STATEMENT
BY
CMSGT (RET.) JAMES E. LOKOVIC
DEPUTY EXECUTIVE DIRECTOR AND
DIRECTOR, MILITARY AND GOVERNMENT RELATIONS
AIR FORCE SERGEANTS ASSOCIATION
FOR THE
HOUSE COMMITTEES
ON VETERANS’ AFFAIRS
February 16, 2006
AIR FORCE SERGEANTS ASSOCIATION
5211 Auth Road, Suitland, Maryland 20746
(800) 638-0594 or (301) 899-3500
E-mail: staff@afsahq.org Home Page: www.afsahq.org
** A participating organization in The Military Coalition **
CURRICULUM VITAE
CMSgt (Retired) James E. Lokovic is the
Deputy Executive Director and the Director of Military and Government
Relations for the Air Force Sergeants Association. Chief Lokovic works
for the Executive Director and is the association’s primary liaison with
Congress, the administration, the military services, and other military
and veteran’s associations—in carrying out the association’s chartered
mission to protect and enhance the quality-of-life benefits for current
and past military members and their families. Chief Lokovic served 25
years in the United States Air Force at numerous stateside and overseas
locations. His last assignment was on the Air Staff as the Chief of
Enlisted Professional Military Education. He has worked for the
association since January 1994.
DISCLOSURE OF FEDERAL GRANTS OR CONTRACTS
The Air Force Sergeants Association (AFSA) does not currently receive,
nor has the association ever received, any federal money for grants or
contracts. All of the association's activities and services are
accomplished completely free of any federal funding.
Mr. Chairman and distinguished committee members, on behalf of the
130,000 members of the Air Force Sergeants Association, thank you for
this opportunity to offer the views of our members on the FY 2007
priorities of the Department of Veterans’ Affairs. This hearing will
address issues critical to those serving and who have served our nation.
AFSA represents active duty, Guard, Reserve, retired, and veteran
enlisted Air Force members and their families. Your continuing effort
toward improving the quality of their lives has made a real difference,
and our members are grateful. In this statement, I will list several
specific goals that we hope this committee will pursue for FY 2007 on
behalf of current and past enlisted members and their families. The
content of this statement reflects the views of our members as they have
communicated them to us. As always, we are prepared to present more
details and to discuss these issues with your staffs.
How a nation fulfills its obligation to those who serve reflects its
greatness. How we treat them also influences our ability to recruit
future service members since a significant percentage of those wearing
the uniform today were once members of military families. They watched
to see how their moms and dads were treated as they put their lives on
the line for America. And that trend continues. People observe how the
service member is taken care of during service and after they have
served. Simply speaking, if we want to keep good people in the military,
it is important that our country live up to the commitments made to our
veterans--the role models for today's force and tomorrow's.
It is important that this committee view America’s veterans as a vital
national resource rather than as a financial burden. As you deliberate
on the needs of America’s veterans, this association is gratified to
play a role in the process and will work to support your decisions as
they best serve this nation’s veterans. We believe this nation’s
response for service should be based on certain principles. We urge this
committee to consider the following principles as an underlying
foundation for making decisions affecting this nation’s veterans.
GUIDING PRINCIPLES
1. Veterans Have Earned a Solid Transition Back Into Society. This
country owes its veterans dignified, transitional, and recovery
assistance. This help should be provided simply because they served in
the most lethal of professions.
2. Most Veterans Are Lower-paid Enlisted Members. Enlisted veterans
served with lower pay, generally re-entered the civilian populace with
non-transferable military skills, probably had relatively little
civilian education, and most likely served in skills that are less
marketable. We should factor in the unique circumstances of enlisted
veterans, especially in the area of transitional education; i.e., the
Montgomery G.I. Bill.
3. Decisions on Veterans’ Funding Primarily Should be Based on Merit.
Funding for military veterans must, of course, be based on fiscal
reality and prudence. However, Congress and, in turn, the VA must never
make determinations simply because “the money is just not there” or
because there are now “too many” veterans. Funding for veterans’
programs should be viewed as a national obligation—a “must pay”
situation.
4. Remember that Reservists are Full-fledged Veterans. In Iraq,
Afghanistan, and around the world, reserve component members are
valiantly serving, ready to sacrifice their lives if necessary. Record
numbers have been called up to support operations since September 11,
2001. By spring of this year, nearly half of U.S. forces serving in Iraq
will be guardsmen and reservists. Without question, enlisted guardsmen
and reservists are full-time players as part of the “Total Force.”
Differences between reserve component members and the full-time force,
in terms of VA programs or availability of services, need to be
critically examined.
5. The VA Must Openly Assume the Responsibility for Treatment of the
Maladies of War. We are grateful for VA decisions in recent years that
show a greater willingness to judge in favor of the service member. The
VA focus on health care conditions caused by battle should be on
presumption and correction, not on initial refutation, delay, and
denial. It is important that the decision to send troops into harm’s way
also involves an absolute commitment to care for any healthcare
condition that may have resulted from that service. Many veterans call
and write to this association about our government’s denial, waffling,
then reluctant recognition of illnesses caused by conditions during past
conflicts. We applaud past decisions of this committee toward
reinforcing a commitment to unconditional care after service, and
encourage the committee to do the same in the future.
* * * * * * * * * * * * * * * * * * * * *
This statement will focus on three main areas: education, health care,
and general issues that we hope you will consider as you deliberate the
FY 2007 VA budget and policies.
EDUCATION PROGRAMS
Frankly speaking, this is an enlisted, non commissioned officer issue.
Unlike commissioned officers, few enlisted members enter the service
with a college degree. Relatively few of them are able to achieve one
while in the service.
Prior to 9/11 this committee did a good job of increasing the value of
the Montgomery G.I. Bill (MGIB), but very little has been done since.
There's no escaping the fact that college costs are rising and last year
the average public school tuition rates jumped 10.5 percent. As the gap
between the cost of an education and value of the MGIB widens, the
significance of the benefit becomes less apparent. Without an overhaul
to reinvigorate the MGIB, this benefit will lose its effectiveness when
it comes to recruiting this nation’s finest young men and women into
service. As a member of the The Military Coalition and Partnership for
Veterans’ Education, we strongly recommend you transform the program to
something similar to the post-WW II G.I. Bill. We ask this committee to
work toward funding a program that pays for books, tuition, and fees,
and that the benefit be annually indexed to reflect the actual costs of
education, especially for enlisted members.
When young enlisted men and women opt for military service, they should
know that this “company” will provide them with a no-cost, complete
education, as do numerous companies in the private industry. But our
government does not do this in the way that it should. It gives them a
one-time chance to enroll in the MGIB during basic training. It charges
them $1,200 to enroll at a time when they can least afford it. It limits
the use of the benefit to a designated monthly amount which prevents its
use for all educational expenses as needed, or in amounts to support
accelerated programs, or courses with lab requirements, or advanced
programs; and it imposes a benefit-termination clock that starts ticking
when the service member separates from military duty. Each of these
provisions suggests the government’s lack of sincerity toward providing
a user-friendly benefit that may be fully used to benefit the service
member and this nation. Remember, enlisted initially make about half
that a new commissioned officer makes. Enlisted members who actually
need the MGIB, must proportionally agree to pay twice the portion of
their initial pay as commissary officers do. This is just plain unfair.
Despite the extremely commendable, fairly recent value increases in the
MGIB (which, in October 2005 increased to $1,034 per month for 36
months), more needs to be done. If this nation is going to have an
effective, beneficial military educational benefit program, it should
mirror the comprehensive ones provided by civilian industry. Recent
studies show that the average costs for colleges and universities are
approximately $1,770 per month—a figure that reflects the cost of books,
tuition, and fees at the average college or university for a commuter
student (based on the annual “College Board” report). That means that
despite the recent increases in the MGIB, it will only cover about 58
percent of the average cost of a four-year public college or university
for academic year 2005-2006. As educational costs rise and if Congress
does not increase funding, the value of the MGIB will continue to
deteriorate. Without automatic indexing for inflation, MGIB purchasing
power continues to erode, thereby negating the previous hard work of
this committee. We ask that you look toward further increases in the
MGIB program by legally indexing the MGIB benefit to annual increases in
“educational” inflation.
We are aware of recent interest among some members of Congress to
“renovate” the MGIB. Specific characteristics that a new comprehensive
benefit should include are as follows:
Provide an MGIB Enrollment Opportunity for All Currently Serving
Enlisted Members Who Declined Enrollment in the Old Veterans Educational
Assistance Program (VEAP). We are mindful that VEAP was intended to be a
transitional benefit which enabled departing service members to secure
necessary skills as they transition back into the civilian workforce.
It’s only in more recent years that the MGIB has evolved into a
recruiting incentive. That being the case, and without question, one of
the greatest needs cited by our members is to provide a second chance
for those who turned down their initial opportunity to enroll in the
Veterans Educational Assistance Program (VEAP). VEAP was the program in
place for those who were serving immediately prior to the July 1985
initiation of the Montgomery G.I. Bill. VEAP was a far-less beneficial
program than the MGIB.
Hundreds of thousands of military members chose not to enroll in the
VEAP program. Many were advised not to enroll in VEAP because a better
program was coming along. Unfortunately, when the MGIB program began,
those who turned down the VEAP program were not allowed to enroll in the
MGIB program. So many turned down their one-time opportunity (during the
1980s) to enroll in the VEAP program that approximately 50,000 military
members who declined VEAP enrollment are still serving.
Approximately 15,000 still-serving commissioned officers turned down
VEAP; by definition they already have at least bachelors degrees when
they enter service—most have graduate and higher degrees by the time
they reach retirement. For that reason, and considering funding
challenges, AFSA would contend that the MGIB enrollment opportunity
should be limited to still-serving enlisted (noncommissioned) members
who turned down the old VEAP program.
Rep. Dave Camp has introduced H.R. 269 which would provide an MGIB
enrollment opportunity to the estimated less than 50,000 currently
serving who turned down the old VEAP program—including commissioned
officers. In evaluating this same legislation in the 108th Congress, CBO
scored this bill at $173 million over 10 years (figure based on the
96,000 plus eligible active duty personnel at that time) Taking into
consideration that the number of eligibles is now halved, estimated
costs of implementation would now be in the range of $86 million.
However, if we limit the enrollment opportunity to enlisted members
only, it will reduce the number by more approximately one-fourth and,
therefore, the cost by 25 percent. The projected scoring would then be
reduced to somewhere in the neighborhood of 65 million over 10 years if
limited to enlisted members only.
Time is running out for Congress to provide these deserving individuals
an MGIB enrollment opportunity; unfortunately many have already retired.
As of July 1, 2005, all actively serving members who enlisted in this
era were eligible to retire. We urge these committees to act quickly
before it is too late to at least provide a transitional education
assignment to the remaining VEAP-era enlisted members. Remember these
citizens served a full career of dedicated service and sacrifice
fighting this nations wars and preserving the peace.
Provide a Second Chance for those Currently Serving Enlisted Members Who
Declined Enrollment in the MGIB. Since the end of the VEAP program, tens
of thousands more have declined enrollment in the MGIB. Most enlisted
members did so because they were (and still are) given only a one-time,
irrevocable enrollment opportunity at basic military training when many
simply could not afford to give up $100 per month for the first 12
months of their career. While this may not apply to all accessions, it
certainly applies to enlisted members.
In fact, in the Air Force alone, there are now over 25,000 on duty who
came in during the MGIB era but who declined to enroll in the MGIB.
Hundreds of noncommissioned members tell us that they want a second
chance to get into the MGIB, now that they can afford to do so. This is
particularly a serious problem among enlisted members—those who
generally enter military service without a college degree and with
prospects of relatively little income. As we said earlier, thanks to the
fine work of these committees, the MGIB value has been significantly
increased in recent years. Although more work needs to be done, the
benefit is now a comparatively “lucrative” benefit––a far cry from that
which most VEAP and MGIB non-enrollees turned down. For that reason
alone, fairness would dictate an enrollment opportunity for any military
member not currently enrolled in the MGIB. They have made freedom
possible during their service; now let’s say “Thank You” to them! H.R.
3195 by Rep. Peter Visclosky specifically calls for an enrollment
opportunity for these deserving individuals.
Eliminate the $1,200 MGIB Enrollment Fee. The Montgomery GI Bill is the
one of the only company-provided educational programs in America that
requires a student to pay $1,200 (by payroll deduction during the first
12 months of military service) in order to establish eligibility. This
$1,200 DoD payroll cost-avoidance method amounts to little more than a
tax penalty on a benefit that must be paid before it is received.
Sadly, this fee causes many young noncommissioned service members to
decline enrollment simply because they are given a one-time, irrevocable
decision when they are making the least pay and under the pressure of
initial training. Those who decline enrollment––many due to financial
necessity––do not have a second chance to enroll in the program. This is
probably the biggest complaint we get from the lowest-ranking airmen.
They feel that, in a sense, it is a “dirty trick” to offer such an
important program only when it is clearly a financial burden for
enlisted members to enroll in the program. After all, because of lower
pay, enlisted members must sacrifice a significantly higher percentage
of their income (in relation to new commissioned officers) in order to
be eligible for the program. Further, it sends a very poor message to
those who enter service expecting a world-class educational benefit.
We would imagine that a good case could be made to show that eliminating
the fee will not be as expensive as estimated since the administration
of the fee (tracking and collection) most likely costs nearly as much
as, if not more than, the fee itself. To our knowledge, this has never
been explored, and we encourage these committees to investigate this
matter further. S. 43, by Sen. Chuck Hagel, and its companion bill, H.R.
786, by Rep. Lee Terry, would eliminate the $1,200 user fee for those
serving during the period of Executive Order 13235. Both bills would
also give a second MGIB enrollment opportunity for those serving during
this period. AFSA maintains that both elimination of the $1,200 payroll
reduction and a second MGIB enrollment opportunity should be permanently
provided for enlisted service members.
Allow Enlisted Military Members to Enroll in the MGIB Later During Their
Careers. As I explained above, the one-time enrollment opportunity at
Basic Training is a problem. Of course, abolishing the $1,200 fee would
eliminate the non-enrollment problem while simultaneously reintroducing
some honesty into the recruitment promises made concerning educational
benefits. This would alleviate the need for young recruits to make a
monumental financial decision under the pressure of Basic Military
Training when they are making very little money. Another option would be
to allow them to enroll at any time during their first or subsequent
enlistments. In the 108th Congress, H.R. 3041, which was introduced by
House Veterans Affairs Committee Vice Chairman Congressman Michael
Bilirakis, would have allowed individuals to make an election to
participate in the MGIB at any time during the first two years of
service. AFSA would strongly encourage the committee to incorporate this
legislation as they look to revamp the benefit.
Extend or Eliminate the Ten-year Benefit Loss Clock. Once an MGIB
enrollee separates or retires, they have ten years to use their benefit
or they lose any unused portion. Transitioning from a military career to
civilian life requires a period of readjustment and satisfying survival
needs—especially for enlisted members. These include relocation, job and
house hunting, and family arrangements, just to name a few. For many,
using their “earned” educational benefit (for which they paid $1,200),
must be delayed a few years--or their education must be pursued
piecemeal (e.g., a class at a time) due to conflicting work and family
obligations. However, the benefit self-destruct clock is ticking as the
government prepares to take the benefit away. We urge you to extend that
ten-year clock to 20 years, or repeal the “benefit-loss” provision
altogether. The benefit program has been earned, the federal computer
program that tracks the MGIB usage is not earmarked to go away, and
extending the 10-year benefit loss clock would have negligible cost
implications.
Provide “Portability” (Transferability) of MGIB to Family Members.
“Critical skills” portability for family members was signed into law in
the FY 2002 NDAA. To date, this powerful retention incentive has gone
largely unused as only a very small percentage of personnel were ever
provided this opportunity. Part of the problem is the service
secretaries get to determine just what “critical” means. For example, in
the Air Force, less than 500 personnel in a dozen career fields were
provided this opportunity despite the fact that over 60 career fields
were considered critical enough to require Selective Reenlistment
Bonuses. The vast majority of MGIB enrollees, many of whom have been
told their jobs are “critical,” find it unfair that they have not also
been afforded this opportunity. As an issue of fairness, we urge that
the portability feature be extended to all MGIB enrollees.
Portability would be an important career incentive for the vast majority
of military members and, if we are wise, a good retention tool across
the board. For enlisted members, in particular, it could mean the
ability to offer greater educational opportunities to their children. A
career-promoting alternative would be to offer the option to transfer
(at least a portion of) the benefit to family members once the
individual has served 12 to 15 years. This would make the option
available in time to help send their kids to college, and it would serve
as an incentive to stay in the service. Please work to extend the
“portability” option across the board to all military enrollees
(enlisted ones in particular).
MEDICAL CARE
The health care system administered by the Veterans Administration
impacts, in one way or another, all of those who served. As reported,
the Administration’s FY 07 budget proposal provides an 8 percent or
$2.65 billion increase in discretionary funding for VA health care,
which gives Congress a much better starting point in the appropriations
process than in previous years. AFSA, like most military and veterans
associations remain concerned that the requested levels of funding and
the calculations utilized to arrive at these figures may not reflect the
true needs of this department. We recommend the committee scrutinize the
Administrations proposals closely so as to avoid previous It is critical
that those fighting wars today receive care when needed, while at the
same time, full funding is provided to cover past veterans. Recent
practice is that in order to keep funding down we progressively redefine
the categories of eligibility to exclude a portion of currently eligible
veterans.
Once again the Administration is proposing to increase prescription
co-payments and create an annual “enrollment fee” of $250 for almost two
million Category 7 and 8 veterans who do not have service-connected
disabilities. The co-payment would jump 88 percent — from $8 to $15 —
per 30-day supply, per prescription. AFSA feels these two proposals are
unacceptable and urges Congress to reject it in similar fashion to last
year’s proposed $250 “enrollment fee.” Our feeling is that such an
enrollment fee should only be applied prospectively. Current veterans
should not be charged a fee for access which earlier Congresses
determined was not appropriate. One would have to wonder what the next
Congress is going to add or eliminate as the policies relative to
veterans health care change based on the changing economy and personal
preferences and interpretations. Upon what can veterans depend when it
comes to national provision of benefits and services?
The FY 2007 VA Budget should be sufficient to provide full health care
and program needs for those who are currently defined as eligible for
care. Funding should not be based on additional redefinitions of who is
eligible and on a proposed institution of additional co-payments and
enrollment usage fees.
I wish to briefly touch on some issues that have been reflected in the
many letters and phone calls that AFSA has received from the field. As a
general rule, we tend to hear most loudly (and frequently) from those
who are not happy with the adjudication of their claims or the treatment
they have received. I am not going to go into isolated problems, because
anecdotal information is just that. Rather, I want to briefly touch on
some specific health-related situations/conditions that we feel need to
be addressed.
Work Toward Mandatory Funding and Program Permanence. This association
believes that the parameters of who will be served, what care will be
provided, the facilities needed, and the full funding to accomplish
those missions should be stabilized as mandatory obligations. If that
were so, and Congress did not have to go through redefinition drills as
economic philosophies change, the strength of the economy fluctuates,
and the numbers of veterans increases or decreases—these committees and
this nation would not have to re-debate obligations and funding each
year. We believe that these important programs should be beyond debate
and should fall under mandatory rather than discretionary spending.
Policy Consistency Needed. The pervading feeling among veterans is that
the Administration’s approach to providing adequate service to an
ever-growing number of veterans is to shrink the number of patients by
excluding increasing classes of veterans. These veterans who are being
excluded were expressly included in earlier congressional legislation.
In other words, rather than funding for increased needs, the VA’s
allowable clientele definition is changed by adding an increasing number
of “Priority” groups, raising co-pays, and charging fees for use. The
VA’s “temporary” moratorium on Priority Group 8 enrollment has now
assumed a “permanent” status.
Seek Proactive Cost-saving Approaches. Provisions in the FY 2005 budget
proposal allowed the VA to pay for emergency room care at non-VA
facilities. This proactive approach prevented delays in treating
life-threatening conditions, thereby saving the lives of veterans who do
not reside in close proximity to a VA medical facility. Periodically the
VA has agreed to a change in policy and filled prescriptions written by
non-VA providers under very specific circumstances. These are excellent
examples of how the VA can enhance the care provided to veterans at a
modest cost through using new approaches!
Support VA Subvention. With more than 40 percent of veterans eligible
for Medicare, VA-Medicare subvention is a very promising venture, and
AFSA offers support for this effort. Under this plan, Medicare would
reimburse the VA for care the VA provides to non-disabled
Medicare-eligible veterans at VA medical facilities. This funding method
would, no doubt, enhance some older veterans’ access to VA health care.
The VA has an infra-structural network to handle this, and we anticipate
the effort would be successful. This is an opportunity to ensure that
those who served are not lumped in with all those who have not, and
would, no doubt, save taxpayer dollars by potentially reducing an
overlap in spending by Medicare and the VA for the same services.
Support Judicious VA-DoD Sharing Arrangements. We believe the enlisted
force would be pleased with judicious use of VA-DoD sharing arrangements
involving network inclusion in the DoD health care program, especially
when it includes consolidating physicals at the time of separation. This
decision alone represents a good, common sense approach that should
eliminate problems of inconsistency, saves time, and takes care of
veterans in a timelier manner. In that sense, such initiatives will
actually save funding dollars. AFSA supports testing such program but
recommends that the committee closely monitor the collaboration process
to ensure these sharing projects actually improve access and quality of
care for eligible beneficiaries. DoD beneficiary participation in VA
facilities must never endanger the scope or availability of care for
traditional VA patients, nor should any VA-DoD sharing arrangement
jeopardize access and/or treatment of DoD health services beneficiaries.
VA and DoD each have a lengthy and comprehensive history of agreeing to
work on such projects but have yet to follow-through on most of them. A
memorandum of understanding to renew their commitment to joint ventures
was recently signed by the two departments. With this committees urging,
perhaps this latest effort won’t go by the wayside as past “restarts.”
Support State Veterans Homes. One hundred and thirty-three state-run
veterans’ homes, serve about 30,000 former service members. These homes
are a good federal investment since the states provide funding for
two-thirds of total operating costs. Funding reductions in this area
could be devastating and would force the closure of several facilities.
We urge the committees to take a close look at the required level of
support to protect these important national assets. We urge these
committees to provide full funding for state veterans homes--building on
levels established in the past with inflation factored in. If changes
are to be made in the future, they should be announced for future
implementation and should be applied prospectively without harming those
who have come to depend on these facilities.
Care for Women Veterans. We applaud the actions of these committees in
recent years to directly address the issue of the unique health
challenges faced by women veterans. Between 1990 and 2000, the women
veteran population increased by 33.3 percent from 1.2 million to 1.6
million, and women now represent approximately 7 percent of the total
veteran population. By the year 2010, the VA estimates that women
veterans will comprise well over 10 percent of the veteran population.
Currently women make up 15 percent of the active duty force and
approximately 23 percent of the reserve force. Many of these female
veterans have served in more recent years. Tens of thousands of female
troops have been serving, or have already returned from service in Iraq
and Afghanistan. As the number of women veterans increases, the VA must
be funded to increasingly provide the resources and legal authority to
care for female-specific healthcare needs.
GENERAL ISSUES
Speedier Claims Processing and Improved Accuracy. For many veterans
association with the VA begins with the claims process. Two years ago,
the Veterans Benefit Administration announced they had reached a steady
state of 250,000 claims in progress but recent numbers reflect a number
three times that. Not mentioned in the Administrations FY 07 budget plan
was how this agency intends to address a claims backlog that currently
exceeds more than 813,000 cases!
The key to sustained improvements in claims processing rests primarily
on adequate funding to attract and retain a high-quality workforce of
claims workers who are supported by full investment in information
management and technology. This agency is facing a mass exodus of
experience once the baby-boomer generation retires from federal service
over the next five years. It’s becoming more and more apparent that this
particular section of the agency needs additional funding consideration
verses funding reductions to overcome this growing backlog.
Additionally, proper training impacts the quality and consistency of
claims decisions. An infusion of funding specifically for this purpose
could save the agency millions, if not more as errors in processing
claims and the subsequent appeals they generate are reduced. Much of the
past success of this agency can be directly attributed to the funding
and support of this committee. The time to take a closer look is long
overdue.
“Seamless,” Transferable Medical Records. The record numbers of veterans
being generated by the wars in Afghanistan and Iraq underscore the
importance of accelerating DoD and VA plans to seamlessly transfer
medical information and records between the two federal departments. A
lifetime DoD-VA service medical record could help veterans obtain early,
accurate, and fair VA disability ratings, save the Department of
Veterans Affairs funding, and facilitate pre- and post-deployment
research that could advance standards of care. Additional savings would
be realized by preventing the “doubling” of diagnostic testing which
currently occurs when VA runs similar testing (MRIs/X-rays, etc) to
validate DoD findings.
A good example of the redundancy in the system is retired U.S. Air Force
Master Sergeant Morgan Brown. While on active duty, after documented
severe-repetitive stress injuries to his spine, in 1996 Brown had his
first MRI, several examinations, and other diagnostic and corrective
procedures. Since 1996, he had several additional MRIs and X-rays,
countless examinations and medical procedures to treat and track the
progression of the injury. He was poked, prodded, and treated by
specialists such as orthopedic surgeons, neurologists, and
neurosurgeons. His comprehensive retirement physical in early 2002
included nearly all of the above procedures and visits to specialists.
However, when Sergeant Brown retired in 2002 and applied for a VA
disability assessment, the VA re-accomplished all of the previous tests
and consults. The bottom line is that the vast array of detailed,
current medical documentation was ignored by the VA, and all data had to
be re-accomplished. These were very expensive, unnecessary tests that
had already been accomplished shortly before the VA assessment. Common
sense and cross flow of information between the DoD and VA systems could
have saved the taxpayer a great deal of money. Multiply that amount by
the thousands of service members retiring each year and the amount could
easily total several billion dollars. Accepting service connected
diagnosis’s made by DoD providers and their accompanying documentation
would help resolve another problem that plagues VA by freeing up
thousands of doctors and specialists thereby reducing the wait list
times for specialized care. According to recent VA statistics about
50,000 veterans can presently be expected to wait more than 6 months for
care its increases in demand and expected changes in the intensity of
service delivery.
At an Oversight and Investigations Subcommittee hearing in November
2003, it was pointed out that the technology already exists to
accomplish the goal of a seamless record. We urge this committee to
assume an oversight role and facilitate implementation of this important
document as quickly as possible.
Legitimate, Sincere Veterans’ Preference. In recent years, Congress has
taken steps toward making “Veterans’ Preference” a reality. We have seen
commendable moves in this Administration involving the VA and the
Department of Labor to enhance the job preferences available to
veterans. We continue to urge these committees to support any
improvement that will put “teeth” into such programs so that those who
have served have a “leg up” when transitioning back into the civilian
workforce.
Support of Survivors. AFSA commends this committee for previous
legislation which allowed retention of DIC, burial entitlements, and VA
home loan eligibility for surviving spouses who remarry after age 57.
However, we strongly recommend the age-57 DIC remarriage provision be
reduced to age-55 to make it consistent with all other federal survivor
benefit programs. H.R. 1462 introduced by Rep. Bilirakis would make this
important change in law. We also endorse the view that surviving spouses
with military Survivor Benefit Plan (SBP) annuities should be able to
concurrently receive earned SBP benefits and DIC payments related to
their sponsor’s service-connected death. We regret that the 109th
Congress felt it was unable to address this issue as it finalized the FY
2006 National Defense Authorization Act.
Protect VA Disability Compensation: Despite being clearly stated in law,
veterans’ disability compensation has become easy prey for former
spouses and lawyers seeking money. This, despite the fact the law states
that veterans’ benefits “shall not be liable to attachment, levy, or
seizure by or under any legal or equitable process, whatever, either
before or after receipt by the beneficiary.” Additional legislation is
needed to enforce the probation against court-orders or state
legislation that would award VA disability dollars to third parties in
divorce settlements.
Provide a Written Guarantee. Many veterans are frustrated and
disappointed because existing programs they thought they could depend on
have been altered or eliminated due to changing budget philosophies.
That creates a perception among service members and veterans that the
covenant between the nation and the military member is one-sided, with
the military member/veteran always honoring his/her obligation, and
hoping that the government does not change the law or the benefits upon
which they depend. We urge this committee to support a guarantee in
writing of benefits to which veterans are legally entitled by virtue of
their service. This would demonstrate that the government is prepared to
be honest and consistent with its obligation to its service members.
Veterans Disability Benefits Commission. AFSA remains concerned about
the intent of the Veterans Disability Benefits Commission set up as part
of recent years’ concurrent receipt legislation. We are encouraged that
various military and veterans’ associations and individual veterans have
had the opportunity to provide input into the panel’s deliberations and
hope that trend continues. Congress recently granted the panel an
extension that carries its reporting date into the latter part of 2007.
Until then, and understanding the budgetary constraints faced by this
committee, we simply ask that the following items be included in
deliberations on the impact of future decisions as they will apply to
current veterans.
Obviously, budgetary parameters/limitations must be set by sound fiscal
decisions. However, one dynamic of changing the definition of those who
are to be served by the Department of Veterans Affairs in the future is
that these decisions can have a life-altering affect on current veterans
and their families. Many have already made decisions to purchase housing
near a VA facility and have made other financial and life-altering
decisions based on earlier decisions and philosophies of governmental
decision makers.
Whereas this committee has made “access” decisions in the past (as to
who would be eligible for full access to VA programs) based on the
urging of veterans groups, the voters, their fellow members of Congress,
or simply fiscal restraints, the ultimate decisions was made by
Congress. As such, once the congressional decisions are signed into law,
it is understandable that veterans would have a reasonable expectation
that the VA programs available today will be available on the same terms
in the future. Accordingly, these veterans make/made life-affecting
decisions based on their faith and trust in the United States
government.
It is also understandable that significantly redefining the system,
adding user fees, significantly increasing costs for certain categories
of veterans who are already using the system, etc., lead to further
mistrust, frustration, and in some cases significant financial hardship.
In that sense, this association urges that future funding decisions and
the implementation of the decisions of the blue ribbon panel be applied
prospectively. That is, current veterans should not be significantly
affected by the periodic and aperiodic changing decisions of
governmental bodies; citizens ought to be able to depend on standing
governmental decisions.
As the government changes its decisions from Congress to Congress,
because the economy changes or there are now too many veterans, we would
hope that the members of the applicable committees will consider the
impact on current veterans and set timetables or effective dates for
future applications of its decisions. For that reason, we cannot endorse
annual user fees and significantly increased pharmaceutical costs for
certain categories of veterans--except prospectively. That is, these
congressional decisions should most properly apply to new veterans
entering the system. While this may seem unfair to new veterans, we
believe that is the way the law generally and properly has been applied
for changes to the military retirement system and other major benefit
reductions—the changed laws were applied in such a way that they would
not negatively affect the financial and family security of those to
which the current law applies.
Mr. Chairman, in conclusion, I want to thank you again for this
opportunity to express the views of our members on these important
issues as you consider the FY 2007 budget. We realize that those charged
as caretakers of the taxpayers’ money must budget wisely and make
decisions based on many factors. As tax dollars dwindle, the degree of
difficulty deciding what can be addressed, and what cannot, grows
significantly. However, AFSA contends that it is of paramount importance
for a nation to provide quality health care and top-notch benefits in
exchange for the devotion, sacrifice, and service of military members,
particularly while the nation remains at war. So too, must those making
the decisions take into consideration the decisions of the past, the
trust of those who are impacted, and the negative consequences upon
those who have based their trust in our government. We sincerely believe
that the work done by this committee is among the most important on the
Hill. On behalf of all AFSA members, we appreciate your efforts and, as
always, are ready to support you in matters of mutual concern.
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