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Sunday, July 30, 2017


I am writing because I am fed up and tired of all the bull shit and drama happening in my country!

Last week, my older brother was run over by a hit and run driver while crossing the street in Gloucester Massachusetts where he lived. The intersection did not have walk lights. He walked when the light in the direction walking was green. Like you always do.

However, without warning the lights changed and the opposing traffic turned green. He shouted to wait and this one pick up truck broadsided him into another car and kept on driving.

Bystanders came to help but when the police arrived, they were negligent with my brother who got real beat up by that hit and run driver. The police basically acted like it was his fault, talked down to him and lectured him while he was in serious pain. They even accused him of being homeless and ridiculed him.

The driver of the pickup we discovered was an off duty policeman who kept on going. The police shielded him and defended him and even helped to try avoid prosecuting him!

My friends who I thought were my friends in the tea party movement and in the libertarian movement  were informed and what did they do but ignore him and even SIDE WITH THE F***ING COPS!!

They even argueed that my brother and I were anti-authority! I go to churches, tea parties ETC asking for help to defend my brother, NO! They tell him to Go F himself and tell me as well!!


Only one group stood up for my brother. GUESS WHO?

Progressive liberals in the community which was actually very very affluent as well as very liberal.

These people   THESE GOOD PEOPLE stood up for my brother and together as a whole demanded that action be taken and that an investigation be made as to why an off duty cop on their tax payer dole was allowed to get away with hitting my brother and why no effort was made to make the intersection safer?

They also put enough preassure to not only go after this pig, but force the city to pay my brother compensation for his injuries so that he can take care of his wife and kids!

I asked them why they didn't think government is always right, they told me, WE NEVER DID THINK THAT! OTHERWISE WHY WOULD WE SUPPORT DEMOCRACY? WHY WOULD WE SUPPORT REGULATIONS AND WHY DID WE SPEAK UP!? 

The other reason I have changed is because Donald Trump has betrayed us and sold us out a bad deal of goods.


The Republicans have basically betrayed us.

Trump promised that he would stop SSI from scamming innocent people, remove the 2k cap that enabled bank confiscation and force the government to give back the money.





I was wrong. I was angry and scared. I couldn't help it.

 I didn't know. I thought the GOP was the party of less government and that less government is best.








Also, My son Aaron Ball, he has been sick lately. I am blessed to be able to heal him and treat him help him.

But I couldn't help but wonder about all those other people at that time who couldn't get the help they needed. 

I now know.

God does not care. If he exists at all, he cannot help those who will not help themselves or each other.

I had faith in a God who really ignored me and ignroed my brother in our times of need.

Christians, more than ever along with Jews and Muslims are the trouble makers and the ones digging their heels against unity and justice

Not humanists or atheists.

If Christianity were real, there would be a holy ghost motivating us through compassion but I find these godly people are in fact not so compassionate but are selfish

We are the most religious country on the earth yet we have more problems than any secular developed country

We aren't even really a 1st world nation anymore, were a 2nd world country at best!

If you want to see proof that what I am saying is true, go to Skid row Los Angeles, go to South Boston, go to Lynn Mass, go to The Bowery in New York or Harlem at 110th street. Go to the Bronx.

Look at how innocent people are run over everyday by these same spririt filled christians!

The problem isn't itself Christianity or Islam or Judaism Buddhism Hinduism ETC

ITs religion

Religion is just mankinds failed attempt to understand the world and the universe and whatever supreme beings there are around us.

Why does God need terrorists or bible thumping racists to spread his word?

Why does God need a spaceship?

Why does he need a bunch of bossy selfish worldy numbskulled bigots and violent raping wife beating greedy mass murderers who do what they do just to they can have sex with 72 pubescent virgins for eternity?

Why does he need to dangle a carrot like that? Why not do it himself?

And why does Trump's pastor need a rolls royce and a mansion? Why doesn't God tell me himself in a way I can register that I'm a lousy sinner and what I gotta do and prove that he's who he is?

I'm just a human being. I'm a finite being.

And Why am I a sinnder as opposed to clinic bombing skyjacking sword wielding crusading fanatics like Bin laden and Vladimir Putin or Paul Hill? Why does God Need these asshats if he's who he claims?

And why are all the people speaking on behalf of God such pricks? Such violent people?

Why not come tell us himself and be done with it? Why threaten us with hell?

And he says that I could go to hell just for typing or even thinking these things but he says I'll never leave of forsake you yet does forsake us all the time.

The threat of hell is null and void if you're sick and starving. Hunger hurts more than hell fire a homeless man turned agnostic once told me.

Isn't GOd's absence slightly odd? He promises heaven and hell but breaks his promise of not forsaking us, always providing?

What about those millions of children in the third world dying because of this? Thousands have already died just now as your reading this and none of them will ever be saved. Where was God? Their prayers for food unanswered. 



Anyway I want to also confess that I now know most of what I preached was a lie to. I didn't lie. I just spread it it. I am as decieved as you are dear reader.

The story of Walmart being good for America, religion and morality being good and the answer some other things like that or the story of Wic recipients being mostly teenagers who were whores. No. That's a lie.

I didn't mean to. I mean I didn't lie. I just spread it. I was lied to.






There will be no God who can help us, No magicians, no holy man, only we can help each other.

Thank you, Thank you all for reaching me, Thank you Gloucester and thank you Oldfartrants old buddy. 

Lets all work together and make the world peaceful and great again.

Monday, July 24, 2017

communists Islamists and nazis are complusive liars

Communism and fascism or national socialism as it is known thrive among its adherents mainly on foundations of ignorance, vain glory, greed and deception. It is deception that the communist platform is built firmly and fixed upon most of all.

Islam is also based on principals of communism and Nazism. In their religion it is okay to lie for Allah. This is known as Taquyat. More on that on a later article.

In the previous century, Before the internet, before freedom of the press and publishing in other countries and before information became more widely circulated, the communists and the fascists invaded every nook and cranny of ignorance, every hollow space, that it could find. It worked to subdue and destroy lives and minds. The mainstream media and the Public education systems have been the main focal point to which the evils of socialism invade. Young impressionable minds, bare and virgin molded like clay to become the flotsam and jetsam we find today.

Deception, lying is the tool of which socialists use to implement their evil ways. They have no choice since their system and their thinking has a failure of 100% every place tried.

A good example of socialist lying can be found in a conversation I had on my video about the greek civil war. Some of my most loyal viewers are Greek immigrants and their descendants who escaped the communist civil war that took place after World war 2.

Even though they won, Most of them lost everything they had and everyone they loved. Add to this, the danger of another civil war or an invasion from neighboring countries such as Yugoslavia which was part of the Soviet Union at the time. Most came to America mainly the northeast.

My first introduction to the evils of communism came from the Greeks. I owe them that much. I uploaded a video about the Greek civil war from a movie based on actual events that happened in a communist occupied village. You can click here to watch it.

But as expected, communists came in and started spreading their lies and when that failed, they resorted to whining, cursing and tatnrums. We were fascists, we were this we were that!

None of them were even Greek as we discovered.

One of the commenters claimed to be a Greek refugee who's village and family were victims of the Greek National army rather than the communists. He denounced my movie as fascist propaganda by Golden Dawn. (Yeah right comrade) and claimed that his village was obliterated not by communists but by the Hellenic National army under the capitalists. That there was rape and murder and destruction and so on.

Luckily my Greek friends were there to lend a hand. One of them asked what the name of his home village was, what year and date it happened. He couldn't give an answer but this

the ancient chinese used to say that not even the smartest human can answer the dumbest question

Which was a complete Misquoting by the way. Another communist lie. What he's really saying is that anyone who questions communism is dumb. In other words, we don't want to answer because it might no be pleasant.

Long story short. None of that happened.

In fact it was not an ancient Proverb but a quote from that syphilis infected tyrant and murdering red, Mao Tse tung. The quote was made during one of his notorious purges against potential opponents. You don't ever question the government in communism even while its killing you. Its always right and that's that. 

The actual quote, actual Chinese Proverb: There is no such thing as a dumb question if you know the answer. Or, A man who asks a question is a fool for only five minutes, a man who asks no question is a fool forever.

Hmmm... That explains why followers of communism are mostly foolish

Another thing, this red who commented didn't even mention his age or his name. He said. "Oh whatever." and just ran off. Turned tail. He didn't even stay to swear or cuss. Just sauntered off. Good riddance.

Getting back to Mao Tse Tung, its no wonder that dissension was not allowed. Mao constantly brought up in his speeches and so on a disturbing theme of silencing dissent, that one bullet can silence 1000 voices or that those who ask questions are stupid.

Its never that way when questioning capitalism or Western Democratic Republicanism and kill one communist thug 1000 other mindless hopeless automatrons will come in to fill the dead red's boots. But all anti-communists are now suddenly stupid and unintelligent and that bullets not brains prevail.

In the short term maybe but a single bullet is not enough to kill freedom and 1000, righteous men and women will never be silenced. What my Friend Kyle Weissman, a cold war survivor and brave heroic veteran said to me once.

Communism will never work and never has. Only the ignorant and uneducated or the evil and degenerate could embrace it. It needs force and it needs deception and ignorance to thrive. Most of all, deception. No one must know the truth of its evil destructive powers, its history of failure, its lacking of respect for human rights and the human individual, communism must shroud itself in lies.

So when you hear these bleeding red hearts and their fellow travelers talk about the poor, about social justice, about tolerance, remember its all a sham. Even most of the people doing the talking are deceived. In communism and especially national socialism, the weak are killed or left to die, there is no tolerance and their is no real justice.

Saturday, July 22, 2017

The Police are made up of Communist bums, Muslims and freeloaders

This is probably one of the most controversial articles I've done. I'd wanted to do it for at least a couple of years, but postponed out of respect for fallen officers who actually did care about their jobs and the communities they've protected. Fallen officers killed by Marxist thugs in the so called Black lives matter movement (Only black marxist lives matter to them I guess)as well as Antifa and leftist terrorist thugs.

For this reason I withheld the writing of this article. I put it off, put it off, again and again as the numbers of dead cops increased. Cops who actually  are not like the crooked bums I'm writing about. It was for respect.

Then I forgot about it until last week when news broke of a Muslim police officer who intentionally shot an Australian woman.

Now, so far so good, we don't know if he did it because of reasons pertaining to Sharia law or what else. All that is certain, the left wing media for whatever reason has tried to cover up the incident ever since it was revealed that the cop was a Muslim.

Not only that, they covered up new info that Officer Mohammed of Somalia was a hot tempered misogynist who bragged about wanting to kill white women.

Had this been a reversed situation,  it would be front page in every newspaper, and all the leftists would be demanding blood of this officer no matter what the circumstances, even if she's been armed and caught red handed in the crime!

Washington Post, New York times, La Times, ETC. all the leftist rags are instead worked up because Muslims are fearing a backlash in their community. Headlines: Muslims Fear Backlash, Fears of Islamophobia. There are even fake news stories in European presses that there are riots and the leftist governments in Europe have done nothing to silence them for lying or for "inciteful speech." Go figure.

But unlike The weak socialist limp wristed EU, The United States does not pander to criminals regardless of race religion or creed, has not become PC enough yet and allows its citizens to carry guns in self defense. The Muslims in America have every reason to and should be afraid of backlash. What they should also be doing is stop whining about Islamophobia and instead worry more about their religion's followers here and elsewhere imposing Sharia and killing innocent people for not being Muslims.

The far left really has gone far now that its given the ok for Muslims to practice police brutality.

More later but back on track, the police force. If you've watched my YT channel and read my blog for the last decade or so since I've been posting, you'll note that I have a serious problem with government in all facets. Including the police force.

We even had a blog years ago called NYPD Red which chronicled communism in the NYPD. It got banned by New York's finest with clout from Mayor Quimby I mean Mayor Bloomberg.

Now I am not against all police, But I am against policemen who are stuck up, arrogant, marxist, leftist, racist, above the law, above accountability and in opposition to accountability in government and law enforcement. PAGING MR BRATON OVER HERE!

The job of police is to act as auxiliary to the people's vigilance. To a vigilant armed and alert public. The founding fathers never expected us to fully depend on cops or a standing army. But today we now have a standing army of cops, detectives, youth workers, lickspittlers and nearly all of them would rather be at Dunkin then on duty. Either that or bashing the head in of some poor minority member.

My house for instance, was broken into by a burglar one night, Tried to get in through the Basement window. Made so much noise trying to we were woken up, my wife dialed 911, I ran downstairs with my gun and saw this punk outside dressed in black trying to crawl into the basement window in the front of the house through the window.

He got up and ran away down the street. We called police, it took 2 hours for a cop to show up. The dispatcher meanwhile told my wife to tell me to put the gun down and wait for police. We waited 2 hours. The cop and his partner rather than take information first off, wanted to know where my gun was. I gave it to him. I told him that it was licensed and that I had a right to carry a gun.

He then unloaded the weapon and told me to store it someplace secure. I gave it to my wife who had come downstairs. I told the cop we were responsible citizens with no records, we pay taxes, we had a right to carry arms, he then lectured me about how we were instructed to wait and how we disobeyed the order to wait. I got no order, it was my wife on the phone. The cop BTW was almost in my face and too close to me for comfort. I told him I did nothing wrong, I was told nothing of the sort at the time.

He then continued to lecture me how guns were dangerous and that his partner were concerned that I might go off and fire and people without probable cause. PROBABLE CAUSE?! Hello! This idiot tried to break in, he could've done what ever he wanted to me and wife and kid if he wanted too! That's proabable cause! I should've shot him through my window!

I didn't. The cop said, "if you had, I would've taken you to jail for assault with a deadly weapon. You had no right to shoot people who aren't threatening you. He ran."

I couldn't believe what I was hearing. He wasted 2 hours eating donuts and then decides to show up and instead is all, aw... the poor criminal, we let him down, he just wanted to help himself with other people's belongings that they worked hard for, he's probably malnurshed and can't find a job because of George Bush. Awwww...

I asked about why he took two hours to get here, he said because there were other calls in the areas they were busy responding too.

He then took down the info, he, his partner and another donut munching red looked around the area, they then gave me a card and left.

After this I was trembling. I was shaking. I went from fear to anger. I couldn't believe these pig cops acted so lackadaisacal and uncaring! NO WONDER CRIME IS SO HIGH IN PARTS OF AMERICA!

I resolved from this moment on, were going to go after the police.

With regards to high crime this is what we ought to be doing, drug testing bums on welfare, restoring the 2nd amendment, security cameras on the streets, Its a start but not enough. LETS TARGET THE COPS...

Its time we take the cops to task especially in places like New York and Los Angeles which are very very liberal.

These guys get paid six digits for doing bascially nothing except harassing and intimidating people.

And you can thank them for the existence of Black Lives matter among other groups.

One aspect of a communist society the police have promoted most is gun grabbing.

The NYPD for instance, are anti-gun fanatics. They even have Anti-NRA posters all over their offices. They are even more anti-gun than Mao and Hitler. They are more worried about law abiding citizens owning a firearm then they are of muggers, rapists and serial killers.

And before you email stating that Things are better after Dinkins & Giuliani beefed up the cops, lets get the facts straight. First of all, The Big apple, is still dangerous. A lot of those statistics are fudged. And some crimes aren't reported. Second, broken windows and littering is not as high a priority as murderers and rapist. Third, you cannot regulate and criminalize every aspect of a person's behavior no matter how offensive or disorderly. If they aren't attacking innocent bystanders or causing property damage, leave them be!

Street preaching, burping in a restaurant, walking funny, mumbling to yourself, wearing funky cologne, wearing a t-shirt someone finds offensive IE: American flag shirts, breaking wind ETC. are not criminal acts! Criminalizing people for normal behavior or slightly abnormal behavior (In New York its commonplace)only makes more criminals and creates more disorder! And it violates the 8th amendment!


But the majority of cops are for banning guns. Especially in big cities. Even in middle America, you find hostility against gun owners. Look it up on youtube, constantly you got piggies harassing law abiding men and women who own firearms. EVEN PEPPER SPRAY!

Its a war against the American people not a war on crime.

If they were serious about stopping crime, they'd leave the gun owners alone, leave the camera crew at cop block alone and they'd stop pushing around people who are only out of place.

Time to fight real crime.

And most policemen don't really care. They want the uniform so they can get the benefits and salary.

Most cops, discriminate and don't care. Especially where Democrats rule. You suffer, they don't care.

Consider for instance one Officer Bryan David Kerr of Santa Barbara Police Department. Officer Kerr has been in trouble several times for discrimination and inappropriate conduct. SBPD is governed not by a civilian review board as in other cities but by a peer reviewed board, meaning that the defendants are tried by themselves.

Alexander Gregory, a former blogger and activist like myself and a former resident of SB was sentenced to 3 years in prison for false charges after Officer Kerr molested his son and he video taped Kerr violating his rights. This came after 2 years of harassment by the government for homeschooling his kids and because of their beliefs. This lead to the death of his son in an institution.

We have learned that Kerr has routinely discriminated against innocent people in law enforcement including a homeless woman who was raped.

the New England Alliance for Liberty and Free markets helped the Gregory family to relocate to New Hampshire after Alexander completed his parole. During a meeting Last week we made official in association with The Gregory's former neighbor Mr Dicavlio a reward is posted and issued for information leading to the prosecution of Officer Bryan David Kerr of the SBPD for corruption, obstructing justice and child molestation.

Well explain more on this and what became of the Gregory family in another article.

But in short, the police force cannot be relied upon or trusted. It is made up of too many commies and fellow travelers, too many bums, too many Muslims and they are overpaid and lazy.

The solution is public vigilance through neighborhood watches along with restoring the 2nd amendment and gun rights. Not to mention religion and morality. It does not come from government, or coddling and broken windows theories.

The police need to obey the same rules we do.

The Plight of the Gregory family of Santa barbara

I want to share with you the tragic story of the Gregory family from Santa Barbara California. Alexander Gregory, like myself was a blogger and businessman with a family who lived in Santa Barbara. His family originally came from Long Island New York. They were also Christians and they home schooled their children, Russell, Jeffrey, Ashley and they had a baby boy named Chastin.

That is where they got into trouble... First, it started with social services knocking on their door demanding to interview and "examine" their children, then it came to .the police, they forced their children to face a 72 hour exam at a mental hospital. Then came the ultimatum, send your children to public school, force them to see a psychiatrist and be medicated or face prison while the state seizes your kids!

They had no choice. Their three children, Russell Jeffrey and Ashley were forced to enter the Santa Barbara School system against their will. They weren't even allowed to attend parochial school as an alternative. It was a disaster. Although the schools they went to were in decent communities, They were attacked and bullied mostly by migrant children who were there. The teachers allowed and even condoned it. Meanwhile the psychiatrist involved, a Dr. Joann Ng made  things worse  by drugging them into oblivion.

Russell, who used to be healthy and into sports became diabetic and obese from the meds, Jeffery suffered projectile vomiting while Ashley suffered injuries to her reproductive organs that required surgical removal. Despite all the health problems suffered by the children from the meds as well as lowered grades and sluggishness, Dr Ng continually drugged them up for no reason.

When they tried to change the meds or reduce them for any reason without Ng's authority they were attacked by social services and police.

 Jeffrey Gregory 2nd eldest son Jeffrey was a part of the local boys and Girls club in Santa Barbara. Many of the volunteers there are policemen. One of them, now head of the so called PAL program was officer Bryan David Kerr.

Officer Kerr is one of the people who give police a bad name. He has a history of corruption but the peer review boards have constantly let him go. Basically the defense trying themselves.

Kerr has been accused of brutality several times, as well as destruction of evidence and discrimination. Kerr refused to help a homeless man who was robbed and even blamed him for his situation, he did the same for a homeless woman who was raped. He even threatened to have her arrested for "getting on his nerves." Unfortunately since Santa Barbara is run by communists, the police are supported unconditionally and allowed to get away with the most despicable of crimes.

Makes you wish Clarence Bodicker were real.

When Alexander tried to prosecute Officer Kerr, police responded by harassing him and his family. Nothing was done about it by the city. Further at the behest of SBPD, The Gregory children including their new born son Chastin were taken away into foster care. When Alex and his wife protested outside the city hall and had the incident recorded, Kerr and several other officers brutally attacked him and his wife and had him arrested on false charges of assaulting a police officer and resisting arrest.

The media did not report it, no one said a word about it. Alexander was sentenced to almost 10 years in prison, his sentence was suspended and he only served 3. His wife was sentenced to probation.

After this, the children went into foster care. Russell was sent to live in a foster home in Los Angeles where he suffered Physical and sexual abuse, he was also incarcerated in a mental hospital where he was drugged so bad he contracted diabetes, suffered brain damage and became impotent from the meds. he was also made ward of the state of california after he turned 18 and forced to live in Skid Row area of Los Angeles.

Jeffery was in trouble while in the foster home and was later incarcerated in Juvinile hall and in Napa State Hospital where he died. His cause of death is unknown. It is believed he either was killed by an inmate or killed by staff. Its not the first time it happened in Napa.

Ashley was sexually abused in a group home for foster kids. At 15 she ran away. She was found later in Portland Oregon where she had worked as a stripper. Efforts are underway to unite her with family in New Hampshire.

Chastin is the most tragic story. He disappeared. According to records, the state "misplaced" him and didn't know where he was. California social services have a history of doing this, losing track of children in the system.

Alexander and his wife went to New Hampshire after they were discovered by Kyle Weissman and Reuben Ben Abraham who live in Los Angeles. With their help and help from new England Alliance for Liberty and free markets, they were relocated to New Hampshire with their son Russell.

Alexander died from a heart attack last year. In his memory The New England Alliance began a fund to post rewards for the finding of Baby Chastin Gregory who may have been adopted as well as to bring Officer Kerr and his associates in SBPD to justice.

This was made mostly possible by Alexander's neighbor from New Jersey, Joseph Dicavelo and by Reuben Ben Abraham of Los Angeles and their associates.

There are no photos of Chastin Gregory. The only photo of him was destroyed after their property was seized by California. Chastin has black hair and a scar on his abdomen shaped like a crescent. If he is still alive he would be about 8 years old. If you've information about Chastin Gregory, contact us at There is a reward for $80,000 posted.


Friday, July 21, 2017

Communist myths and lies about Walt Disney Exposed.

We've heard the myth that disney was a racist and an anti-semite. That he refered to the 7 Dwarves as an n-word pile, he discriminated against women and against blacks and jews etc.

And the truth has now come out at last. All ofthis, was nothing but a communist lie to smear Disney for his opposition to communism and nazism and for testifying at Huac.

Communists As I've said on my blog are all born liars. They can't do anything except lie.

Wal-Mart: The New Currency Police

Thursday, July 20, 2017

Emaline Hightower, enslaved, tortured and killed by the state of Massachusetts

The following was posted in an article several years back on my blog on the flaws of jury trials. I got a lot of email about it recently and decided to post it back up again. Its about Eamline HighTower, a woman wrongfuly diagnosed with Asperger's syndrome and who was kileld by the liberals of Massachusetts.

HER CRIME: She was bullied by everyone. 

In the state of Massachusetts in 2006, Emaline HighTower, a recent high school graduate who had plans to attend university and seek a career either as an architect or a lawyer. Her plans for her future were horribly and tragically dashed to bits by the State of Massachusetts which regarded her as mentally incompetent. Why? Because Emaline HighTower was diagnosed by a doctor with having Asperger’s syndrome and Bipolar disorder. The diagnosis of Asperger’s came about because she was teased and ostracised at school and even disliked by teachers. The Bipolar label came from school transcripts that said that she argued frequently with teachers. But they fail to mention that the arguments came as a result of the teachers refusing to do their jobs, help her or prevent persecution against her that distracted her from learning.
One other thing that psychiatrists ignored was that she was a bright young woman with a b average (could have been better had the school done its job and enforced rules against harassment and so on.) and that she had been employed after school and during the summer. She was saving money to go to University or College. She was also a councilor at a summer camp for foster children. But they omitted that and claimed that she was mentally retarded and had no social skills, was disorganized and disheveled.
In addition the doctors claimed she had poor judgement because of two reasons, 1. She was deciding whether or not to become and architect or lawyer. They claimed that by not deciding one at the bat she was incompetent. I have heard the same thing happen to a friend of mine who had the same allegation made because he told a doctor in one appointment a year previous he wanted to become a sous chef while in another one months later he wanted to become and arc-welder. Well, maybe its not the patient who is out of line and in need of better judgment.
Emaline’s parents also were not very supportive either. Although they were loving and caring at first, they were not pleased with how things were going for her in High School. In fact they blamed her for why they and they school failed to bring her up properly. Despite making many accomplishments they had no problem with throwing that away. They, along with Emaline’s guidance counselor decided to force her into the mental health system.
Emaline’s parents also made things worse by making her emotionally stirred up during a couple of evaluation sessions at the outpatient clinic they forced her to go to. They forced her by legally taking possession of her bank account and savings and threatening to get rid of it if she didn’t obey. On the day of one appointment her father assaulted her and called her a stupid good for nothing. She arrived at the doctors emotionally wound up and they said they wanted the doctors to see what she was like. The doctors ignored allegations of blackmail and abuse by the parents and instead suggested that she has emotional problems and needed to see a therapist for distress tolerance training. The doctors ignored what had happened.
emaline was forced to take powerful Psychotropic meds that caused her to feel weak and sluggish other times making her feel agitated. Meds such as seroquel, Risperdal and Prozac which she would be proscribed made her feel worse. She was unable to hold onto her job and was fired, she had a car accident and instead of pointing to the meds as the source of the problems, doctors blamed her saying her bipolar would not let her work anymore. REALLY?
Despite threats parents with advice from the doctors decided to get rid of her money and property. Doctors declared that despite a glowing resume and a relationship with a High School sweetheart and the two being awarded during the prom as most likely to marry, she would never be able to work and marry. Doctors even claimed she should have her tubes tied so she wouldn’t pass her supposed mental illness of Aspergers and bipolar on to her offspring. Just like Hitler’s Eugenics.
There was another reason why as well. At the time, Governor Mitt Romney had just signed in the socialist Massachusetts health care bill into law requiring residents to purchase health insurance or pay a 1000$ fine. She was ordered to have her entire assets taken away so she could qualify for free health care benefits.
Before they could do anything however, Emaline rented a car with money she could procure and attempted to flee to New Hampshire. Her parents called the police and claimed she was going to New Hampshire to commit suicide. It lead to a high speed pursuit on I-95 by the Massachusetts state police and the Rockingham county sheriff. She was blocked off at the toll both near Seabrook and fled on foot but was caught. She was then taken to a local hospital. Despite protests doctors concluded it would be best for her to be confined to the state of Massachusetts. She was taken from the Hospital in Exeter by ambulance to Solomon Mental health center and discharged into the custody of her parents.
An involuntary commitment hearing was soon underway. Emaline was defended by a legal aid since her money was gone and it was a jury hearing. Despite pleas by Emaline and an empassioned plea by her legal aid jurors took little time in declaring Emaline mentally incompitent and approving her for involuntary commitment and emergency guardianship under her parents. The jurors were made up primarily of white liberals who later commented that it is for her own good that she be forced to participate in programs and forgo a career or university to do so. One juror commented that She looked peculiar and unusual and that she felt someone like her would benefit being cared for by the state rather than go on her own.
The judge was in full agreement. Emaline remembered that human to cockroach look given to her by the judge who stated that she was in flat out denial of her disability and that she was an irresponsible woman. She needed to take responsibility for her mental illness, remain in Massachusetts and participate in programs that are designed to help her. When she tried to speak up the judge threatned to hold her in contempt of court and lock her away for a long time in an institution. The judge stated she was not right in the head based on the opinions of experts and that the state in its infallible judgement was in agreement.
Under the conditions of her commitment and guardianship, she was forbiddent to leave the state, she was forced to take meds that made her weak and sick, she was forbiddent to work at certain jobs or attend university. This did not matter because with a psychiatric record and no money to attend university she couldn’t get thsoe jobs and to make matters worse, Romneycare drove most of the jobs out of the state anyway. From that point on she was unemployed and never worked again. She was also forced to reside in a group home in Topsfield Massachusetts for mentally challenged adults. She was the only one there who could dress herself and feed herself. In 2009 she took her own life when attendants at the group home werent looking by running away and sliting her wrists in the woods.
Emaline could have been a taxpayer, a contributor, that would also lead to MORE jobs even but a liberal jury and judge decided that the state knew better and that control is preferable to prosperity. Emaline once had a career, a boyfriend, self respect, self esteem, dignity, freedom. But liberals hate those things and they had to go.

A COMMENT: I used to say “Good ole A**achusetts, home of S***t Romney (who was going to “wage war” against autism) and the Judge Rottenberg Center”. Now I don’t judge a person by one thing he did… I just judge that part of him. New England is also full of guardianships (just check out NASGA). I don’t know about the liberal thing though. Conservatives like Romney can be just as bad.

Wednesday, July 19, 2017

EXPOSED: Insider Proves CAIR is a Terror Group! | Louder With Crowder

Socialist security and psychiatrists collecting data on the homeless and income

Clinicians routinely ask indigent new clients whether they receive Supplemental Security Income (SSI) payments or Social Security Disability Insurance (DI) benefits, and this information is incorporated into treatment planning. Using questionnaire responses by 7,220 homeless people with mental illness, we first determined what demographic and clinical factors were associated with reporting receipt of SSI or DI benefits and not being in the SSA database and, second, what factors were associated with reporting not receiving benefits but have SSA records indicating otherwise. The low agreement between client reports and administrative records suggests that clinicians should verify the information provided by clients, especially those who are psychotic or medically ill, because that information is often inaccurate. -Marc I. Rosen, MD, an Associate Professor of Psychiatry at the Yale University School of Medicine

 This comes from the social security website. It was written mostly by Dr Marc Rosen of Yale and demonstrates how intrusive and inefficient our government is, particularly social security.


Clinicians routinely ask people with disabling psychiatric illnesses whether they receive Supplemental Security Income (SSI) or Social Security Disability Insurance (DI) benefits. We looked at self-reported receipt of SSI or DI by 7,220 homeless people with mental illness and compared those self-reports with information in Social Security Administration (SSA) databases. Overall agreement between the two sources was only fair (kappa = 0.60), and 41.3 percent (934/2,257) of clients reporting receipt of SSI or DI were not in SSA's databases. In multivariate analyses, people reporting receipt of SSI or DI that is unconfirmed by SSA administrative records had disproportionately more severe psychotic and medical illnesses than confirmed nonrecipients. Among recipients identified by SSA, those who did not report receiving SSI or DI were more likely to claim, apparently incorrectly, that they instead received Social Security retirement benefits. Clinicians should verify basic demographic information provided by clients, especially those who are psychotic or medically ill, because that information is often inaccurate.


People disabled by psychiatric illness depend on Supplemental Security Income (SSI) and Social Security Disability Insurance (DI) benefits to meet their basic needs. Disability payments provide critical financial support in preventing homelessness among the indigent (Sosin and Grossman 1991) and contribute to improved outcomes when homeless mentally ill people receive treatment (Rosenheck, Frisman, and Gallup 1995). Clinicians routinely ask indigent new clients if they receive SSI or DI, and this information is incorporated into treatment planning.
Given the importance of disability payments to people disabled by psychiatric illnesses, it is ironic that no prior studies have been done on the validity of self-reported SSI/DI status among the mentally ill. Some studies have described the low reliability (Jenkins and others 2005) and accuracy (Pedace and Bates 2001; Card, Hildreth, and Shore-Sheppard 2004; Jackle and others 2004) of self-reported income among poor people, but there are no studies to inform clinicians by describing specific psychiatric and medical characteristics of people whose self-reported SSI/DI status is inaccurate. The underreporting of symptoms and the inconsistency of information provided are considerable when people with substance abuse (Stephens 1972; Rounsaville and others 1981) or psychiatric disorders (Strauss, Carpenter, and Nasrallah 1978) are asked to describe their psychiatric history and symptoms. However, there is little data concerning whether homeless people with mental illness inaccurately report basic demographic information and, specifically, whether they accurately report receipt of SSI and DI.
There are several potential explanations for why clients might report SSI/DI receipt inaccurately. The misreporting of SSI/DI benefits may reflect neuropsychological deficits. Inaccurate self-reports might track related constructs like the degree of knowledge about one's medical care, which is lower in people with cognitive deficits and reading difficulties (Baker and others 1995; Kalichman and others 2000; Baker and others 2002). Another possibility is that inaccurate self-reported income is influenced by subtle social pressures to underestimate income. Evidence for the underreporting of income by poor people is that families reporting low income in the Labor Department's Consumer Expenditure Survey reported much higher expenditures, and low income and high expenses are difficult to reconcile (Jencks 1997).
The first goal of this study, conducted in 2004, was to document the degree of agreement between a client's self-report that he or she received SSI or DI benefits and SSA administrative records of whether the person was receiving benefits. We then characterized those clients whose self-reported SSI/DI status was not consistent with SSA administrative records using comprehensive clinical data, self-reported SSI/DI status, and SSA administrative data from participants in a large study of individuals who were homeless and mentally ill. This study first determined what demographic and clinical factors were associated with self-reports of SSI/DI receipt and not being in the SSA database; it then identified what factors were associated with reporting not receiving benefits but having SSA records that indicate otherwise.


Participants and Sampling

Participants were enrolled in the ACCESS (Access to Community Care and Effective Services and Supports) demonstration study, a study of service delivery strategies for homeless people with mental illness (Randolph and others 2002). In ACCESS, agencies in 18 cities offered Assertive Community Treatment (Stein and Test 1980) to 100 participants per year for 4 years. Participants were eligible if they were homeless, had a severe mental illness, and were not engaged in psychiatric treatment at the time of enrollment. Eligible participants were identified and offered case management services. After providing informed consent, a comprehensive set of assessments was completed.

Data Collection

Research assistants using structured interviews collected data. Basic demographic data included age, sex, children in residence, race and ethnicity, years of education, longest full-time job, and veteran status. Homelessness was characterized by age at the first episode of homelessness, number of times homeless, lifetime number of years homeless, and years living in the current city of residence. Legal status questions included questions about having ever been convicted or incarcerated. History of arrests (McClellan and others 1980) and victimization (Lehman 1988) within the last 60 days were also documented. Self-reported data concerning the presence or absence of 17 medical disorders and whether the client was taking prescribed medication were also recorded. Other self-reported symptoms quantified social support (Vaux and Athanassopulou 1987; Lam and Rosenheck 1999), service utilization (Rosenheck and others 2002), a history of conduct disorder (Helzer 1981), and stability of family of origin (Kadushin, Boulanger, and Martin 1981). Participants reported the number of days in the last 60 that they had been housed and the number of days in the last 30 that they had been employed. Overall quality of life was also assessed by the question "Overall, how do you feel about your life right now?" on a scale ranging from 1 (terrible) to 7 (delighted) (Lehman 1988).
Psychiatric diagnoses were those of the admitting clinicians on the case management teams. Psychiatric measures were derived from the Addiction Severity Index (ASI) psychiatric composite problem index, a depression scale derived from the Diagnostic Interview Schedule (Robins, Helzer, and Croughan 1981), and a psychotic symptoms scale derived from the Psychiatric Epidemiology Research Interview (Dohrenwend 1982). Depression was quantified as the number of symptoms of depression out of 5 endorsed by the client, and interviewer ratings of psychosis were derived from 13 items ranked on a 0–4 Likert scale.
Substance abuse was assessed by questions drawn from the Addiction Severity Index (McClellan and others 1980), and a referring clinician rated the patient's substance use on 5-point clinical rating scales anchored by 1 (abstinence) and 5 (severe dependence) (Mueser and others 1995).
Service utilization was measured by questions concerning receipt of six types of services: assistance from a public housing agency, mental health services, general health care, substance abuse services, public income support, and vocational rehabilitation. The number of services received was calculated. Finally, the research assistant rated the reliability of the participant's data on a 5-point scale.

Income Data

Participants were asked to record how much income they had received during the past month from a list of possible sources. Participants were also asked to record earnings for the current month, even if the money had not yet been received. The sources listed included earned income, Social Security retirement benefits, Supplemental Security Income, Social Security Disability Insurance, social welfare benefits from state or county governments such as general welfare and Aid to Families with Dependent Children (AFDC), and nine other potential sources of income. Participants were asked if there was anyone who "handles your money for you (like a payee or guardian)" and, if so, whether the client's checks were mailed directly to this person.
SSA's Office of Research, Evaluation, and Statistics provided client-level data on beneficiary status by cross-matching Social Security numbers of ACCESS participants with those in SSA's Master Beneficiary Record and Payment History Update System, which record payments from the DI program, and the Supplemental Security Record, which records payments from the SSI program. SSA provided data only when its files contained a corresponding Social Security number verified by date of birth. SSA's algorithm for determining whether there is a cross-match—the Enumeration Verification System—did not require the supplied dates of birth to exactly match those in SSA's databases. A Social Security number match was verified when the years of birth agreed or when the months agreed and the years differed by one year.

Data Analysis

The purpose of the study was to determine whether participants could distinguish SSI from DI from other sources of income. We were not concerned with whether participants could distinguish SSI from DI, so receipt of SSI or DI was considered a single measure (SSI/DI). Kappa was calculated to characterize the overall agreement between self-reported and SSA verification of receipt of SSI/DI. The kappa statistic describes the agreement between two dichotomous variables with a range of zero (no agreement) to 1 (perfect agreement). Then, two similar analyses were conducted. The first analysis determined demographic and clinical factors that differentiated people who reported receiving SSI/DI but were not in the SSA database from those who did not report receiving SSI/DI and were also not in the SSA database. Chi-square and t-test comparisons between the two groups were conducted on a broad range of measures. Measures that differentiated the two groups at p<.05 were entered into a logistic regression, and backward elimination was used to identify the most salient correlates at p<.01. A similar approach was employed to compare two other groups: those reporting that they did not receive SSI/DI but in fact were in the SSA databases as receiving benefits and those who reported receiving SSI/DI and were confirmed by SSA records.


Sampling and Overall Agreement Between Self-Report and SSA Databases

Altogether, 16 percent of participants ([934 + 193]/7,220) reported SSI/DI status that was not verified by the SSA database (Table 1). The majority of the discordant reports were from participants who reported having received SSI/DI but were not in the SSA database (13 percent of the total sample) and 3 percent who reported not having received SSI/DI but in fact were in the SSA database. Kappa was 0.60, indicating moderate agreement between self-reports and SSA records (Cicchetti and Sparrow 1981).
Table 1. Agreement on SSI/DI receipt between self-reports and SSA records
Receipt of SSI/DI benefits verified by SSA records? Self-reported receipt of SSI/DI benefits?
No Yes
No 4,770 934
Yes 193 1,323
SOURCE: Self-report data were collected in the ACCESS demonstration and were cross-matched with the Social Security Administration's Master Beneficiary Record, Payment History Update System, and the Supplemental Security Record.
NOTES: The data include 7,220 observations.
Kappa = 0.60

Sample Characteristics by Self-Reported and SSA-Verified SSI/DI Status

The sample characteristics shown in Table 2 indicate, as expected, relatively long durations of homelessness and high rates of psychiatric comorbidity and substance abuse. All the measures in Table 2, within the groups of those who had and had not received SSI or DI according to SSA, significantly differentiated the participant group whose self-report was concordant with SSA from participants whose self-report was discordant with SSA's administrative records.
Table 2. Baseline characteristics, by SSI/DI status according to SSA records and self-reports
Characteristic Mean or percentage (standard deviation) of those with SSI/DI according to SSA Mean or percentage (standard deviation) of those without SSI/DI according to SSA
Self-report concordant with SSA (n = 1,323) Self-report discordant with SSA (n = 193) Self-report concordant with SSA (n = 4,770) Self-report discordant with SSA (n = 934)
Age (years) 40.4(9.5) 43.6(13.7) *** 37.5(9.4) 40.3(9.2) ***
Sex (male) 67.0% 67.7% 61.9% 56.5% **
African American 51.2% 37.4% *** 44.9% 53.2% ***
Hispanic 3.1% 5.1% 6.3% 3.2% ***
English first language 3.9% 7.2% * 6.5% 4.2% **
Years of education 11.7(2.6) 11.5(3.0) 11.7(2.5) 11.1(2.6) ***
Veteran 22.8% 26.8% 18.7% 13.2% ***
Years at longest full-time job 3.5(4.7) 4.7(7.6) ** 3.6(4.7) 2.4(4.4) ***
Days working in last 30 0.9(3.5) 1.2(4.3) 2.4(5.7) 0.7(3.2) ***
Years homeless 3.5(5.3) 3.3(5.9) 3.0(4.8) 3.9(6.0) ***
Days housed in last 60 12.8(18.3) 9.9(16.5) * 11.3(17.1) 12.6(18.0) **
Days incarcerated in last 60 1.3(5.9) 2.6(10.0) ** 2.2(8.3) 1.4(6.9) **
Percentage reporting receipt of—
Social Security retirement income 3.7% 29.2% *** 0.6% 1.0%
Food stamps 35.2% 22.1% *** 48.9% 41.7% ***
Other social welfare benefit 4.5% 9.2% ** 23.7% 7.6% ***
Number of types of benefits received 0.5(0.6) 0.7(0.7) *** 0.8(0.8) 0.6(0.7) ***
Percentage reporting someone else receives and manages check 29.3% 21.2% * 4.4% 27.6% ***
Schizophrenia 51.5% 52.8% 27.9% 53.9% ***
Bipolar 22.1% 19.5% 20.4% 17.2% *
Major depression 33.9% 31.8% 56.7% 32.6% ***
Lifetime psychiatric hospitalizations 8.5(12.3) 6.4(12.2) ** 3.0(6.2) 7.8(11.4) ***
Observer-rated psychosis 11.6(7.9)% 12.3(8.8)% 10.0(7.8)% 12.8(8.3)% ***
Depression symptoms (number out of 5) 2.7(2.1) 2.5(2.1) 3.5(1.9) 2.7(2.1) ***
Substance use
Clinician-rated alcohol use 2.2(1.3) 2.0(1.2) * 2.2(1.3) 2.2(1.3)
Clinician-rated drug use 2.1(1.4) 1.8(1.2) ** 2.0(1.3) 1.9(1.3)
Years of alcohol use 5.7(8.7) 4.9(9.0) 5.9(8.4) 4.6(7.8) ***
Years of cannabis use 5.9(8.6) 4.0(8.0) ** 6.0(8.2) 5.3(8.4) *
Years of cocaine use 1.8(4.5) 1.2(3.8) 2.0(4.5) 1.3(3.7) ***
HIV seropositive 4.8% 3.1% 2.5% 5.2% ***
Percentage diagnosed with seizure disorder 10.1% 10.3% 7.2% 11.6% ***
Baseline treatment in last 60 days
Percentage receiving psychiatric Rx 70.8% 60.8% ** 62.4% 71.4% ***
Percentage receiving substance abuse Rx 30.3% 23.6% 33.8% 28.5% **
Number of services accessed 2.4(1.0) 1.6(1.1) *** 1.6(1.1) 2.3(0.9) ***
SOURCE: Self-report data were collected in the ACCESS demonstration and were cross-matched with the Social Security Administration's Master Beneficiary Record, Payment History Update System, and the Supplemental Security Record.
* Significant difference from corresponding SSA concordant group at p<.05.
** Significant difference from corresponding SSA concordant group at p<.01.
*** Significant difference from corresponding SSA concordant group at p<.001.
Comparison Among Clients not Receiving SSI/DI According to SSA: Participants Self-reporting Receipt of SSI/DI versus Those not Self-reporting Receipt. In multivariate analyses, the measures that significantly (p<.01) distinguished the 934 individuals reporting receipt of SSI/DI (without SSA verification) from the 4,770 not reporting receipt (in concordance with SSA records) are listed in Table 3. The 934 participants with unverified reports of receiving SSI/DI were more impaired in several realms. They had disproportionately less education and employment and were disproportionately more likely to have been diagnosed with schizophrenia, human immunodeficiency virus (HIV), and seizure disorders.
Table 3. Logistic regression analysis of group who reported receiving SSI/DI among the sample of those without benefits per SSA records
Measure Odds ratio 99 percent confidence limits
Demographic, vocational, and housing
Age 1.05 1.03–1.06 ***
English first language 0.55 0.32–0.96 *
Years of education 0.92 0.88–0.97 ***
Veteran 0.6 0.42–0.84 ***
Years at longest full-time job 0.91 0.88–0.94 ***
Days working in last 30 1.01 1.01–1.02 ***
Days housed in last 60 0.92 0.89–0.95 ***
Days incarcerated in last 60 0.98 0.96–0.99 **
Schizophrenia 1.54 1.19–2.01 ***
Major depression 0.66 0.51–0.86 ***
Number of psychiatric hospitalizations 1.05 1.04–1.07 ***
Observer-rated psychosis 1.03 1.02–1.05 ***
Depression symptoms (number out of 5) 0.88 0.83–0.94 ***
Substance Use
Years of alcohol use 0.98 0.96–0.99 ***
Years of cocaine use 0.96 0.93–1.0 *
HIV status 1.85 1.02–3.34 *
Seizure 1.58 1.06–2.36 *
Other social welfare benefit (yes or no) 0.12 0.07–0.20 ***
Number of types of benefits received 0.77 0.62–0.96 *
Self-report that someone else receives and manages check 7.3 5.2–10.3 ***
Number of services accessed in last 60 days 2.62 2.32–2.96 ***
SOURCE: Self-report data were collected in the ACCESS demonstration and were cross-matched with the Social Security Administration's Master Beneficiary Record, Payment History Update System, and the Supplemental Security Record.
NOTES: Total sample size is 5,407; 934 reported receiving SSI/DI but were shown as not receiving benefits in the Social Security Administration's records.
Somers' D = 0.91.
* Significant difference from group who reported receiving SSI/DI at p<.01 by pairwise comparison.
** Significant difference from group who reported receiving SSI/DI at p<.001 by pairwise comparison.
*** Significant difference from group who reported receiving SSI/DI at p<.0001 by pairwise comparison.
Not all functional indices were worse among those with unverified claims. Within this population of homeless people, those who had unverified claims were likely to have used alcohol and cocaine for fewer years and to have been incarcerated for fewer days in the preceding 60 than were those who did not claim receipt of SSI/DI. Self-reported depressive symptoms and a diagnosis of major depression were associated with a lower likelihood of making an unconfirmed claim of receiving SSI/DI.
Benefit status differed between the two groups. Participants with unverified claims of receiving SSI/DI were more likely to report having a payee than were those who did not claim benefit receipt. Those with unverified claims also had received fewer benefits overall.
Comparison Among Clients Receiving SSI/DI According to SSA: Participants not Self-reporting Receipt of SSI/DI versus Those Self-reporting Receipt. Participants who did not report receiving SSI/DI in contradiction to SSA's records that they actually had received benefits were more likely to have reported receipt of Social Security retirement benefits and other social welfare benefits (Table 4). In a post hoc analysis, we considered the possibility that clients who thought they received Social Security retirement benefits were disproportionately aged 62 or older, and they were. Altogether, 17.4 percent (34/195) of participants who inaccurately reported nonreceipt of SSI/DI were aged 62 or older, but only 3 percent (39/1,322) of those with concordant reports of receiving SSI/DI were aged 62 or older (chi-square 77.8, p<.0001).
Table 4. Logistic regression analysis of group who denied receiving SSI/DI among the sample of those with benefits per SSA records
Measure Odds ratio 99 percent confidence limits
Days incarcerated in last 60 1.03 1.00–1.06 *
Clinician-rated alcohol use 0.82 0.68–1.0 *
Social Security retirement income 17.45 9.10–33.43 ***
Food stamps 0.53 0.30–0.91 *
Other social welfare benefit (yes or no) 5.54 2.31–13.29 ***
Number of services accessed in last 60 days 0.34 0.26–0.45 ***
SOURCE: Self-report data were collected in the ACCESS demonstration and were cross-matched with the Social Security Administration's Master Beneficiary Record, Payment History Update System, and the Supplemental Security Record.
NOTES: Total sample size is 1,516; 193 reported not receiving SSI/DI but were shown as receiving benefits in the Social Security Administration's records.
Somers' D = 0.87.
* Significant difference from group who denied receiving SSI/DI at p<.01 by pairwise comparison.
** Significant difference from group who denied receiving SSI/DI at p<.001 by pairwise comparison.
*** Significant difference from group who denied receiving SSI/DI at p<.0001 by pairwise comparison.


Fully 41 percent (934/2,257) of clients who reported receiving SSI/DI benefits did not receive them according to SSA. Clients whose report of receiving SSI/DI was unconfirmed were more likely to have conditions associated with neurocognitive impairment: they were disproportionately psychotic, HIV-positive, diagnosed with a seizure disorder, and occupationally impaired. Clients who misreported basic demographic information may also not have understood the benefits they receive, the question asked, or how to translate their knowledge into a correct response. The clients whose report of receiving SSI/DI was not confirmed used cocaine and alcohol for disproportionately fewer years, but this finding is not inconsistent with a cognitive explanation for anomalous self-reports—some studies indicate that within populations of people with mental illness, those who use drugs may actually be higher functioning (Ries and others 2000).
Cognitive problems also may have been a factor when participants who had received SSI/DI according to SSA did not report receiving those benefits. These clients appear to have been confused by different types of "social" benefits and apparently indicated receipt of Social Security retirement benefits and social welfare benefits instead of the actual SSI/DI they were receiving.
The overreporting of SSI/DI receipt relative to administrative databases in this homeless, mentally ill population is in contrast to the underreporting of income among poor people generally (Hotz and Scholz 2002). For example, validation of data from the Survey of Income and Program Participation suggested that self-report responses underestimated SSI receipt by as much as 23 percent (Marquis and Moore 1990). The responses of homeless people with mental illness may be affected by neurocognitive difficulties that are less salient in poor people who are not defined by homelessness and mental illness.
One clinical implication of the problematic self-reports is that when a client reports receiving SSI or DI, the assertion should be verified. The client can be asked the amount of the check or how the check came to be awarded. Clients should also be questioned to make sure the check referred to is an SSI or DI check and not another kind of payment. Information about benefit receipt can be obtained when another person receives the benefit check or by examining the clients' Medicare card. Primary Medicare beneficiaries who are too young to qualify for retirement benefits presumably receive DI.
The low agreement between self-report and SSA databases among the homeless, mentally ill population has other far-reaching implications. Data concerning sources of income are collected in the U.S. Census and several surveys specifically targeting poor people (Hotz and Scholz 2002). Accurate data about use of public support payments is crucial to assessing the impact of policies such as welfare reform (Primus and others 1999) and changes in eligibility for SSI and DI (Watkins, Wells, and McLellan 1999). In health services research, self-reported Social Security numbers and dates of birth are frequently used to cross-match data from people with known clinical characteristics with another database of interest (Friedman and others 1996; Bach and others 2002). A systematic bias is unwittingly introduced to data when a failure to cross-match is not random.
Some clients who reported receiving SSI/DI but did not appear in SSA databases probably did not cross-match with SSA databases because they provided inaccurate Social Security numbers (SSNs) or inaccurate dates of birth. In the 1996 Survey of Income and Program Participation, a full 16 percent of the SSNs provided by survey participants appeared to be inaccurate because they did not match SSNs in the Summary Earnings Record (Huynh, Rupp, and Sears 2002). One reason to suspect that inaccurate SSNs were provided is that the 1,323 participants whose reported receipt of SSI/DI was validated by SSA administrative records were similar to the 934 whose self-reported receipt was not validated (Table 2). For instance, both groups included high proportions of clients who reported that someone else received their check and managed it for them (29.3 percent and 27.6 percent, respectively). The clients who are discordant with SSA records could have some sort of non-SSA fiduciary arrangement, but the 27.6 percent reporting that someone else receives their check is consistent with other estimates that approximately a third of adults under the age of 65 who receive SSA payments based on a psychiatric disability have been assigned a payee to manage their funds (Social Security Administration 2001a, Table 7; and 2001b, Table 32).
Social Security numbers have high sensitivity and specificity in validating death against the National Death Index (Williams, Demitrack, and Fries 1992), and SSA databases are highly regarded (Waldron 2001). Yet underreporting of deaths to SSA does occur and is not random—underreporting of death information provided to SSA by third parties (such as state vital record systems) is less likely when the deceased was a woman, black, younger, unmarried, or from the South (Curb and others 1985; Wentworth, Neaton, and Rasmussen 1983; Boyle and Decoufle 1990).
Benefits for the Supplemental Security Income and Disability Insurance programs provide a vital safety net for clients disabled by psychiatric disorders. It is important that each individual's benefit status be accurately determined for that client's clinical care and that studies dependent on demographic information provided by impaired clients be independently verified so that use of the Social Security safety net is accurately described.


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