27/11/2019
Imagine that
Imagine our veterans receiving their health care from the physicians and locations they prefer in a reasonable time frame. The movement to more frequently allow a veteran to choose their treatment at private clinics sounds simple, and it is exactly how the headlines are phrasing it, such as this one in the New York Times.
“Veterans Will Have More Access to Private Health Care Under New V.A. Rules”
What is not mentioned in headlines is the aftermath. Quietly following this positive change would be 1,600 VA medical treatment facilities shutting down and eradicating other benefits like the VA home loan, GI Bills, the Veterans Retraining Assistance Program, vocational rehabilitation, veteran’s life insurance and all the others provided by the Veterans Benefit Association.
This imaginary scenario and possible foreseeable future has deceiving traits, but will take effect if the risks of these benefits are not made apparent. More and more money is trickling out of the VA into private clinics, first with the VA Choice Act and now the MISSION Act. The headlines of these laws are bating veterans by overlooking the end-state. The shortcut these laws are on to give better health care leads to VA’s paying higher bills for veteran’s private care and ultimately desecrating the VA’s foundation and history.
Dating back to 1776, medical treatment was given to disabled soldiers, and in the 1900’s it began including their families, as well. Then came life insurance, programs like vocational rehabilitation and the GI Bill. Through wars and conflicts the VA has taken care of its’ injured service members and supportive families and have adapted to present-day facilities providing out-patient clinics to better serve the veteran population and all its’ diversity.
Before acting quickly like headlines and spending money outside the VA, there needs to be reform inside the organization and patients receiving their timely care. The advancements of the VA are keeping up with its’ generational requests and can flourish further if money is secured to improving and supporting the need for more employees. Solving the problems by diverting patients and money is not contributing to a permanent solution, but digging a hole for bankruptcy.
“Each time you’re taking resources out and putting them into the private sector, you’re leaving VA dying on the vine,” said Will Fischer, the director of government relations at VoteVets.org.
The VA Choice Act and MISSION Act are used as temporary fixes like duct tape on a window. And in this case, the temporary fix is damaging the problem further by reaching into the pockets of the VA. Similar to debt, one doesn’t become debt-free by charging more to their credit card, but by setting up a long-term and routine payment plan. More permanent and robust repairs are essential, and imminent funding will further the VA’s longevity to thrive.
So, imagine our vets being cared for by the VA’s own providers, with reasonable wait times and continuing to receive their current benefits and supportive programs. This is possible by internally developing solutions and securing VA’s money for VA facilities.
https://www.va.gov/about_va/vahistory.asp
https://healthpayerintelligence.com/news/president-trump-signs-bill-to-expand-privatization-of-va-healthcare
https://www.healthcaredive.com/news/the-va-privatization-debate-5-things-to-know/520618/
https://www.nytimes.com/2019/01/30/us/politics/veterans-health-care.html
https://www.militarytimes.com/veterans/2018/04/11/vets-groups-and-lawmakers-say-theyre-against-it-but-what-does-privatization-of-veterans-affairs-really
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