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Commentary: VA CARES Report
Commentary: "Four More Years" and the VA
More cuts, longer waits need not be.

 

About the Author

Larry Scott (former E-5) served four-plus years in the U.S. Army with overseas tours as a Broadcast Journalist at AFKN HQ, Seoul, Korea and AFN Lajes Field, The Azores, Portugal and a stateside tour as a Broadcast Journalism Instructor at the Defense Information School (DINFOS). Larry was decorated four times including the Joint Service Commendation Medal with Oak Leaf Cluster. He was awarded DOD's First Place Thomas Jefferson Award for Excellence in Journalism. After the Army, Larry went back to radio news, working in Indianapolis as a News Anchor on WIFE Radio and then in New York City as a News Anchor on WNBC Radio. He receives VA compensation for a service-connected disability and uses the Portland, Oregon/Vancouver, Washington VA facilities for healthcare. Today, Larry resides in Southwest Washington and operates the veteran's help website YourVABenefits.org. To contact Larry Scott email larry@yourvabenefits.org.

Larry Scott Archives


Related Links


Veterans Health Care Overview

Veteran Health Care Index

VA Cares Report

2005 VA Budget Information

November 4th, 2004

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Opinion By Larry Scott


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During an election campaign the cry of "four more years" elicits cheers from some and jeers from others. After the election "four more years" transitions from concept to reality. Now that we have the reality, what does it mean for the VA?

During the last four years we have seen the literal "gutting" of VA healthcare benefits and mind-boggling delays for veterans seeking healthcare.

  • Priority Group 8 veterans are now denied enrollment thus eliminating more than 500,000 veterans from benefit and healthcare rolls. This is nothing more than a cost-saving measure and an arbitrarily cruel punishment. Is one ill veteran less important than another?

  • Many veterans in various Priority Groups find themselves having to pay for VA healthcare. A means test is applied and if the veteran's income is over $24,644 a year co-payments kick in. In simple terms, if a veteran makes over $11.85 an hour, they pay. It is nearly impossible to live on $11.85 an hour much less pay for healthcare. The co-payments also apply if the veteran's net worth is over $80,000. The median value of a home in the United States in 2000 was $119,600. That has gone up in the last four years. Again, simply stated, if a veteran owns a home the co-payments apply.

  • Hundreds of thousands of veterans have applied for benefits and healthcare during the last four years. These are veterans who are unemployed or under-employed and find that they now have no healthcare and no way of paying for it. Also in the group are veterans who have found that they cannot afford their medications under Medicare and now use the VA pharmacy services. This was not anticipated by the VA and they have been slow to react and the solution has created a bigger problem. These hundreds of thousands of veterans were waiting as long as 30 months to get enrolled in the VA system to see a doctor. So, the VA hired more clerks to process enrollment. They did NOT hire more doctors, nurses and necessary medical personnel to treat these veterans. Now the waiting lists are INSIDE the VA system. Veterans wait months for necessary surgeries and critical diagnostic procedures. No funding has been allocated to hire additional medical staff.

    With such a disastrous record during the last four years, what can we expect from the VA during the next four years?

  • Expect more cuts in the area of eligibility. Already under discussion: Denying enrollment to Priority Group 7 veterans and higher co-payments in every area of the system.

  • Look for longer waits inside the system for every type of service. The VA is not hiring needed doctors, nurses, technicians and other workers who perform and support direct healthcare. To get a good look at this go to http://www.usajobs.com and peruse the unfilled medical positions at EVERY VA facility. When will these positions be filled? With ongoing hiring freezes and no budget, one VA Public Affairs Officer told me, "Maybe in the Spring of 2005."

  • Watch as long-term plans interfere with immediate needs. The VA's CARES Report has been accepted. This is a 20-year plan to construct more buildings. This while current VA facilities are under-used, empty or being leased out for other purposes. There is no immediate plan to request more funding to hire necessary medical personnel.

  • Be prepared for cuts in VA funding. A leaked White House document reported a $910 million cut in the 2006 VA budget. Although the White House backed-off on the dollar amount in this document they did not back-off on the stated intent. Cuts are on the way.

  • And, you can be sure that under-funding will continue to hamper VA healthcare services. The FY 2005 VA budget submissions ask for a ridiculously low 5.8% increase. This covers all areas of the budget. The requested increase for direct healthcare is a disastrous 1.9%. This will not cover inflationary pressures much less provide any funding to hire the doctors, nurses and other medical personnel needed to ensure quality healthcare without long waiting lists.

    "Four more years" does not paint a pleasing picture for our Nation's veterans. Rhetoric and bumper stickers have given way to reality. We now face a healthcare disaster in the VA system if adequate funding is not immediately forthcoming. Since the VA hierarchy is not asking for proper funding and Congress hasn't picked up the slack, there is only one remaining option. As veterans, we must push for Full and Mandatory VA Funding as outlined in Senate Bill 50. This bill moves VA funding from the discretionary to the mandatory portion of the federal budget.

    Newly re-elected President George W. Bush has promised to "reach out" to all the people. He has spoken about bi-partisan efforts to move the Country forward. It will take a true bi-partisan effort to pass Full and Mandatory VA Funding. Please urge your elected representatives of both parties to work to this end.

    Fiscal Year 2005 is here. There is no budget. The VA will continue to curtail spending. The hiring freeze at the Portland/Vancouver VA, and others, will continue, perhaps into next spring. Secretary Principi has requested a 5.8 percent increase in the VA budget submissions for 2005. But most of that increase is NOT for health care -- the requested health care increase is 1.9 percent. This cannot even begin to pay for increased costs in supplies, fuel and other tangibles. What this means is that FEWER real dollars are being requested for healthcare in 2005.

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