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Stories tagged with “Veterans’ Health Administration

Health

Gingrich Calls For A ‘Voucherized’ Veterans Health Care System

Newt Gingrich told a veteran during a town hall in Concord, New Hampshire this afternoon that he would support voucherizing the Veterans Health Administration, saying, “I think we should find ways to create satellite clinics that are local so people don’t have to travel and we should also find a way to have a voucherized system for those who want it.” Watch it:

Veterans groups condemned a very similar proposal from then-GOP presidential nominee Sen. John McCain (R-AZ) in 2008, arguing that providing “rural veterans greater access to VA-sponsored care exclusively through private providers” would undermine the existing health care system. In a report titled “The Independent Budget,” the groups said that the VA’s “specialized health-care programs” would “suffer irreparable impact by the loss of veterans from those programs.” Mitt Romney also briefly flirted with the idea during Veterans Day, but later abandoned it.

Gingrich himself has previously praised the veterans health care system, calling it “a model for modernization and a model of using information technology that’s very impressive” during a veterans issues forum in Iowa on December 10th.

Health

Newt Gingrich Praises Government Health Care

Newt Gingrich called for an expansion of government health care when he praised the Veterans Health Administration for serving as “a model for modernization and a model of using information technology that’s very impressive” during a veterans issues forum in Iowa on Saturday:

GINGRICH: I think it means an investment in the veterans administration to ensure they’re getting world class help and I have to say the Veterans Administration has been a model of modernization and a model of using information technology that’s very impressive. There are parts of it that still need to be reformed, but in some ways it’s a very impressive institution.

Watch it:

The fully integrated government-centric veterans’ health care structure of doctors and hospitals actually provides veterans with benefits that are the envy of the rest of the health care system. A study by the RAND Corporation found that “VA patients were more likely to receive recommended care” and “received consistently better care across the board, including screening, diagnosis, treatment and follow up.”

Incidentally, another government health care program, Medicare — which Gingrich seeks to partially privatize — has also served as a model for the rest of the health care system. The program, which “exerts a major influence on the rest of the health care system” and “its reimbursement and coverage policies have been widely adopted by private insurers and other public programs.”

Health

Romney Backs Away From Plans To Privatize Veterans Health Care

During a roundtable in South Carolina on Veterans’ Day, Mitt Romney floated the idea of partially privatizing the veterans health care system, saying, “Sometimes you wonder if there would be some way to introduce some private-sector competition, somebody else that could come in and say, you know, that each soldier gets X thousand dollars attributed to them, and then they can choose whether they want to go in the government system or in a private system with the money that follows them.”

Veterans groups swiftly condemned the proposal, and today Romney himself backed away from privatization in an interview with the Nashua Telegraph:

ROMNEY: I have no proposal of that nature [to privatize the VA]. We has a group of veterans and said, ‘tell me about the quality of your care.’ Some were concerned about the quality of their health care. I said, ‘what kind of options do you have, what do you think about a system that let you go to private as well as VA hospitals?’ The response was mixed, but I don’t have any proposal of that nature. We have a VA system that needs to be improved and I’ve got no plans to change that other than to make it better and to invest more money in providing for our veterans.

Watch it:

Romney’s characterization of veterans’ reactions is rose-colored to say the least. In 2008 — when then-GOP presidential nominee offered a very similar proposal — AMVETS, Disabled American Veterans, Paralyzed Veterans of America, and the Veterans of Foreign Wars argued that while veterans should have access to private care, providing “rural veterans greater access to VA-sponsored care exclusively through private providers” would undermine the existing health care system. In their annual report, “The Independent Budget,” the groups argued that the VA’s “specialized health-care programs” would “suffer irreparable impact by the loss of veterans from those programs” and argued that the prosthetic research program “would lose focus and purpose were service-connected and other enrolled veterans no longer present in VA health care.”

The fully integrated veterans’ health care structure of doctors and hospitals actually provides veterans with benefits that are the envy of the rest of the health care system. A study by the RAND Corporation found that “VA patients were more likely to receive recommended care” and “received consistently better care across the board, including screening, diagnosis, treatment and follow up.” So Romney is right to back away from efforts to privatize the system that already delivers “higher quality of care” than private providers. Now if only he would apply that same logic to some of his other health care proposals.

Health

Mitt Romney May Consider Privatizing The Veterans Health Care System

Mitt Romney floated the idea of partially privatizing the veterans health care system during a roundtable discussion with vets in South Carolina on Veterans Day, saying, “When you work in the private sector and you have a competitor, you know if I don’t treat this customer right, they’re going to leave me and go somewhere else, so I’d better treat them right”:

“Sometimes you wonder if there would be some way to introduce some private-sector competition, somebody else that could come in and say, you know, that each soldier gets X thousand dollars attributed to them, and then they can choose whether they want to go in the government system or in a private system with the money that follows them,” said Romney. “Like what happens with schools in Florida, where people have a voucher that goes with them. Who knows?”

Sen. John McCain (R-AZ) introduced a similar proposal during the 2008 presidential campaign, but veterans groups panned the initiative, which would have given veterans “the option to use a simple plastic card to receive timely and accessible care” outside of the VA system. AMVETS, Disabled American Veterans, Paralyzed Veterans of America, and the Veterans of Foreign Wars argued that while veterans should have access to private care, providing “rural veterans greater access to VA-sponsored care exclusively through private providers” would undermine the existing health care system. In their annual report, “The Independent Budget,” the groups argued:

– “The VA’s specialized health-care programs…would suffer irreparable impact by the loss of veterans from those programs.”

– “The VA’s medical and prosthetic research program…would lose focus and purpose were service-connected and other enrolled veterans no longer present in VA health care.”

– If veterans turned to private practice, “they would lose the many safeguards built into the VA system through its patient safety program, evidence-based medicine, electronic medical records and bar code medication administration,” resulting in “lower quality of care for those who deserve it most.”

Indeed, the fully integrated veterans’ health care structure of doctors and hospitals provides veterans with benefits that are the envy of the rest of the health care system. A study by the RAND Corporation found that “VA patients were more likely to receive recommended care” and “received consistently better care across the board, including screening, diagnosis, treatment and follow up. Rather than taking veterans out of a system that consistently delivers “higher quality of care,” Romney should expand its services and improve access.

The RAND study concludes, “if other health care providers followed the VA’s lead, it would be a major step toward improving the quality of care across the U.S. health care system.” And Paul Krugman writes today, “the V.H.A. is a huge policy success story, which offers important lessons for future health reform.”

Health

Bachmann: Obamacare Will Force Military Personnel Out Of Their Government-Funded Health System

Michele Bachmann warned that active duty and military personnel will be forced out of the government-funded TRICARE health care system and into Obamacare, during a CBS/National Journal debate on national security on Saturday. Bachmann said she would support “modernizing” the health care program into “a fixed cost system” — one in which the government pays a pre-determined amount in health care benefits — but argued that Obamacare could destroy the existing government health program:

MAJOR GARRETT: And when you talk about tri-care, that’s the military medical system. What do you mean when you say, “Reform,” does that mean cuts in benefits?

MICHELLE BACHMANN: No. I think that we need to have modernization. That’s what the biggest problem is right now with– with Social Security, with Medicare, with Medicaid. We’re continuing to abide by the models that we had when they were first originated. There’s very few businesses that maintain their similar business practices 45 years after inception or 75 years after inception. We have to modernize. But we also know what the future is in health care, don’t we? It is Obama Care. And quite likely, Tri-care, Medicare, all of these will collapse under President Obama, and everyone will be put into Obama Care. No one want to be– in Obama Care.

Watch it:

While the Affordable Care Act does not affect TRICARE or veterans health care, Bachmann’s proposals to curtail the government-funded program will. In January, she proposed and later withdrew a wildly unpopular plan to slash $4.5 billion in veterans services and reduce disability compensation for 150,000 veterans. But over the summer, Bachmann pledged to support and bolster the existing government health care program. “It is our duty, first and primarily, to protect our veterans and to make sure that you receive not only the respect, but also the care that you have paid for very heavily with your service to our nation,” Bachmann told members of the American Legion in August. “As president, I will assure that those who serve today as well, and in the past, have the highest access to the best care, both of health, mental health and rehabilitative care that the world has to offer.”

Health

Bachmann Pledges To Defend Veterans Benefits After Proposing To Cut Them By $4.5 Billion In January

When it comes to caring for our nation’s veterans, Republican presidential candidate Rep. Michele Bachmann (R-MN) has undergone an astonishing transformation in the last nine months. In January, she proposed a wildly unpopular plan to slash $4.5 billion in veterans services and reduce disability compensation for 150,000 veterans. Veterans groups blasted the proposal as “heartless,” “totally out of step with America’s commitment to our veterans,” and “showing contempt for American servicemembers’ sacrifices.” Facing an avalanche of criticism, Bachmann eventually withdrew her proposal.

But now that she’s running for president, Bachmann is billing herself as a great defender of veterans benefits. The Washington Independent reports that during a speech at the annual convention of the American Legion in Minneapolis last Thursday, Bachmann vowed to support and strengthen veterans medical care:

It is our duty, first and primarily, to protect our veterans and to make sure that you receive not only the respect, but also the care that you have paid for very heavily with your service to our nation,” Bachmann told members of the American Legion Thursday.

“As president, I will assure that those who serve today as well, and in the past, have the highest access to the best care, both of health, mental health and rehabilitative care that the world has to offer.”

But Bachmann’s January plan, which was touted as a way to avoid raising the debt ceiling, would have brought about dramatic cuts to veterans services.

Bachmann’s plan would have frozen the Veterans Affairs Department’s health care spending and reduced the amount veterans receive in Social Security Disability Income. The congresswoman offered no explanation for her sharp reversal on the issue, but it’s hard to interpret her promise to strengthen veterans benefits nine months after trying to cut them as anything other than empty pandering to an important political constituency.

But regardless of the circumstances, it’s nice to see Bachmann embrace the sort of government-run health care program she typically denounces during her campaign stops as “unconstitutional” and “the crown jewel of socialism.” The Department of Veterans Affairs health care program is perhaps the best example of an entirely government-administered health care system, complete with its own doctors and hospitals.

Health

Republican Congressman Extols The Virtues Of Government-Run Health Care

Rep. Tom Petri (R-WI) praised the efficiency of government-run health care during a town hall in Manitowoc, Wisconsin this week, claiming that “the Veterans Administration was at the forefront of creating integrated electronic medical records that should result in better care.” “As best as I can tell, vets get a high level of care while in the service,” he said.

Republicans have long maintained a love affair with the VA, conveniently overlooking its government ties to denounce Obamacare (or any proposal that increases government involvement in the health care sector) for “rationing” services and spreading socialism. But the VA system deserves its fair share of praise: it “outpaces other systems in delivering patient care,” consistently delivering higher quality health care more efficiently.

A study from the RAND corporation found that “VA patients were more likely to receive recommended care” and “received consistently better care across the board, including screening, diagnosis, treatment and follow up”:

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NEWS FLASH

Iraq And Afghanistan Veterans Health Care Could Cost Up to $55 Billion | Health care for returning veterans from the wars in Iraq and Afghanistan could cost anywhere from $40 to $55 billion dollars over the next 10 years, according to testimony submitted to the Senate Committee on Veteran’s Affairs by the Congressional Budget Office (CBO) today. The CBO noted that health care costs for other veterans tend to be higher because those returning from ongoing conflicts are generally younger and in better health, but that could change as today’s veterans age.
Sean Savett

LGBT

VA Issues Directive: Transgender Veterans Deserve Same Level Of Care As Everyone Else

Though the military does not allow people who are transgender to serve, many veterans come out as transgender and transition after they have completed their terms of duty. A new directive today from the Veterans Health Administration stipulates that all transgender and intersex veterans are entitled to the same level of care “without discrimination” as other veterans, consistent across all VA healthcare facilities (PDF):

Transgender patients and intersex individuals are provided all care included in VA’s medical benefits package, including, but not limited to: hormonal therapy, mental health care, preoperative evaluation, and medically necessary post-operative and long-term care following sex reassignment surgery to the extent that the appropriate health care professional determines that the care is needed to promote, preserve, or restore the health of the individual and is in accord with generally-accepted standards of medical practice.

The directive does not create any new benefits for transgender veterans; it simply guarantees that veterans can rely on the VA for the benefits they’ve earned without fear of discrimination or concern that other VA locations will not provide the same level of care. It also ensures that they are treated with respect and that all their personal information is kept confidential and consistent with their identity.

Consistent with policy, the VA will not provide or fund sex reassignment surgery. Still, transgender vets can now better depend on the VA for their physical and mental health needs just as all veterans should be able to.

Yglesias

The Best is Still the Best

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Conservatives like to argue that “government-run health care” is doomed to failure, and thus any effort to reform the US health system is also doomed to failure since it’s destined to end in a government-run dystopia. One argument liberals make against this is to point out that it’s false. The World Health Organization’s ranking of health care systems around the world places a diverse group of systems ahead of the United States. That includes systems with Beveridge-style models (like the UK), systems with a single-payer insurance model (like Canada), and Bismark-style regulated-competition models (like Switzerland and the Netherlands)—all kinds of things work better than what we do. Another things liberals point out is that the Veterans’ Health Administration, which is an island of Beveridgism amidst America’s capitalist health fiasco, performs much better than the rest of the system.

That said, nothing is without its flaws, and this New York Times account of a rogue cancer unit at one VA hospital is certainly disturbing. Since the malfeasance has been discovered, I both hope and assume that the problems will be remedied. I also assume we’ll hear more of this kind of argument from Megan McArdle:

We often hear wonderful things about what the VA can do because it’s not a private sector system. I suspect this is also one of the things that can only happen at the VA.

This mode of argument seems beneath intelligent people. The case for the VA’s high quality is not constructed out of a handful of touching anecdotes. It’s a statistical comparison between the VA as a whole and alternative systems. As best I know, the information Phil Longman and others have presented regarding VHA quality remains valid. If it’s not—if some new studies have been done showing a dramatic erosion in VHA quality over the past couple of years—then that’s news worth reporting. If not, the exposure of problems at one sub-unit of one facility should be occasion to clean up the problem and maintain the VHA’s generally high standard of excellent, not an opportunity to randomly smear the hardworking people throughout the rest of the system.

That said, for the sake of readers’ understanding it should be noted that the whole debate over the VHA has very little to do with the health reform proposals facing congress. None of them entail creating anything resembling a VHA-style integrated system of government-run health providers. Some countries do operate on that model, but most countries with national health care systems don’t, and none of the bills in congress would have the United States move in that direction.

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