Hospitals & Asylums 








July 2021


By Anthony J. Sanders


VA Hyperinflation Discrimination is Not an Accounting Error HA-29-7-21


Funding for the VA has increased significantly since 2012, with total funding growing by $72.5 billion (+37%) from 2018, and by $143.2 billion, (+113%) since 2012. The total 2022 request for VA is $269.9 billion (with medical collections), a 10.0% increase above 2021.  The discretionary budget request of $117.2 billion (with medical collections), a 9.0% increase above 2021. The 2022 mandatory funding request is $152.7 billion, an increase of $14.9 billion or 10.8% above 2021. The VA has exhibited the highest rate of inflation of any federal agency, in excess of 10% percent, for the past decade. The two primary reasons for this hyperinflation is 5% annual growth in medical employment and either 5% growth in the number of beneficiaries or average benefit amount. Normal services agency spending growth is 3% and net new employment growth is 1%.  VA anticipates supporting 425,428 Full-time Equivalent (FTE) staff in 2022, a 5% increase from 404,835 FY 21.  The Veterans Health Administration budget requests 369,847 FTE in 2022, 5% more than 352,427 FY 21, and 369,847 FTE in 2023, net zero growth.  Veteran compensation and pensions, grows even faster than social security retirement because the annual social security percentage cost of living adjustment is added to both the percentage growth in population and arbitrary increase in degree of disability determinations that takes all.  The only accounting deficiency is that Congress is obligated to increase the VHA facilities appropriation by $265,320,000 to $7 billion FY 22 by 42 months (Revelation 13:10), to pay for a $165 million mathematical shortfall and two major non-recurring maintenance projects in Black Hills Health Care System costing $100 million, with a commensurate reduction in medical community care appropriation pursuant to the Anti-Deficiency Act under §1515(b)(1)(B). Hyperinflation in excess of 20% has become evident in medical community care during the pandemic.  Medical community care spending became an independent spending category for the discretion of Congress in FY 17.  It is suggested, medical community care be folded back into medical services to remove this temptation from the Democratic-Republican (DR) two party system, because the obligation for medical community care is based upon the VHA being unable to schedule an appointment in 30 days.


Battle Mountain Sanitarium at Hot Springs HA-24-7-21


Prospectus: To make a long nose short, the VA has discriminated against renovations to make Battle Mountain Sanitarium handicap and family accessible, and environmentally healthy in violation of Sec. 102 and 202 of the Americans with Disabilities Act (ADA) of 1990 under 42USC§12112 and 42USC§12132 pursuant to the Architectural Barriers Act under 42USC§4151 et seq. and 36 CFR 1191 App. C and abatement of asbestos under 40CFR§61.145 and (child dangerous) lead based paint under 40CFR§745.227 although the Secretary of Veterans Affairs has a duty under 24USC§152. $2.6 billion in un-obligated balances returned to the VA Medical Facilities budget do not meet the projected FY 22 obligation level of $9.5 billion, as the VA supposes, they are $165 million short. Including the $100 million cost of this prospectus to renovate Battle Mountain Sanitarium in Hot Springs and construct or lease a larger Multi-Specialty Outpatient Clinic in Rapid City, South Dakota, Congress must approve to add under 40USC§3307, to be mathematically and legally correct and theologically $7 billion by 42 months (Revelation 13:10). Congress is obligated to supplement the VHA facilities appropriation by $265,320,000 to $7 billion FY 22 with a commensurate reduction in medical community care appropriation pursuant to the Anti-Deficiency Act under 31USC§1341 and §1515(b)(1)(B), Sherman Anti-Trust Act under 15USC§1, American Athletic Conference, et al v. Shawne Alston, et al 594 U.S (2021) and Promoting Competition in the American Economy E.O. 14036 of July 9, 2021.


Mental Illness, Substance Abuse, Use and Suicide during COVID-19 at the VA HA-7-7-21


The COVID-19 pandemic has been associated with a 40% increase in mental health and substance use disorder, including an 11% increase in suicidal ideation by adults. Preliminary statistics indicate a -6% decline in suicides in the United States and -2% decline globally although there is 50% increase in suicide attempts by adolescents.  The reduction in suicide statistic may however be deceptive because of high rates of utilization of two medically negligent methods of suicide- untreated COVID-19 alone or assisted by 10% mortality in contagious hospitals, and augmented susceptibility to respiratory depression and death from opioid overdose, reported to have increased 20% 2019-2022 in the United States.  The global public health response to the COVID-19 pandemic must be held responsible for the intentionally hopeless and counter-intelligent retaliatory, mind altering substance, intimate partner violence “suicide attack” intent upon denying the public necessary information that “hydrocortisone, eucalyptus, lavender, peppermint or salt helps water cure coronavirus” to sell (child) defective vaccines.  Primary suicide risk factors are a history of depression, insomnia and other mental illnesses, hopelessness, substance use or abuse, certain health conditions, previous suicide attempt, violence victimization and perpetration, and genetic and biological determinants.  The abuse of certain mind-altering substances must be incorporated into the literature on mental illness – dimethoxymethylamphetamine (DOM) causes a three day panic attack followed by six months severe mental illness if not washed off with water, pseudo-ephedrine and statin drug brain shrink makes people illiterate and the brain damage, especially from statins becomes infected, a third form of toxic mental fuzz that causes one to wake up at 3 am has become a leading cause of suicide.  Pneumovax is recommended for all adults over or under age 65 to prevent pneumococcal infection of heart, lung and brain damage, especially in shell shocked Veterans with PTSD and TBI diagnosis.  Cannabis is recommended to be legalized to fully recover from PTSD and as safer alternative to opioids for chronic pain.  The FBI, DEA and ONDCP are condemned for their suicide attack.  Pain management specialists and their pharmacists shall enable the vast majority of health professionals to boycott DEA registration.