Hospitals & Asylums
Health and Welfare
(HAW)
To amend Chapter
3
National Home for Disabled Volunteer Soldiers: Free Disability Insurance Reallocation
Tax (DIRT) Act: To immediately amend the DI tax rate from 1.80% to 2.30%, from
0.90% to 1.15% for employees and from 0.90% to 1.15% for employers under Sec.
201(b)(1)(S) of the Social Security Act 42USC(7)II§401 and amend the OASI tax
rate from 10.60% to 10.10%, from 5.30% to 5.05% for employees under
26USC(C)(21)(A)§3101 (a) and from 5.30% to 5.05% for employers under
26USC(C)(21)(A)§3111 (a) to avoid depletion of the Disability Insurance (DI)
Trust Fund in 2016 without increasing the overall 12.4% OASDI or 15.3% OASDI
and Hospital Insurance (HI) tax-rate under 26USC(A)(2)§1401 beginning October
1, 2015. To amend the DI tax rate again in 2018 to 2.20% from 2.30%, from 1.15%
to 1.10% for employees and from 1.15% to 1.10% for employers under Sec.
201(b)(1)(S) of the Social Security Act 42USC(7)II§401 and amend the OASI tax
rate from 10.10% to 10.20%, from 5.05% to 5.10% for employees under
26USC(C)(21)(A)§3101 (a) and from 5.05% to 5.10% for employers under
26USC(C)(21)(A)§3111 (a) without increasing the overall 12.4% OASDI or 15.3%
OASDI and Hospital Insurance (HI) tax-rate under 26USC(A)(2)§1401 to maximize
efficiency until a deficit appears in the OASI Trust Fund in 2019. Without
Income Limit Law (WILL) Act: To abolish the maximum taxable limit on DI
contributions on January 1, 2016 and OASI contributions January 1, 2017 and
repeal Adjustment of the contribution and benefit base Section 230 of the
Social Security Act 42USC(7)§430. To require the Social Security Administration
to pay for SSI Costs beginning January 1, 2017.
To share profits in excess of social security program costs to the
general fund of the U.S Treasury on a sliding scale beginning year end 2016 DI
50/50 with the USPS, and OASI 10/90 to
eliminate the federal budget deficit. In 2020 OASI would share at negotiated
rates an estimated 25/75, by 2025 OASDI would share 50/50 and by 2030 OASDI
would save to pay for the peak in costs of Baby Boomer generation in 2035 that
might raise the overall OASDI tax rate from 12.4%. To limit Health and Human
Services spending to less than $1 trillion. To require the Department of
Agriculture (USDA) to hire an actuary to sustain Supplemental Nutritional
Assistance Program (SNAP) growth in an annual report to Congress. To require
the Veteran’s Administration (VA) to hire an actuary to account for service
member contributions and matching funds in an annual report to Congress. To
replace welfare Administrative Law Judges (ALJs) with licensed social workers
and non-social worker representatives. To provide Medicaid for free to everyone
earning less than 150% of the poverty line and open Medicaid to reasonably
priced premiums for everyone else. To prohibit medical billing to nationalize
health insurance assets. To ratify ILO Conventions 132, 156 and 183. To levy a 1% UN FICA and corporate income tax
for world-wide welfare in 2020.
Be the Democratic and Republican (DR) two party system
Abolished, referred to the Actuary, Commissioner and Trustees (ACT)
1st Ed. 2003, 1st15 September 2004, 2nd
1 June 2005, 3rd 18 June 2006, 4th 17 June 2007. 5th
12 June 2009, 6th 31 July 2010, 7th 17 August 2011, 8th
14 July 2012, 9th 26 July 2015.10th 7 September 2015
1.
Chapter 3 National Home for Disabled Volunteer Soldiers, Title 24
US Code Subchapter V Battle Mountain Sanitarium Reserve, §151-154 to settle bona
claims to land and the private exchange of lands under §153
and to issue an up to $1,000 fine to redress the unlawful intrusion of reserves
or violation of rules and regulations under §154
are preserved. To avoid burdening the U.S.
Supreme Court with the responsibility for criminally convicting the SSA
Actuary, Commissioner and Trustees (ACT) in 2016 for deprivation of relief
benefits under 18USC§246 when they conspire to cut DI benefits to 80% because
the DI Trust Fund will be completely depleted under “current law”, whereas: (a)
the SSA Actuary has not gotten right FDR’s infamous “pain the OASDI tax rate calculus”,
that takes a week to differentiate the first time, the Chief Actuary has
responded to the President in regards to the OASDI reallocation question with a
common wrong answer – 2.7% - October 1, 2015 is not too late for Congress to
get the OASDI FICA tax rate right to avoid depletion of the DI Trust Fund in
FY2016; (b) SSA administrators are peculiarly obsessed with continuing their
$666 persecution on DI beneficiaries in violation of the 42 month limit
(Revelation 13:10) when a beneficiary receiving $600-$699 a month should
automatically receive an increase to $700 plus annual COLA thereafter and the 6 year term of the Social Security
Administration Commissioner needs to be reduced to 2 years under Section 702 of
Title VII the Social Security Act 42USC(7)VII§902(a)(3)
as was the limit in nature for anyone but the Creator, Health, Education and
Welfare Secretary Arthur J.
Altmeyer, who served six years, from July 16, 1946 to April 10, 1953; or the
longest serving commissioner Robert M. Ball who
served nearly nine years from April 17, 1962 to March 17, 1973 (c) Congress and
other rich taxpayers should not be compelled to contribute their incomes above $118,500 (2015) to the
attached, but separate roll-call vote, on the 130% increase in tax-base that
would be derived from the OASDI Without Income Limit Law (WILL) and shared with
the U.S. Treasury, until the SSA Actuary has calculated the baseline in dollar
amounts for the optimal OASDI reallocation tax rate, projected to pay benefits
until 2020, at no cost to taxpayers, free.
Current and Proposed Federal Insurance Contribution
Act (FICA) Rates
Current |
OASI |
DI |
OASDI |
HI |
Total |
Employees |
5.30 |
0.90 |
6.20 |
1.45 |
7.65 |
Employers |
5.30 |
0.90 |
6.20 |
1.45 |
7.65 |
Combined total |
10.60 |
1.80 |
12.40 |
2.90 |
15.30 |
2016 |
OASI |
DI |
OASDI |
HI |
Total |
Employees |
5.05 |
1.15 |
6.20 |
1.45 |
7.65 |
Employers |
5.05 |
1.15 |
6.20 |
1.45 |
7.65 |
Combined total |
10.1 |
2.30 |
12.40 |
2.90 |
15.30 |
2018 |
OASI |
DI |
OASDI |
HI |
Total |
Employees |
5.10 |
1.1 |
6.20 |
1.45 |
7.65 |
Employers |
5.10 |
1.1 |
6.20 |
1.45 |
7.65 |
Combined total |
10.2 |
2.2 |
12.4 |
2.90 |
15.30 |
2. Social Security is the primary social safety net for the
poor, aged and disabled. One-in-six Americans, 55.4 million
receives a Social Security benefit. In 2011, 44.8 million people received OASI
benefits, 15 million received DI and/or SSI benefits, and 48.7 million were
covered under Medicare. Social Security is virtually the
only income for about one third of senior citizens and 90% of senior citizens
receive benefits. In 2010
DI paid 9.9 million beneficiaries and SSI paid 7.9 million beneficiaries there
is however considerable overlap. Total benefits paid in
2011, including SSI, were $785 billion. Total income including $49 billion from
the General Fund to pay for SSI was $830 billion. Assets held in special issue U.S. Treasury
securities grew to $2.7 trillion. In 2011, Medicare covered 48.7 million
people: 40.4 million aged 65 and older, and 8.3 million disabled. Total
expenditures were $549.1 billion. Total income was $530.0 billion, which
consisted of $514.8 billion in non-interest income and $15.2 billion in
interest earnings. Assets held in special issue U.S. Treasury securities decreased
to $324.9 billion. In 2008 Medicaid
served more than 52 million Medicaid beneficiaries costing more than $305
billion the last time data is available.
Medicaid pays approximately 1 in 5 health care dollars and 1 in 2
nursing home dollars,
its cost is split between State and Federal governments with the federal share
ranging from 50-75%. In 2008 state agencies
collected $32.2 billion in state unemployment taxes, and paid $42.9 billion in
Federal and state unemployment benefits to 8.9 million beneficiaries at the
height of the recession in FY 2009 state agencies are expected to collect $36.7
billion in state unemployment taxes and to pay $102.9 billion in Federal and
state unemployment benefits to 12 million beneficiaries.
DI
Trust Fund: Current, Free DIRT and WILL 2015-2022
(billions)
Year |
Total
Rev. |
Payroll
Tax |
Other
Rev. |
Net
Interest |
Gross Cost |
Gross
Increase |
USPS Fed
2020 |
Year
End Balance |
2015 |
121.2 |
117.3 |
1.9 |
2.0 |
151.0 |
-29.8 |
0 |
28.4 |
2016 |
125.8 |
123.8 |
2.0 |
0 |
155.8 |
-30.0 |
0 |
-1.6 |
DIR
2.3 |
161.2 |
158.2 |
2.0 |
1.0 |
155.8 |
5.4 |
0 |
33.8 |
WILL |
208.7 |
205.7 |
2.0 |
1.0 |
161.0 |
47.7 |
21.4 |
54.7 |
2017 |
133.6 |
131.4 |
2.2 |
0 |
161.2 |
-27.6 |
0 |
-29.2 |
DIRT |
171.3 |
167.9 |
2.2 |
1.2 |
161.2 |
10.1 |
0 |
43.9 |
WILL |
222.4 |
218.3 |
2.2 |
1.9 |
167.3 |
55.1 |
21.9 |
87.9 |
2018
|
141.9 |
139.4 |
2.5 |
0 |
167.1 |
-25.2 |
0 |
-54.4 |
DIR
2.2 |
174.4 |
170.3 |
2.5 |
1.5 |
167.1 |
7.3 |
0 |
51.2 |
WILL |
226.9 |
221.4 |
2.5 |
3.0 |
173.9 |
53 |
22.3 |
118.6 |
2019 |
149.7 |
147.0 |
2.7 |
0 |
173.6 |
-23.9 |
0 |
-78.3 |
DIRT |
184 |
179.6 |
2.7 |
1.7 |
173.6 |
10.4 |
0 |
61.6 |
WILL |
240.2 |
233.5 |
2.7 |
4.0 |
180.9 |
59.3 |
22.8 |
155.1 |
2020 |
157.6 |
154.7 |
2.9 |
0 |
180.6 |
-23 |
0 |
-101.3 |
DIRT |
194.1 |
189.1 |
2.9 |
2.1 |
180.6 |
13.5 |
0 |
75.1 |
WILL |
254.0 |
245.8 |
2.9 |
5.3 |
188.2 |
65.8 |
32.9 |
188.0 |
2021 |
165.5 |
162.4 |
3.1 |
0 |
189.4 |
-23.9 |
0 |
-125.2 |
DIRT |
204.2 |
198.5 |
3.1 |
2.6 |
189.4 |
14.8 |
0 |
89.9 |
WILL |
267.6 |
258.1 |
3.1 |
6.4 |
197.2 |
70.4 |
35.2 |
223.2 |
2022 |
173.5 |
170.1 |
3.4 |
0 |
198.5 |
-25 |
0 |
-150.2 |
DIRT |
214.4 |
207.9 |
3.4 |
3.1 |
198.5 |
15.9 |
0 |
105.8 |
WILL |
281.3 |
270.3 |
3.4 |
7.6 |
206.3 |
75.0 |
37.5 |
260.7 |
Source: 2014 Annual Report of the OASDI Trustees 2014
Table IV.A.2
3. Under the current intermediate assumptions, the
Trustees project that annual cost for the OASDI program will exceed
non-interest income in 2014 and remain higher throughout the remainder of the
long-range period. The projected theoretical combined OASI and DI Trust Fund
asset reserves increase through 2019, begin to decline in 2020, and become
depleted and unable to pay scheduled benefits in full on a timely basis in
2033. At the time of reserve depletion, continuing income to the combined trust
funds would be sufficient to pay 77 percent of scheduled benefits. However, the
DI Trust Fund reserves become depleted in 2016, at which time continuing income
to the DI Trust Fund would be sufficient to pay 81 percent of DI benefits.
Therefore, legislative action is needed as soon as possible to address the DI program’s
financial imbalance. Lawmakers may consider responding to the impending DI
Trust Fund reserve depletion as they did in 1994, solely by reallocating the
payroll tax rate between OASI and DI. Such a response might serve to delay DI
reforms and much needed corrections for OASDI as a whole. However, enactment of
a more permanent solution could include a tax reallocation in the
short-run. The SSA Actuary presents many wrong answers to the very pressing
problem of the looming depletion of the DI Trust Fund and their plan to reduce
benefits to 80% in 2016. It is
bothersome that the Actuary does not publish the right answers, nor has that
office yet responded to being informed of the right answer, after two wrong submissions
with accompanying genocide in Palestine.
The Actuary has not spared the taxpayers or the beneficiaries by
performing FDR’s infamous pain in the OASDI tax rate calculation; nor come up
with any estimates pertaining to the 130% increase in OASDI revenues from a
Without Income Limit Law (WILL) because of corrupt $250,000 negotiations with
$174,000 Congressmen who haven’t had the morale to authorize themselves a raise
since President Obama took office in 2009.
The Actuary’s letter to the Director of the Office of Management and
Budget (OMB) titled, ‘Potential Reallocation of the Payroll Tax Rate Between
the Disability Insurance (DI) Program and the Old-Age and Survivors Insurance
(OASI) Program’ dated February 5, 2015 was wrong to use the actuarial DI
shortfall statistic of 2.7% proposed by the President. The exact same mistake is hereby corrected to
apologize for moving the deficit in the OASI fund from 2021 to 2019.
OASI Trust Fund;
Current, Free Dirt and WILL 2015-2022
Year |
Total
Rev. |
Pay- roll
Tax |
Other
Rev. |
Net
Int. |
OASI
Cost |
SSI
Cost |
Gross
Cost |
Gross
Increase |
Federal
Share |
Year
End Balance |
2015 |
816.8 |
691.1 |
31 |
94.7 |
758.7 |
0 |
758.7 |
58.1 |
0 |
2,783.7 |
2016 |
858.8 |
729.2 |
33.9 |
95.7 |
807.5 |
0 |
807.5 |
51.3 |
0 |
2,835.0 |
DIRT |
824.5 |
694.9 |
33.9 |
95.7 |
807.5 |
0 |
807.5 |
17 |
0 |
2,800.7 |
WILL |
824.5 |
694.9 |
33.9 |
95.7 |
807.5 |
0 |
807.5 |
17 |
0 |
2,800.7 |
2017 |
907.4 |
773.5 |
37.5 |
96.4 |
861.1 |
0 |
861.1 |
46.3 |
0 |
2,881.3 |
DIRT |
869.7 |
737.0 |
37.5 |
95.2 |
861.1 |
0 |
861.1 |
8.6 |
0 |
2,809.3 |
WILL |
1,090.8 |
958.1 |
37.5 |
95.2 |
880.2 |
70 |
950.2 |
140.6 |
126.5 |
2,814.8 |
2018 |
959.6 |
820.7 |
40.9 |
98.0 |
920.5 |
0 |
920.5 |
39.1 |
0 |
2,920.4 |
DIRT |
926.1 |
789.7 |
40.9 |
95.5 |
920.5 |
0 |
920.5 |
5.6 |
0 |
2,814.9 |
WILL |
1,163.2 |
1,027 |
40.9 |
95.7 |
949.7 |
73.5 |
1,023 |
140.2 |
126.2 |
2,828.8 |
2019 |
1,009.8 |
865.8 |
44.7 |
99.3 |
985.1 |
0 |
985.1 |
24.7 |
0 |
2,945.1 |
DIRT |
973.5 |
833.1 |
44.7 |
95.7 |
985.1 |
0 |
985.1 |
-11.6 |
0 |
2,803.3 |
WILL |
1,223.9 |
1,083 |
44.7 |
96.2 |
1,024 |
77.2 |
1,101 |
122.9 |
110.6 |
2,841.1 |
2020 |
1,059.6 |
910.9 |
48.6 |
100.1 |
1,055 |
0 |
1,055 |
4.6 |
0 |
2,949.7 |
DIRT |
1,020.4 |
876.5 |
48.6 |
95.3 |
1.055 |
0 |
1,055 |
-34.6 |
0 |
2,768.7 |
WILL |
1,284.7 |
1,140 |
48.6 |
96.6 |
1,103 |
81.0 |
1,184 |
100.7 |
50.3 |
2,891.4 |
2021 |
1,109.4 |
956.5 |
52.6 |
100.3 |
1,123 |
0 |
1,123 |
-13.6 |
0 |
2,936.1 |
DIRT |
1,067.1 |
920.4 |
52.6 |
94.1 |
1,123 |
0 |
1,123 |
-55.9 |
0 |
2,712.8 |
WILL |
1,347.4 |
1,196.5 |
52.6 |
98.3 |
1,183 |
85.1 |
1,268 |
79.4 |
39.7 |
2,931.1 |
2022 |
1,158.5 |
1,001.8 |
56.9 |
99.8 |
1,197 |
0 |
1,197 |
-38.5 |
0 |
2,897.6 |
DIRT |
1.113.1 |
964.0 |
56.9 |
92.2 |
1,197 |
0 |
1,197 |
-83.9 |
0 |
2,628.9 |
WILL |
1,409.8 |
1,253.2 |
56.9 |
99.7 |
1,270 |
89.3 |
1,359 |
50.8 |
25.4 |
2,956.5 |
Source: Annual Report of the OASDI Trustees 2014 Table
IV.A.1. Correction: (1) Interest is recalculated at a uniform 3.4% rate. (2)
High cost estimated for the WILL are found in the low-cost projections. The depletion date of the OASDI Trust Fund
was retarded one year.
4. The
USDA has totally deprived more than a million people of their food stamp
benefits and cut nearly everyone’s benefits since October 31, 2013. There were 47.6 million SNAP beneficiaries at
a cost of $79.9 billion in October 2013 and 46.5 million beneficiaries at a
cost of $74.1 billion in 2014 a reduction of 1.1 million beneficiaries. The USDA budget predicts normal growth but it
is feared that any such growth will just be stolen as welfare fraud does not
seem to equally protect the United States from welfare theft. During the economic depression that is not
necessarily over for workers, the number of food stamp beneficiaries, rose
dramatically from 28.4 million in 2008 to 44.7 million in 2011 at a total cost
of $37.6 billion and $75.7 billion respectively, but since October 2013 more than
a million beneficiaries have lost their benefits. The 2008 farm bill
(H.R. 2419, the Food, Conservation, and Energy Act of 2008) was enacted May 22,
2008 through an override of the President’s veto. The new law increased the
commitment to Federal food assistance programs by more than $10 billion over
the next 10 years. In efforts to fight stigma, the law changed the name of the
Federal program to the Supplemental Nutrition Assistance Program or SNAP as of
Oct. 1, 2008, and changed the name of the Food Stamp Act of 1977 to the Food
and Nutrition Act of 2008. Additional
Recovery Act funds were terminated as of October 31, 2013 in accordance with an
illegitimate Republican interpretation of section 442 of the Healthy, Hunger-Free
Kids Act of 2010 (Public Law 111-296).
The cuts were deep and totalitarian, as has happened so many times
before under the Food Stamp Act of 1977, the bureaucracy went agro, SNAP
beneficiaries did not get the tenure promised by Food, Conservation and Energy
Act of 2008 H.R. 2419, and the longest uninterrupted growth in good stamp from
the Farm Bill of 2002 was brought to end.
USDA and FNS must not cut SNAP benefits anymore. SNAP benefits must grow or there are legal
consequences for the kleptomaniac Secretary.
The original jurisdiction of the U.S. Supreme Court is sought to prevent
the USDA from future SNAP cut recidivism in a case titled United States ex. rel. v. Agriculture Secretary Tom Vilsack and Office
of National Drug Control under deprivation of relief benefits under
18USC§246. SNAP must grow, slavery must
be abolished and repealed, and USDA agricultural subsidies must cite the
Biosafety and Redress Protocols to the 1992 Convention on Biological Diversity
and the 1982 Law of the Sea that protects the Safe Drinking Water Act from
cattle.
Supplemental Nutrition
Assistance Program Participation and Costs |
|
|||||
(Data as of June 5, 2015) |
|
|||||
|
|
Average Benefit Per Person |
|
All Other Costs |
|
|
|
|
|
|
|
||
Fiscal Year |
Average Participation |
Total Benefits |
Total Costs |
|
||
|
--Thousands-- |
--Dollars-- |
----------Millions of Dollars---------- |
|
||
2013 |
47,636 |
133.07 |
76,066.32 |
3,866.98 |
79,933.30 |
|
2014 |
46,536 |
125.35 |
69,999.81 |
4,130.17 |
74,129.98 |
|
Source:
USDA
5. The
number of TANF beneficiaries has declined dramatically from a high of nearly
14.2 million in 1993 to little less than 5 million in 2003 after the Personal
Responsibility and World Opportunity Reconciliation Act (PRWORA) of 1996
coerced families with children to work.
In 2011 an estimated 1 in 4 US children, 21%, were growing up in
poverty, the highest rate in the industrialized world. In Finland, the
number is about 2.8%; Norway, 3.4%; Sweden, maybe 4.2%, Switzerland, 6.8%,
Netherlands in second place at 9.8%. In 2004 in the
U.S. an estimated 14 million parents had custody of 21.6 million children under
21 years of age while the other parent lived somewhere else. 28% of children live in single parent
household as the result of the dramatic increase in divorce rate to 50% of all
marriages in the 1990s. In 1999 there
were 2.2 million marriages and 1.1 million divorces. Only 10% of children living with both parents
were below the poverty line whereas 40% living with only one parent were below
the poverty line. Children living only
with their mothers were twice as likely to live in poverty as those living only
with their fathers. In 2001, 6.9 million
custodial parents were due an average of $5,000. An aggregate of $34.9 billion of payments
were due and about $21.9 billion (62.6%) were received, averaging $3,200 per
custodial-parent family, another $900 million were volunteered by parents
without current awards or agreements. The United States needs to stop reinventing private health
insurance and ratify the International Labor Organization (ILO) Holidays with
Pay Convention (Convention
132) of 1970; Workers with Family Responsibilities (Convention
156) of 1981, and Maternity Protection (Convention
183) of 2000.
Medicaid with Premiums; Deficit Neutral
Revenues and Outlays 2013-2020
Medicaid |
State Revenues |
Federal Revenues |
Premium Revenues |
Current Benefit Payment |
New Benefit Payment |
Admin-istration |
2013 |
184.1 |
265.4 |
|
251 |
|
14.5 |
2014 |
169.2 |
308.6 |
|
290 |
|
18.6 |
2015 |
170.6 |
336 |
60.1 |
318.5 |
60.1 |
18.8 |
2016 |
172.0 |
356.2 |
80.0 |
337.2 |
80.0 |
19.0 |
2017 |
173.4 |
377.5 |
100 |
358.3 |
100 |
19.2 |
2018 |
174.8 |
400.2 |
110 |
380.8 |
110 |
19.4 |
2019 |
176.2 |
424.2 |
120 |
404.6 |
120 |
19.6 |
2020 |
177.6 |
449.6 |
130 |
429.9 |
130 |
19.7 |
Source:
FY 2015 HHS Budget pg.
77 CMS National Health Expenditure
Projection 2013-2023 - Total Medicaid spending was $449.5 billion in 2013.
6. The U.S. is not party to the ILO Holidays with Pay Convention 132
of 1970 and sick days tend to go unpaid.
The U.S. does not have a universal health insurance system, or keep
medical creditors out of the credit bureau, but health
spending per capita in the US private health insurance system, at $5,777 in
2008 is by far the highest in developed countries -- 24% higher than in the
next highest spending countries, and over 90% higher than in other countries
that would be considered global economic competitors. The share of GDP
devoted to health grew from 8.8% of GDP in 1980 to 15.2% of GDP in 2003 to
around 18% in 2015. Despite the high cost, the U.S. tends to lag behind
its peers in many vital statistics. An
estimated 47 million people, 15% of the population, are uninsured. In most other industrialized nations 90-95%
of people have prepaid health insurance.
Average annual premiums for employer-sponsored coverage in 2006 in the
U.S. were $4,242 for single coverage and $11,480 for family coverage. Between 10-1-2013
and 3-31-2014; 8 million people have made marketplace plan selections, 6.7
million with financial assistance, averaging about $4,731 each policy if the
$31,700 million cost of the refundable tax credit is to be tested. The Treasury Department’s total budget
request is $573.5 billion about $1 billion more than OMB estimates. Abolishing the refundable premium tax credit
and cost-sharing reduction would reduce Treasury spending by $69.1 billion to
$513.4 billion. Growth in mandatory
spending has increased $101 billion, 22.3% growth, mostly due to new refundable premium tax credit
and cost sharing reductions estimated by the Treasury at $60.1 billion FY 2015,
that needs to be immediately abolished. Interest on the public debt has increased by 6.5% from $395
billion 2014 to $419 billion 2015, an increase of $24.1 billion. CMS is moving forward with making the
Basic Health Plan Program available to states as another option to expand
coverage. King v. Burwell (2015)
prevents the deprivation of relief benefits but not the accounting fraud we
must continue to deal with in regards to the refundable premium and tax credits. Between 10-1-2013 and 3-31-2014;
8 million people have made marketplace plan selections, 6.7 million with
financial assistance, averaging about $4,731 each policy if the $31,700 million
cost of the refundable tax credit is to be tested for paying the entire cost of
a Medicaid family plan for a middle class worker, and 1.2 million without
subsidy. Annual premiums at 200% of
FPL would be around $2,517.60 for an individual and $5,035 for a family
and the existing 8 million beneficiaries could be estimated to pay exactly
$31,700 million in premiums in matching funds with the refundable tax
credit. Medicaid spending is estimated
to operate on a -$2.7 billion deficit at its inception. If the number of beneficiaries doubles to 16
million premium payers in 2015, paying $60,100 in premiums, the account deficit
might double to -$5.2 billion. But for
every eight million people who stop receiving the ESI the federal government
should receive $10.7 billion in old revenues so it shouldn’t hurt federal
revenues. Buy Medicaid. The most important federal health accounting
issue is to limit regular HHS spending to less than $1 trillion annually,
semi-permanently. To reduce HHS spending to less than $1 trillion, not
including the refundable premium and tax credits, it is necessary to abolish
the new, expensive and unexplained concept of other mandatory programs. Without explanation, other mandatory programs, increased from $1.9
billion FY2014 to $24.6 billion FY2015.
The other mandatory spending row must be abolished to reduce HHS
spending to less than $1 trillion FY 2015, $993.5 billion to be exact.
Federal Budget FY 2015 2000-2020
[Millions]
|
2000 |
2015 OMB |
2016 |
2017 |
2018 |
2019 |
2020 |
Executive
Office of the President |
283 |
506 |
519 |
532 |
545 |
559 |
573 |
Legislative
Branch |
2,871 |
4,694 |
4,811 |
4,932 |
5,055 |
5,181 |
5,311 |
Judicial
Branch |
4,057 |
7,584 |
7,774 |
7,968 |
8,167 |
8,371 |
8,581 |
Postal
Service |
0 |
0 |
21,115 |
21,643 |
22,184 |
22,739 |
23,307 |
Department
of Agriculture |
75,071 |
139,727 |
143,500 |
147,088 |
150,765 |
154,534 |
158,397 |
Department
of Commerce |
7,788 |
9,607 |
9,020 |
9,246 |
9,477 |
9,714 |
9,956 |
Department
of Defense |
281,028 |
584,319 |
495,000 |
495,000 |
495,000 |
495,000 |
495,000 |
Department
of Education |
33,476 |
76,334 |
70,315 |
72,073 |
73,875 |
75,722 |
77,615 |
Department
of Energy |
14,971 |
29,374 |
28,598 |
29,312 |
30,045 |
30,796 |
31,566 |
Department
of Health and Human Services |
382,311 |
1,010,384 |
996,000 |
996,000 |
96,000 |
996,000 |
996,000 |
Department
of Homeland Security |
13,159 |
47,456 |
39,155 |
40,134 |
41,137 |
42,166 |
43,220 |
Department
of Housing and Urban Development |
30,781 |
38,088 |
39,040 |
40,016 |
41,016 |
42,042 |
43,093 |
Department
of the Interior |
7,998 |
13,702 |
12,198 |
12,502 |
12,815 |
13,135 |
13,464 |
Department
of Justice |
16,846 |
33,859 |
22,493 |
23,055 |
23,631 |
24,222 |
24,828 |
Department
of Labor |
31,873 |
68,094 |
54,837 |
56,208 |
57,614 |
59,054 |
60,530 |
Department
of State |
6,687 |
28,954 |
14,389 |
14,749 |
15,117 |
15,495 |
15,883 |
International
Assistance Programs |
12,087 |
21,577 |
37,406 |
38,342 |
39,300 |
40,283 |
41,290 |
Department
of Transportation |
41,555 |
84,252 |
90,900 |
93,173 |
95,502 |
97,890 |
100,337 |
Department
of the Treasury |
390,524 |
572,593 |
525,005 |
538,130 |
551,583 |
565,373 |
579,507 |
Department
of Veterans Affairs |
47,044 |
158,039 |
164,410 |
168,520 |
172,733 |
177,052 |
181,478 |
Corps
of Engineers--Civil Works |
4,229 |
7,745 |
7,939 |
8,137 |
8,341 |
8,549 |
8,763 |
Environmental
Protection Agency |
7,223 |
8,379 |
8,087 |
8,289 |
8,497 |
8,709 |
8,927 |
General
Services Administration |
74 |
408 |
418 |
429 |
439 |
450 |
462 |
National
Aeronautics and Space Administration |
13,428 |
18,076 |
17,938 |
18,386 |
18,846 |
19,317 |
19,800 |
National
Science Foundation |
3,448 |
8,103 |
7,436 |
7,622 |
7,813 |
8,008 |
8,208 |
Office
of Personnel Management |
48,655 |
93,362 |
48,000 |
48,000 |
48,000 |
48,000 |
48,000 |
Small
Business Administration |
-421 |
1,057 |
500 |
500 |
500 |
500 |
500 |
Social
Security Administration (On-Budget) |
45,121 |
90,398 |
70,000 |
0 |
0 |
0 |
0 |
Other
Independent Agencies (On-Budget) |
8,803 |
19,413 |
19,898 |
20,396 |
20,906 |
21,428 |
21,964 |
Total
on-budget outlays |
1,788,950 |
3,176,084 |
2,956,701 |
2,920,382 |
2,954,903 |
2,990,289 |
3,026,560 |
Source: OMB Table 4.1, Agency FY 2015
Budgets + 2.5% annual growth
7. It is estimated OMB could reduce the deficit by
$190 billion if OMB accounted more accurately for agency budget requests in
2015. This does not include the $103.4
billion that are also saved by abolishing the $57.4 billion Other Defense Civil
Programs, and $46 billion Allowances rows, for $360 billion in debt relief
reducing OMB deficit estimates to $460 billion.
Nor does it include abolishing the $60.1 billion mandatory refundable
premium tax credit and cost-sharing reduction by accounting for Medicaid Basic
Health Plan to collect premiums and pay benefits off-budget in a
deficit-neutral account monitored in the HHS budget request and OMB Table 4.1
off-budget; the United States could reduce the deficit to -$209.3 billion in
2015. Provided agencies aim for 2%
annual spending growth with a 3% limit, with the exception of DoD with a $500
billion spending and Health and Human Services with a $1 trillion limit,
balancing the federal budget should become much easier. The
Defense budget for FY 2013 was $495.5 billion FY2013, $496 billion FY 2014 and
$495.6 billion FY2015. Military pay and benefits account for the largest share
of the budget, $167.2 billion out of $495.6 billion FY2015. The OMB estimates are much higher,
$608 billion FY2013, $593 billion FY2014 and $584 billion FY2015. The Department of Defense offers OMB the
opportunity to reduce the gross federal debt with three years valued of $295.9
billion including the FY2015 deficit reduction of $88.4 billion. OMB
must account more accurately agency spending in Table 4.1. OMB must commission
an annual review of agency budget requests to improve the accuracy and
predictability of their accounting under Art. 2(2) of the U.S.
Constitution. There may be considerable
retroactive relief due for agency budget officers who prove to OMB that their
lower estimates to be more accurate than the figures in the OMB Historical
Tables which are used to calculate the Deficit.
Accurate
reporting is necessary to establish a baseline for predictable 2.5% annual
rates of agency spending growth.
Receipts by Source Revised for On-budget/Off-budget
OASDI WILL and Medicaid Premiums 2013-2020
|
2013 |
2014 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
|
|
|
|
|
|
|
|
|
Individual Income Tax |
1,316.4 |
1,386.1 |
1,533.9 |
1,647.8 |
1,780.7 |
1,920.1 |
2,074.1 |
2,178.5 |
Corporation Income Tax |
273.6 |
332.7 |
449.0 |
501.7 |
528.0 |
539.9 |
414.5 |
526.6 |
(On-budget) HI tax and premiums |
284.5 |
287.6 |
324 |
329 |
355.5 |
379.6 |
403.5 |
429 |
(On-budget) OASDI maximum allowable
deficit |
0 |
0 |
0 |
22.5 |
208.8 |
222.9 |
236.3 |
132 |
Excise taxes |
84.0 |
93.5 |
110.5 |
115.4 |
118.9 |
122.1 |
126.7 |
130.3 |
Miscellaneous receipts |
102.6 |
117.6 |
131.7 |
103.6 |
95.9 |
82.6 |
88.9 |
101.2 |
Estate and gift taxes |
18.9 |
15.7 |
17.5 |
19.6 |
21.2 |
22.8 |
39.4 |
42.3 |
Customs duties |
31.8 |
35.0 |
47.0 |
52.0 |
54.6 |
58.1 |
62.4 |
64.8 |
Total on-budget receipts |
2,101.8 |
2,269.4 |
2,587.5 |
2,794.6 |
3,163.6 |
3,348.1 |
3,445.8 |
3,604.7 |
OASDI receipts (Off-budget) |
822.9 |
863.1 |
962.5 |
1,076.3 |
1,124.9 |
1,205.1 |
1,265.6 |
1,449.1 |
Medicaid premiums (Off-budget) |
0 |
0 |
60.1 |
80 |
100 |
110 |
120 |
130 |
Total receipts (Off-budget) |
822.9 |
863.1 |
1,022.6 |
1,156.3 |
1,224.9 |
1,315.1 |
1,385.6 |
1,579.1 |
Total on-budget receipts |
2,101.8 |
2,269.4 |
2,612.5 |
2,794.6 |
3,163.6 |
3,348.1 |
3,445.8 |
3,604.7 |
Total receipts |
2,924.7 |
3,132.5 |
3,635.1 |
3,850.9 |
4,388.5 |
4,663.2 |
4,831.4 |
5,183.8 |
Source: OMB Table 12.1, 2013 Annual
Report of the OASDI Trustees; Intermediate projections.
8. The receipts by source in OMB Table
12.1 requires three new rows and
a change of name from Social Insurance to Social Security Administration total
and from on-budget social insurance to on-budget Health Insurance will be
necessary. Accounting for the OASDI without income limit law profit sharing
provision at a rate of up 90% to off-set the federal deficit, at least 10% SSA
until 2020, 50/50 until 2025 and 5% federal, 95% SSA to 2030 after which time
there will not be enough of an OASDI surplus to pay the General Fund, requires
the creation of a new column of on-budget Social Security Administration (SSA) revenues.
1. Congress must enact a gas, oil, coal and electricity export tax and
authorize new appropriations for the Postal Service with half of new WILL to
collect DI revenues. OMB Table 4.1 would add a United
States Postal Service (USPS) row to account for $20 billion +3% annual growth
from FY 2014, $20.6 billion FY 2015 + <2.5% annual growth in subsequent year
before refinancing costs go up, and USPS would be expected to submit an annual
budget justification to Congress like other Departments. In 2016 OMB
would remove the Social Security on-budget row in Table 4.1 and place the
historical amounts paid for SSI and administration in the Other Independent
Agency on-budget row because the OASDI WILL would pay for SSI and
administration, $70 billion in 2017 and there should be no obsolete rows in
Table 4.1. The Treasury’s mandatory
$60,100 billion 2015 refundable premium tax credit and cost-sharing reduction
needs to be abolished and used to estimate a new deficit-neutral off-budget
system of accounting for Medicaid outlays and receipts from the sale of the
Medicaid Basic Health Plan to the public by the Marketplace. OMB will account for this deficit-neutral
market priced premium health insurance in a new off-budget Medicaid receipt and
outlay rows in Table 4.1. If all these
spending limitations, DI WILL and GET revenue provisions were passed in 2016
there would be a total surplus of $55 billion, a -$70 billion on-budget deficit
and a $146.6 off-budget surplus.
Gross Federal Outlays and Revenues, Surplus/Deficit
2000-2020
|
2000 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
Total on-budget outlays |
1,788,950 |
3,176,084 |
2,956,701 |
2,920,382 |
2,954,903 |
2,990,289 |
3,026,560 |
Undistributed Off-setting receipts (On-budget) |
-105,586 |
-136,208 |
-145,297 |
-144,639 |
-145,067 |
-148,630 |
-149,793 |
Total on-budget receipts |
1,544,607 |
2,612,500 |
2,794,600 |
3,163,600 |
3,348,100 |
3,445,800 |
3,604,700 |
On-budget surplus/deficit |
86,422 |
-427,326 |
-16,804 |
387,857 |
538,264 |
615,265 |
739,335 |
OASDI outlays (off-budget) |
330,765 |
863,100 |
963,300 |
1,022,300 |
1,087,600 |
1,158,700 |
1,235,200 |
Other Independent Agencies (off-budget) |
2,029 |
-958 |
-958 |
450 |
-413 |
81 |
1,215 |
Off-budget outlays |
332,794 |
862,142 |
1,042,342 |
1,122,750 |
1,197,187 |
1,278,781 |
1,366,415 |
Undistributed Offsetting Receipts
(Off-budget) |
-67,433 |
-112,229 |
-109,641 |
-109,246 |
-109,474 |
-110,017 |
-110,256 |
Net Off-budget outlays |
265,361 |
749,913 |
932,701 |
1,013,504 |
1,087,713 |
1,168,764 |
1,256,159 |
Total Off-budget receipts |
480,584 |
757,877 |
1,079,300 |
1,224,900 |
1,315,100 |
1,385,600 |
1,579,100 |
Off-budget surplus/deficit |
215,223 |
7,964 |
146,599 |
211,396 |
227,387 |
216,836 |
322,941 |
Total on-budget outlays |
1,788,950 |
3,176,084 |
2,946,372 |
2,909,794 |
2,944,051 |
2,979,165 |
3,015,158 |
Off-budget outlays |
332,794 |
862,142 |
1,042,342 |
1,122,750 |
1,197,187 |
1,278,781 |
1,366,415 |
Total outlays |
2,121,744 |
4,038,226 |
3,988,714 |
4,032,544 |
4,141,238 |
4,257,946 |
4,381,573 |
Total Undistributed Offsetting Receipts |
-173,619 |
-248,437 |
-254,938 |
-253,885 |
-254,541 |
-254,647 |
-254,645 |
Total receipts |
2,025,191 |
3,337,425 |
4,043,900 |
4,388,500 |
4,663,200 |
4,831,400 |
5,183,800 |
Total surplus/deficit |
77,066 |
-452,364 |
55,186 |
609,841 |
776,503 |
828,101 |
1,056,872 |
Gross Federal Debt |
5,629,000 |
18,714,000 |
18,658,814 |
18,048,973 |
17,272,470 |
16,444,369 |
15,387,496 |
GDP |
10,154,000 |
18,219,000 |
19,181,000 |
20,199,000 |
21,216,000 |
22,196,000 |
22,990,000 |
Debt as % of GDP |
55.4% |
102.7% |
97.2% |
89.4% |
81.4% |
74.1% |
66.9% |
Source: OMB Tables
1.1, 4.1 and FY2015 Agency Budget Requests; Sanders ’14: 91-94 updated to
abolish Allowances and Other Defense Civil Program rows and project revenues
for the DI WILL in 2016 and OASDI WILL in 2017
9. The federal
government usually runs on a deficit, with some famous exceptions, such as when
Andrew Jackson paid off the federal debt in 1835 and more recently when Bill
Clinton ran a surplus in 1998-2000, and is currently running the highest
deficit in dollar terms in national history, -$1.4 trillion in 2009, and -$1.3
trillion in 2010, 2011 and 2012 and is projected to improve to -$900 million in
2013, down to -$530 billion in 2015 and going down for a short while before the
accounting fraud causes the deficit to grow again by 2018. This deficit is the
second highest as a percentage of GDP since WWII and the Confederacy during the
Civil War. Currently the federal budget
teeters on the brink of the European definition of a solvent 3% deficit at
around -$500 billion. The OASDI WILL tax eliminates the deficit in 2017 with
hundreds of billions of dollars of surplus revenues to expand welfare programs
and pay off the federal debt.
Gross Federal Debt, Surplus
or Deficit, Debt Held by Public, Compared as % of GDP 2000-2019
Year |
2000 |
2001 |
2002 |
2003 |
2004 |
Gross
Federal Debt |
5,629 |
5,770 |
6,198 |
6,760 |
7,355 |
% of
GDP |
55.4 |
54.6 |
60.0 |
59.6 |
60.8 |
Surplus
or Deficit |
236 |
128 |
-158 |
-378 |
-413 |
Debt
Held by Public |
3,410 |
3,320 |
3,540 |
3,913 |
4,296 |
% of
GDP |
33.6 |
31.4 |
32.6 |
34.5 |
35.5 |
Year |
2005 |
2006 |
2007 |
2008 |
2009 |
Gross
Federal Debt |
7,905 |
8,451 |
8,951 |
9,986 |
11,876 |
% of
GDP |
61.3 |
61.7 |
62.5 |
67.7 |
82.4 |
Surplus
or Deficit |
-318 |
-248 |
-161 |
-459 |
-1,414 |
Debt
Held by Public |
4,592 |
4,829 |
5,035 |
5,803 |
7,545 |
% of
GDP |
35.6 |
35.3 |
35.2 |
39.3 |
52.3 |
Year |
2010 |
2011 |
2012 |
2013 |
2014 |
Gross
Federal Debt |
13,529 |
14,764 |
16,051 |
16,719 |
17,
893 |
% of
GDP |
91.5 |
96.0 |
99.7 |
100.6 |
103.2 |
Surplus
or Deficit |
-1,294 |
-1,300 |
-1,087 |
-680 |
-649 |
Debt
Held by Public |
9.019 |
10,128 |
11,281 |
11,983 |
12,779 |
% of
GDP |
60.9 |
65.9 |
70.4 |
72.3 |
74.1 |
Year |
2015 |
2016 |
2017 |
2018 |
2019 |
Gross
Federal Debt |
18,714 |
19,512 |
20,262 |
20,961 |
21,671 |
% of
GDP |
102.7 |
101.7 |
100.3 |
98.8 |
97.6 |
Surplus
or Deficit |
-564 |
-531 |
-458 |
-413 |
-503 |
Debt
Held by Public |
13,305 |
13,927 |
14,521 |
15,135 |
15,850 |
% of
GDP |
74 |
73.6 |
73 |
72.8 |
73.1 |
Source: OMB Historical Table
1.1 and 1.2; Sanders ’14: Table 1 Debt and Deficit as % of GDP 2000-2020, CBO
Revenues, Outlays, Deficits, Surpluses and Debt Held by the Government since
1965
10. OMB estimates
that the “gross federal debt” reached a high of 103.2% of GDP in FY 2014 and is
scheduled to reach 102.7% of the GDP this FY 2015 before steadily declining due
to GDP growth. CBO offers dramatically
lower estimates of “debt held by the public” that reached $13.4 trillion, 74%
of GDP FY2015 but does not prove it by accounting for agency spending. CBO does offer a public debt that is much
truer to the deficit. However CBO debt
held by the public also tends to accumulate faster than the explained by the
deficit. For instance in 2001 after a
budget surplus of $236 billion the debt held by the public declined by only $90
billion. OMB on the other hand proves their revenues and agency spending totals
in the calculation of their on-budget deficit but then inexplicably adds far
more than the price of the deficit to the gross federal debt. In 2001 after turning a surplus of $236
billion in 2000 the gross federal debt didn’t decrease, it increased $200
billion from $5.6 trillion to $5.8 trillion.
CBO debt statistics are nearly exactly explained by the deficit but are
also high. Debt rises much faster than
is explained by the deficit. It might be
wise to require by law that all future federal debt be explained by the
deficit. Under current policies, CBO
projects that even the smaller national debt held by the public, 74% of GDP in
2015, as opposed to the gross federal debt, 102.7% of GDP, would rocket to 185%
by 2035, and to 200% by 2037, twice as large as our entire economy. This national debt would explode further to
unprecedented levels of 233% of GDP by 2040, and to 854% by 2080. Before the financial crisis, US federal debt
as a percentage of GDP was around 40 percent, not too much worse than the
long-term average of 36 percent. In 2013
the Congressional Budget Office (CBO) projects the debt will reach 62 percent
of the GDP, in 2015 it will reach 74 percent and in 2020 it will reach 90
percent, and eventually surpass total economic output in 2025. By 2037, the debt would exceed 200 percent of
GDP. The longer action to deal with the
nation’s long term fiscal outlook is delayed, the greater the risk that the
eventual changes will be disruptive and destabilizing. Pass the Free DIRT Act, OASDI WILL and GET
Acts.
Sanders, Tony J. Book 3: Health and Welfare (HaW). 10th
Ed. Hospitals & Asylums HA-7-9-15. 249 pgs.
www.title24uscode.org/haw.doc
Test Questions www.title24uscode.org/hawtest.doc