m
“Almost all people are hypnotics.
The proper authority saw to it that the proper belief should be induced and the people believed properly.”
— Charles Hoy Fort

Saturday, August 20, 2011

Thomas Jefferson’s Warning To America

“I believe that banking institutions are more dangerous to our liberties than standing armies.

If the American people ever allow private banks to control the issue of their currency, first by inflation, then by deflation, the banks and corporations that will grow up around [the banks] will deprive the people of all property until their children wake-up homeless on the continent their fathers conquered.

The issuing power should be taken from the banks and restored to the people, to whom it properly belongs.”

- Thomas Jefferson

From a letter sent in 1802 to the Secretary of the Treasury, Albert Gallatin; it was published later, in 1809, in The Debate Over The Recharter Of The Bank Bill.


Is it not frightening that, over 200 years ago, Thomas Jefferson knew exactly what the real dangers were that our then rather young country faced?

Is it not frightening to realize that things have not changed one bit, that we are, all of us, (except the top 1%), now living the nightmare of his warning - facing those exact same dangers?

Even then the banks had the ability to fabricate and execute financial crashes and subsequent economy rebirths, resulting in the effective manipulation of our society and the subjugation and total control of the population in its entirety.

Spot on Mr. Jefferson, spot on.

Pay attention!

When will we the people disallow this criminal insanity?

When?

Peace.


Hat tips to both ATS and Rense.

Saturday, August 13, 2011

15 Falsehoods Told By Nursing Facilities

In my search for knowledge in the ludicrously complex area of elder care, due to my now long-term full-time job of caring for my aunt and her imminent immersion into this horror show, I ran across a New Haven, Connecticut attorney’s website.

In the links for professionals section it listed the following article as a no longer available PDF once published at the National Senior Citizens Law Center and it did indeed give a 404 result there.

Well, wasn't having any of that. There is a definite need here at HQ to be aware of any impending bullshit that may be incoming, so... on to the wonderful Wayback Machine. Wa-hey! Lo and behold... there it was, with just two snapshots, but one, of course, is enough.

Here, for your enlightenment and reference, is said article.

15 Falsehoods Told By Nursing Facilities

Eric Carlson
National Senior Citizens Law Center
(213) 639-0939, ext. 313
ecarlson at nsclc dot org

INTRODUCTION TO PROBLEM

In 1986 the National Institute of Medicine published a study on nursing facilities. The study found that:
! Residents didn’t receive enough individualized attention; and

! State and federal law focused on mechanical measures of care, and as a result didn’t do nearly enough to protect residents.

In 1987 Congress passed the Nursing Home Reform Law (OBRA ‘87).

The Nursing Home Reform Law applies to every resident of any facility certified to accept payment from Medicare and/or Medicaid.

The Nursing Home Reform Law is located at sections 1395i-3 and 1396r of Title 42 of the United States Code. Sections 1395i-3 and 1396r are essentially identical; section 1395i-3 applies to Medicare-certified facilities; section 1396r applies to Medicaid-certified facilities.

The federal regulations (applicable to facilities that are Medicare-certified and/or Medicaid-certified) are located at section 483 of Title 42 of the Code of Federal Regulations. CMS’s Surveyor’s Guidelines to those regulations are found in Appendix PP of CMS’s State Operations Manual.

The Nursing Home Reform Law is based upon the premise that each resident deserves individualized care.
Section 483.25 of Title 42 of the Code of Federal Regulations provides that a nursing facility must provide the services that the resident needs “to attain or maintain the highest practicable physical, mental, and psychosocial well-being.”

Each state has a separate body of law that applies to every nursing facility licensed in the state. On occasions state law applies in situations in which the federal law provides no help.

ADVOCACY BASICS

Too many residents and advocates defer inappropriately to facility employees.
Disputes generally do not involve the interpretation of technical medical information.
Rather, disputes arise when a nursing facility refuses to do something that obviously is in the resident’s best interests.

Problems should be directed up the facility’s chain of command: ÷ nurse aide, nurse, director of nursing, administrator, and corporate manager.

JOHN DOE ENCOUNTERS COMMON NURSING FACILITY FALSEHOODS

Falsehood #1: “We can’t admit John unless John Jr. signs as a ‘Responsible Party.’

Nursing Home Reform Law prohibits a nursing facility from requiring a third-party guarantee of payment as a condition of admission or continued stay. Section 483.12(d) of Title 42 of the Code of Federal Regulations.

“Responsible Party” language is an attempted evasion of the law.
John Jr. believes that he is becoming a contact person, although he purportedly is “volunteering” to become financially responsible.

For three reasons, “responsible party” provisions are illegal and unenforceable:
1. “Responsible party” provisions are used to require guarantees, in direct violation of federal law.

2. “Responsible party” provisions provide no consideration to either a resident or the “responsible party.”

3. “Responsible party” provisions are deceptive.
The reasoning of this outline is supported by the case of Podolsky v. First Healthcare Corporation, 50 Cal. App. 4th 632, 58 Cal. Rptr. 2d 89 (1996).


Falsehood #2: “The nursing staff will determine the care that John will receive.”

A facility must complete a full assessment of a resident’s condition within 14 days after admission, and at least once every 12 months thereafter. More limited assessments must be done at least quarterly. Section 483.20(b), (c) of Title 42 of the Code of Federal Regulations.
Assessments are done with a standardized assessment instrument called the Minimum Data Set (“MDS”).

Assessments are used for development of a comprehensive care plan, which must be prepared initially within seven days after completion of the first full assessment. Every three months, care plans must be reviewed and, if necessary, revised. Section 483.20(d), (k) of Title 42 of the Code of Federal Regulations.

A resident and/or resident’s representative has a right to participate in a care plan conference. Section 483.20(k) of Title 42 of the Code of Federal Regulations.
A care plan must include measurable objectives and timetables. Section 483.20(k) of Title 42 of the Code of Federal Regulations.

Too many care plans are perfunctory. Residents and family members should take care plans seriously.


Falsehood #3: “John can’t receive Medicare reimbursement because we have determined that he needs custodial care only.”

Medicare pays for up to 100 days, if resident --
1) Is hospitalized for at least three nights;
2) Needs skilled nursing services or skilled rehabilitation services.
Days 21 through 100 have daily co-payment of $105.

John can force the facility to submit a bill.
Procedure required by the Stipulation and Order in the case of Sarrassat v. Sullivan (N.D.Cal. 1989).
Nursing facility makes initial determination on whether or not to submit bill.
Resident has right to force facility to submit a “demand bill.”
Resident cannot be charged for any amount for which Medicare subsequently may pay.

Falsehood #4: “We can’t give John therapy services because he isn’t making progress.”

This denial may be blamed on medical judgment or Medicare rules.
If the denial is based on medical judgment, the facility should be informed that a facility is responsible for trying to “maintain” a resident’s condition: “a facility must ensure that [a] resident’s abilities in activities of daily living do not diminish unless circumstances of the individual’s clinical condition demonstrate that diminution was unavoidable.” Section 483.25(a)(1) of Title 42 of the Code of Federal Regulations (emphasis added).
If the denial is blamed on Medicare rules, there are two rebuttal points to be made:
1. Payment source should not affect the care provided. Section 483.12(c)(1) of Title 42 of the Code of Federal Regulations.
2. Medicare reimbursement does not necessarily require “progress.” Resident must need “skilled nursing services” or “skilled rehabilitation services.” Sections 409.31-409.35 of Title 42 of the Code of Federal Regulations.

Falsehood #5: “We can’t give John therapy services because his Medicare reimbursement has expired, and Medicaid doesn’t pay for therapy.”

Facilities constantly attempt to tie care to payment source. This way of thinking must be resisted.
This payment-source discrimination is most obvious when a resident transfers from Medicare eligibility to Medicaid eligibility.
There is a gross disparity between the per diem rates for Medicare and Medicaid. 
Appropriate therapy should be provided regardless of the form of payment.
1. Services are required.
Federal law requires that resident receive services necessary “to attain or maintain the highest practicable physical, mental, and psychosocial well-being.” Section 483.25 of Title 42 of the Code of Federal Regulations.

2. Services must not vary by source of payment.

A nursing facility “must establish and maintain identical policies and practices regarding transfer, discharge, and the provision of services required under the State [Medicaid] plan for all individuals regardless of source of payment.” Section 483.12(c)(1) of Title 42 of the Code of Federal Regulations (emphasis added).

3. Therapy must be provided under a Medicaid per diem rate.
The Surveyor’s Guidelines to Section 483.45(a) of Title 42 of the Code of Federal Regulations provide that therapy services must be provided “even when the services are not specifically enumerated in the State [Medicaid] plan.” (Emphasis added.)

In California, and probably other states, a nursing facility can receive additional Medicaid reimbursement for therapy services provided to a resident. Section 400-18 of the Medi-Cal Long-Term Care Provider Manual (Criteria for NF TAR Authorization (Valdivia v. Coye)).


Falsehood #6: “Because John is no longer eligible for Medicare reimbursement, he must leave his Medicare-certified bed.”

A nursing facility may seek Medicare certification for all or some of the facility’s beds.
Distinct-part certification does not prevent a bed from being used for a resident paying privately or through Medicaid.
A resident has the right to refuse a transfer within a facility if the purpose of the transfer is to move the resident to or from a Medicare-certified bed. Section 483.10(o) of Title 42 of the Code of Federal Regulations.


Falsehood #7: “John must be tied into his chair so that he doesn’t wander away from the facility.”

A resident has the right to be free from “any physical or chemical restraint imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms.” Section 483.13 of Title 42 of the Code of Federal Regulations.
The term “physical restraint” includes (among other things) vest restraints, hand mitts, seat belts, bed rails, and chairs that are angled to prevent the resident from getting out. Surveyor’s Guideline to section 483.13(a) of Title 42 of the Code of Federal Regulations, Appendix PP to CMS State Operations Manual.

A restraint can be imposed only “to ensure the physical safety of the resident or other residents, and [except in an emergency,] only upon the written order of a physician that specifies the duration and circumstances und er whic h the restraints are to be used.” Sections 1395i-3(c)(1)(A)(ii) and 1396r(c)(1)(A)(ii) of Title 42 of the United States Code.

Although, as listed above, the law recognizes the use of restraints to protect residents, current nursing research increasingly sees the use of restraints as a factor in increasing the number of falls, and/or the severity of injury in the falls that occur.


Falsehood #8: “John has to wake up at 6:00 a.m. because we don’t have enough nurse aides to accommodate individual schedules.”

Nursing Home Reform Law is meant to assure that residents are treated as individual human beings.
! “A facility must care for its residents in a manner and in an environment that promotes maintenance or enhancement of each resident’s quality of life.” Section 483.15 of Title 42 of the Code of Federal Regulations.
! A resident has the right “to reside and receive services with reasonable accommodation of individual needs and preferences, except where the health or safety of the individual or other residents would be endangered.” Sections 1395i-3(c)(1)(A)(v)(I) and 1396r(c)(1)(A)(v)(I) of Title 42 of the United States Code (emphasis added).

! “[A] resident has the right to [c]hoose activities, schedules, and health care consistent with his or her interests, assessments, and plans of care.” Section 483.15(b) of Title 42 of the Code of Federal Regulations.

Falsehood #9: “We must insert a feeding tube into John because he is not finishing his meals during mealtime.”

A facility must assist a resident in maintaining the resident’s ability to eat. Section 483.25 of Title 42 of the Code of Federal Regulations.
Surveyor’s Guidelines mention specific steps that a facility might take, including: prompting the resident to eat; providing therapy to improve swallowing skills; or simply feeding the resident. Surveyor’s Guideline to Section 483.25, Appendix PP to CMS State Operations Manual.

Tube feeding should be done only if absolutely necessary. Section 483.25(g) of Title 42 of the Code of Federal Regulations.


Falsehood #10: “John’s children can visit only during visiting hours.”

A limitation on visiting hours conflicts with the idea that a nursing facility should be “home.”
“[I]mmediate family or other relatives” have the right to visit at any time. Section 483.10(j) of Title 42 of the Code of Federal Regulations.
For visits late at night, the Surveyor’s Guidelines to Section 483.10(j) suggest that visits might take place outside of the resident’s room.

Falsehood #11: “We don’t have to readmit John from the hospital because his bedhold period has expired.”

In most states, a resident is entitled to a bed hold of a few days or a week or two. Medicaid generally will pay for the bed hold.
Even if a bed-hold has expired, a nursing facility must readmit a resident eligible for Medicaid reimbursement from the hospital, if the nursing facility has an available bed. Section 483.12(b) of Title 42 of the Code of Federal Regulations.

Falsehood #12: “John must pay any amount set by the facility for ‘extra’ charges.”

Amount of charges are limited by the admission agreement, based on standard principles of contract law.

Medicare and Medicaid must be accepted as payment in full. Section 483.10(c) of Title 42 of the Code of Federal Regulations.


Falsehood #13: “We have no available space in which residents or family members could meet.”

Residents and resident’s family members have the right to form resident councils and family councils, respectively. If such a group forms, a facility is obligated to provide the group with a private meeting space, and must designate a facility employee as a liaison with the group. Section 483.15 of Title 42 of the Code of Federal Regulations.
A facility must seriously consider, and respond to, all complaints or recommendations made by a resident or family council. Section 483.15 of Title 42 of the Code of Federal Regulations.

Falsehood #14: “John must leave the facility because he is a difficult resident.”

Under the Nursing Home Reform Law, there are only six legitimate reasons for eviction:
! The resident has failed to pay.
! The resident no longer needs nursing facility care.

! The nursing facility is going out of business.

! The resident’s needs cannot be met in a nursing facility.

! The resident’s presence in the nursing facility endangers other’s safety.

! The resident’s presence in the nursing facility endangers other’s health.
Section 483.12(a) of Title 42 of the Code of Federal Regulations.
 Thus “difficulty” is not a justification for eviction.
Nursing facilities exist in order to care for people with physical and mental problems.

Falsehood #15: “John must leave the facility because he is refusing medical treatment.”

A nursing facility resident, like any other individual, has a constitutional and common-law right to refuse medical treatment. Accordingly, an involuntary transfer or discharge cannot be based on a resident's refusal of treatment.

The federal government has stated that:
! “Refusal of treatment would not constitute grounds for transfer, unless the facility is unable to meet the needs of the resident or protect the health and safety of others.” Surveyor’s Guideline to Section 483.12(a)(2) of Title 42 of the Code of Federal Regulations, Appendix PP to CMS State Operations Manual.

! “A facility may not transfer or discharge a resident for refusing treatment unless the criteria for transfer or discharge are met.” Surveyor’s Guideline to Section 483.10(b)(4) of Title 42 of the Code of Federal Regulations, Appendix PP to CMS State Operations Manual.


Monday, August 08, 2011

Mars Critter T Shirts, Mars Critter Gear!

Mars Critter Shirt modeled by Jamie.
Nice, huh?
I’d like to thank Jamie for enthusiastically modeling my Mars Critter shirt. She is of course wearing the 3/4 sleeve raglan version which you can change the colors on or if you like put my little buddy on another style shirt, I’ve got tons, 70, I think – regular tees, "green" tees, basic tees, polos, spaghetti strap style, hoodies – all kinds and in a ton of colors. The official blurb about the shirt Jamie has on:

Ladies 3/4 Sleeve Raglan (Fitted)

Cute and comfortable, this classic baseball jersey has been cut just for women. Made from 100% super-soft ring-spun cotton by Bella. Includes side-seams and double-needle stitched sleeve and bottom hems for lasting quality. NOTE: Sizes run extremely small. Order 1 to 2 sizes larger than normal. Imported.
You can personalize it, too, if you want; add your own text or pics to it, on the front or on the back... you can do that to nearly all of my gear. To complete your collection of strange artifacts, my little Martian buddy is also available on a Speck brand iPad Case, a variety of caps and coffee mugs, a key chain, greeting cards, post cards, a mousepad and a really nice quality print. If you might want it on something I have yet to make, like the little speakers that just got added, just let me know, no worries.




It’s really a lot of fun making all these images and arranging them on the clothes and the gear... keeps me out of trouble, puts a smile on my face, gives me an excuse to peruse NASA images looking for weird stuff... and to think that it’s all for sale, that I could make a couple of dollars if some like-minded wacko should actually buy something... what could be better than that? Ha! Maybe if it, you know, actually happened! On occasion it does, sometimes, but... I have not amassed any wealth off of this particular endeavor... it’s been 6 years now - and in all that time I've earned a total of about half of one of my last paychecks back when I was a car parts guy at a dealer... so, listen, any person buying anything is pretty much a hero in my eyes. I wonder sometimes, though, as someone I know makes a living at this! That impresses me and I wish I could emulate that. Maybe someday... Anyway, enjoy. There's some really strange stuff in my store... something might trigger something inside you. Peace.

Thursday, August 04, 2011

Look, Ma, I’m A Terrorist!

I wonder about Alex Jones a lot of the time, but this particular 4-part piece I feel is a keeper, as it were. I posit that it is pretty gol darn accurate in the conclusions that are presented... enjoy.








Uploaded by TheAlexJonesChannel on Jul 21, 2011

DHS Video Characterizes White Americans as Most Likely Terrorists

Big Sis fear campaign continues, but Americans are just as likely to be killed by peanut allergies than they are in terrorist attacks

Paul Joseph Watson
http://www.infowars.com/
http://www.prisonplanet.com/
Thursday, July 21, 2011

A new promotional video released by the Department of Homeland Security characterizes white middle class Americans as the most likely terrorists, as Big Sis continues its relentless drive to cement the myth that mad bombers are hiding around every corner, when in reality Americans are just as likely to be killed by lightning strikes or peanut allergies.

Hey, since Alex does not actually show the video in the above 4 pieces, here is that DHS promotional video. Hope you have a strong stomach!


Okay, back to the Watson article.

http://www.youtube.com/watch?v=K7q3bWEvl7o&feature=player_embedded#at=67
The video is part of Homeland Security's $10 million dollar “See Something, Say Something” program that encourages Americans to report “suspicious activity,” which in every case throughout history has been a trait of oppressive, dictatorial regimes.

In the course of the 10 minute clip, a myriad of different behaviors are characterized as terrorism, including opposing surveillance, using a video camera, talking to police officers, wearing hoodies, driving vans, writing on a piece of paper, and using a cell phone recording application.

Despite encouraging viewers not to pay attention to a person’s race in determining whether or not they may be a terrorist, almost all of the scenarios in the clip proceed to portray white people as the most likely terrorists. Bizarrely, nearly every single one of the “patriotic” Americans who reports on their fellow citizen is either black, Asian or Arab. Imagine if the video had portrayed every terrorist as an Arab and every patriotic snoop as white, there’d be an outcry and rightly so, but this strange reversal must have been deliberate on the part of the DHS, but why? Is this merely political correctness taken to the extreme or is something deeper at work?

Perhaps it has something to do with the fact that the DHS’ own internal documents list predominantly white conservative groups as the most likely terrorists, such as Ron Paul supporters, gun owners, gold bullion enthusiasts, and a myriad of other comparatively banal political interests that are largely the domain of white middle class Americans.

This has little to do with the color of a person’s skin, and everything to do with the fact that white, middle class Americans are the biggest roadblock when it comes to Big Sis expanding its control over every facet of American society.

It’s plain to see that very little of the budget for this video went towards paying for decent actors, but perhaps it’s fitting that the participants were about as believable as Santa and his elves, because the notion that terrorists are hovering around every underground parking lot waiting to blow up federal buildings is demonstrably false.

http://www.infowars.com/dhs-video-characterizes-white-americans-as-most-likely-terrorists/

###

And there you have it.

Seems legit to me. How is it possible that we have wound up in the state we are in? Where nearly everyone without thought or question licks the stinking, slimy sacs of the piggish scum that own every one and every thing?

When will it end?

Addenda: Just thinking about all this and wanted to note that at my bank, there are signs up at each teller station noting that we the enemy slaves are required to remove our hat and sunglasses for the surveillance cameras - lest the cops be called to haul our ass away.

Nice, huh? And, do note that this is the “people-friendly” local / small regional bank where a local “friend” works who to his credit has actually helped with “fees” a couple of times so far! I thought it so, so ludicrous that I had to pass “anti-terrorist” rigamarole to open the stupid account there, when they are the real terrorists! Jeez.