This article falls into the category of What Have We Learned Today. In furtherance of goal of finding out absolutely everything about refugee resettlement in Idaho, a search using the term refugee was done in the Legislature section of the State of Idaho website. It didn’t take looking at more than three references before there was enough significant information to write about it.
First, in the 2012 Individual Entity Audit Report for South Central Public Health District 5 issued on February 20, 2014, there is a history of the Public Health Districts. I’ve highlighted the significant years:
The following is a chronological history of the basic health care services that the State has provided to the public.
1907 – The State Board of Health and counties that had local boards of health were statutorily authorized joint responsibility for public health.
1947 – A public health district law was enacted that permitted two or more counties to establish a public health district. Participation in the forming of the health districts was voluntary.
1970 – The legislature established a law that created seven mandatory public health districts. In South Central Public Health District (V), the counties designated were Blaine, Camas, Cassia, Gooding, Jerome, Lincoln, Minidoka, and Twin Falls. The director of the State Department of Health and Welfare was designated fiscal officer for the various districts.
1976 – Legislative intent was expressed that the health districts are not State agencies, and that they be recognized as authorized governmental entities.
1986 – Idaho Code was amended to allow district health departments to promulgate rules and regulations without the State Board of Health’s approval.
1993 – The legislature clarified the need for district health departments to use the Idaho Administrative Procedures Act for fees and rules.
2004 – The Rules of the Division of Human Resources and Idaho Personnel Commission include public health districts.
2007 – Legislation changing Idaho Code, Section 39-412 to reflect a change in the compensation of Board members, to reference Idaho Code, Section 59-509(I).
2007 – Legislation changing Idaho Code, Section 39-411 composition of Districts’ Boards of Health to allow those Districts comprised of eight counties to consist of not less than eight members and no more than nine members.
2008 – Legislation changed Idaho Code, Section 39-414 language: “For purposes of this chapter, a PH district is not a subdivision of the state and is considered an independent body corporate and politic, in terms of negotiating long term debt and financing.” (This will move the local PH district outside the Frasier legal case of debt financing.)
Public Health Districts are defined:
Idaho Title 39, Chapter 4 – Public Health Districts:
39-401. LEGISLATIVE INTENT. The various health districts, as provided for in this chapter, are not a single department of state government unto themselves, nor are they a part of any of the twenty (20) departments of state government authorized by section 20, article IV, Idaho constitution, or of the departments prescribed in section 67-2402, Idaho Code.
It is legislative intent that health districts operate and be recognized not as state agencies or departments, but as governmental entities whose creation has been authorized by the state, much in the manner as other single purpose districts.
…This section merely affirms that health districts created under this chapter are not state agencies, and in no way changes the character of those agencies as they existed prior to this act
These people of the Public Health Districts have the power of government but are not answerable to the People of Idaho. This is not a republican form of government and through this structure, they have put the People of Idaho – and of the United States in great danger as you will see as this proceeds.
39-413. DISTRICT HEALTH DIRECTOR — APPOINTMENT — POWERS AND DUTIES. A district health director shall be appointed by the district board. The director shall have and exercise the following powers and duties in addition to all other powers and duties inherent in the position or delegated to him or imposed upon him by law or rule, regulation, or ordinance:
(1) To be secretary and administrative officer of the district board of health;
(2) To prescribe such rules and regulations, consistent with the requirements of this chapter, as may be necessary for the government of the district, the conduct and duties of the district employees, the orderly and efficient handling of business and the custody, use and preservation of the records, papers, books and property belonging to the public health district;
So, they are an independent body from the state and they write their own rules.
Section 39-414 referenced in 2008 entry of the history:
(2) To do all things required for the preservation and protection of the public health and preventive health, and such other things delegated by the director of the state department of health and welfare or the director of the department of environmental quality and this shall be authority for the director(s) to so delegate.
Question? Does the Refugee Resettlement Program as managed by the Jannus Group (contract management for the Public Health Districts) and the College of Southern Idaho fulfill the requirements of Section 39-414? As we learned yesterday, the College of Southern Idaho is not only contracting with the Jannus Group, but they are contracting with the U.S. Committee for Refugees and Immigrants (USCRI) to bring in refugees “with significant medical conditions”. Refugees are not only a significant danger to public health, they are creating long-term liabilities for the taxpayers of Idaho.
When you’re looking at the problems of government, if you are looking at the politicians, you are looking at the puppet show. The problems of government can only been seen by looking at the functional organization and the administrative power structure. From the structure that can be seen in the state of Idaho, it would seem logical that the Public Health Districts are creatures (as in the Black Lagoon) of the federal public health system under the direction of the Surgeon General with the precise relationship unknown at this point.
Wikipedia defines the Surgeon General as this:
Surgeon general is a title used in the United States and many areas of the British Commonwealth to refer either to a senior military medical officer or to a senior physician commissioned by the government and entrusted with public health responsibilities. The post originated in the 17th century, as military units acquired their own doctors. In the United States, the chief public health officer is the Surgeon General of the United States and each state has its own State Surgeon General. Moreover, each branch of the American military services has its own surgeon general, with more combat-related responsibilities and experience, hence Surgeon General of the United States Army, Surgeon General of the United States Navy, and Surgeon General of the United States Air Force. Nigeria had a similar position designated Inspector General of Medical Services.
It’s not surprising that this “independent” structure originated with the British. The British Commonwealth is just another name for the British Empire. The City of London appears to have created an organizational structure, the administrative bureaucracy that allows them to get and keep power in the hands of a few while controlling the structure from a distance. There are other examples of it in operation in the United States. (See Part 8, Smart Grid: Rest of the Story).
It’s useful to see who the Surgeon Generals have been for the past several administrations. Wikipedia has a page on the United States Surgeon Generals. At the bottom, there are pictures of them along with duration of their appointment. There is also a link to a profile page of them: U.S. Surgeon General
The current Surgeon General is (emphasis added):
The following is the description of the responsibilities of the Surgeon General according to Wikipedia:
The Surgeon General reports to the Assistant Secretary for Health (ASH), who may be a four-star admiral in the United States Public Health Service, Commissioned Corps (PHSCC), and who serves as the principal adviser to the Secretary of Health and Human Services on public health and scientific issues. The Surgeon General is the overall head of the Commissioned Corps, a 6,500-member cadre of health professionals who are on call 24 hours a day, and can be dispatched by the Secretary of HHS or the Assistant Secretary for Health in the event of a public health emergency.
When I clicked on the link to get information on the Assistant Secretary for Health, I saw a familiar face.
To Be Continued