Hospitals & Asylums
Vol. 16 No. 4
By Anthony J. Sanders
White House Office of Management and Budget HA-21-12-16
It's the shortest day of the year. The President elect is requested to submit these budget contents reporting a $50 to $110 billion FY 2018 surplus depending on whether or not the rich are taxed to end poverty by 2020 or the corporate income tax rate reduction theory flops, in the first week of January to first week of February to Congress under 31USC§1105. The President is asked to begin his new administration with good morale by announcing the change of name of (1) the Department of Health and Human Services (DHHS) to Public Health Department (PHD) with a budget permanently less than $1 trillion annually due to adoption of the true 2.5% health annuity since 2014 and (2) the Department of Homeland Security (DHS) to Customs to set Title 22 Foreign Relations (FR-ee) in the 2017 State of the Union Address under Art. 2 Sec. 3 of the US Constitution. These two departments are to report the costs associated with their legal name changes in agency FY 2018 congressional budget requests by the July 16, 2017 deadline for the new fiscal year October 1, 2017 under 31USC§1106. This work ensures that the budget proposals of lame-duck agencies are consistent with system-wide priorities for maintaining and improving the quality of Federal statistics maintained by WHOMB under the Paperwork Reduction Act as codified at 44USC§3504(e)(2).
Social Security Amendments of January 1, 2016 HA-6-6-16
To make orphan a qualifying disability for $777 mo. SSI or SSDI in 2017.
To legislate a 2.4% DI tax rate to pay for a 6% 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 6% Cost-of-living adjustment (COLA) 2017 to compensate for the theft of the 2016 COLA and 3% COLA every year thereafter to protect benefit determination from attrition by average estimated inflation of 2.6% in the Consumer Price Index (CPI) under Sec. 215(i) of the Social Security Act 42USC§415(i).
Be it enacted in the House and Senate Assembled - ‘Orphan Act of 2016’ HA-15-9-16
2016 Annual Report to the Board of Trustees of the Federal Old Age Survivor Disability Insurance Trust Fund and Supplemental Security Income Program HA-6-6-16 as edited
Dear Mr. President: This is the first Annual Report of the Board of Trustees of the Federal Old Age Survivor Disability Trust Funds and Supplemental Security Income Program for summer solstice 2016 as amended for the fall equinox 2016. The 2017 Summer Solstice Instructions shall summarize the OASDI and SSI programs in one easy to understand table. This new edition supplements the United States Code under 1USC§202(c) and amends Annual Reports under Sec. 1161 of Title 11 of the Social Security Act 42USC(7)XI-B§1320c-10 to change the deadline for the Annual Report of the Social Security and Medicare Programs from April Fool's day to the Summer Solstice. The SSA and CMS Actuaries published their 2016 reports with summary by the Treasury, one day late on June 22, 2106. The Acting Commissioner has not submitted a 2016 annual SSI report on the federally funded SSI program, SSI program growth rates were reported in the 2015 report to be actually nearly zero, although written as 1% . Public Law regarding Social Security since 1996 has been a crime. The Administration must redress three years without COLA 2009-2011 at $674 mo. SSI with a 6% COLA in 2017 to make up for the COLA the Bipartisan Budget Act of 2015 drank and ensure beneficiaries receive a 3% COLA every year thereafter. Medicare Part B Premium $104.90 in 2015, $121.80 in 2016 (16.1% growth) and $149.00 in 2017 (22.3% growth) is neoplastic, and the HHS budget and Health United States 2015 are unaccountably high. SMI premium increases must again be held harmless under Sec. 1840 of the Social Security Act 42USC§1395s - $104.90 2015 rates through 2016 and until CMS agrees to a 2.5% health annuity of $107.50 if the COLA is 3% or 5% $110.20 provided there is a 6% COLA in 2017. In 2016 employee 26USC§3101 and employer §3111 tax rates and deprivation of relief benefits 18USC§246 were hacked because the 2.37% DI tax rate is not legible on paystubs. The IRS and SSA Commissioners must agree in writing to a legible tax rate of 2.4% DI 10.0% OASI in 2017 and 2.2% DI 10.2% OASI in 2018 and thereafter and ensure the public that Actuary has learned how to calculate the OASDI tax rate right for once. The 2016 report was wrong regarding the precise allocation of the revenues from the DI and OASI trust funds in 2016, although he got the apportionment right for 2017 and thereafter, the 2.37% DI tax rate is not right because it is illegible on pay-stubs and it would be irresponsible to never make a withdrawal from the OASI Trust Fund without prematurely depleting the DI trust fund, and must be made right immediately. Actuarial propaganda about raising tax rates or reducing benefits must cease. The Actuary must account for the fact that the tax on the rich will end poverty in the United States by 2020. The United States is obligated to tax the rich under 26USC§7201 to pay child SSI to 16-24 million poor children in 2017 under 18USC§228(b). Passing the Social Security Amendments of January 1, 2016 in September 2016 would have left the winner of the Presidential election an estimated $20 billion federal budget surplus in FY 2017 but beginning January 1, 2017 is only capable of paying all 16-14 million poor children growing up in the United States in 2017 and ending poverty by 2020 – The Harmless Deal.
United States population estimates are disputed between the Census and Social Security Administration regarding a total US population between 324 million and 330 million, respectively, a difference of 2 percent, in 2015 and 2016. The under age 18 population is estimated between 73.7 million by the American Children Brief , 74.1 million by the US Census and 77.8 million by SSA. 74.9 million Baby Boomers were born 1946-64. 77 million children is the number. The Census has clearly erred with the 22.9% under age 18 revision in 2015 that destroyed the population pyramid and must return to 24% under age 18 used in the 2010 Census. Net population-growth is bolstered by 1 million annual net migrants. The United States has the highest birth rate (12.5 per 1,000 population), infant mortality rate (6.1 infant deaths per 1,000 live births and 8 under age 5 deaths per 1,000 ) and maternal mortality rate (32 deaths per 100,000) of any industrialized nation. Since the 1989 the annual estimate of about 4 million births is less than 4 million during Democratic administrations and more than 4 million during Republican administrations under the Convention on the Reduction of Statelessness (1961). More boy than girl babies have been issued social security cards every year since 1940. In 2015 51.2% of babies were boys and 48.8% were girls. However 50.9% of the 2010 census population are female and 49.1% are male. 25% of the world population attend school. 70-100 million people attend school in the United States. At $11,100 per pupil US education spending is the second highest in the world. In 1996 before 10 million Aid for Families with Dependent Children (AFDC)/Temporary Assistance for Needy Families (TANF) benefits were cut 1996-2000, 15% of children were poor, about average for any American. Estimates on the number of poor children growing up in the United States have risen from 16 million to as high as 24 million, 20.8% and 31.2% of the 77 million Social Security Area child population respectively. Child poverty in the United States is the highest of any industrialized country. 22 - 33 percent of all children – live in families with incomes below the federal poverty level – $23,550 a year for a family of four. To end child poverty it is necessary to tax the rich the 12.4% OASDI tax on all their income, SSA would pay $777 child SSI benefits to 16-24 million poor children in the first year (2017?) and end poverty with 50 million SSI benefits by 2020. To keep ahead of consumer price inflation Federal minimum wage needs to be amended to $7.50 in 2017, to $7.75 in 2018 and 8.00 in 2019 and 3% every year thereafter.' in one final sentence at 29USC§206(a)(1)(D).
FDA Category A drugs that pose no fetal risks in human studies are penicillin, Ampicillin (Principen), cephalosporins, aminoglycosides, clindamycin (Cleocin Oral, Cleocin T), nitrofurantoin (Furadantin, Macrobid, macrodantin, and acyclovir (Zovirax). Amantadine (Symmetrel) for the flu and antipsychotic tic should probably be added to the short list of safe drugs for pregnant women and children. Ethosuximide seems to the safest anticonvulsant drug for pregnant women with epilepsy. Statins are okay for atherosclerosis but heart disease and hypertension are major causes of maternal mortality and pregnant women might be safely treated with Hawthorn the supreme herb for the heart, but it is contraindicated with most high blood pressure medicine. Hydralazine (Apreoline) is often the initial antihypertensive medication of choice, given in 5 mg increments intravenously until an acceptable blood pressure response is obtained. Other antihypertensive drugs used in emergencies are Nifedipine 10 mg po q 4-8 hr. Calculating the correct pediatric dosage of medicine is a ratio of the child's weight to average adult weight of 70 kg or 150 lb. Clark's rule is that the child's dose = adult dose x child's weight in kg / average adult weight 70 kg. Clindamycin (Cleocin) 350 mg pills for the treatment of Staphylococcus aureus in pregnant women and children under the age of 8 who cannot take doxycycline. The pediatric dose for Cleocin is estimated in the monograph to be in the 8-16 mg / kg/ d range. So a 20 kg child would want 160 mg to 320 mg of medicine daily in three or four divided doses of 40 mg to 100 mg. In that same time period an adult would want 1.2 g to 1.8 g in three or four doses of the 350 mg pill. For a 20 kg child the pill could be cut into quarters, and given three or four of the quarters daily, for 5 days. Antibiotic resistant Clostridium difficile can be treated in children with metronidazole (Flagyl ER) 200 mg or 400 mg tablets, but pregnant women cannot take metronidazole because it causes neural tube defects in the first trimester. Stonebreaker (Chanca piedra) treat gall and urinary stones overnight but cannot be used in pregnant women because it might be abortificent. Ampicillin (Principen) 250 g or 500 mg is the preferred drug for the treatment of pneumonia and meningitis in children under the age of 6 months. In the case of penicillin allergy or price Azithromycin (Zithromycin), the world's best selling broad-spectrum antibiotic, is safe for pregnant women and children over the age of 6 months for the treatment of Streptococcus spp. The rest of the disease modifying anti-rheumatic drugs (DMARDs) every family should have to cure painful infections include Amantadine (Symmetrel) 100 mg for influenza Type A, 1% clotrimazole (athlete's foot crŹme) for infections of the foot and shin and 1% hydrocortisone for allergies, rashes and aspergillosis.