Veterans Affairs

The New York Times article, “Wait Lists Grow as Many More Veterans Seek Care and Funding Falls Far Short” says the Department of Veterans Affairs agency has a new crisis they’re facing. The wait list of Veteran’s is more than 50% higher than it was last year, departments say. They are also facing nearly a $3 billion budget short, which could very well affect the care of our veterans.

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 United States Congress and the Department of Veterans Affairs have taken steps to address the limited access to providers and the issues around a backlog of healthcare eligibility

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).

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

The main research questions in this study are: 1) is veteran healthcare equal to private healthcare; 2) do veterans have to wait longer for treatment options; and 3) do veterans have limited treatment options? It is hypothesized that veterans receive inferior healthcare services compared to private healthcare and the community is unaware of the disparities.

According to the U.S. Department of Veteran Affairs, there are more than 1,500 locations to receive treatment and care across the country, which divides up to approximately 30 locations per state. The lack of locations may limit some veterans from receiving the care they desire. “Veterans who utilize VA services have worse health status that the general population” (Nelson, Taylor, Lurie, Escarce, McFarland, & Finn, 2011). This implies that the services offered are not sufficient enough to meet the needs of veterans. According to Jack Downing, President and CEO of Soldier On, “Seventy percent of veterans drive twenty-five miles or more to a VA facility.” These facts prove that we need more access for veterans so that they can get the

Over the past 15 years, the Veterans Benefits Administration (VBA) has seen a dramatic increase in the average degree of disability, growth in the number of compensation recipients, a rise in the number of medical issues claimed and an increased level of complexity of claimed issues. To illustrate this point, prior to the September 2011 terrorist attacks, 333,700 Veterans received compensation at the 70-100 percent level; however, these figures rose to over 1.1 million by the end of 2013. Additionally, since 2009, VA’s disability compensation workload rose 132 percent. This is in large part due to an unprecedented demand resulting from over a decade of war, military downsizing, economic issues, increased outreach, the addition of presumptive conditions and an aging Veteran population.

Current funding for veteran healthcare care is low and insufficient because of the large number of veterans, who are being discharged from the military as the country transitions to a democratic President. According to Dr. Rachel Nardin in her article about veteran healthcare, “Soldiers get excellent acute care when injured on active duty, but as revelations of poor conditions for soldiers receiving ongoing outpatient care at the Walter Reed Army Medical Center highlighted, service members often have trouble getting the care they need once active duty ends” (Nardin 1)

The VHA scheme presents an issue when it comes to highly rural veterans since only half of the Highly Rural enrollees reside within an hour of primary care. Approximately 70% of rural veterans still have to travel for more than two hours in order to get to acute care facilities and more than four hours to obtain tertiary care (West et al).

The Veterans Affair has always claimed to take pride in their timeliness care. What they were not offering was the truth about how they were getting these numbers. They were changing the dates on paper work and falsely recording in the database. The patient’s charts were altered in order to lessen the effect of their conditions, along with performing useless procedures to make the time seem more favorable. Schedulers were pressured into using unofficial waitlist and other inaccurate paper work in justifying these wait times. It has been proven that the extended waiting periods have led to many deaths within the Veterans Affairs care system. An incident surrounding the wait was when “Thomas Breen, a 71-year-old U.S. Navy veteran, With a history of bladder cancer, Breen called his Veterans Affairs hospital in Phoenix for a follow-up appointment. He had to wait months to receive treatment. In the meantime, his family took him to a private hospital where he was diagnosed with bladder cancer”(Hankel,1). Thomas Breen had passed away before ever hearing back from his Veterans Affairs hospital. This story is important in understanding that the wait times for the Veterans Affair program are causing deaths in our Veteran population. This story allows one to understand how long the wait times could be for this care, but the question aroused from this is what is allowing the Veterans

Everyone should keep the promise by hugging them, shake their hands, and most importantly say ‘Thank You’ because they had risked their lives for their families, friends and even the whole United States just to protect everyone.

The Department of Veterans Affairs is not always easy to access. Many people have to drive over one hundred miles to access a VA facility for their health care needs. Frank Piano, 33, who lives near Springfield, MO suffered a traumatic brain injury in 2004 while serving in the war (Associated Press). Piano also had an awful shoulder injury (Associated Press). He drives 300 miles to Oklahoma every couple of weeks to see a doctor for his shoulder (Associated Press). It took him six months just to schedule an MRI for his shoulder (Associated Press). Piano also frequently makes the trip the Arkansas which is a 130 mile trip for PTSD treatment (Associated Press). That is crazy. It is understood that The Department of Veterans Affairs cannot have a VA outpatient clinic or center in every city. There

In the United States, soldiers are currently returning home from war broken and scarred. While some physical wounds are clearly visible others are often hidden/invisible to the naked eye, but men and women proudly wear these wounds as a badge of courage and honor for protecting our nation. These men and women come home rightfully expecting help, assistance and care and get hit with the reality of poor care from the Veteran Health Administration and Department of Defense.

Having family and friends using the VA system for their health care needs, the Veteran’s Freedom Act is of particular interest. I have often been called to advocate on their behalf in obtaining timely appointments and referrals as the quoted wait time is three to four months for a specialist appointment.