Category: Veteran Health Care

  • Charles Lane; get your facts straight on Tricare

    So, this fairly disingenuous fellow, Charles Lane, writes in the Washington Post opinion section about how we veterans don’t deserve Tricare as it currently exists. Apparently, we shouldn’t expect the government to honor it’s promises after we’ve fulfilled our commitment;

    Since 2000, however, Congress has repeatedly expanded the access of former military personnel to Tricare. By 2010, the eligible population had increased from 6.8 million a decade earlier to 9.7 million — nearly 85 percent of whom were not active-duty service personnel, according to an excellent May 2012 Armed Forces Journal article by Brittany Gregerson of the Institute for Defense Analyses.

    […]

    Once former military personnel turn 65, they are eligible for Medicare, like everyone else. But in 2002, Congress gave them “Tricare for Life” — essentially, a free Medigap plan. Roughly 2 million people take advantage of this perk, at a projected cost to taxpayers of $9.7 billion in the current fiscal year, according to the Congressional Budget Office.

    Yeah, well the “expansion” of Tricare eligibility in 2002 was because in the 1990s, the Clinton Administration kicked veterans over the age of 65 off of Tricare and forced them into Medicare. So it wasn’t an “expansion” as much as it was a “restoration” of medical care. The Republicans only gave back to veterans that which veterans thought they had earned instead of tossing us into the confusing and completely alien Medicare system. You know, the last time the Democrats balanced the federal budget on the backs of veterans.

    In anticipation of a lot of hate mail, I would note that I respect and honor America’s veterans. They should be well provided for, including reasonable health benefits. But no one — not even a veteran — is entitled to taxpayer support regardless of competing public needs.

    In the case of Tricare, this is what the veterans’ lobbies have demanded of Congress, and what Congress has given them.

    I wouldn’t bother mailing your ignorant ass, Mr. Lane. Especially someone who feels a need to say that he respects and honors veterans, you know, right before he throws us under the bus. That’s probably the most disingenuous statement one of these mighty mouths can make. I respect and honor journalists at the Washington Post, but they should all be tarred and feathered and run out of town on a rail. See how that feels, Mr. Lane? At least he spared us the usual “My grandfather’s neighbor’s doctor’s dog’s mother’s owner was a veteran, so I respect and honor veterans.”

    I wonder what Mr. Lane has to say about hiking costs of healthcare on Medicare seniors? Or Medicaid families? I don’t see anyone suggesting that healthcare should be more expensive for those groups in order to save the federal budget. How about we pick on another “group” of Americans who should be punished by raising the cost of their access to healthcare. Pick a group – how about miners or railway workers? How about we raise the healthcare costs of gay or transgendered Americans on Medicare?

    Of course, I don’t think that we should raise healthcare costs based on any arbitrary societal measure, but while our president is promising that health care costs will be lower for every American because of his Affordable Healthcare Act, why would his administration want to hike the costs to one group? Why would the Washington Post and Mr. Lane want to pick out veterans from all of Americans to shoulder the burden of the federal budget alone, when there are no other Americans or group of Americans willing to take up part of the work that needs to be done?

    Thanks to Chockblock for the link.

  • Phoenix VA; secret list for doctors kills 40

    Phoenix VA; secret list for doctors kills 40

    Veterans-Affairs2

    Several folks have sent us a link to the CNN report about the Phoenix VA’s “secret list” for veterans’ appointments to see doctors.

    The secret list was part of an elaborate scheme designed by Veterans Affairs managers in Phoenix who were trying to hide that 1,400 to 1,600 sick veterans were forced to wait months to see a doctor, according to a recently retired top VA doctor and several high-level sources.

    For six months, CNN has been reporting on extended delays in health care appointments suffered by veterans across the country and who died while waiting for appointments and care. But the new revelations about the Phoenix VA are perhaps the most disturbing and striking to come to light thus far.

    The result is that at least 40 veterans have died during their “wait time” before they could see their doctors.

    Apparently, the secret list was a manipulation of the data related to wait times. Your name would remain on the “secret list” if they weren’t able to schedule an appointment for you in less than 14 days (the statutory wait time). If they weren’t able to schedule an appointment for you before that, you just languished on the list. The result was that the hospital appeared to have a exemplary record of meeting the wait time limits. Bureaucratic success! Because that’s all that matters among bureaucrats.

    According to [Dr. Sam Foote, a retired VA doctor], the elaborate scheme in Phoenix involved shredding evidence to hide the long list of veterans waiting for appointments and care. Officials at the VA, Foote says, instructed their staff to not actually make doctor’s appointments for veterans within the computer system.

    I’m sure their performance won the folks at the Phoenix VA some hefty bonuses, too.

  • Starbucks gives $30 million for TBI/PTS research

    Starbucks

    ROS sends us the tip that CBS News reports that Starbucks CEO, Howard Schultz announced that his company is giving $30 million to research for traumatic brain injury and post-traumatic stress in veterans;

    HOWARD SCHULTZ: The truth of the matter is, and I say this with respect, more often than not, the government does a very — a much better job of sending people to war than they do bringing them home. These young men and women who are coming home from multiple deployments are not coming home to a parade. They’re not coming home to a celebration. They’re coming home to an American public that really doesn’t understand, and never embraced, what these people have done.

    […]

    SCOTT PELLEY: You were recently at Walter Reed Army Hospital. What did you see there? What was that experience like? What did you learn?

    HOWARD SCHULTZ: I was not mentally prepared, or emotionally prepared, for what we saw at Walter Reed. And a young, 21-year-old warrior who had lost both his legs was being wheeled around by his mother. And you ask yourself, “If that was my son or my daughter, how would we respond?” And I think my responsibility now is I have seen things, and I’ve heard things and I’ve met these people and their families, and you just can’t be a bystander. You have to do everything you can to tell their story and help them.

    Last year, Starbucks promised to hire 10,000 vets and their families over the next five years. Now, I know as a conservative, the herd wants me love or hate Starbucks on their issue du jour, and it couldn’t be more schizophrenic. So as a veteran, I’m a Starbucks supporter, even though there’s not a Starbucks within 50 miles of me at the moment.

  • Feds to fund Vets’ pot study

    Talking Points Memo reports that the Feds will fund a study to investigate the usefulness of marijuana for treating PTS;

    The Department of Health and Human Services’ decision surprised marijuana advocates who have struggled for decades to secure federal approval for research into the drug’s medical uses.

    The proposal from the University of Arizona was long ago cleared by the Food and Drug Administration, but researchers had been unable to purchase marijuana from the National Institute on Drug Abuse. The agency’s Mississippi research farm is the only federally-sanctioned source of the drug.

    In a letter last week, HHS cleared the purchase of medical marijuana by the studies’ chief financial backer, the Multidisciplinary Association for Psychedelic Studies, which supports medical research and legalization of marijuana and other drugs.

    I expect that phonies will overwhelm the program. Take, for example, Wayward Bill Chengelis who pretended to have PTS from an imaginary tour of Vietnam and used his phony tales and his own pretend research on pot-use easing the pretend-symptoms of his pretend-condition. We have Matthis Chiroux who is a known drug user and he pretends that he has PTS from hearing other people talk about their deployments. We have Jeremy Bergren who caught pretend PTS because his unit deployed without him. We have Zachary Findlay-Maddox who caught the PTS because he could see the smoke from the Pentagon on 9-11 from about seven miles away and his pizzaman looked like bin Laden. We have Joseph Cryer who is on 100% disability with VA from a pretend invasion of Libya he made and, of course, he has PTS. Well, that should be plenty of examples, and that’s just from our own files.

    So, if you really have PTS, by all means seek treatment and maybe this works, but expect a long line ahead of you.

  • VA’s solution to backlog; destroy claims records

    I saw Concerned Veterans for America CEO Pete Hegseth on Fox this morning talking about a recording of a meeting at Veterans’ Affairs in which they discussed a solution to their serious backlog of veterans’ claims. That solution was to toss records, because they were beginning to look bad, according to a whistleblower, Oliver Mitchell, also a former Marine, as reported at The Daily Caller;

    VA Greater Los Angeles Radiology department chief Dr. Suzie El-Saden initiated an “ongoing discussion in the department” to cancel exam requests and destroy veterans’ medical files so that no record of the exam requests would exist, thus reducing the backlog, Mitchell said.

    Audio from a November 2008 meeting obtained by TheDC depicts VA Greater Los Angeles officials plotting to cancel backlogged exam requests.

    “I’m still canceling orders from 2001,” said a male official in the meeting.

    “Anything over a year old should be canceled,” replied a female official.

    “Canceled or scheduled?” asked the male official.

    “Canceled. … Your backlog should start at April ’07,” the female official replied, later adding, ”a lot of those patients either had their studies somewhere else, had their surgery … died, don’t live in the state. … It’s ridiculous.”

    Here’s the recording;

    When Mitchell blew the whistle on the operation, he was transferred to another department. The VA OIG simply made the department aware of Mitchell’s complaint instead of taking appropriate action. When Mitchell went to Congress with his complaint, he was fired from the DVA. Mitchell claims that the practice was not only a local problem, but rather a nationwide solution to the DVA’s backlog problem.

    Here’s Pete Hegseth on the issue at about 3:50 into the video;

  • CBO; remove working age retirees from Tricare to save billons

    Obviously, the Congressional Budget Office is looking for ways to screw the living shit out of veterans, especially retirees. We talked earlier last week about all of the ways that they could make healthcare more expensive for veteran retirees. I joked that doing away with Tricare altogether would save them the most money without gouging into the most constituents. They must have been reading, because they are now thinking about removing “working age” veterans from Tricare, according to a link sent by Travis from the Military Times;

    According to the CBO, proposals to increase Tricare enrollment fees and copayments for working-age retirees could save $24.1 billion from 2015 to 2023, while introducing minimum out-of-pocket charges for beneficiaries using Tricare for Life would save roughly $18.4 billion.

    But banning working age retirees from the Pentagon’s HMO-style Prime plan could save $89.6 billion — an amount difficult to ignore, budget experts said.

    So, what they want to do is force retirees into the current mess that they’ve created for the rest of America in regards to health care – that monstrosity dubbed Obamacare. Never mind that any of us stayed in the service to get cheaper healthcare, that we were promised healthcare as a condition of our continued service, that we’ve already fulfilled our part of that bargain and can’t get our youth back. They could save even more money if they just outright decided to stop giving us our pensions, too. Are they really that petty? Are they really that jealous of our retirement benefits that they just want to strip away every fiscal reason that we served?

  • CBO seeks “cost sharing” with retirees

    So I was at the VA hospital in Martinsburg today picking up my wheelchair, so I’m sorry that I’m behind in catching up on my email and posting. But, speaking of veteran care, David sends us a link to Reuters which reports that the Congressional Budget Office (CBO) is driving hard for Tricare hoop;

    The most effective way to control the rising expense of the military healthcare system is to boost cost-sharing among retirees, the Congressional Budget Office said on Thursday, endorsing an unpopular step Congress has repeatedly rejected.

    The non-partisan CBO said the Defense Department spent some $52 billion in 2012 for its TRICARE healthcare program, which covers about 1.8 million troops and their 2.6 million family members, plus 5.2 million military retirees and their families.

    That’s nearly 10 percent of the Pentagon’s $530 billion budget base budget for 2012 and about $5,400 per person.

    Of course “cost sharing” means gouging veterans’ pockets. But even if they cut out healthcare entirely from the Defense Department’s spending, that’s only 10% of their budget. Are you telling me that scraping the bottom of my wallet is going to help them get spending under control? Like I’ve said countles times, we had a $770 million surplus last year from our “cost sharing” Tricare costs and DoD raided the fund to have a bagel station in Chuck Hagel’s office. Or something. If there was $3/4 billion surplus, it seems to me that we’re doing our “cost sharing” sufficiently.

    The CBO looked at three ways for increasing cost-sharing for retirees, many of whom leave the military after 20 years of service and begin receiving benefits while they are still in their working years between the ages of 40 and 65.

    The options looked at increasing fees or limiting service to so-called working-age retirees, as well as modest fees for retirees over age 65.

    Yeah, we know that “modest” is a subjective term and usually doesn’t mean the same thing to the CBO that it means to a retiree over 65 years old. And, um, just because a military retiree is working age, that doesn’t mean he’s actually working. Sometimes not by choice, either. That seems to me to be an arbitrary yard stick to measure the solution.

    I’m going out on a disability retirement and I’m several years from 65, are they going to factor that in? I don’t think they know what they’re doing.

  • COLA cuts were just the beginning

    The other day we heard from the VSOs that they were worried that the cuts to COLA increases for disabled and retired veterans was just the beginning. Well, it appears that their worries weren’t unfounded. The Congressional Budget Office has suggested six options for the Pentagon in order to meet their budgetary restraints and of course, all six “suggestions” are personnel cuts, according to the Army Times;

    The largest savings would draw from what would be the most untenable option for the Defense Department: further cuts to the size of each military service. According to Murray, reductions could yield $495 billion in savings over 10 years, but they would mean eliminating 10 Army brigade combat teams, 34 major Navy ships, two Marine Corps regiments and 170 Air Force fighters.

    […]

    Capping military pay raises.

    […]

    Replace military personnel with civilians.

    […]

    Increase Tricare fees

    […]

    Establish an enrollment fee for Tricare for Life

    The article reports the amount of savings from each recommendation, but the last two, in regards to Tricare are recommended to “encourage” military retirees to find other healthcare and to punish them for using the benefit that they earned through their service. So in effect, you paid for your healthcare with your youth, your sacrifice and your health, and now they want you to go out and pay for someone else’s healthcare, too.

    As an afterthought, CBO recommends some cuts to programs such as the Joint Strike Fighter, but mostly they want to screw the troops and break faith with veterans.

    Thanks to Chief Tango for the link.