Category: Veteran Health Care

  • USAToday; cut military pensions

    The editorial board of the USAToday comes out in favor of military pension cuts in a green-eyed envious opinion piece today, sent to us by Chock Block. Of course, they blame Reagan for our “generous” retirement benefits;

    But one big group was largely untouched by Reagan’s overhaul: members of the military. They are still on a plan so generous that it allows them to retire in their late 30s or early 40s and collect a pension, with cost-of-living increases, for the rest of their lives. This is accompanied by lifetime health coverage whose premium, $460 per year for a family policy, has not risen since 1995 even as costs for everyone else have skyrocketed.

    In last month’s bipartisan budget deal, Congress made some wholely defensible trims in military pensions, prompting a howl of complaints from veterans groups.

    They protest too much. Way too much. The military pension system is not only extremely generous, it is also counterproductive. It drains defense money from today’s troops and weapons. And while the system encourages some people to consider the military who otherwise might not, it also encourages them to leave early, taking their first-rate training to go double-dip by moving into a civilian government job. In any case, they can collect pensions — intended as old-age protection — in the prime of their working lives.

    Yeah, the system is way too generous. When I retired, twenty years ago yesterday, my pension was less than $12,000/year. In those twenty years, the generous COLA increases have brought the generous pension to a little more than $18,000 last year. So yeah, I’m cleaning up. I’d like to see some of the editorial board of the USAToday eat the shit I ate for two decades and settle for $1500/month before taxes. The thing that kept me in the service for twenty years was the FREE medical care I knew I’d need after gobbling down those shit sandwiches everyday. Before I got out, the FREE medical care was gone, but it was at least affordable. But obviously, it’s too affordable – while the Obama Administration and the editorial board of USAToday want lower medical for everyone else in the country, they want raise the medical costs for veterans, as a way of saying “thanks for your service, asshole”.

    They want single-payer healthcare for illegal aliens, but screw veterans for expecting the government to keep their promises.

    The editorial board of the USAToday continues;

    This approach would save taxpayer money and help reach budget targets. It also would discourage people from leaving early after the government has invested so much in them.

    The change would also make military pensions less wildly out of line with most Americans’ experience. Private-sector pensions, to the extent that they exist at all, are routinely scaled back or frozen in ways much more dramatic than these changes.

    Certainly, protecting veterans impaired by their service is a different sort of issue. But the current system rewards all equally, including the 40% of servicemembers who have never seen a combat zone.

    Yeah, suddenly the Left is worried about saving the taxpayers money – I almost believe that. And, oh, yeah, all veterans participated in war in some manner or another. Those who haven’t deployed filled some necessary function that contributed to the war effort, so don’t try to pit combat veterans against POGs with this battle, especially what with you, the editorial board of USAToday, being the most POG in this discussion, you cowardly assholes who rode out the war from behind your glass-topped desks, sniping at the troops every time you had the opportunity. And the sniping continues. Assholes.

  • PTSD Vaccine??

    Apparently some researchers at MIT have found some interesting correlation between a stomach hormone and PTSD that could possibly lead to a vaccine for PTSD.

    It’s a breakthrough that could help thousands of American soldiers returning from dangerous deployments. Researchers at the Massachusetts Institute of Technology believe they may have discovered a way to create a vaccine that could prevent post-traumatic stress disorder (PTSD).

    “What it’s going to do is that they’ll still have perfectly strong memories of the event. They just won’t have the bad health consequences,” said Ki Goosens, an assistant professor of neuroscience neuroscience with the McGovern Institute for Brain Research.

    Apparently, by blocking the receptors for a hormone known as Ghrelin they were able to lower “fear” which they hope prevents the debilitating effects of PTSD. (NO, this won’t make some fearless robot “Universal Soldier”) They don’t claim that this is some magic cure, memories and traumatic experiences will still be completely real and intact, their hope is just that it can keep PTSD from developing.

    I know they call it a vaccine, but that is because it can be administered prior to going into known stressful situations, ie. combat. However, this should also work after a traumatic experience as well. It could potentially help troops suffering now and would be able to be used to treat people who suffer severe trauma from, say, a rape, violent attack, childhood abuse, etc…

    This should be interesting…..

  • Still coming for your healthcare

    A few days ago, we saw how the Obama Administration planned to hike your out-of-pocket Tricare costs so that you’d be forced into the Obamacare program, or whatever they’re calling it today. Military.com, in a link sent to us by Chief Tango, reports how they plan on doing just that;

    The Pentagon proposed an annual enrollment fee based on a percentage of retired pay for Medicare-eligible retirees in the Tricare For Life Program. Working age retirees in the Tricare Standard and Tricare Extra programs also would face new annual enrollment fees phased in over five years.

    The White House also proposed an increase to the current enrollment fee for working age retirees in the Tricare Prime program phased in over the next four years.

    As for co-pays, the White House has proposed increasing Tricare Prime co-pays for retirees and their beneficiaries by $4 for medical visits not related to mental health.

    Congress was successful earlier this year in resisting hikes to your Tricare costs, but the fate of the plans of this administration rests on the election in November. Can you imagine the outcry that would arise over hikes to out-of-pocket costs to Medicaid or Medicare? While this administration makes noise about lowering Americans’ healthcare costs, they raising veterans’.

    It’s time for the VSOs to do a march-in to the Oval Office again.

  • Tricare to Obamacare

    Remember back in 2009, the Obama Administration tried to force service-connected injured veterans to buy insurance that would reimburse Tricare? The only thing that stopped the cockeyed plan in 2009 was the Veterans’ Service Organizations who, led by Dave Rehbein, the national commander of the American Legion, marched into the Oval Office and laid down the law to Obama and his staff (speaking figuratively). They quickly backed off. But just for a few years, apparently. According to Bill Gertz at the Washington Beacon, reports what I’ve been saying for years – Obama and his Secretary of Defense Chuck Hagel are trashing Tricare so veterans will be forced in Obamacare;

    The proposed increases in health care payments by service members, which must be approved by Congress, are part of the Pentagon’s $487 billion cut in spending. It seeks to save $1.8 billion from the Tricare medical system in the fiscal 2013 budget, and $12.9 billion by 2017.

    Many in Congress are opposing the proposed changes, which would require the passage of new legislation before being put in place.

    “We shouldn’t ask our military to pay our bills when we aren’t willing to impose a similar hardship on the rest of the population,” Rep. Howard “Buck” McKeon, chairman of the House Armed Services Committee and a Republican from California, said in a statement to the Washington Free Beacon. “We can’t keep asking those who have given so much to give that much more.”

    Administration officials told Congress that one goal of the increased fees is to force military retirees to reduce their involvement in Tricare and eventually opt out of the program in favor of alternatives established by the 2010 Patient Protection and Affordable Care Act, aka Obamacare.

    Yeah, but we’re not balancing the budget on the backs of veterans – I remember when Obama made that promise to the American Legion Convention. But there it is. So who is marching into the Oval Office this time? Anyone?

  • Chris Short: Regarding Veterans and Health Savings Account

    An Air Force veteran, Chris Short, sent us this letter that he sent to VA Secretary Shinseki and some of his elected officials in regards to veterans being locked out of Health Savings Accounts by the Affordable Care Act and the potential for saving us some money. Chris seems to know more about this subject than me, so I’ll let him present his case;

    Dear INSERT NAME HERE,

    As you may or may not know, all US companies that are providing healthcare to their employees are implementing Affordable Care Act (ACA) compliant insurance policies by the Jan 1, 2014 deadline. My company is providing its employees with very informative briefings on this topic (for which I am very grateful). The goal of this letter is simple; to inform you of something wrong with the ACA and try to right a wrong.

    I am relatively healthy except for an injury that cut short my time in the US Air Force. I have long thoracic nerve palsy that causes winging of my scapula. As you can only imagine this is very painful. Every day I experience nonstop, incessant pain; some days are better than others but my pain scale lives between five and ten. I should also point out that I am not getting disability from the Veteran’s Administration (VA) for this injury (the exam and appeals process with the VA is very broken). Due to the expensive nature of treatment for my injury I use the Durham VA Medical Center in Durham, North Carolina and unless there is a clerical error I typically do not have to worry about coverage for my injury. I use the VA only for treatment of this specific injury as I am sure you are aware, the VA health care system is outmoded and unresponsive.

    When the ACA was passed I was worried that it would affect my VA benefits but the VA assured veterans that would not be the case. Yesterday, during a briefing at my office, we had the pleasure of having a representative from our insurance company available to answer questions about changes to the health care system and our policies. I found out that the ACA is not going to have an impact on my VA benefits but will significantly limit my private insurance options (I have essentially only one option). Yesterday, a bullet on the presentation we were given stated if, “You have received benefits, including prescription drugs, from the Veterans Administration in the last three months,” you will be unable to contribute to a Health Savings Account (HSA). This essentially removes my employer’s High Deductible Health Plan (HDHP) with HSA as an insurance option for my family. It does not make fiscal sense to pay exorbitantly more for coverage without the HSA to ease the financial burden of costly medical treatments. In theory, my family is being excluded from a potential savings of $6,550 per year because of an expectation that the government that broke me has an obligation to fix me.

    I have set aside the fact that my coverage is being cut and my premiums are going up because I understand the reasoning (educating people how to properly use healthcare would be a better effort prior to the ACA but that’s neither here nor there at this point). However, to take my care options from essentially four to one (a “Classic Care” plan that the Aetna rep clearly stated would be going away eventually) is not only not bad business but is going to cost me dearly when that “Classic Care” plan does indeed go away because I will not have an HSA to fall back on to pay for treatment.When the classic healthcare plans go away I will be forced to drop out of care from the VA and get the HDHP with HSA as my wife likely can’t be covered by the VA and my daughter lives in another state with her mother. I will have lost the potential of years of savings through an HSA. I choose to go to the VA because the treatments I am receiving at this point are experimental and I cannot get private insurance to cover them (nor should I given a promise made to me by my country).

    I implore you to think about the spirit of the ACA and ask yourself if you would rather citizens pay their healthcare bills and veterans be stuck between two bad options or if everyone should have equal access to all forms of coverage just as they used to. I was on the bad end of the stick more than I cared to be while I was in the USAir Force. Now it seems veterans are on the wrong end entirely with this illogical provision in the ACA. Your attention to this matter would be greatly appreciated.

    Sincerely yours,

    Christopher Short

  • For Vets Using VA Medical Care – Something to Consider

    This article is directed at any veterans out there who (1) are using the VA for medical care, (2) are rated at <50% disability, and (3) have a reasonable level of income.  It’s particularly applicable for those who also have Tricare eligibility.

    Be careful concerning prescriptions from the VA and where you opt to get them filled.  Letting the VA fill all your prescriptions may not be in your best economic interests.

    (more…)

  • Over medicating in the VA/military health care.

    Well I have been looking for a reason excuse to talk about this and this is about as good as any. This is about a Veteran that died from “over-medicated”.

    “It just got out of control,” said Heather. “They just started pill after pill, prescription after prescription…and he’d come home with all brand-new medications, higher milligrams.”

    I have recently seen this in regards to the medication that I take for my ADD.

    Short history, diagnosed at the age of five. Was on Ritalin for the better part of twenty years, and started taking adderall. off and on since 2010. So I have a general idea of what to expect from the medication and the risks.

    For example, this medication is not a cure all. It will not make one have the mental discipline to do the needed tasks, it will just help you do it. A better way of saying this how vision glasses help people. It will help you see clearly, but it will not influence you on were you look.

    Second is the idea of taking “drug holidays” to prevent the body from becoming desensitized to the medication does. Also it allows the body to recover from the reduced appetite that comes with this type of drug. Just keep this in mind for the next part.

    I am going through school right now and I was having some trouble with my ADD and I wanted to talk to Behavioral Health about ideas for better coping mechanism for school. The first thing that I was told that I needed to be on a medication regiment. When I told them that I was already taking 1 20mg of Adderall XR (extended release) on weekdays, that it was not enough. That until I was on a working regiment that any coping mechanisms would be ineffective.

    So I wait for my appointment to talk to the doctor. We got some basic history about my ADD. He increases my dose to 30mg XR and that I need to take on the weekends when I study. Ok we get that out of the way and I was ready to talk about now coping ideas that I have been wanting to talk about for over two weeks.

    Nope, nothing. It seems that the Adderal will take care of everything and that i did not need to do anything else. Remember when I was talking about what these drugs can and cannot do earlier? Yea I was very surprised to hear that and was thinking about the newer patients who get Adderal and get told the same thing. I go about my schooling and about two weeks later I have a follow up.

    I told that the increased medication seems to have helped me in the hands on portions and helping with studying I was concerned about two things. The first one was the effects real or was this a placebo effect, and that I was unconsciously looking/wanting to see better results. The second was with no drug holidays that what is there to prevent my body from becoming desensitized to the medication.

    His first answer was to evaluate for long term and if it was a placebo effect would reduce rather then maintain. The second was that if I become desensitized to the medication that we could just increase the dose.

    I asked him what happens if I keep finding myself having to keep increasing the medication dosage over and over to keep the same therapeutic levels. His answer was that there was a point that the body will not be desensitized to the medication and to remain on that dosage.

    The answer that I wanted to say was “you mean death”? Considering what the drug is and that it it highly abused in colleges and other schools that you would want to control the dosage by drug holidays (It is in the medication instructions) to keep the risk of becoming dependent on the medication. So I wonder when I see comments like this if anyone else has had similar experiences.

    “I have seen people that have not had an exam of that body part that they’re complaining of pain in for two years,” said a doctor who presently treats pain patients at the VA and had asked not to be identified. “It’s easier to write a prescription for narcotics, and just move along, get to the next patient.”

  • Obamacare and veteran healthcare

    I’ve had some questions about ObamaCare since this whole thing began, but I guess they had to pass it to see what’s in the bill as some famous crone said once. Mostly, I was concerned that since veterans don’t really pay much for VA and Tricare, are we going to be hit with penalties? Well, Ex-PH2 got a brochure from the VA that says we’re covered in that regard;

    VAHC letter front

    VAHC flyer back

    I’m guessing that Tricare will cover us, too. But the Military Times is less certain about that. I get the sense that the Department of Defense will try to push military retirees into ObamaCare eventually, but in the near term, it’s relatively secure. Well, until the hammer drops.