Public Health Department

Hospitals & Asylums

Public Health Department (PHD)

To Amend Chapter 9 Hospitalization of Mentally Ill Nationals Returned From Foreign Countries by transferring the contents to Article 6 of Chapter 4, to transfer Public Health Service statute, in Title 42 Chapter 6A to Chapter 1, to repeal 42USC(1)A§26, to market generic antibiotics Over-the-counter, to trade for a sample of the new broad spectrum antiviral DRACO, to limit inflation in health care costs to 3% annually, to limit federal medical spending to $784 billion in FY 2012 calculating 3% annual growth since F Y2008, to change the name of the Department of Health and Human Services (DHHS) to the Public Health Department (PHD) on the condition that an Education Division (ED) to the Agency for Toxic Substances and Disease Registry (ATSDR) be created to secure toxic laboratory supplies, to change the name of the Drug Enforcement Administration (DEA) Office of Diversion Control to the Drug Evaluation Agency (DEA) and transfer it to the Food and Drug Administration (FDA), to change the name of the Substance Abuse Mental Health Services Administration (SAMHSA) to Social Work Administration (SWA), to change the trademark of the Centers for Medicare, Medicaid & SCHIP (CMS) to National Health Insurance (NHI), to terminate payments for psychiatric hospitalization, and psychiatry in general that needs to be terminated as a medical degree, and pay for social work and group homes for recovery from mental and physical illness, to recuse all lawyers from CMS Administrative Law Judgeships (ALJ) and employ either licensed social workers or physicians in their place, to transfer NHI and all other Mandatory Benefits Programs to the management of the Social Security Administration (SSA), to finance Children’s Health Insurance with 100% of the proceeds of the Attorney General Master’s Tobacco Settlement, to limit medical costs by enabling patients to refuse to pay for abusive, involuntary, overpriced and/or unnecessary treatment, to settle ethical grievances and buy patient research, to salary health professionals so they would provide services to the public for free, to improve epidemiological statistics, to require medical ethics committees be employed by all health institutions and redistribute wealth to patients, to limit medical residency rotations to less than 60 hours a week, to reduce payments to high paid specialists and promote family practice, to prohibit the abuse of bio-medical laboratory supplies, to ban tans-fat.

Be the 111^th Congress and the Democratic and Republican (DR) disease party Dissolved, Referred to the Food and Drug Administration (FDA)

1^st Draft 2 Aug. 2005, 2^nd 7 April 2006, 3^rd 7 April 2007, 4^th 9 Aug. 2007, 5^th 26 September 2009, 6^th 28 August 2011

1.The contents of Title 24 US Code Chapter 9 §321- §329 Hospitalization of Mentally Ill Nations Returned from Foreign Countries, have been transferred to Article 6 of Chapter IV State Mental Institution Library Education (SMILE) §186-194. In their place a new statute has been drafted to totally reform the U.S. Public Health Service (PHS), whose statute is hereby transferred from Chapter 6A §201-300 of Title 42 of the US Code to Chapter 1 §1-87. The PHS, always struggling with a civilian inferiority complex, was corrupted by Medicare in 1965, busted by the DEA in 1973, attempted to account for Medicare spending by creating the Health Care Financing Administration (HCFA) in 1977, then suddenly dropped out of the Department of Health, Education and Welfare (HEW) in 1979 without achieving their degree, got a job producing HIV for the Court of International Trade of the United States (COITUS) ultra vires the Customs Court Act of 1980, has most recently turned to militant feminism by changing the name of HCFA to CMS, causing economic damage and war. The technical writing is so bad that the Department must be reformed and protected against further degradation by Congress. The plan laid out in this Book is primarily to create a Social Work Administration (SWA), to separate the mandatory benefit programs from the toxic substances in PHS laboratories, and bring agency acronyms and disease pathogens under control. The Recovery Act of 2009 distorted spending by 30% from $700 billion in FY 2008 to $911 billion in FY 2012. PHS has an important responsibility to abide by spending limits financed by tax revenues rather than more deficit spending and control inflation in medical costs at 3% annually, wherefore it is recommended that government health spending be reduced to $784 billion in FY 2012, 3% annual growth since FY 2008, a 14% reduction in projected program costs. The objective in every case is to abolish the medical b(k)illing of the fee-for-service health care system and create a reasonably salaried National Health Service (NHS) that provides high quality confidential health care to the public for free. The federal government should not hesitate to nationalize health insurance programs and fine overly rich health corporations to pay reasonable medical expenses and the budget deficit.

2. In the US the average life expectancy was 77.85 years, 40^th amongst 222 nations, and 14^th amongst nations with populations over a million, in 2001. Of the 295 million population, it is estimated that 2,416,425 people died, a rate of 8.48 per 1,000. In 2004 the number of deaths was reported to have increased, but that has been covered up, and in 2007/2008 life expectancy reportedly decreased by 0.1 years, and subsequent annual CDC death statistics have been discredited by the FISA Re-Authorization in Congress. While the true extent of the degradation in public health since 2001 may be unknown one thing is for sure, the fat, lazy American lifestyle no longer sustains life and people must dissolve their societies to flee bioterrorism and learn to eat fresh fruits and vegetables and exercise daily. The leading causes of death in the USA are diseases of the heart claiming 700,142 lives and afflicting 7 million with angina and 65 million with high cholesterol. (2) Malignant neoplasms (cancer) claiming 553,768 of the 2.5 million living with a diagnosis and 1.4 million newly diagnosed annually. (3) Cerebrovascular diseases claiming 163,538 of 700,000 stroke victims, 15-30% of survivors suffer paralysis. (4) Chronic lower respiratory diseases claiming 123,013 of 35 million with chronic obstructive pulmonary disease. (5) Accidents (unintentional injuries) 101,537. (6) Diabetes mellitus claiming 71,372 of 24 million with the disease, 6 million of whom are undiagnosed. (7) Influenza and pneumonia claiming 62,034 of 25-50 million cases. (8) Alzheimer’s disease claiming 53,852 of 5.3 million. (9) Nephritis, nephritic syndrome and nephrosis claiming 39,480 of 3.3 million diagnosed with kidney disease. Septicema claiming 32,238 of 98,300 with a systemic inflammatory response to an infection. Suicide claiming 30,622 of 500,000 attempts. Chronic liver disease and cirrhosis claiming 27,035 of 40 million with nonalcoholic fatty liver disease, cirrhosis and Hepatitis B and C. Homicide claiming 20,308. Hypertension and hypertensive renal disease claiming 19,250 of the 30% of the population with high blood pressure. Pneumonities due to solids and liquids claiming 17,301. All other diseases claiming 400,935 lives. An estimated 250,000 deaths were caused from what can loosely be construed as medical malpractice and product liability and could be higher, 18,000 from lack of access to medical treatment. 12,000 from unnecessary surgery, 7,000 from medication errors in hospitals, 20,000 from other errors in hospitals, 80,000 from infections in hospitals, 106,000 from non-error, negative effects of drugs, it should also be added .

15 Leading Causes of Death in the United States 2001

Rank	Causes of Death	Number	Death per 100,000
	All Causes	2,416,425	848.5
1	Diseases of the Heart	700,142	245.8
2	Malignant neoplasms (cancer)	553,768	194.4
3	Cerebrovascular diseases	163,538	57.4
4	Chronic lower respiratory diseases	123,013	43.2
5	Accidents (unintentional injuries)	101,537	35.7
6	Diabetes mellitus	71,372	25.1
7	Influenza and pneumonia	62,034	25.1
8	Alzheimer’s disease	53,852	18.9
9	Nephritis, nephrotic syndrome and nephrosis	39,480	13.9
10	Septicemia	32,238	11.3
11	Suicide	30,622	10.8
12	Chronic liver disease and cirrhosis	27,035	9.5
13	Homicide	20,308	7.1
14	Hypertension and hypertensive renal disease	19,250	6.8
15	Pneumonitis due to solids and liquids	17,301	6.1
	All other diseases	400,935	140.8

3. Much like the rest of the world the US population is getting older. In 1900 there were about 3 million people aged sixty-five and over in the United States, making up 4.1 percent of the population. By 1963 the number had grown to 17.5 million; and one could reasonably expect to survive to old age. In 2000 about 35 million citizens were aged sixty-five or over, constituting 12.5 percent of the population. As the result of medical advances the number of people who die from infectious diseases has dropped dramatically, however the number people who die from non communicable diseases has stayed the same or increased. In 1900, one third of all deaths in the United States were attributed to three major categories of infectious disease: pneumonia and influenza, tuberculosis, and diarrheal diseases and enteritis. Many additional deaths were caused by typhoid, menningococcal meningitis, scarlet fever, whooping cough, diphtheria, dysentery, and measles. Altogether, common infectious diseases accounted for 40% of all deaths in 1900 but they accounted for only 4% of all deaths in 2000. Cardiovascular disease (CVD; heart disease and stroke) accounted for 14% of all deaths in 1900 and for 37% in 2000. Cancer accounted for only 4% of all deaths in 1900 but for 23% in 2000. In 1900, infant mortality was 162 per 1,000 live births and life expectancy at birth was only 47 years. In 1940, infant mortality was 63 per 1,000 live births and life expectancy was 55 years. In 2000, infant mortality was 7 per 1,000 and life expectancy was 77 years.

4. In the 20^th century medical science eradicated many killer diseases. Through improvements in sanitation, refrigeration and water purification and the invention of penicillin and other drugs, cholera, diphtheria, dysentery, typhoid and many infectious and diarrheal disease ceased to be a mortal threat to the general populace. Through the patenting of numerous vaccines many disabling and lethal diseases such as polio, smallpox, scarlet fever, whooping cough, and measles and recently meningococcal meningitis have either been totally eradicated in the U.S.A., or in the case of smallpox, worldwide, or there have been dramatic, nearly complete, reductions in their incidence and mortality. Not all developments have been positive. Between 1930 and 2006 the number of cancer deaths in the U.S.A., primarily due to lung cancer, rose dramatically from 103,500, a rate of 84 per 100,000 citizens, in 1930, to 520,000, a rate of 173 per 100,000 citizens, in 2006. Age-adjusted death rates, per 100,000 persons, for diseases of the heart have decreased from a peak of 307.4 in 1950 to 134.6 in 1996, an overall decline of 56%; since 1950, stroke rates have declined 70%, from 88.8 in 1950 to 26.5 in 1996. Improvements in cardiovascular outcome are mostly attributed to increased knowledge regarding the social and dietary risk factors, such as fats, cholesterol and smoking. The advent of the auto-immune disease HIV/AIDS in the 1980s was a minor setback for national health statistics and major setback in southern African, where as much as 40% of the population is HIV+, the mortality trend of which was partially reversed with the advent of HIV/AIDS drugs in the 1990s that has helped to make the killer disease a manageable chronic condition and there is a new antiviral drug DRACO reaching human trials that kills HIV and all other viruses tried in the laboratory.

5. At the dawn of the 21^st century medical science and the government must begin to communicate about the pathogens that cause non communicable diseases, namely can-sir and angina, but also other painful, discomforting and disabling conditions such as COPD and others, and to contain and cure the HIV/AIDS epidemic. It is not enough to order the victims to live virtuous lives, exercise daily, eat healthy diets and take safe and effective medicine. The government and medical science have a duty to isolate, identify, control and recall laboratory pathogens, the weaponization and distribution of which, theoretically cause the vast majority of contemporary disease, death and social decay. The government has a duty to ensure their laboratory security program monitors the possession and transfer of all pathogenic substances hazardous to human health. Of particular concern are bio-medical research supplies that cause diagnosable diseases in laboratory animals and humans as well as the pathogens accumulated in diagnostic laboratories. While the government must enforce bio-security, the scientific community and their institutional ethics committees have a duty to ensure bio-safety is practiced in their laboratories, to prevent conflicts of interest with health corporations and academia and prevent and punish government corruption. Scientists must ensure that all pathogens in their possession are accounted for, that they do not possess more than they need for their approved experiments and that the pathogens are destroyed when no longer in use in approved research, when evidence indicates there is a leak, or when the lab is subjected to adversarial legal or ethical proceedings, to prevent the unlawful seizure of hazardous pathogens by unethical actors. Diseases are not precious protected resources like experimental drugs. Laboratories shall be regularly inspected. Those laboratory scientists, laboratory supply companies, government officials and health care professionals proven to be malevolently engaged in murder and torture with biological weapons, en masse, for hire, or of their own volition, shall be ordered to make restitution and cease operations, if civil proceedings are practical, or prosecuted, seized and sentenced to fines and terms of imprisonment, if criminal proceedings are warranted.

6. It is extremely important that ethics and social work are fully integrated into the practice of health care and medical science and defended against recrimination. Although health care is often portrayed as a social good in the literature, the health career is in practice more of a socio-path that takes people repeatedly on the corrupt journey of the patient through the depths of health theology – hell – to defeat the torturer or die trying. When legislating, researching, litigating, practicing or seeking the assistance of health care, it is important to realize what a dangerous field it is, and to be a master of the discipline – medical ethics. The goal of health care is essentially to relieve pain and suffering and to prolong life. The practice of health care is however complicated by the competing financial interests of the practitioners, educators and the political status quo so that corruption is, and always has been, the leading cause of disease and death. To bust the monopoly of meducation in health institutions E-9.11 of the AMA Code of Medical Ethics provides for Ethics committees to be established in all health care institutions. Generally, the function of the ethics committee should be to consider and assist in resolving ethical problems involving issues that affect the care and treatment of patients within health care institutions. A wide variety of background training is preferable, including such fields as philosophy, religion, medicine, law, disability advocacy and scholarship. Ethics consultation services, like social services, should be financed by the institution. Ethics committees could independently resolve all the issues, of access to affordable health care, of cutting costs by refusing to pay for unnecessary, involuntary, fraudulent or abusive treatment, of disciplining unruly practitioners ensuring quality care and of compensating victims of torture and medical malpractice and enabling them to achieve as full a recovery as possible.

Health Expenditures Per Capita 1970, 1980, 1990, 2003 Major Industrialized Nations

	1970	1980	1990	2003	% GDP
Australia	$252	$691	$1,306	$2,886	9.2
Austria	193	770	1,328	2,958	9.6
Belgium	148	636	1,341	3,044	10.1
Canada	299	783	1,737	2,998	9.9
Denmark	384	927	1,522	2,743	8.9
Finland	191	590	1,419	2,104	7.4
France	205	697	1,532	3,048	10.4
Iceland	163	703	1,593	3,159	10.5
Ireland	117	519	794	2,455	7.2
Italy	NA	NA	1,387	2,314	8.4
Japan	149	580	1,116	2,249	8.0
Luxembourg	163	640	1,533	4,611	7.7
Netherlands	NA	755	1,435	2,909	9.1
Norway	141	665	1,393	3,769	10.1
Sweden	312	944	1,589	2,745	9.3
Switzerland	351	1,031	2,029	3,847	11.5
United Kingdom	163	480	987	2,317	7.8
United States	352	1,072	2,752	5,711	15.2

7. The United States is the only industrialized nation without universal health insurance. Instead of joining other nations in the creation of national health services that finance the salaries of health care professionals and operating costs of health institutions so health care is totally free, or creating a real social health insurance scheme where those people who are not insured by their employers are fully covered by the government against all but very small $10 co-pays, the U.S. languishes in a patchwork system of private and public health care that leaves an estimated 47 million Americans are uninsured and there are 1.5 million medical b(k)illers who would be out of work if health administration was simplified with a single payer system. The current system is extremely inefficient and US health care, health outcomes and life expectancy rank at the bottom of industrialized nations, below several better performing emerging market nations, and is most famous for being the most expensive, with a wide gap in life expectancy between rich and poor. Health spending per capita in the US is the highest in developed countries, 24% higher than in the next highest spending country in 2003, and over 90% higher than in many other industrialized countries. Between 1985-1997 government healthcare spending increased at an annual rate of 8%. Private sector spending grew at an annual rate of 7.3% between 1985-1997 and all inflation in health care costs must be limited to less than 3%. As a share of the economy, health care has risen from 7.2% of GDP in 1965, to 8.8% of GDP in 1980, to 11.8% in 1991, to 13.4% in 2000, to over 16.2% of GDP today, and it is projected to be 20% of GDP just 10 years from now, if costs are not controlled. Health spending continues to increase much faster than the overall economy. Although a national health system would be much more efficient, less corrupt and tends to provide for better health outcomes in countries who have adopted such a system, the U.S. is prevented from making any social progress in health care because the people do not trust the government.

8. To achieve meaningful health care reform, improve health outcomes and win the trust of the people the federal government must redress the degradation to the law and government of the health care system, that occurred over the past forty years, so that the federal government could safely take over responsibility for the finance of the health care system, progressively liberating the people from the extortion of the medical b(k)illbers and inappropriate concern regarding cost of medical treatment, when it is the ethics and efficacy which are due consideration. There has been a mistrust of government intervention in health care matters since before the Democratic and Republican (DR) party fused into one monolithic torture party, just before the Civil War. Government health insurance was slow to catch on in the United States and disastrous when it did. The AMA managed to obstruct health insurance in the original Social Security Act of 1935 opposing all third party intervention into health care, but the Medicare Amendment of 1965, created Medicare and Medicaid, and the government quickly became the single greatest payer for medical services, it is unique in that it targeted retired and disabled beneficiaries. Shortly thereafter all hell broke loose. In 1973 the Drug Enforcement Administration was created ultra vires the Controlled Substance Act and the Department of Justice took over responsibility for licensing all pharmaceutical prescriptions and sales. The 1971 Strasbourg Agreement on the Patent Classification System, failed to agree with the 1675 Strasbourg Agreement, that was the first treaty ban chemical weapons, slowing down the realization of the Patent Cooperation Treaty until 1980. In 1977 the Health Care Financing Administration (HCFA) liberated Medicare from the Social Security Administration (SSA). Without financial aid, in 1979 the Department of Health and Human Services (HHS) dropped out of the Department of Health, Education and Welfare (HEW) under the Education Organization Act of 1979. By 1980 the US had declared World Whore III and was back on the streets with the Court of International Trade of the United States (CoITUS) that claims responsibility for the HIV/AIDS epidemic. A rift between rich and poor stagnated until 2001 when HCFA degraded to the militant feminism of the Centers for Medicare, Medicaid and SCHIP (CMS).

Mandatory Programs (Outlays) : Millions $	2008	2009	2010	10 +/-09
Medicare	385,782	425,423	452,370	+26,947
Medicaid	201,426	262,389	289,763	+27,374
Temporary Assistance for Needy Families	17,880	20,283	19,447	-836
Foster Care & Adoption Assistance	6,750	7,079	7,198	+119
Children 's Health Insurance Program	6,900	8,566	10,095	+1,529
Child Support Enforcement	4,283	4,472	4,588	+116
Child Care	2,909	2,927	2,938	+11
Social Services Block Grant	1,843	1,909	2,009	+100
Other Mandatory Programs	1,626	2,437	2,601	+164
Offsetting Collections	-1,199	-1,324	-1,102	+222
Subtotal, Mandatory Outlays	628,200	734,161	789,907	+55,746
Total, HHS Outlays	698,847	816,198	879,196	+62,998
Total HHS (excl. Mandatory Programs)	70,647	82,037	89,289	+7,252

9. To redress this monstrous, and sexist, problem, the foremost concern is to protect the individually identifying health information by transferring CMS and all other mandatory benefit programs of HHS to SSA on the condition that CMS change their name to National Health Insurance (NHI). This would encourage people to exercise their right to refuse to pay for defective treatment and greatly reduce the threat of bio-terrorism by creating a clear separation of power between the Public Health Service (PHS) and confidential private health records held by SSA. With less money to look after it would be much easier to account for dangerous pathogens, like a $100 vial of anthrax that could kill a million people, held by the PHS. On the other hand benefit programs would be required to undergo periodic epidemiologic check-ups by the PHS, with the consent of the welfare department head, to make sure the beneficiaries are not being massacred. For their part SSA must be adequately staffed with social workers, disbar all lawyers in administrative positions and employ their own legal staff in the judicial appeals process. The Drug Enforcement Administration (DEA) needs to be transferred to the FDA on the condition that it changes its name to Drug Evaluation Agency (DEA). The Agency for Toxic Substances and Disease Registry (ATSDR) must appoint an Education Division (ED) to catalogue the toxic substances, viruses, and pathogens used by the National Institutes of Health (NIH) in academic and corporate bio-medical research that cause diagnosable diseases and in co-operation with the DEA would list, license, monitor, control and recall all dangerous laboratory pathogens and pharmaceutical drugs. The Substance Abuse Mental Health Administration (SAMHSA) needs to change its name to the Social Work Administration (SWA) to effectively direct the cutting down of the psychiatry degree, termination of payments thereto, and assumption of their duties, in other than forensic facilities, by licensed social workers. Then the U.S. will have achieved their Public Health Department (PHD).

10. While there is certainly a place for government in health care, it is not at the individual or family level. Governments are extremely dangerous to health when they abuse personally identifying health information, when they butcher the law to condone or ignore serious violations of human rights such as torture, when they are politically active without sufficient justification and give rise to chaos, when they are infiltrated and controlled by special interests, or are when they are otherwise damaging to the liberty of the patient to pursue their best interest, to be cured, free of disease, in most cases. On the other hand, governments are extremely useful to regulate, control and recall toxic substances that pose an imminent risk of harm to the population. The government is also needed to prevent and punish medical and legal malpractice. Without a good government the goal of universal health insurance is not practical. A good government would give the power of making informed medical decisions and whether or not to pay for the treatment, entirely to the patient. A good government would require all health institutions to employ an independent Ethics Committee under E 9.11 of the AMA Code of Medical Ethics. A good government has a precise, up-to-date, geographic and political system of statistical epidemiological surveillance that does not violate the privacy of medical records, but is open to public cross-examination, criticism and commission by concerned citizens. A good government would separate Mandatory Benefit Programs from the public health service, putting them under the management of the Social Security Administration (SSA). A good government would ban trans-fats, prohibit the de-liver-y of toxic laboratory supplies, jail the Nazi scientists, free the alleged mentally ill, compensate victims of medical malpractice, torture and disability, and outlaw disease and death. As for the people, they need to quit smoking, eat fresh fruits and vegetables and whole grains, eschew meats, carbohydrates and processed foods and exercise daily to sustain a flat stomach.

Sanders, Tony J. Chapter 9: Public Health Department. 6^th Draft. 321 pgs. Hospitals & Asylums. HA-26-9-09 www.title24uscode.org/PHD.doc

Test Questions www.title24uscode.org/phdtest.doc