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National Commander Thomas L Bock

Guest Opinion

Veterans Divided Are Easily Conquered on VA Health Care

By Thomas L. Bock
National Commander, American Legion

Feb. 25, 2006 - Generations of Pvt. Ryans have laid their lives on the line for America. They stormed the beaches on D-Day. They marched on frostbitten feet across war-torn Korea. They waded through swamp water in the Mekong Delta, rescued refugees from rooftops, intercepted missiles, flew reconnaissance missions, swabbed decks and removed tyrants from power. They may have earned a place in the Veterans Day parade, but far too many are denied access to VA medical care.

 

Related Stories by Legion

 
 

VA Budget Request 2007: The “Good, the Bad and the Foggy”

Indianapolis, February 07, 2006 - President Bush’s VA budget request for 2007 has been hailed for adding nearly $3 billion in real appropriations for veterans health care, compared to 2006. “That,” said American Legion National Commander Thomas L. Bock, “is the good.”

However, he added, it’s a budget request built on charging new annual enrollment fees for VA care, nearly doubling drug co-payments and driving 1.2 million veterans out of the system created specifically for them. “That,” Bock explained, “is the bad.”

Bock added that the budget request still relies on $1.1 billion in cost-saving “efficiencies” - the subject of a Government Accountability Office report released last week that criticized past VA health-care projections from the president’s Office of Management and Budget - and also how realistic it is for the president to expect dramatic improvements in VA’s ability to collect payments from insurance companies, especially since VA is prohibited by Congress to bill Medicare.

“Those are some of the foggy parts,” Bock said.

Click here to the rest of the story at the Legion site.
 

 

The decision to lock VA's doors to all but those with service-connected disabilities or economic hardship is not what America wanted or expected. It's not what veterans deserve.

In 1996, Congress wisely reopened VA medical facilities to all veterans. Upon enrollment, they were placed into priority groups. There used to be seven. Now there are eight. Group 1 receives the highest priority of care, Group 8 the lowest. In January 2003, the VA secretary suspended new enrollment of Priority Group 8 veterans, effectively capping the system, leaving out in the cold anyone in that category who came looking for a VA doctor after that deadline.

At a press conference Friday in Indianapolis, House Veterans Affairs Committee Chairman Steve Buyer, R-Ind., was clear about one thing: the Group 8 suspension is not going to be lifted anytime soon, probably ever. Because VA health care has not been properly funded to meet the expectations of the 1996 law, veterans who fought proudly for America are denied the thanks of a nation that believes they earned the benefit of VA access.

Who are these Priority Group 8 veterans?

They come from all walks of life. They may or may not have seen combat. They might make less than $30,000 a year. They might have 10 or more prescriptions a month. VA defines them, not so simply, as "Veterans who agree to pay specific co-payments with income and/or net worth above the VA Means Test threshold and the Housing and Urban Development's geographic index." These veterans are further divided into two smaller fractions: non-compensable, 0-percent service-connected disabled veterans and non-service-connected veterans. Through such definitional haze, veterans are divided and conquered, one priority group at a time, for the sake of not having to pay for them.

Title 38, U.S. Code, says veterans in Groups 1 through 6 are "entitled" to VA health care. All other veterans are "eligible" within existing appropriations. That's a big loophole, written into the 1996 law, just in case caring for veterans became too expensive. Group 7 veterans, because of that loophole, are susceptible to the same fate as Group 8s. No phrase in government is more subjective than "within existing appropriations." Honorable military service, the only meaningful definition of the word "veteran," is no longer reason enough to let a former service member visit a VA doctor.

 

About Commander Bock

 
 

Thomas L. Bock of Aurora, Colorado was elected National Commander of the 2.7 million-member American Legion on Aug. 25, 2005 in Honolulu, Hawaii during the 87th National Convention of the nation’s largest veterans organization.

Bock is a Vietnam era United States Air Force veteran. He joined the Paul C. Beck American Legion Post 23 in 1970 and has served in key leadership positions at the post, district, department (state) and national level.

In Colorado, he served as Department Commander, Department Finance Chairman for over ten years and as Oratorical Chairman, Boys State Chairman, Legislative Chairman and Resolutions Chairman.

His national appointments included: Chairman of the Foreign Relations Commission, Alternate National Executive Committeeman, National Executive Committeeman and liaison to the Veterans Affairs and Rehabilitation Commission. He served on the Resolutions Sub-Committee, the Legislative Council and the Internal Affairs Commission. Additionally, he served as president of the United Veterans Committee of Colorado, a coalition of over 45 veterans’ organizations.

Bock worked for AT&T and most recently served as sales manager for The American Legion Observer, a veterans’ newspaper distributed widely in Colorado.

He and his wife Elaine have 4 children and 3 grandchildren. A Blue Star dad, Bock’s son, Adam, is an Army CH-47 helicopter pilot currently serving in Iraq and, also, a Legionnaire.

 

Chairman Buyer's estimated 2007 VA budget adds $1.9 billion to President Bush's Office of Management and Budget request, which was proposed in early February, loaded with unattainable collection figures, dubious "management efficiencies" and other stretches of the budgetary imagination. Neither request reflects the priorities or purpose of the House Veterans Affairs Committee. Furthermore, neither request meets the needs of a VA health-care system facing the fast-rising medical inflation and certain demand growth from an ongoing war.

Democrats on the committee have submitted their own projections, calling for a $4.5 billion increase over the president's request. Clearly, there is nothing resembling consensus on the Veterans Affairs Committee, once considered the most nonpartisan committee on Capitol Hill.

Last year, Chairman Buyer's estimates were clearly out of sync with the entire veterans' community. This time last year, The American Legion and other leading organizations warned Buyer and his colleagues that they were not adequately projecting the budget needs for VA health care. Not surprisingly, before the end of the fiscal 2005, VA required $1.5 billion in emergency spending. President Bush soon adjusted his 2006 budget request to up it by $1.6 billion due to what were described as VA "miscalculations."

These miscalculations resulted in the shifting of money within VA accounts -- typically away from long-awaited capital improvements -- to keep the system in operation. VA's budget request had been based on outdated information that completely misfired on the cost of treating returning combat veterans from Iraq and Afghanistan.

 

Related News on Senior Journal

 
 

Concern Expressed about Bush Cost Hikes in Veterans Health Care

Air Force Association sees an adverse impact on nation's veterans, retirees

Feb. 22, 2006 - The Air Force Association (AFA) today expressed concern about certain provisions in the President's Fiscal Year 2007 budget, which they say could have an adverse impact on our nation's veterans and retirees and their families. The Bush administration's budget would significantly increase fees and co-pays for certain groups of individuals in both the TRICARE and Department of Veterans Affairs (VA) health care systems. Read more...

 

The American Legion trusts Congress will produce a budget resolution for fiscal 2007 that truly pays for the VA health-care system that every eligible Pvt. Ryan -- past, present, and future -- has earned. Anything less is a dereliction of duty, a repeal of the 1996 law and a bold, wrong message to send to the men and women serving in harm's way today.

There is only one answer to this problem. The answer is assured or mandatory funding, a formula that attaches well-calculated dollars to the number of veterans receiving care in the system. It's time for veterans to stop suggesting and start demanding before another priority group gets the axe.

 

Editor's Note: The 2.7 million-member American Legion is the nation's largest veterans' organization. http://www.legion.org

 

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