Hospitals & Asylums 








October 2018


By Anthony J. Sanders


Drug Regulation (DR) 


To supplement Chapter 8 Gorgas Hospital §300-320. The FAO reports a rise in world hunger since 2016 after a prolonged decline. P.L. 480 International Agricultural Assistance Programs is due arrears for 3% annual outlay growth from 2017. Proposed Agriculture Department budget cuts are overruled by recalls of Salmonella contaminated eggs, moldy grain, and imported coffee contaminated with equal parts bad water, farm animal feces, coffee leaf rust Hemileia vastatrix damaged Coffea arabica, and robusta C. canephora genetically inferior rust resistant strain to be labeled and sold for less under Arts. 24 and 25 of the Cartagena Protocol on Biosafety of 2000 and Nagoyo Protocol on Access to Genetic Resources and the Fair and Equitable Sharing of Benefits Arising from Their Utilization to the Convention on Biological Diversity of 2010. The USDA budget request is re-estimated to grow 2.5% while most outlays and other estimates for USDA agricultural services grow 3% annually. The Budget office must produce a consolidated balance sheet to more accurately estimate federal outlays, undistributed offsetting receipts and congressional budget authority. Agriculture outlays grow 2.5% government, 3% services and 3.3% SNAP to sustain 2.7% average annual consumer price inflation and 0.6% population growth, 1% net new employees and 1.5% raise, except the Forest Service who deserves to be cut to prevent 65 times greater risk of forest fire than the Park Service. The Court held that the import controls were discriminatory. The guiding principles were economic liberty without any inequality and equality of treatment in the Case concerning rights of nationals of the United States of America in Morocco (1952). To end trade war tariffs must not exceed 6%. States must remove any impediments arising to the free exportation of goods required for humanitarian needs such as food, medicine and civil engineering Alleged violations of the 1955 Treaty of Amity, Economic Relations, and Consular Rights (Islamic Republic of Iran v. United States of America) (2018). To legalize marijuana worldwide the UN is sued to remove it from the Drug Schedule, delete Drugs from the UN Office of Crime, and transfer INCB to WHO under Art. 36 of the Statute of the Court. Congress must repeal the Authority for Employment of the FBI and DEA under 5USC§3151-3152 and at the end of 5USC§5301(b), DEA first under 28CFR§0.85(a). Since 2001 prescription opiate drug overdoses increased 1,000%, in 2005 the epidemic spread to methadone and in 2014 to heroin, a 10% reduction in prescription opiate supply in 2018 is the first successful intervention. Narcan (naloxone) injections and naltrexone pills are needed to prevent death from opiate adulteration by fentanyl under Sec. 301 of the FD&CA under 21USC§331. Corticosteroid inhalers must be exempted from the Ozone export ban in 2020 under the Montreal Protocol. Amantadine (Symmetrel) cures human influenza type A and the extra-pyramidal side-effects of antipsychotic drugs; corticosteroid inhalers treats asthma; antibiotics cure endocarditis, to solve resistance: ampicillin treats pneumonia and meningitis, doxycycline, the once a day antibiotic, and clindamycin (Cleocin) for children under 8 and pregnant women, treat bubonic plague, Lyme disease and Staph and metronidazole treats gastroenteritis and joints to be sold in hospitals cleansed with dissolved salt water and on Federal property by the Randolph-Sheppard Vending Stand Act (Pub. L. 74-732) under 34CFR§395.30 et seq. and 20USC§107 et seq.


Message of the Public Trustees HA-22-9-18


To prevent the unnecessary OASI deficit, that is driving the Actuary to madly declare a premature combined deficit for the intermediate projections, Congress must not wait for the expiration of the 2.37% DI tax rate in 2019 from the Bipartisan Budget Act of 2015 to adopt a 2.1% DI tax rate beginning in 2018 for the intermediate projection under Sec. 201(b)(1)(T) of the Social Security Act under 42USC§401(b)(1)(T) FY18. By repealing ‘Adjustment of the contribution and benefit base’ tax loophole for the rich and DI tax exemption of Title I State retirement contributors and replacing it with ‘Supplemental Security Income Trust Fund’ Section 230 of the Social Security Act under 42USC§430 it is estimated that SSI benefits would increase in stages, 228% the first year of the tax, 25% the second, 5% the third, and normal 4% growth the fourth, and thereafter, unless legitimate demands to end poverty by 2030 or actuarial differences or market failure require a change in plans. It is estimated that the number of SSI beneficiaries would increase 225% from 8.1 million in 2018 to 18.5 million in 2019 to 23.1 million in 2020 with an average benefit of $589 a month, $7,069 a year, costing $163.2 billion in 2020, when the table above provides $173.9 billion, enough for 24.6 million average benefits. New monthly benefits must cost less than new monthly revenues to sustain an actual surplus. The 12.4% OASDI FICA tax adjusts 2.3% SSI 2.1% DI 8.0% OASI.  By 2020 individual income tax and customs duty revenue growth from non-discriminatory travel document sales, energy export tax, might yield on-budget surplus, especially if consumer economic growth were sustained by taxing the rich the full 12.4% OASDI tax on all their income to create an SSI Trust Fund to end child poverty by 2020 and all poverty by 2030. Please vote to confirm this Message of the Public Trustees and sign the Annual Report with a once-in-a-lifetime promotion from $693 (2018) to $2,000 (2019) a month disability under 24CFR§1.8 and 24USC§422(d)(1).