Posted on Nov 10, 2015
Since military healthcare far exceeds VA, should we expand DoD and close the VA? What do RP Vets think?
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The disparity of care between the Active Duty component and the VA is clear to veterans who have experienced both sides. Since the VA has become such a bureaucratic nightmare that is poor at meeting the needs of veterans, what about the idea of expanding the DoD healthcare system to care for veterans?
Edited 9 y ago
Posted 9 y ago
Responses: 4
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This has been asked before. Already, retirees pay much more for medical care than Active Duty, and they keep jacking up our copays, despite not getting a COLA.
If retirees are considered TRICARE/OSD's cash cow, how much more so do you think non-retiree veterans would be treated as such?
Further, if DOD were paying disability benefits as well as pensions, we'd likely see the end of CRDP/CRSC, and a whole host of other cuts, as they try to move money to operations at the expense of vets.
This would be a very bad idea...
If retirees are considered TRICARE/OSD's cash cow, how much more so do you think non-retiree veterans would be treated as such?
Further, if DOD were paying disability benefits as well as pensions, we'd likely see the end of CRDP/CRSC, and a whole host of other cuts, as they try to move money to operations at the expense of vets.
This would be a very bad idea...
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Sgt James Howard
What do you think about the idea of giving vets the ability to get outside care?
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The issue is the high cost compared to VA medical care (when it's available). When care isn't available, then civilian care is appropriate. Unfortunately, the Choice Card is so far a flop, especially since it's not well funded, and few providers are accepting it...
Sgt James Howard
I know that veterans routinely wait several months for basic medical procedures at the VA. Perhaps if the VA geared more of its focus toward approving appropriate procedures in a timely manner, and we poured money into Choice Cards instead of the VA medical, we would see a decrease in wait time. Of course you'd have to fund a significant amount that caregivers would have an incentive to accept the choice cards.
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Absolutely. All of this takes two things we don't have: Visionary VA leadership, and a CONgress willing to spend money to pay the bills from war...
Government should get out of healthcare and insurance business. Government runs it too inefficiently, way too much waste. Private sector runs MUCH more efficiently. Military should focus on combat medicine, Deployable Troop medical clinics, battalion aid stations, and combat support hospitals. Private sector providers under contract could handle state side medicine.
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According to the VA 2016 budget request, the overall budget is in the neighborhood of $168B, while the total Med budget is about $63B. The VA healthcare system reportedly cares for about 8.76M veterans annually. That means that the VA spends about $7,190 per veteran on health care annually, if all those healthcare dollars actually make it to the veterans in the form of care, which is doubtful. It seems like the same amount of money would go a lot further if poured into the DoD system, but I'm sure there would be obstacles. Another way to look at it is this: for $168B annually, we are getting very poor healthcare and overall care for our veterans. The way the VA presents their budget, it is hard to discern how much is spent on overhead and how much actually makes its way to veterans, but with all the reports of VA negligence, it seems like not much makes it to the vets after it filters through the bloated bureaucracy. On the other hand, the military care system is very good. It would be interesting to see how much farther the same $168B would go if put in the hands of active duty physicians and other military healthcare professionals. I would be willing to bet that it would go a lot farther.
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