Hospitals & Asylums 








August 2018


By Anthony J. Sanders


I turned 44 on August 11.  The anti-smoke fog cleared long enough to enable observation of dozens of meteors an hour, an eclipse and whales. This marks the final year of my age of lowest incidence of disability 40-44.  It will be at least a week before I am finished with a legible Fiscal Year 2020 budget, but it will definitely be finished before the fiscal year 2019 begins on October 1.  The structure of the work is highly simplified to be consistent with budget legislation, the President’s ledger, and Social Security Act, without any frills.  It should be much easier to update in time for the summer solstice.  Agriculture and Education outlays are the last outlaws of 2.5%-3% growth since FY 16, before I correct the current and future revenue and expenditure estimates, for working Baby Boomers and 3% Cost-of-living adjustment, of the 2018 Annual Report of the Federal Old Age Survivor Insurance Trust Fund and Federal Disability Insurance Trust Fund and compose my Message of the Public Trustees.  As a career disability beneficiary I am honored to attempt to justify a once-in-a-lifetime raise from $693(2018) to $2,000 (2019) a month, and either full repayment of student loans or tax exempt status for accepting less than the minimum taxable benefit, by applying for one of two vacant Public Trustee positions.  I practiced my signature at the Food Bank today and could mail it.  The following is likely to be the final text of my once-in-a-lifetime Act, that is kept up-to-date on the News Desk to prevent neglect and ensure I am always doing all I can.


Federal Insurance Contribution Adjustment Act of 2018


A Bill


To End Child Poverty by 2020 and All Poverty by 2030


Sec. 1 Disability Insurance Tax 2.1% or 2.0% + $240 billion?


The 1.8% DI tax rate threatens to immediately cause a DI Trust Fund deficit when the 2.37% DI tax rate of the Bipartisan Budget Act of 2015 expires January 1, 2019 and will prematurely deplete the DI trust fund as soon as 2021. To maintain a position that protects that smaller trust fund from bearing the combined cost, it is necessary that the DI tax be amended to either (a) 2.1% DI tax, or (b) 2.0% DI tax if OASI pays $225 billion to $240 billion including 2.5% interest in assets for CY09-CY15 to replicate to the extent possible revenue that would have been received if the OASDI tax had been properly adjusted by Public Law 112-96, by updating Sec. 201(b)(1)(T) of the Social Security Act under 42USC§401(b)(1)(T).


Sec. 2 Tax the Rich to Pay Supplemental Security Income


Congress must reassure the public, and a fully funded Internal Revenues Service, that they agree to either (1) tax the rich now to end child poverty by 2020 and all poverty by 2030 or (2) tax the rich to prevent a combined OASDI deficit around 2022 and depletion of the Trust Funds around 2032. The ‘Adjustment of the contribution and benefit base’ must be repealed and replaced with ‘Supplemental Security Income Trust Fund’.  Proposed Text: ‘There is created in the Treasury a Supplemental Security Income (SSI) Trust Fund to tax the rich the full 12.4% Federal Insurance Contribution Act (FICA) Old Age Survivor and Disability Insurance (OASDI) on all their income. This tax on the rich would pay 16-24 million children growing up poor in the United States child SSI benefits FY19, hopefully end child poverty by 2020 and all poverty by 2030.  Taxing the rich may or may not reduce individual income tax revenues from the rich under 2USC§642(b)(2).  Stock market investment capital, that has sustained the longest bull market in history, must be protected by sharply limiting t-bonds not sold to the Social Security Administration.  To ensure the long-awaited tax on the rich is not lost on the 12% margin of error in OMB Table 4.1 Outlays by Agency, without further notice, the only direct benefit the federal budget would derive from the tax on the rich is that the General Fund would be relieved of on-budget SSI costs, and a promising total surplus with which to buy on-budget debt with. OASDI tax revenues would be distributed between the OASI, DI and SSI Trust Funds by the Annual Report of the Board of Trustees of the Federal Old Age, Survivor Trust Fund and Federal Disability Insurance Trust Fund, to redress priorities of learning to optimally adjust the OASDI (and SSI) 12.4% tax distribution rate, ending child poverty and building the SSI trust fund ratio that change over the decade to adult poverty, to barely having enough to pay for the high cost Baby Boomers retiring between 2030 and 2040.’ in Sec. 230 of the Social Security Act under 42USC§430.


Sec. 3 United Nations Donation


For the people of the United States to improve national Official Development Assistance statistics, although at less than 0.1% of GDP FY 18, the government did not achieve the 0.7% of GDP goal for 2015, it is recommended that the US legislate a ‘1-2% of income suggested UN donation’ on individual and corporate income tax forms.  This potentially large sum of money would be earmarked for cash social security benefits for the world’s poorest people, to minimize disturbance of the regular UN budget and obligate the UN to social security, consumer market economy subsidy, that would most likely achieve all the Sustainable Development Goals for 2030.  This UN tax must be distinguished from other voluntary income taxes because this UN contribution would be a completely voluntary contribution without any obligation to pay or continue paying, like political party contributions, UN donations would be solicited on all US income tax forms.  1% of GDP is recommended in Art. 23 of the Declaration on Social Progress and Development and 2% of income was recommended Martin Luther King Jr.   Therefore, a 1-2% of income donation is suggested to be presented in individual income tax forms.


Sec. 4 Energy Export Tax


Notwithstanding that No Tax or Duty shall be laid on Articles exported from any State under Art. 1 Sec. 9 Clause 5 of the US Constitution; In general, there is a tax on exportation of petroleum if any domestic crude oil is used in or exported from the United States, 'and 26USC§4611(b)(1)(B) and the letter (A)' must be repealed, then a tax at the rate specified in subsection (c) would be imposed on such crude oil. Subsection (c) needs to be amended to provide a subsection (3) It is further provided that all energy exports shall be taxed at a rate to be determined by Congress, not in excess of 6% of wholesale value, for the General Fund in pursuit of offsetting all customs outlays with duties and fees, in any given fiscal year. The name of Subchapter A of Chapter 38 Environmental Taxes could be amended from Tax on Petroleum to Tax on Energy.


Sec. 5 Low-Income Energy Assistance Tax Relief Program Amendment


The Low-Income Energy Assistance Program (LIEAP) should be amended from “make grants” to “provide tax relief to energy corporations” under 42USC§8621(a).


Sec. 6 Travel Documents up to $10


For normal 8% growth rates (1990-2018) in individual income revenue, to be likely to prevail since the slowdown FY 17 and FY 18, Customs must prioritize revenues.  Customs must set down the President’s unpopular anti-immigrant policy and sell travel documents for not more than $10. President Millard Fillmore’s unpopular by nature, anti-immigrant platform, resulted in the immediate dissolution of the both the Whig and Know Nothing Parties.  Migrants workers and members of their families should not be subjected to measures of collective expulsion in violation of Art. 22 of the Convention on the Protection of the Rights of All Migrant Workers and Members of their Families (1990).  Due to their new tax payments, when and if individual immigrants are gainfully employed, immigrants are a major component of individual income tax revenue growth, perhaps 3% of normal 8% individual income tax revenue growth.  Customs would directly generate revenues from the sale of travel documents and reduce unlawful detention costs.  A discriminatory immigration policy regarding documentation on the southern border, has made it even more difficult to impossible for millions of outstandingly healthy born and naturalized citizens to purchase identification documents, due to new evidence requirements since 2010.  Due to the dangers of illegal migration, immigrants are the only people whose health is likely to benefit from documentation, without a get-away vehicle.  Immigrants are the champions and experimental test subjects of national identification, whereas identification documents are ostensibly required only to cross the border, or they will need to be procured by the receiving state.  The Treasury is working to better preserve personal identification documents, to help otherwise undocumented people purchase official identification and travel documents.  To heighten scrutiny on the topic of selling travel and identification documents, the State Department needs to declare passport, pass-card and other visa revenues in the annual State Department, Foreign Operations and Related Programs FY budget. Customs also needs to declare revenues made from the sale of new travel documents, in their Annual Financial Report.  Naturalization is the way to reduce statelessness in children born of foreign parents under the Convention on the Reduction of Statelessness of 1961. Common Articles 26-29 to the Convention Relating to the Status of Refugees (1951) and Stateless Persons (1954) requires States to provide them with identity papers and travel documents at the same price as nationals.  The solution seems to be non-discriminatory immigrant visas unlimited by any religious tests, quotas, education, income or reporting requirements under 8USC§1153. Article 1 Section 9 Clause 1 of the US Constitution limits taxes on migration to not more than $10 at the border.  $10 remains a reasonable price for a travel document, per person, vehicles could also be taxed up to $10.  Up to $10 when you come, up to $10 when you go.


Sec. 7 Outlays Define the President’s Budget


To: The terms ‘‘budget outlays’’ and ‘‘outlays’’ mean, with respect to any fiscal year, expenditures and net lending of funds under budget authority during such year under 2USC§622(1), should be appended:


'(A) The term ‘‘on-budget outlays’’ means, with respect to any fiscal year, the President's budget, all the expenditures of the United States Government, except those for the Federal Old Age Survivor Disability Insurance Trust Funds, the repayment of debt principal or negative subsidy revenues.


(B) To compete with 2.5% - 3.0% average annual inflation since worldwide hyperinflation was brought under control in 1980, without probable cause for a significant deviation from the norm, outlays are expected to grow 2.5% for government, 3% for services and in-kind-welfare and 4% for cash welfare.


(C) The Office of Management and Budget (OMB) and Congressional Budget Office shall analyze and coordinate the annual review of on budget outlays of all the Cabinet agencies listed in OMB Table 4.1 Outlays by Agency - Legislative Branch, Judicial Branch, Departments of Agriculture, Commerce, Defense-Military Programs, Education, Energy, Health and Human Service, Homeland Security, Housing and Urban Development, Interior, Justice, Labor, State (combined with unrepresented International Assistance Program row), Transportation, Treasury, Veteran’s Affairs, Environmental Protection Agency, Executive Office of the President, General Services Administration, National Aeronautics and Space Administration, National Science Foundation,  Office of Personnel Management, Small Business Administration, and on-budget Social Security Supplemental Security Income (deleting fictitious rows Other Defense-Civil Programs, Allowances, On and Off Budget Independent Agencies, Off-budget Undistributed Offsetting Receipts, International Assistance Programs [added to State above], and novel Infrastructure Improvement rows) and also total off-budget outlays reported by the Annual Report of the Board of Trustees of the Federal Old Age Survivor Insurance Trust Fund and Federal Disability Insurance Trust Fund'.


(D) Undistributed offsetting receipts are agency revenues remaining from the previous year, that are used to pay for the following year budget, to reduce outlays by the General Fund. Only five agency budget justifications produce reliable undistributed offsetting receipts, the Departments of Defense, Education, Health and Human Services, Interior and Corp of Engineers – Civil Programs.  The Department of Agriculture produces undistributed offsetting receipts, declared as rescission, to redress the accounting irregularities in their favor, moving on from [loan and utility program level] to SNAP overestimates large enough to sustain 3% annual SNAP growth.  Elementary and Secondary Education and Medicaid declare Advance Appropriations in their budget tables, with explanation that these savings are used to pay for the difference between the school year and the fiscal year and to pay for the beginning of the next year medical claims.   The Corp of Engineers – Civil Programs budget vacillates between the sound financial strategy of openly declaring precisely $1 billion in undistributed offsetting receipts and total incompetence, but having once made the declaration, predictably produces $1 billion undistributed offsetting receipts annually as the cornerstone of their federal outlay total. The Departments of Defense and Interior budgets are impaired by the failure to openly declare undistributed offsetting receipts in their budget overview. The Defense Department produces undistributed offsetting receipts with the difference between the levy for total war and the outlays of the three military departments – Air Force, Army and Navy. The Department of Interior turns a tidy profit in undistributed offsetting receipts, with $11.7 billion in federal outlays, for the time being, and must pay 2.5% growth for public land agencies and 3% growth for Indian Affairs.  Whereas in 201It is proposed for the Agriculture Secretary to ceremonially transfer the Forest Service budget to reduce risk of fire under 36CFR261.5 and 16USC§551 and the National Forests patented by mutually agreed Wilderness Preservation System rules under 16USC§1131 to the Interior Department in pursuit of park grants under 24USC§153, §423(b) and 54USC§302904.


Sec. 8 Automatic 3% Annual Raise for Low Income Beneficiaries and Workers


To avoid layoffs due to hyperinflationary increases in federal minimum wage between decades of neglect it is necessary to legislate an automatic 3% increase in minimum wage, from $7.25 an hour 2009-2018 to '$7.50 in 2019 and 3% more every year thereafter.' under 29USC§206(a)(1)(D).  To end benefit attrition with a 3% Cost of Living Adjustment (COLA) rule every year inflation continues to run about 2.5%-3% and the Trust Fund Ratio is greater than 20% according to Sec. 215(i) of the Social Security Act under 42USC§415(i). 


Sec. 9 UN and Medicaid Trust Funds


The Treasury needs a Medicaid Trust Fund and United Nations Trust Fund. Medicaid needs the more accurate accounting of the Actuary of the Annual Report of the Board of Trustees of the Federal Hospital Insurance Trust Fund and Federal Supplemental Medical Insurance Trust Fund to relieve the President of the extremely challenging duty to figure precise Medicaid outlays into Health and Human Services totals and reduce the deficit by accounting for advance appropriations as undistributed offsetting receipts.  The UN needs a formal method of accounting and representation by the Secretary of State, to settle arrears with the USA, for their regular budget and other international assistance programs under Art. 19 of the UN Charter and account for collection of ‘1-2% of income suggested donation’ from taxpayers on individual and corporate income tax forms, earmarked for cash social security benefits for the world’s poorest people.


Sec. 10 Labor Insurance


To repeal ‘Demonstration Projects’ and replace it with ‘Maternity Protection’ at Section 305 of the Social Security Act under 42USC§505.


(a) To expedite the reemployment of mothers who have established a benefit year to claim unemployment compensation under State law the Secretary of Labor shall pay unemployment compensation for 14 weeks of Maternity Protection under International Labor Organization (ILO) Convention No. 183 (2000).


(b) On production of a medical certificate, stating the presumed date of childbirth, a woman shall be entitled to a period of maternity leave of not less than 14 weeks. Cash benefits shall be provided at a level which ensures that the woman can maintain herself and her child in proper conditions of health and with a suitable standard of living.


(1) Where a woman does not meet the conditions to qualify for cash benefits under national laws and regulations or in any other manner consistent with national practice, she shall be entitled to adequate benefits out of social assistance funds, subject to the means test required for eligibility for such assistance, from Temporary Assistance for Needy Families (TANF) under Sec. 404 of Title IV-A of the Social Security Act under 42USC§604 et seq. and Supplemental Security Income (SSI) Program for the Aged, Blind and Disabled under Sec. 1611 of Title XVI of the Social Security Act under 42USC§1382 et seq.


(2) Medical benefits shall be provided for the woman and her child. Medical benefits shall include prenatal, childbirth and postnatal care, as well as hospitalization care when necessary.


(c) Employers shall provide at least 3 weeks of paid leave annually to uphold the Holiday with Pay ILO Convention No. 132 (1970) and Workers with Family Responsibilities Convention No. 156 (1981). Employers shall provide up to 12 week of unpaid leave to care for the severe sickness of a child under the Family and Medical Leave Act of February 5, 1993 (PL-303-3).


Be it enacted in the House and Senate Assembled