Administration Listens to Vets; Backs Off VA Insurance Plan

by: Brandon Friedman

Thu Mar 19, 2009 at 02:12:06 AM EDT


On the topic of VA funding, two weeks ago, I wrote a piece in response to fears that the Obama administration was going to enact policies that would hurt veterans.  As my last sentence, I said this:

The White House is, in fact, working with veterans groups, and there's no reason to think they won't get this right.

Now, as we all know, in the meantime, the Obama administration began pushing an exceedingly. . .let's say "inappropriate" plan to make some service-connected veterans pay for VA healthcare with their own insurance.  When veterans groups--allied with lawmakers on Capitol Hill--united against the proposal, President Obama invited many of them to meet with him in the White House on Monday.  That meeting didn't go well as far as the vets were concerned.  According to those inside the meeting, President Obama said he intended the press the issue.  But after public outcry and scathing pieces launched in places like the Washington Post and on Comedy Central's Daily Show, President Obama re-invited the same groups back to the White House for a second meeting.  This time, the results were different.  According to The Hill newspaper:

The White House on Wednesday backed off a controversial plan that would have dramatically altered the way the Department of Veterans Affairs (VA) handles insurance claims, after veterans groups staged an all-out fight against such a proposal.

President Obama will not pursue a proposal that would have allowed the VA to charge private insurance companies for the treatment of veterans with service- and war-related injuries. The proposal raised the ire of prominent Democrats on the House and Senate Veterans' Affairs panels. House Speaker Nancy Pelosi (D-Calif.) was the first to announce Wednesday afternoon that the president won't pursue such a proposal.

Now, this is a good thing.  Period.  It was a problem, and now it's not.  But I want to address the way in which it's being portrayed by some in the media.  Some conservative mil-bloggers are using this near-debacle to argue that President Obama is out to "screw" veterans.  Take for instance this passage written yesterday by an anti-Obama mil-blogger who cites my piece from two weeks ago:

Friday, I found this from VetVoice (Soltz' organization) that said veterans shouldn't worry about the Obama administration - it's all just rumors. The day before Obama tells the VSOs he's going to charge vets for their service-connected treatment. So VoteVets is STILL providing partisan cover for the Administration.

Fortunately, that's a misunderstanding of what's actually happening.  The facts remain the same: The Obama administration met with veterans groups, like I said they were going to do.  The two sides presented their cases over the course of two meetings and, we can presume, backchannel communications.  The administration listened to the veterans, like I said they would, they were persuaded, and the policy proposal was scrapped.  End of story.  The Obama administration listened to veterans and this bad idea went to wherever bad ideas like this go when everyone decides not to use them.

For those bloggers who might not be aware, this is how politics is supposed to work.  That's why we have think tanks, advocacy groups, lobbyists, town hall meetings, and it's why the office phone number of every member of Congress is publicly available for any concerned citizen: To provide feedback to policymakers.

So to recap, let's take a look at who listens to the troops and veterans and who doesn't.  First, we have the last commander-in-chief, President George W. Bush:

Next, we have the current commander-in-chief, President Barack Obama:

White House press secretary Robert Gibbs said in a statement yesterday that the president has "instructed that its consideration be dropped."

"In considering the third-party billing issue, the administration was seeking to maximize the resources available for veterans," Gibbs said. "However, the president listened to concerns raised by the [organization leaders] that this might, under certain circumstances, affect veterans and their families' ability to access health care."

The fact is, neither of our last two presidents have served in combat, and neither are veterans.  But that's where we come in--conservatives, liberals, and moderates alike.  And our job as advocates is even more important this time around, because we have a president willing to listen.

Now, next up is the coming battle over advance appropriations for medical care at the VA.  And I expect the administration will again do the same in this case, too.  It's not only smart politics.  It's the right thing to do.

Brandon Friedman :: Administration Listens to Vets; Backs Off VA Insurance Plan
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Obama was right (0.00 / 0)
the first time because this meant more money for the VA to provide better care and greater access to Veterans.

Because of politics, millions of dollars that would have been available are gone.

http://vetvoice.com/showDiary....

So great, "we won" which means hundreds of thousands of veterans will be denied access to the VA. And that is the plain cold unvarnished truth. There are so many dollars available and wishing for more dollars will not get them.

If it is bad for the VA to attempt to collect private re-imbursement from insurers for service connected issues then it is equally bad, because of the argument given, to collect from private insurers for anything.

When will we see both the the left and right come out and demand that private insurers stop immediately from being billed for any blood test etc done by the VA.

I care about one thing and one thing alone and that is the greatest amount of dollars in the VA system to provide care for the greatest number of Veterans. Show me how I can do that and I will support it without any care if it supports Democrats or Republicans.


"Feel Good Victory" (0.00 / 0)
This was one of those "feel good victories" that is all.

You feel good until you realize what you lost in the process.

The right thing to do would have been to support the plan, which would have increased access for Veterans.

Then and only then after access had been increased, you could have made an argument for equity and sought for the government to FULLY FUND Veterans health care for ALL Veterans.

I do not give a damn if you are a Veteran of Vietnam or the Cold War, a Veteran who has income of $5,000 a year or $500,000 a year, a Veteran is a Veteran. Until ALL Veterans have complete VA access, the United States has failed its Veterans.


Brandon, (0.00 / 0)
defeating this proposal has cost the VA millions of additional revenue starting now.

Because of that "victory" many Veterans are going to be denied VA Care.

What are you, and those allied with you, going to do now, to make up for those fellow veterans that will be denied care? Lobby Congress for more money? That will make a nice answer to Veterans going without care.

As I wrote earlier, I believe that all Veterans should be treated EQUAL. I do not believe that there are "second class" Veterans.

This was politics, pure politics. The Obama Adminsitration displayed leadership for proposing this idea.


Who's going to be denied care on account of this? (0.00 / 0)


[ Parent ]
Catagory 8 Veterans (0.00 / 0)
In 2003, the Bush Administration in order to save money stopped the enrollment of Catagory 8 Veterans.

The Obama Adminstration has been looking at reopening enrollment for Cat 8 Veterans partly.

Please note that if the VA had been fully funded and all Veterans had full access, as they had previously, I would not have a problem with the political position you took.

Bottom line, Veterans that served their Country have been divided up into "classes" with some getting care and others told to go away.


[ Parent ]
My understanding is that the administration (0.00 / 0)
has made a commitment to re-open enrollment for Category 8 vets.  

[ Parent ]
Only Partly.. (0.00 / 0)
The old cutoff on limit is being raised 10%, thats it and the whole window could easily be slammed shut;

The new provision allows veterans whose incomes do not exceed these thresholds by more than 10 percent to enroll in VA's health care system. It is anticipated that this rule will take effect in June 2009.

http://www.va.gov/healtheligib...


[ Parent ]
Sorry for ripping into (0.00 / 0)
you, it is just that all sides did not think this through every step of the way and instead reacted from a political perspective.

When you put on blinders and "think Veteran" the choices are very clear.

Yes, this "looked bad" for Obama and thats why the left reacted the way they did.

Yes, this "looked bad" at Obama thats why the right reacted the way they did.


Brandon, here is a decision matrix to work thru. (0.00 / 0)
Imagine for a moment that you work as a lobbyist for a Veterans organization whose sole mission is get the most dollars to the VA Health Care System. Those are the "blinders" that you must wear.

Today, as we converse the VA does obtain third party re-imbursement for things like blood work and some prescriptions.

Do you support the VA stopping getting re-imbursement for these items?

Today, VA Health Care is not fully funded to provide care to ALL Veterans. Unlike the status quo in the year 2002, some veterans are excluded from VA Health Care today.

Do you support the VA policy in 2002 or the policy in 2008?

In the absence of additional funding from Congress, what should the VA do in order to get additional dollars to provide health care to Veterans?

Today, there are disabled service connected Veterans who are also on Medicare. Should the VA attempt to collect from Medicare? If no, why?

Today, there are disabled service connected Veterans who are also on Medicaid. Should the VA attempt to collect from Medicaid? If no, why?

Today, there are disabled service connected Veterans who are also on Retiree Tricare. Should the VA attempt to collect from Retiree Tricare? If no, why?

Today, there are disabled service connected Veterans who are also on Employee Federal Health Care Programs. Should the VA attempt to collect from these Employee Federal Health Care Programs? If no, why?

Today, there are disabled service connected Veterans who are also on Employee State Run Health Care Programs. Should the VA attempt to collect from these Employee State Run Health Care Programs? If no, why?

Remember, you need to answer these with the blinders of doing what is solely best for Veterans.


Hot Potato (0.00 / 0)
Col Joe may have a point with the Category 8 issue -- it's complicated.  However, in light of the increased VA funding (quite substantial) and the promises the Prez made to veterans, I feel simplistically that nothing will be lost.  But it's disquieting that he retreated from this Insurance Plan not solely because of the immediate American Legion or VFW concerns (plus 9 more organizations) but after much public anger.  Still.... the system worked!

I respect Friedman, even in disagreements, but the use of a selective George Bush deflection from the main issue was, well, transparently shallow at best.

E.R.


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