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In a special town hall event, VA Secretary Denis McDonough addressed questions from Veterans, their families, caregivers, and survivors.
Responses: 201
The Villages, FL, has one of the largest populations of Veterans in the country. Why does the Villages VA clinic not have a cardiologist on staff? A nurse practitioner is great; however, they are not a cardiologist and the closest one is located over an hour away. The management in Gainesville cut off community care to patients with heart disease because of budget cuts. Why is this acceptable??? The VA should be mortified at the treatment they are providing veterans, or shall we say the lack of treatment. When will you provide a cardiologist or bring back community care?
U.S. Department of Veterans Affairs
Community care remains available to Veterans based on certain conditions and eligibility requirements, and in consideration of a Veteran's specific needs and circumstances. Community care must first be authorized by VA before a Veteran can receive care from a community provider.
When will the VA stop fake garnishments that do NOT exists in EFAST nor the Branch Services? Also, when do you expect the VA to stop cooking the books so that the garnishment amounts stop being hand edited, no longer making them match gross - deposit, so that the garnishment is forever? Also, does the VA expect lying to Congress with a fake check number, not found in EFAST or the Marine Corps, to have no repercussions?
i like to know in my case under the pact act and even before the pact act.i have contracted cancer due to my dealings with asbestos and or lead paint materials.while servicing in the us cg.and my docotrs all have advisesd the va is was due to my dealings with asbestos.but i still have not been awardeed anything for my issue with that..i am 100 percent .but this is one of my issues since the begining back in early 1986.. what can i do from here .
U.S. Department of Veterans Affairs
Thank you for sharing your concerns and experience. If you are not currently service-connected for your cancer, we encourage you to file a claim for disability compensation. You could potentially be eligible for special monthly compensation. Another reason to obtain service-connection for your cancer is if the cancer eventually causes your death, then your spouse and/or children could receive survivor benefits. We encourage you to contact our national call center at [login to see] or your local VA regional office to address your concerns.
When a person’s doctors have exhausted all other options, and the only option left to restore a veteran’s quality of life is pain medications, carefully monitored, why is it not an option even when it was proven too work?
U.S. Department of Veterans Affairs
Pain medications include many different classes of medication, and some are more appropriate for acute pain and others for chronic pain. Opioid medications are primarily used for severe acute pain. They may be prescribed for severe pain that does not or is not expected to respond sufficiently to other treatment options alone. VA providers have a variety of treatment choices at their disposal, including both medication and nonmedication approaches. A treatment strategy that involves multiple approaches is generally recommended.
While opioids have an important role for acute pain that is severe, guidelines advise against prescribing opioids for chronic pain management due to evidence suggesting that, for most patients, the risks often outweigh the benefits. When opioids are used over a longer period of time, the risks of side effects and harms increase, including deaths from overdose and development of opioid use disorder. Meanwhile, the benefits tend to reduce over time as well, and some patients may even develop increased hypersensitivity of pain due to opioid medications. Providers must carefully weigh these considerations and regularly reassess the risks and benefits throughout the treatment process. This process should involve shared decision-making, focusing on treatment goals that prioritize functional improvement and quality of life, based on what matters most to the Veteran.
While opioids have an important role for acute pain that is severe, guidelines advise against prescribing opioids for chronic pain management due to evidence suggesting that, for most patients, the risks often outweigh the benefits. When opioids are used over a longer period of time, the risks of side effects and harms increase, including deaths from overdose and development of opioid use disorder. Meanwhile, the benefits tend to reduce over time as well, and some patients may even develop increased hypersensitivity of pain due to opioid medications. Providers must carefully weigh these considerations and regularly reassess the risks and benefits throughout the treatment process. This process should involve shared decision-making, focusing on treatment goals that prioritize functional improvement and quality of life, based on what matters most to the Veteran.
SSgt Jeff Kummerow
The response I received was that for MOST people pain meds aren’t ok for chronic pain, that’s my point and was point of Va Dr that was carefully using them to restore my Quality of Life. We’re not all the same and after 34yrs of trying everything else it should be ok as the last result. If anyone in Va really cares just look at progress reports etc from TBI 2008-2009. I’m an individual, we all are ,start treating us like we are
U.S. Department of Veterans Affairs
Yes, there are times when opioids may play a role in managing chronic pain, but only after a Veteran has fully explored multimodal, integrated, Whole Health-oriented pain care. This approach focuses on evidence-based treatments that address the biological, psychological, and social factors unique to each Veteran. We’ve learned that the best outcomes often come from combining Whole Health strategies with traditional care. These strategies empower Veterans to take charge of their well-being through self-care, mindfulness, and non-pharmacological therapies like cognitive behavioral therapy. Complementary approaches, such as acupuncture, yoga, and nutrition counseling, help address factors that contribute to pain while improving overall quality of life. When opioids are necessary, their use is carefully evaluated, and strict guidelines ensure they’re used safely and effectively to improve function and well-being. The VA provides these resources to support Veterans at every step.
U.S. Department of Veterans Affairs
Unfortunately, there is insufficient information provided for VA to address this question. Please contact our national call center at [login to see] or your local VA regional office to address your concerns.
My state is now offering property tax exemptions for 100% disabled vets which my son is. However the insinuation at the clerks office is that my son is "ambulatory" and may not get the exemption. He can not drive, work or care for himself without help. I am his caregiver. Neurological disabilities are just as serious. Is this discrimination?
U.S. Department of Veterans Affairs
Unfortunately, we cannot assist with the state benefit programs. However, we recommend reaching out to that program office directly or contact a local accredited Veterans service representative who may be able to assist.
Why won't the VA pay there veterans, for all of their outsourced doctors appointments in regards to travel pay?
U.S. Department of Veterans Affairs
Eligible Veterans can receive reimbursement for travel to VA-authorized appointments at either a VA facility or an authorized non-VA provider.
Why is the VA allowed to embezzle funds allocated to the people who have served this country for the benefit of those who have not? Why is the VA and their members who sit on the board of appeals receiving monetary incentives to deny veteran's claims? I have outstanding proof this is true as well as personal statements from one of the members before you decide to refute my statement.
Mike Dollar
I want to see all who are involved in this jailed for no less than 5 years and any medical practitioners involved lose their licenses. This abuse of funding is unacceptable. Drastic change must be made now!
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