Additional Titles










Sustainable Medicine + Sustainable Development = Duty to Die

Illegal Aliens & EMTALA








PART 2 of 2


Dr. Madeleine Cosman, Ph.D., JD
September 6, 2005

Here continues the 10-part letter from Osama bin Laden.

6. Homeland Security

�Michael Chertoff�s nice grey beard would look well in a kafiyah before I chop off his head. He promotes a Guest Worker program that is a masquerade for amnesty for Illegal Aliens. The more of my people who come in by real or fraudulent citizenship, the sooner I can take over America by vote.

For me triumph resides in killing, in converting, and in overwhelming the American enemy with his own compassion and stupidity. Double horror comes from defeat not by fair fight but by subversion of the best by the most trusted. America�s generosity in giving the vote to all, altruistically giving freedom and liberty even to Illegal Aliens, assures that I shall win by fair ballot box or by foul voting machine.

Chertoff promotes the Visa Waiver plan so that I can sneak into America my radical Islamists and my terrorist bombers from 27 nations favored by the no visa policy. In addition to terrorism-sponsoring countries, Visa Waiver helps European nations I have infiltrated such as Holland, France, England, and Spain,

Homeland Security is so soft on border control that it took off Mexican border duty 100 officers to work on Katrina projects. Thanks, Cherty, for making things easier for our forces coming through Mexican smugglers.

Best of all, Chertoff fields a mere 2000 agents for all interior enforcement of Immigration and Customs Control. That perverse program welcomes all Illegal Aliens and makes my job almost too simple.

7. The Press Helps Sow Racial Discord

America�s press helps me daily. The Leftist Liberal press flirts with socialism that thrives on racial discord and division. Katrina afflicted 90,000 square miles and waters engulfed Gulf states, creating Allah-pleasing havoc in Missippi, Alabama, Florida, and Louisiana. But American newspapers and televisions fixated on one city, New Orleans, in one County, Orleans County, Louisiana, and its poor blacks. Anyone not knowing what I know could have concluded that Katrina rained her spite only on poor blacks. Jesse Jackson, Al Sharpton, and some radical black congressmen have spun a racial web that ensnares the willing, fawning press.

The US Census Bureau verifies that survivors of Hurricane Katrina are overwhelmingly white and relatively wealthy in the five worst hit parishes in Louisiana and three counties in Mississippi. I rejoice that Katrina took the home of Senator Trent Lott, a man neither poor nor black.

Parish or county

Jefferson, LA - White 69.8%, Black 22.9%
Orleans, LA - White 28.1%, Black 67.3%
Plaquemines, LA - White 69.8%, Black 23.4%
St. Bernard, LA - White 88.3%, Black 7.6%
St. Tammany, LA - White 87.0%, Black 9.9%
Hancock, MISS - White 90.2%, Black 6.8%
Harrison, MISS - White 73.1%, Black 21.1%
Jackson, MISS - White 75.4%, Black 20.9%

8. Black Felons and Former Felons

When I come back with my best bomb I will depend on part of the poor black community to help me. I watched every foot of Katrina film on roving black thugs who looted, raped, and killed. Great work, black bad boys! I successfully infiltrate America�s prisons system with my Wahabbi Islamist concepts that imams bring in openly. Dumb wardens. Dumb inmates. Dumb political experts.

Americans do not appreciate that 27% of all black males aged 18 to 45 have spent time in prison. Most black paroled felons have met my ideas in the clink. I estimate 14,000 felons among rioters and looters in New Orleans. That goodly number of my kind of people is predominately on welfare, especially Medicaid.

I do not especially like American blacks but I shall use them, like I use radical Hispanics of LULAC, MECHA, La Raza, and MALDEF. When I no longer need them I�ll give them the choice of conversion, death, or dhimmitude. Dhimmis are second class citizens with full rights of second class citizens. I allow second class citizens to live until I find them useless.

I rejoiced in watching black thugs shoot at American helicopters that try to evacuate the wounded. Thugs steal rescuers survival gear. They tried to break into hospitals in New Orleans and steal drugs. Even black police chief Eddie Compass told the Associated Press that criminality went beyond theft to rape, beatings, and killings. The Voice of America reported "roving gangs of armed delinquents�interfering with the relief operations." Across the Mississippi River in Gretna, Tenet Healthcare asked Louisiana state police to help evacuate Meadowcrest Hospital after armed bandits tried to hijack a truck carrying food, water and drugs in the predawn hours..." So the Chicago Tribune reported.

9. Medicaid and Welfare Public Assistance

Most poor blacks who needed rescue and many dead had refused to leave town despite mandatory evacuation orders. Why didn�t people leave? Supposedly the poorest, weakest, and sickest had no transport and no place to go. Really? Do poor American people lose their families and friends along with their money? Do their cars only take them to the mall and the casino but cannot drive them to safety with a friend or relative living on high ground?

Do poor Americans have no neighbors who help one another? No church buses? No public buses? Nothing that could serve this clientele that also served equally poor people elsewhere in the 90,000 square miles of devastated area already evacuated? Perhaps the color code of safety that Homeland Security used under Attorney General Ashcroft must have specific colors such as Black Code Red, Hispanic Code Red, Illegal Alien Code Red with special culturally sensitive hues. Then maybe evacuation for one ultimately will mean evacuation for all, shelter in place for one actually will mean shelter in place for all.

American entitlements are at fault. I learned about Medicaid from a medical lawyer I watched on Lou Dobbs on CNN. Medicaid is a startlingly generous program. Its comprehensive generosity sows the seeds of surrender to disaster by suspending self-reliance and impeding self-respect.

While some states give a short list of basic medical office and hospital care, most have dazzling medical additions such as free prescription drugs, long-term care, nursing home care, home repairs, hairdressing, gardening, even pest control. No where in Islamic countries would we match that.

Comprehensive care encourages dependency. Anyone with generous encouragement to remain sick is not likely to get well.

The whole panoply of Medicaid services extends to Illegal Aliens and to so-called Qualified Aliens. Many of my Muslim radicals are Qualified Aliens lawfully admitted as permanent residents with a Green Card for work. Mohammed Atta of our 911 martyrs had a Green Card. Other Wahabbi potential martyrs are refugees. Others are aliens granted political asylum. There are even my people among sympathetic Communists from Cuba and Haiti who entered America under the 1980 Refugee Education Assistance Act. Medicaid also goes free to aliens granted parole from prison for at least one year; aliens scheduled for deportation but whose deportation has been withheld; and aliens granted �conditional entry.�

Battered alien women from any country are welcomed under the Violence Against Women Act of 2000. So are Muslim victims of �severe forms of trafficking� who are brought to America and covered under the Trafficking Victims Protection Act of 2000.

Patients pay nothing. The state pays all costs. Each state is reimbursed by the federal government for at least 50% up to 83% of all costs. All Medicaid programs must offer:

  • Hospital inpatient services
  • Hospital outpatient services
  • Prenatal care
  • Vaccines for children
  • Physician services
  • Nursing facility services for persons age 21 or older
  • Family planning services and supplies \
  • Rural health clinic services
  • Home health care for persons eligible for skilled nursing services
  • Laboratory and x-ray services
  • Pediatric and family nurse practitioner services
  • Nurse-midwife services
  • Federally Qualified Health Center services plus ambulatory medicine coming to the patient
  • Early and periodic screening, diagnostics, and treatment services for children under age 21

Some states add up to 34 optional state Medicaid services that include:

  • Diagnostic services
  • Clinic services
  • Intermediate-care facilities for the mentally retarded
  • Prescribed drugs and prosthetic devices
  • Optometrist services and eyeglasses
  • Nursing facility services for children under age 21
  • Transportation services
  • Rehabilitation and physical therapy services
  • Home and community-based care for chronic impairments

Optional services extend well beyond what most people consider �medical.� Some Floridians on Medicaid obtain:

  • Personal care, hairdressing, and grooming
  • Homemaking, cooking, and cleaning
  • Consumable medical and personal care supplies
  • Adaptive home improvements such as wheelchair ramps and grab bars
  • Home repairs and maintenance
  • Pest control and yard work

Anyone living with such generous entitlement will continue to demand it and escalate demands on the government. Entitlements render the receiver a social eunuch.

Powerful destructive impulses, however, may emerge when authority breaks down.

Entitlements suspend self-reliance and encourage helplessness. Entitlements suspend ingenuity and encourage incompetence. Entitlements suspend triumph over adversity and encourage whining and wallowing in victim-hood. Entitlements impede cure. Entitlements even reward illegal taking.

In New Orleans searchers and rescuers discovered people acting like brutes, threatening rescuers, shooting at them, hijacking their private boats, whining, and blaming the government. Many helpers turned back in disgust.

Entitlements that suspend the best of intelligent ingenuity and exacerbate the worst in human nature cultivate the will to surrender to disaster.

10. The United Nations Global Tax

Costs of Katrina are astronomical. I hope those costs will confiscate much of America�s profits. But other costs loom that most Americans do not yet know they owe. The Washington Post recommended surrendering to the disaster of the U.N. Millennium Development Goals. They neglected to mention the cash costs. The United Nations always subtly advances me.

Soon President Bush will be invited to sign the new Development Goals. John Bolton may impede my work. He will object to the innocent-seeming phrase in that document that all national leaders must �respect nature.� Respect nature is a cheerful cover to indirectly eliminate private property. Government and international treaty will control endangered species, invasive species, and their habitats, whether or not owned by government or private people.

Best of all, the U.N. Summit document commits the US to spend $845 billion over and above what it already pays towards foreign aid. Most countries getting that aid are Islamic.

Sachs who wrote The End of Poverty irritates President Bush by stating that millions of people are dying each year because America is not acting with more foreign aid. Sachs wants a global energy tax administered through the UN. That could stagnate the American economy.

I benefit. Kofi Annan benefits. Everyone benefits when America pays. Why spend $845 billion on post-Katrina American gulf states when my Arabian gulf claims it? Council on American Islamic Relations , CAIR, will help by claiming that to not pay is Islamophobic. Will America appease that colossal insult? I hope so.

I am perplexed that Americans say they are making war on the emotion terror and the techniques of terrorism that I have carefully perfected. I, Osama bin Laden, am a proud Islamo-fascist. How can America defeat an enemy it willingly refuses to name?

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Inhibiting free speech that names America�s enemy as Islamo-fascism is an evasion of responsibility. Restricting criticism of radical Muslims in America and abroad is an avoidance of responsible gathering of information. Forcing silence by a Hecklers� Veto on any courageous speaker who dares to tell the truth to a willing audience is a violation of reason and of the American Constitution. All of these are preemptive surrenders to disaster.

America�s willing lack of preparedness for disaster benefits me and promotes the coming of the global Caliphate of Allah. Excellent!

Yours in Allah,


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� 2005 Madeleine Cosman - All Rights Reserved

E-Mails are used strictly for NWVs alerts, not for sale

Dr. Cosman is a medical lawyer located in California. Her forthcoming book in 2005 is Who Owns Your Body?: Doctors and Patients Behind Bars. She lectures worldwide on medical law and medical policy, has testified before Congress on medical law issues, and has spoken in Washington for Cato Institute and Galen Institute. She wrote the ABCs of the Clinton Medical World for Congress in 1993. A Director of California Rifle and Pistol Association, she writes "Guns and Medicine" for Firing Line. One of her 15 published books was nominated for the Pulitzer Prize, National Book Award, and was a Book of the Month Club Dividend Selection.

Madeleine promotes free-market, patient-centered medicine, and Health Savings Accounts.

Her J.D. is from New York's Cardozo School of Law, Ph.D. from Columbia University, M.A. from Hunter College, and B.A. from Barnard College. She is a member of the New York State Bar, New Jersey Bar, American Bar Association's Health Law Section, and American Inns of Court. Madeleine is Professor Emerita of City College of City University of New York and a Life Fellow of the New York Academy of Medicine.












I am perplexed that Americans say they are making war on the emotion terror and the techniques of terrorism that I have carefully perfected. I, Osama bin Laden, am a proud Islamo-fascist. How can America defeat an enemy it willingly refuses to name?