BY: JERRY L. RHOADS, CPA, FACHCA, LICENSED HELATH CARE ADMINISTRATOR … 1962 TO 2019 = 57YEARS EXPERIENCE IN HEALTH CARE SERVICES AND SYSTEMS
ENTREPRENUER: ACCOUNTING AND CPA BUSSINESS, MANAGEMENT, SOFTWARE DEVELOPMEBT, AND OWNER OF THREE SKILLED NURSING FACILITIES 2009 TO 2015 (ARKANSAS AND IOWA)
WRITTEN 17 BOOKS 9 REGARDING HEALTH CARE AND UNDERLYING FUNDING PRINCIPLES INCLUDING “FAILING GOVERNMENT TAKETH AWAY”, “THE AMERICAN ENTERPRISE MANIFESTO (THIRD POLITICAL PARTY)”AND “THE BOOMER’S ARE COMING”
FOUNDED ON “WE DON’T KNOW WHAT WE DON’T KNOW”
AND POLITICIANS ARE TAUGHT TO NOT EDUCATE THE VOTERS AND SAM RAYBURN ADVISED LBJ “TO GO ALONG TO GET ALONG” AND REAGAN SAID “GOVERNMENT IS SUPPOSED TO PROTECT US FROM EACH OTHER BUT IT GETS OUT OF HAND WHEN IT MAKES LAWS TO PROTECT US FROM OURSELVE. WHAT WE HAVE IS A MONOPSONY … A ONE BUYER MARKET CONTROLLING THE GOLD “THE GOLDEN RULE RULES” BY THE RULE OF 545 VS 330 MILLION ENTERPRISING AMERICAN WORKERS.
FAILING GOVT TAKETH AWAY FREEDOMS WITH 40,490 LAWS PASSED ACROSS THE NATION PER YEAR… MOST TO PROTECT US FROM OURSELVES AND TAKES AWAY THE FREEDOM OF CHOICE AND STANDARD OF LIVING PURSING THE AMERICAN DREAM..
RELEVANT QUESTIONS:
WHAT IS THE DEBT CLOCK? CHAMBER OF COMMERCE (NEW YORK CITY) AND A DEBT CLOCK APP WWW.DEBTCLOCK.COM
WHAT ARE THE MOST IMPORTANT NUMBERS (GAAP VS CASH BASIS)
o $6 trillion per year Federal deficit (GAAP)
o $107 trillion accumulated Federal deficit
o $3.3 trillion Federal interest paid
o $124.1 trillion Federal unfunded debt (GAAP) ($1,010,401 per taxpayer)
o $21.2 ANNUALIZED GDP (ACCUMMULATED BY 50 STATES)
UNCOOK THE BOOKS AND DRAIN THE SWAMP (CASH BASIS VERSUS GAAP) UNDERWATER? INSOLVENCY? BANKRUPT?
HOW BIG IS THE SWAMP? … as wide as the Federal, State and Local 40,000 new laws per year and 100,000 pages of regulations and as deep as the $6 trillion dollars in red ink flows into the swamp every year … CASH vs. GAAP BASIS is cooking the books …
i. PASS A LAW KILL 10 LAWS (Deregulation killer)
ii. ELIMINATE REDUNDANTCY (50 State bureaucracies)
iii. UNCOOK THE BOOKS (GAAP)
iv. PRIVATIZE HEALTH CARE (paying for outcomes)
v. SHIFT THE ECONOMY TO GAAP (the real GDP)
vi. PRIVATIZE EDUCATION (thousands of bureaucracies)
vii. DISBAND REDUNDANT AGENCIES (50 STATES)
viii. STOP POLY PHARMACY (8 BILLION PILLS)
ix. START IMMAGRATION BY QUALIFCATION
x. (through portals)
HOW DO WE DRAIN THE SWAMP?
BUY MY BOOK “THE AMERICAN ENTERPRISE MANIFESTO” email me at www.jerry.l.rhoads@gmail.com for a copy of the American Enterprise Party white paper or www.jerryrhoadsauthor.com for the book.
DIFFERENCES RECONCILED
… CAPITALISM + SOCILAISM = FREE MAKET ENTERPRISE
RATHER THAN DEBATE ISSUES BETWEEN TWO PARTIES THAT CONTRIVED THIS MONOPSONY SYSTEM LETS FIX THE PROBLEM … A THIRD PARTY VOTING BLOCK THAT REPRESENTS 170 MILLION ENTERPRISING AMERICANS, 77 MILLION BABY BOOMBERS, 40 MILLION INDEPENDENT VOTERS AND TAK BACK THE GREAT AMERICAN ENTERPRISE FOR THE GREATER GOOD … IT ONLY TAKES 8 SEATS IN THE SENATE AND 20 IN THE HOUSE TO BE THE SWING VOTE TO AVOID FILLABUSTER AND SOLVE THESE PROBLEMS RATHER THAN HAVE GRID LOCK TO FOOL US INTO THINKING WE HAVA AN EFFECTIVE TWO PARTY SYSTEM…. WHICH WE DON’T.
DRAINING THE SWAMP SOLUTIONS … 10 STEPS TO SOLVENCY AND AVOID BK PROBLEM SOLVING NOT ISSUE PANDERING
1) PASS A LAW KILL 10 LAWS … 40,000 LAWS PER YEAR BY LAMAKERS AND ENTERPRISE BREAKERS … 70K PAGES IN FED CODE, 22k ON GUNS, 20K ON CRIME … NO ONE KNOWS HOW MANY LAWS WE HAVE ON THE BOOKS AT ALL LEVELS OF THE BUERACRACY. SET ENTERPRISE FREE AGAIN SO THE ENTREPRENUERS AND SMALL BUSINESS ENTERPRISE CAN THRIVE KEEPING AMERICA GREAT … THE CONSUMMER OF THE WORLD.
2) ELIMINATE REDUNDANCY (DRAIN THE SWAMP AT THE FEDERAL STATE AND LOCAL LEVELS OF GOVERNMENT) … 22 MILLION GOVERNMENT EMPLOYEES MAKE $55 K PER YEAR VS $45K FOR NON GOVERNEMENT EMFPLOYEES (FED GOVT IS $125K PER YEAR). AS A RESULT WE HAVE 40% FIXED OVERHEAD JUST FOR PASSING LAWS AND GROWING THE TAX BASE INTO INSOLVANCY. MILTIPLY THE REDUNDANCY COSTS BY 50 STATE BUREACRACIES.
3) HOW BIG IS THE SWAMP … as wide as the oceans and as deep as the red ink sea … CASH vs. GAAP BASIS … cooking the books
o $6 trillion per year Federal deficit (GAAP)
o $107 trillion accumulated Federal deficit
o $3.3 trillion Federal interest paid
o $124.1 trillion Federal unfunded debt (GAAP) ($1,010,401 per taxpayer)
o $21.2 ANNUALIZED GDP (ACCUMMULATED BY 50 STATES)
o $19.7 trillion personal debt
o $15.6 trillion mortgage debt
o $1.6 trillion college debt
o $1.1 trillion credit card debt
o $3.7 trillion State and Local debt
o $136.1 trillion Total national assets
o $173.3 trillion total national debt including individuals
o ($48) trillion national debt exceeds assets (insolvency … under water)
o $4.4 trillion Federal annual spending
o $3.3 trillion Federal annual tax revenues
o $3.1 trillion State and local tax revenues
o $7.5 trillion Federal, State and Local annual spending
o $3.4 trillion spent on wars
o $3.2 on WOMD’s not yet used
23 million government workers
$1.2 trillion dollar annual payroll $56k per bureaucrat $125k per year for Federal employees, $46k for private workers.
$25 trillion unfunded State, Local and Federal Government pension costs
156 million workforce 11 million unemployed
37 million in poverty
20 million veterans
53.5 million retirees
59.4 million Medicare beneficiaries
76.1 million Medicaid beneficiaries
135.5 million Total Medicare and Medicaid recipients
27.4 million uninsured
37.2 million on food stamps
o 169.5 million receiving benefits
o $6.4 trillion Federal debt held by foreign countries
o $871 billion annual trade deficit
o $21.2 trillion GDP
o $1.2 trillion annual Medicare and Medicaid budget (7,000 boomers added per day)
o $1.1 annual social security payments (growing by 10,000 qualifying a day)
DRAINING THE SWAMP
4) PRIVATIZE HEALTH CARE (DRAIN THE SWAMP) USING THE SHIFT THE PARADIGM ENTERPRISE MODEL … SELF-HEALTH INSURANCE FUNDING TRUST … WITHHOLDING FROM EMPLOYED AMERIANS WAGES AND DEPOSITED IN A MUTALLY OWNED HEALTH INSURANCE COMPANY FOR CLAIMS PROCESSING AND INVESTEMENT. SELF HEALTH MEAING EACH AMERICAN IS PAYING THEIR OWN HEALTH CARE BILLS THROUGH THE SHIFT INSURNCE COMPANIES HOLDING THE PROVIDERS ACCOUNTABLE FOR COST OF CARE AND PREVENTION AND QUALITY OF OUTCOMES. SAVES $600 BILLION PER YEAR IN WASTED ADMINISTRATIVE COSTS AND INEFFECTIVE PAYMENT FOR INCOMES NOT OUTCOMES. (AN ANALYSIS OF MEDICARE FOR ALL … CURRENT ANNUAL COST OF MEDICARE AND MEDICAID $4 TRILLION … MEDICARE FOR ALL IS A MULTIPLE OF 3 OR $12 TRILLION PER YEAR LEAVING PRIVATE INSURANCE IN PLACE IS AVAILABLE ON MY WEB SITE).
5) PRIVATIZE EDUCATION (DRAIN THE SWAMP) AND FINANCE WITH SALES TAXES NOT PROPERLTY TAXES AND RAISE THE STANDARDS FOR FACILITIES AND STUDENTS EQUIVALENT TO THE SUBUSBAN SCHOOLS … EQUAL OPPORTUNITY FOR EITH A COLLEG DEGREE AND SKILL OR A TECHNICAL SKILL TO BILL BY THE GREAT AMERICAN ENTERPRISE. WE CANNOT MULTIPLY OUR PRODUCTIVITY IF WE DIVIDE THE MONEY EQUALLY … EACH OF US MUST STAND ON OUR OWN TWO FEET TO PURSUE THE AMERICAN DREAM.
DRAINING THE SWAMP
PRIVATIZE AS MANY FEDERAL AGENCIES AS THERE ARE
REDUNDANT STATE AGENSCIES … FOR EXAMPLE ENERGY, HOUSING TRANSPORATION, (DREAIN THE SWAMP)… CONVERT COLLEGE DEBT PAYMENTS TO TAX DEDUCTIONS ($1.6 TRILLION) AND CREDIT CARD DEBT ($1.2 TRILLION) … PUT THE FEDERAL RESERVE FORMULAS THAT TEAR DOWN THE WALL OF DEBT.
6) MSA’S SHIFT TO (SELF-HEALTH INSURANCE FUNDING TRUST) AND THE PARADIGM FROM GOVERNMENT PAYING FOR REACTIVE MEDICAL MODEL AND INCOME BASED REIMBURSEMENT TO EACH INDIVIDUAL SELF INSURE AND ONLY PAY FOR PROACTIVE OUTCOME THATS COST EFFECTIVE AND A RESULTS BASED ENTERPRISE MODEL OF HEALTH SERVICES.
THIS CREATES COMPETITION AMONG PROVIDERS AND HOLDS THEM ACCOUNTBLE TO COST EFFECTIVE AND QULITY OUTCOMES. ITS CALLED INTERNALIZING THE BENEFIT. $3 TILLION EXPENDED NOW MEDICARE FOR ALL $100 TRILLION LATER … 10,000 GOING ON SSA AND 7,000 PER DAY GOING ON MEDICARE …ALREADY 800K DENIALS HUNG UP IN THE SWAMP. PROVIDERS NOT ACCOUNTABLE (PAID ON INPUT NOT OUTPUT, INCOME NOT OUTCOME) … DIAGNOSIS ISN’T AN OUTOME NOR IS A PRESCRIPTION DRUG.
DRAINING THE SWAMP
7) PHAMACEUTICALS ARE NOT COST EFFECTIVE DUE TO POLY PHARMACY AS WELL AS SUSPECT PRICING. 8 BILLION PILLS PASSED IN NURSING HOMES ANNUALLY WTHOUT PHYSICIAN OVERSIGHT OR ACCOUNTABILITY … OPIOD, FENTYNAL, PERCSET, PSYCHOTROPICS … MORE ELDERLY DRUG ADDICTS IN THE OUR HOMES AND NURSING HOMES THAN ON THE STREETS OF AMERICA. DRUG PRICING NEEDS TO BE ATTACHED TO OUTCOMES.
8) INTERGRATE IMMIGRANTS WITH OUR ENTERPRISE SYSTEM OF GOVERANCE BY ADMITTING THEM THROUGH PORTALS REQUIRING THEY SPEAK ENGLISH, PAY TAXES AND APPLY FOR JOBS AND BECOME CITIZENS BEFORE THEY CAN VOTE. INCARCERATED CRIMINALS ON THE OTHER HAND DON’T VOTE TILL THEY’RE REHABBED BACK INTO THE ENTERPRISE.
ENTERPRISE ISN’T FREE DUE TO WORLDWIDE COMPETITION IS CATCHING UP … READ MY LIS ITS ENTERPRISE TO CAPITALIZE AND SOCIALIZE OUR GREAT AMERICAN ENTERPRISE
DRAINING THE SWAMP
9) AMERICAN ENTERPRISSE PARTY … CAPITALISM + SOCILAISM = FREE MAKET ENTERPRISE … RATHER THAN DEBATE ISSUES BETWEEN TWO PARTIES THAT CONTRIVED THIS MONOPSONY SYSTEM LETS FIX THE PROBLEM … A THIRD PARTY VOTING BLOCK THAT REPRESENTS 170 MILLION ENTERPRISING AMERICANS, 77 MILLION BABY BOOMBERS, 40 MILLION INDEPENDENT VOTERS AND TAK BACK THE GREAT AMERICAN ENTERPRISE FOR THE GREATER GOOD … IT ONLY TAKES 8 SEATS IN THE SENATE AND 20 IN THE HOUSE TO BE THE SWING VOTE TO AVOID FILLABUSTER AND SOLVE THESE PROBLEMS RATHER THAN HAVE GRID LOCK TO FOOL US INTO THINKING WE HAVA AN EFFECTIVE TWO PARTY SYSTEM…. WHICH WE DON’T.
ENTERPRISE ISN’T FREE DUE TO WORLDWIDE COMPETITION IS CATCHING UP … READ MY LIS ITS ENTERPRISE TO CAPITALIZE AND SOCIALIZE OUR GREAT AMERICAN ENTERPRISE
OUTCOMES
ELECT AMERICAN ENTERPRISE PARTY CANDIDATTES TO THE SENATE, HOUSE, GOVENERSHIPS, SUPREME COURT. IT ONLY TAKES 8 SENATE SEATS, 20 HOUSE SEATS AND 1 GOVENOR TO SWING THE VOTES TO THE RIGHT OR LEFT AND FORCE THE DEBATE ON PROBLEMS AND SOLUTIONS AND SAVE THE GREAT AMERICAN ENTERPRISE.
TEAR DOWN THE WALL OF DEBT THAT PREVENTS OUR SMALL BUSINESSES AND ASPIRING ENTREPRENUERS FROM GROIN OUR ECONOMY TO BALANCE THE TRADE DEFICITS AND SHARE IN THAT PROSPERITY.
RECAPITALIZE THE GREAT AMERICAN ENTERPSISE … THOSE THAT HAVE BENEFITED MOST FROM THE ENTERPRISE NEED TO REINVEST THEIR PROFTS BACK INOT THE ENLTERPRISE AND PAY DOWN DEBT.
PROTECT TRUE ENTITLEMENTS
10) PROTECT THE TRUE SO CALLED ENTITLEMENTS … SOCIAL SECURITY (10,000 PER DAY) AND MEDICARE (7,000 PER DAY)… THEY AREN’T ENTITLEMENTS THEY ARE TRUST FUNDS THAT HAVE BEEN DISSAPTED BY CONGRESS INTO BORROWING MORE FROM TAXPAYERS USING TRASURY NOTES TO FIANCE WARS, $3 TRILLION IN WEAPONS OF MASS DESTRUCTION WE HOPE NEVER TO USE AND THE INTEREST PAYMENS ON OUR WALL OF DEBT.
AVOID NEW ENTITLEMENTS
FOOD STAMPS
UNEMPLOYMENT
DISABILITY
PAID TIME OFF
MINIMUM WAGE
GOVERNMENT PENSIONS
UNION HEALTH CARE
RIGHT TO WORK LAWS
SANTUARY CITIES
46 FEDERAL, STATE AND LOCAL TAXES
WE ARE SINKING THE GREAT SHIP ENTERPRISE IN THE SWAMP
SEE MY BOOKS www.jerryrhoadsauthor.com
SEE MY BOOKS ARE “FACTS NOT MORE TAX”,
AN ODE TO AMERICAN ENTERPIRSE:
DOWNSIZE FAILING GOVERNMENT, UPSIZE THE GREAST AMERICAN ENTERPRISE
PRIVATIZE TO ECONOMIZZE, MLTIPLY THE SUPPLY SIDE, EXPAND CONSUMER DEMAND, FOR WHICH WE STAND
TEAR DOWN THAT WALL OF DEBT, ECONOMIZE THE GREAT AMERICAN ENTERPRISE, DEBT FREE IS THE PRIZE, DRAIN THE SWANP
BOORAH TO THE GREAT AMERICAN ENTERPRISE AS CAPITALISM AND SOCIALISM THRIVES CALL IT CONSUMERISM NOT THE OTHER ISMS.
SUMMARY: DRAIN THE SWAMP … WE MUST DOWNSIZE THE GOVERNMENT AND UPSIZE THE GREAT AMERICAN ENTERPRISE BEFORE OUR COMPETITION REALIZE WE’RE IN FINANCIAL DEMISE.
HOW DO WE DRAIN THE SWAMP? DETAILS, TACTICS AND STRATEGIES
BUY MY BOOKS “THE AMERICAN ENTERPRISE MANIFESTO”, “FAILING GOVERNEMENT TAKETH AWAY” AND “THE BOOMERS ARE COMING” OR email me at www.jerry.l.rhoads@gmail.com for a copy of the American Enterprise Party white paper or go to www.jerryrhoadsauthor.com for all my books.
BOTTOMLINE: READ MY BOOKS WITH THE DETAILS OF THE DEPTH OF THE SWAMP AND THE INEFECTIVENESS OF OUR TWO-PARTY SYSTEM AND HOW THE THIRD PARTY WILL BE ORGANIZED AND MADE VIABLE WITHIN THE CONTRAINTS OF THE CONSTITUION BASED ON FINANCIAL SOLVENCY WITH REINVESTMENT BY THOSE WHO HAVE BENEFITED FROM THE GREAT AMERICAN ENTERPRISE AND A BALANCED BUDGET WITH GROWTH FACTORED IN WITH PROFITS NOT DEFICITS.
REMEMBER YOU WILL THEN KNOW WHAT I HAVE DISCOVERED OVER 57 YEARS IN HEALTH CARE AND 40 YEARS RUNINING MY OWN HEALTH CARE SERVICES COMPANIES. BIG GOVERNMENT KEEPS US DUMB AND HUNGRY FOR THE CARROT (AMERICAN DREAM) AND THE HUNGER GAMES TURNS US INTO LIARS AND CHEATS PLAYING MONOPSONY.
Jerry is a CPA who specializes in Medicare and Medicaid payment policies and procedures. He has owned a CPA firm, a management consulting firm and software development company. He also is a licensed Nursing Home Administrator in three states and owned nursing homes in those states. He, his wife and son sold them in 2015. Jerry and his wife have formed a publishing company and is now publishing his books on health care, political topics that impact health care, poetry and novels.
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