANF benefits have not grown 3% annually to stay
ahead of consumer price index (CPI) inflation averaging 2.7%. Nor has TANF
spending increased 4% to provide for 1% population growth and 3% annual benefit
increase . Furthermore, more than 4 million certified
births in Republican administrations and less during Democratic administrations
is 1.2% of 330 million Social Security Area population 2016. It is necessary to
produce a three year budget request for the TANF
Program. TANF benefit spending has
declined from 75% in 1994 to 25% of total ÒTANFÓ spending in 2017. The United
States needs to end FY 17 approving TANF family and child benefits. In the
final reckoning FY 17 needs to begin to account for Òundistributed offsetting
receiptsÓ by sustaining a TANF budget that is somewhat less than the FY 17
Administration for Children and Families (ACF) TANF spending estimate of $20.1
billion FY 17 growing 4% to $20.9 billion FY 18 in this budget. Federal TANF spending should grow 4% annually from
the prevailing FY 17 TANF budget request - 2.5% growth for administration, 3%
growth for social work and child care, 3% growth for benefits, and >1.2%
beneficiary population growth until the child poverty rate is normalized. TANF
benefit spending shall sustain family
benefits under the Convention on the Elimination of All Forms of Discrimination
against Women of 18 December 1979 and child benefits under Art. 26 of the Convention on the Rights of the Child of 2
September 1990. Trump Administration's planned FY 18 TANF
budget cuts, renege on Obama Administration's FY 17 TANF budget of $20.1
billion, would provide for 0% growth from $17.4 billion FY 16 and FY 17, and
reduce TANF spending to $15.1 billion FY 18, mostly by cutting federal spending
for benefits. Family benefits are more expensive than the FY 15 fiscal report
lets on. If the dead beat President's daughter cannot get her father to agree
with his predecessor and this budget, the Secretary of Health and Human Services may also makes
loans, repayable in 3 years, particularly in anti-welfare fraud cases under
Sec. 406 of the Social Security Act under 42USC¤606 et seq. $13.9 billion total federal spending
estimated in FY 2015 Federal TANF & State MOE Financial Data seems low. After checking the subtotals for
accuracy, total funds used was $15.4 billion FY 15 and the grand total with
social service block grant and child care development fund was $17.9 billion
not $16.4 billion FY15. The FY 16 TANF deficit of $1.1 billion is covered by
the negligent method of accounting for $1.4 billion federal unliquidated
obligations. Federal unliquidated obligations are not a generally accepted
accounting practice (GAAP). Liability for the non-support of the FY 18 TANF
budget request failure to distribute FY 17 child benefit obligations, to the
burgeoning population of children growing up in poor families, is expressed as
undistributed offsetting receipt from the FY 17 TANF budget request figures
under 18USC¤228 (b-d).
2.6% HI Tax Spending Limit FY 18 HA-28-8-17
It has been reported that the
Treasury is going to discontinue refundable premium and cost-sharing reduction
subsidies (for health insurance corporations with profit margins >10%) under
the Affordable Care Act beginning FY 18. Un-redressed CMS accounting error is
now the only reason the United States (US) is incapable of joining Hospitals
& Asylums (HA) in declaring a federal budget surplus FY 18 under Art. 2
Sec. 2 of the US Constitution. To balance the federal budget, 6% annual growth
in Part A tax revenues must run over into 3% health benefit growth in Parts A,
B & D benefits from FY 14, effective FY 18. HI tax spending should be <
2.6% of the 2.9% + 0.9% of high income contributors to HI tax spending FY
18? Administrative spending cuts,
especially for research, and FY 17 Part B and D cuts are sustained into FY 18,
except for ACF child and family benefits that grow 4% annually plus historical
interest in undistributed offsetting receipts and anti-welfare fraud loans of
Secretary Price under Sec. 406 of the Social Security Act under 42USCá¤606 and
18USC¤228. The FY 18 Administration for Families and Children (ACF)
congressional budget request is overruled by the ACF FY 17 budget request. The
dead-beat President is condemned to create an independent Cabinet-level
Department of Human Services (HS) to sustain >4% family and child benefit
spending growth FY 18 under 31USC¤101.
Federal outlays for Medicare are estimated by Part A payroll
tax revenues and Part B & D general revenues from the 2017 Annual Report
of the Board of Trustees of the Federal Hospital Trust Fund and Supplemental
Medical Insurance Trust Fund FY 14-17 after which time FY 14 becomes the
baseline for sustainable 3% annual growth. Federal outlays are estimated for
Medicaid from 2016 CMS Statistics with 3% benefit spending and 2.5%
administrative spending growth from FY 14. The one budgetary success of the ACA
was in reducing national health expenditures is in reducing state Medicaid
payments to 11% of federal payments.
This must be sustained in hopes of reducing national health expenditure
to less than 10% of GDP by 2020.
Health budget efforts must be careful not to allow any hyperinflation
from occurring in response to other reasonable macroeconomic budget cuts that
are not thought to get through the accounting fraud, to actually
cause any deprivation of relief benefits. The HI payroll tax is growing 6%
annually and HI spending has stabilized at 2.1% growth. After experimentally
reducing Part B & D outlays FY 17, federal outlays must go down in all
three federally financed Medicare plans FY 18. Surplus FY 18 HI revenues must
either run over into Medicaid price-controlled Part B & D payments or the
$281.7 billion generated by the 2.9% HI tax rate must be somehow reduced to
$255.9 billion, a tax rate of 2.6%, keep the 0.9% tax on the incomes of the rich
- 15.0% Federal Income Contribution Act (FICA)? Does CMS have any undistributed
offsetting receipts to report left over from the $917.1 billion federal outlays
estimated to be administered FY 17 and $906.7 billion FY 18 from Oct. 1 under
31USC¤1106?