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Third Party Billing For Service-Connected Injuries

by: Jack Mitchell

Wed Mar 18, 2009 at 10:52:04 AM EDT


(This issue is not NH-specific, but it's a big, important one, and Jack is particularly well-suited to examining it as both veteran and person versed in Obama's campaign platform/policies.   - promoted by Dean Barker)

This story has peaked my interest and I am relatively in the dark. There has been much flailing of arms and gnashing of teeth. My jury is out, but I tend to err with the VSOs. Sorry, Mr.President.

Let's take a walk, shall we?

Jack Mitchell :: Third Party Billing For Service-Connected Injuries
To set this up, I've provided a Rachel Maddow segment that covers the matter:

(h/t IAVA)

Eleven prominent Veteran Service Organizations wrote to the President:

Dear President Obama:
On behalf of the millions of veterans represented by the veterans and military service organizations that have joined our effort, we write to express our serious concerns about a policy proposal that has been discussed this week in conjunction with the release of your first budget. We have been told that your Administration may be considering a proposal that would allow the Department of Veterans Affairs (VA) health care system to bill a veteran's insurance for the care and treatment of a disability or injury that was determined to have been incurred in or the result of the veteran's honorable military service to our country. Such a consideration is wholly unacceptable and a total abrogation of our government's moral and legal responsibility to the men and women who have sacrificed so much for our freedoms.
-snip

We understand and accept that the VA bills third-party insurers of veterans who are treated for non-service connected conditions. However, we cannot and would not agree to any proposal that would expand this concept any further. There is simply no logical explanation for billing a veteran's personal insurance for care that the VA has a responsibility to provide. While we understand the fiscal difficulties this country faces right now, placing the burden of those fiscal problems on the men and women who have already sacrificed a great deal for this country is unconscionable. If in fact your Administration is considering this proposal, we would like to meet with you, as well as VA Secretary Eric Shinseki and Office of Management and Budget (OMB) Director Peter Orzag, to discuss this further.

The stuff was really hitting the fan, so folks on The Hill were quick on the draw:

WASHINGTON, D.C. - U.S. Senator Daniel K. Akaka (D-HI), Chairman of the Veterans' Affairs Committee, issued the following statement today in opposition to a proposal to shift the responsibility to pay for care for service-connected injuries from the Department of Veterans Affairs (VA) to the private insurers of wounded veterans:

"VA's sacred duty is to care for veterans injured in honorable service to our nation, and the department should not turn to wounded warriors' private insurance to pay for combat injures.  Under my Chairmanship, the Veterans' Affairs Committee will not advance any such legislation," said Akaka.  
-snip

On Monday March 20th, President Obama did convene a meeting and plans to continue meetings until the matter is resolved.

"It became apparent during our discussion today that the President intends to move forward with this unreasonable plan," said Commander David K. Rehbein of The American Legion.  "He says he is looking to generate 40-million by this method, but refused to hear arguments about the moral and government-avowed obligations that would be compromised by it."
The Commander, clearly angered as he emerged from the session said, "This reimbursement plan would be inconsistent with the mandate '... to care for him who shall have borne the battle...' given that the United States government sent members of the armed forces into harm's way, and not private insurance companies.  I say again that The American Legion does not and will not support any plan that seeks to bill a veteran for treatment of a service connected disability at the very agency that was created to treat the unique need of America's veterans!"
-snip

"I got the distinct impression that the only hope of this plan not being enacted," said Commander Rehbein, "is for an alternative plan to be developed that would generate the desired $540-million in revenue. The American Legion has long advocated for Medicare reimbursement to VA for the treatment of veterans. This, we believe, would more easily meet the President's financial goal.  We will present that idea in an anticipated conference call with White House Chief of Staff Rahm Emmanuel in the near future.

"I only hope the administration will really listen to us then.  This matter has far more serious ramifications than the President is imagining," concluded the Commander.

Well, we have a dust up, or Obama has "hit the third rail" as IAVA 's Paul Rieckhoff puts it. So cue the GOoPer parrot machine. It has one purpose only-

Smear Progressives and progressive policy!

Michelle Malkin's, Hot Air:
Our friend Jim Geraghty reminds us that all of Barack Obama's pledges come with expiration dates - all of them.  
...

Update: This Ain't Hell wonders when General Eric Shinseki will resign in protest.

The GOoPer populist twist, Version #1:
Let's see.  The same administration that wants to give tens of billions of dollars to GM, Citigroup, AIG, and a host of other banks and manufacturers wants men and women injured in service to their country to pay for the medical care that arises from these injuries?  In what universe does Shinseki and the Obama administration live, anyway?

From NH conservative blog, GraniteGrok

All statements from Barack Obama come with an expiration date - even the ones that you thought he would never dare let expire.
...

So, when is Shinseki going to do the right thing and resign, as I rather doubt that this is in the best interest of our vets!  

The GOoPer populist twist, Version #2:
And Obama is willing to use MY tax money to pay for the healthcare for illegal aliens and wants to charge our veterans for the same?

I wrote this diary to inform myself, but also to show how the bandwagon was getting crowded. Most of the players cited have good intentions, but the conservative pundits should be filtered through your most cynical lens, imho.

The Sacred Trust will be maintained.

The proposed 2010 VA Budget
DEPARTMENT OF VETERANS AFFAIRS - Funding Highlights:

- Increases funding for the Department of Veterans Affairs by $25 billion above baseline over the
next five years.
- Dramatically increases funding for veterans health care.
- Expands eligibility for veterans health care to over 500,000 veterans by 2013.
- Enhances outreach and services related to mental health care and cognitive injuries, including post-traumatic stress disorder and traumatic brain injury, with a focus on access for veterans in rural areas.
- Invests in better technology to deliver services and benefits to veterans with the quality and efficiency they deserve.
- Provides greater benefits to veterans who are medically retired from service.
- Combats homelessness by safeguarding vulnerable veterans.
- Facilitates timely implementation of the comprehensive education benefits that veterans earn through their dedicated military service.
_
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The upside of citizen journalism (0.00 / 0)
Jack knows more about this than most of the professional journalists covering it.

This new proposal in the context of health care reform (0.00 / 0)
My gut is telling me that this proposal is forward thinking, based on the existence of "universal healthcare." Until HC is reformed and the savings associated to those reforms are realized, Obama will lose the PR war.

Any perception that Obama is renegging on vets will be exploited by the opposition.

www.KusterforCongress.com  


[ Parent ]
Why the widespread concern? (0.00 / 0)
Is there a fear of a slippery outsourcing slope?

[ Parent ]
Staged for the pushback? (0.00 / 0)
I find it hard to believe that Obama is caught short here. There was pushback against Bush and McCain over privitization. Maybe, Obama is taking his cue from a Marley lyric, "Every time I plant a seed. He say 'Kill it before it grow.'"

www.KusterforCongress.com  

[ Parent ]
If insurance companies have been collecting premiums from (0.00 / 0)
troops, why should they not pay for care?

If a universal program is to be set up, all the parts have to be identified.  

One suspects that insurers are going to be provided an opportunity to choose what kinds of services they want to cover and which not.  Part of the process of choosing is to eliminate options.

From now on I'm going to take every opportunity to say that what we need is a Universal Fund for Healing.

http://www.ssa.gov/OACT/TRSUM/...


The first of many exchanges on this theme? (4.00 / 2)
This reimbursement proposal is so odd that you have to believe that there's some deeper unstated rational.  I agree with Jack's comment that it is in some way part of the larger discussion about the role of the VA in the world of comprehensive health care reform.  I think this debate will get a lot bigger and more multi-faceted before it's over.

And could impact Carol's legislation about how to provide local care for NH vets....


Breaking: Nevermind... (0.00 / 0)
AKAKA PRAISES OBAMA ADMINISTRATION FOR DROPPING PROPOSAL TO CHARGE VETERANS' INSURERS FOR COMBAT INJURIES
March 18, 2009
WASHINGTON, D.C. - U.S. Senator Daniel K. Akaka (D-HI), Chairman of the Veterans' Affairs Committee, called Secretary Eric Shinseki and issued the following statement today praising President Barack Obama for dropping a proposal to shift the responsibility to pay for care for service-connected injuries from the Department of Veterans Affairs to the private insurers of wounded veterans:

"I thanked Secretary Shinseki for listening to the concerns the veterans service organizations, my colleagues and I had over this proposal to charge veterans' insurers for combat injuries.  President Obama made the right decision not to move forward.  Veterans' care and benefits are a cost of war and treatment for conditions directly related to service is the responsibility of the government alone.  I look forward to working with my colleagues and the Administration to enact the President's funding increases and targeted programs to help VA adapt to the changing needs of veterans and their families," said Akaka.  

-END



www.KusterforCongress.com  

That can't be right... (4.00 / 2)
Dean has Atrios. I have Jon Stewart.

This explains why Obama backed off. Why do I blog?

www.KusterforCongress.com  


[ Parent ]
Here's the part that gets me: (0.00 / 0)
Why does/did the White House think this is a good idea?  I'm genuinely confused about that.  The backlash should surprise nobody, particularly not those pros.

The consensus ranges from (0.00 / 0)
complete screw up to using the proposal to try to set up for a bigger battle over healthcare reform.

This proposal could have been leaked by a VSO that wanted to kill it before it got traction. Not all the VSO leaders love Obama. Surprise! Who knows, actually. Based on the quick reversal by the Admin and the new crop on "Dems hate the military" rhetoric that will gush from this squabble, I'd say someone screwed up.

www.KusterforCongress.com  


[ Parent ]
Legion of Parrots (0.00 / 0)
Please take note that sites like Malkin's Hot Air are being used to diseminate the conservative talking points. It won't be as easy to spot as it is over at  GraniteCrock.

Do progressives do this?....... As much?

www.KusterforCongress.com  


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