The V. A Case Study

Many people have deep connection with the military, whether they served, or know someone who has served. After the service, veteran’s face a difficult transition back into civilian life, in the form of finding a job, healthcare, and general change in life. The benefits veterans receive before, during and after service is great, the U.S. Department of Veteran Affairs or the V.A. for short, offer to be a veteran’s health insurance and healthcare. Of course, with this, there are rules and requirements to receive the V.A. benefits. Although for civilian healthcare, and insurance, there are also rules and requirements. So, the question is, should we privatize the V.A.? Quite a few people argue against it, while others are all for it, when I pro

The United States Department of Veterans Affairs (VA) was founded in 1930, and today, “operates one of the largest health care delivery systems in the nation, with 168 medical centers and more than 1,000 outpatient facilities organized into regional networks” (GAO, 2017). The VA employs nearly 350,000 people at its facilities and serves approximately 9 million veterans each year (VA, 2017).

Throughout history, many veterans suffer after fighting in wars, and millions of veterans have been killed or injured. Veterans do not necessarily get the treatments they deserve without paying a price. Taking care of veterans costs a lot and health care is needed for them. They need health care after serving, in order to treat their problems and injuries. Jobs are also important to veterans because they are jobless after fighting in wars, which leads them to be homeless. It is important for people who need help to get help. As of right now, the government has attempted to help veterans, but it may not be enough.

In the past few years there has been increasing discussion about how to provide adequate care for the increasing number of veterasn who are eligible for care through the Veterans’ healthcare administration (VHA). There are concerns is that the VHA is not providing the level of access, efficiency, and quality of care that veterans expect. Lee & Begley, (2016) suggest access to care for the veteran population may be resulting in poor health outcomes. In response to these concerns, the Veterans ' Access to Care through Choice, Accountability, and Transparency Act (VACAA) of 2014, also known as the Veterans Choice Act, was created to improve Veterans’ healthcare. The VACAA proposed to do this by expanding the number of options veterans have for receiving healthcare, by providing access for healthcare at non-VA care centers as well as providing for an increase in staffing at VA facilities (U. S. Department of Veterans Affairs, 2016).

One of the most serious problems facing all veterans today is the lack of proper healthcare. Soldiers, sailors and airmen are leaving active duty without having proper healthcare to cover their physical or mental injuries. The department responsible for veteran’s healthcare is the Department of Veterans Affairs. (VA) According to The department of Veterans Affairs website, “The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is responsible for administering programs of veterans’ benefits for veterans, their families, and survivors. The benefits provided include disability compensation, pension, education, home loans, life insurance, vocational rehabilitation, survivors’ benefits, medical benefits and burial benefits. It is administered by the United States Secretary of Veterans Affairs.” The VA, who was formerly called the Veterans Administration, was established 21 July 1930, to consolidate and coordinate government activities affecting war veterans. The VA encompassed the functions of the former U.S. Veterans ' Bureau, the Bureau of Pensions of the Interior Department and the National Home for Disabled Volunteer Soldiers. On 25 October 1988, President Ronald Reagan signed legislation creating a new federal Cabinet-level Department of Veterans Affairs to replace the Veterans Administration effective 15 March 1989 (V.A.)

The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 150 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliary. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million Veterans each year. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of the medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision

VBA administers a wide variety of benefit programs authorized by Congress including Vocational rehabilitation and employment, Education service and GI Bill, Loan guarantee, Service-connected disability compensation, VA pension and fiduciary services, and VA life insurance. The following organizational chart depicts the current structure of the Veterans Benefits Administration. The Veterans Health Administration (VHA) serves the Veteran population and is responsible for providing a wide range of medical services by providing inpatient and outpatient care to 5.5 million veterans across the United States and its territories. The VHA operates one of the largest networks of health care facilities in the world. It includes 171 medical centers, 800+ outpatient clinics, 127 nursing homes and 196 Vietnam Veterans Outreach Centers. As well as, domiciliary residences, home health services, adult day care, residential care and respite care programs. In addition, the VHA helps support veterans' health care in non-VA hospitals (Choice Program) and is the country’s largest provider of graduate medical education. The following organizational chart depicts the current structure of the Veterans Health Administration. The National Cemetery Administration (NCA) provides burial space for Veterans and their eligible family members; maintains national cemeteries; marks Veterans’ graves with headstones, markers, and medallions; and administers grants for establishing or expanding state and tribal government Veteran cemeteries. The following organizational chart depicts the current structure of the National Cemetery

The goal of the V.A. is to provide quality and timely service to all veterans. The current budget deficit has made it increasingly difficult for the V.A. to provide the aforementioned services to the veterans. According to Thomas B. Edsall, in his article about veteran healthcare, “Clinics are shutting down, and appointments delayed” (Edsall 1). In both its old and new forms, the VA drew its mission statement from an extract of President Abraham Lincoln's second inaugural address: “to care for him who shall have borne the battle, and for his widow and his orphan” (V.A.) this means that the VA’s ultimate purpose is to take care of veterans.

No more veterans should be compelled to agonize or perish while the government fails to perform its obligations. [...] There comes a time when the political branches have so completely and chronically failed to respect the peoples constitutional rights that the courts must be willing to enforce them. We have reached that unfortunate point with respect to veterans who are suffering from the hidden, or not hidden, wounds of war. (Williams 1)

The Department of Veterans Affairs (VA) is the largest, integrated health care system in the United States of America. It is a hierarchical organization led by a secretary, multiple undersecretaries, and three reporting subordinate administrations. The VA is responsible for managing health care, benefits, and services to the almost 20 million veterans of the armed forces.

The VA (Veterans Affair) Health Care System is one of the largest, most advanced health care networks in the U.S. The VA Health Care System is the provider for veterans, retirees and their dependents and manages all their health care. The VA Health Care is actually one part of the Department of Veterans Affairs. There is also VA Benefits Administration which has to do with compensations and pensions. Then the other part of the VA is the National Cemetery Administration which is in charge of the cemeteries and providing burial and memorial benefits. All these parts make up the Department of Veterans Affairs. (VA History)

The VFW is an establishment dedicated to helping veterans across the United States. According to the Veterans of Foreign Wars (2016), the VFW was founded when veterans of the Spanish-American War and the Philippine Insurrection wanted to have an organization to care for veterans. In the aftermath of the wars, veterans were returning home to nothing. Several were wounded, whether it was physical or mental, and the government would not help them. The Veterans of Foreign Wars was established to ensure that veterans received the respect, rights, and care that they deserved for fighting for their country. The Veterans of Foreign Wars (2016) website states that the first chapters began in Ohio, Colorado, and Pennsylvania, before spreading nationwide. Today, over 100 years later, the VFW now has a membership of 1.7 million veterans and has 6,651 posts

In July 1775, the Congress established a hospital or what they called it then a medical department in Massachusetts with a chief physician of the hospital, four surgeons, a pharmacist, and nurses, which are usually wives or widows of military personnel to care for military members. (TRICARE Timeline). Today health care has come a long way especially for the military; we have better equipment and more than enough surgeons, physicians, and of course, our spouses or widows are no longer our nurses. Now we have qualified individuals that are very capable of making sure that they are patched and ready to get

Service Delivery – VA provides a broad range of the quality and accessibility of primary care, specialized care, related medical and social benefits through a nationwide network for Veterans and their eligible beneficiaries, such as vocational rehabilitation, service members' group life insurance, traumatic injury protection, the Post-9/11 GI-Bill, the VA home loan programs, and

Just as importantly, the government funds and provides health care directly to many others who work or have previously worked for the federal government as well. Programs such as the “Defense Department” are for active-duty and retired personnel and their families that visit facilities owned by the government, using health care providers who work for the government. Nearly 7.8 million veterans out of the 25 million in the veteran population receive care directly from the Veterans Health Administration, a division of the Department of Veteran Affairs (VA). This care is also delivered in government owned facilities, by providers employed by the government. The Indian Health Service, which