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Lt. James "EMO" Tichacek, USN (Ret) Director, Retiree Activities Office & U.S. Embassy Warden Baguio City RP Email: raoemo@sbcglobal.net (PRI) or raoemo@mozcom.com (Alternate) Web: http://post_119_gulfport_ms.tripod.com/rao1.html Tel: (63-74) 442-7135 or FAX 1-801-760-2430 AL/AMVETS/CORMV/DAV/FRA/NCOA/PRA/TROA/USDR/VFW/VVA Member |
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Hands: This notice is to
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and the purpose of the Director's associated Newsletter. The
service provides a POC for anyone who has queries on Veteran
issues and/or residence in this Geographic area. It also provides
a means for Veterans to keep abreast of benefit changes or pending
Veteran related legislation. Lt. James "EMO" Tichacek USN (Ret) Director RAO Baguio |
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Current Bulletins |
Medicare Part D Update 17 (New Legislation.) VA Budget 2008 Update 09 (New Approach.) VA Diverting Patients (Nationwide Problem.) VA Guardian (Policy) VA Tidbits (Did You know?) Biotape Refunds ($2.5 Million Available.) VA Flag-folding Recitation Ban (AL Will Ignore.) VA Flag-folding Recitation Ban Update 01 (Ban Clarified.) Agent Orange Lawsuits Update 10 (Ramifications) VA Flu Shots Update 01 (48% Death Reduction.) Tricare Flu Immunization (Get It Now.) VA Secretary Update 03 (Nomination Needed.) VA Secretary Update 04 (Bush Nominates Peake.) DOD Disability Evaluation System Update 07 (Pilot/Future Plans.) Pennsylvania Vet Agency (Separate Existing Department.) VA MRSA Testing Update 01 (Combating Staph Infection.) USAF Retiree Funerals (Policy Changes.) Reserve GI Bill Update 07 (Guard GI Bill Snafu.) New Medicare Reimbursement Rule (Preventable Complications.) DoD Retiree Pay Offset (Benefits Program.) VA MRSA Testing Update 01 (Combating Staph Infection.) VA Comp Payment Disparity Update 09 (House Examines.) Grayhound Discounts (Honoring Servicemembers.) Tricare Uniform Formulary Update 22 (Change Announcement.) COLA 2008 Update 08 (2.3% effective 1 DEC 07.) Pneumonia Vaccination (Protection for Life.) Veterans Day Free Meals Update 01 (Restaurant Offers.) Windows Vista Boycott (Microsoft Will Not Replace With XP.) Tricare Breast Cancer MRIs (Coverage Added.) Saluting the Flag Update 01 (Status of S1877.) VA Cemetery Texas Update 01 (Looking For Space.) Veterans Mental Health Bill (Hearings Result.) VA Pain Care (Bill to Enhance.) VA Claim Backlog Update 12 (Cut Waiting Time 2/3.) Army Combat Action Badge (Stuck In Committee.) VA Budget 2008 Update 08 (Rhetorical Firefight Escalates.) Cell-Phone Scare Message (FTC Debunks.) Remote Infrared Audible Signs (VA Hospital Use.) Alzheimers Update 04 (Progress Cited In Diagnosis.) VA Fraud Update 02 (Concealed 2nd Marriage.) VA Cancer Reporting Policy (Hampering Research.) FTC Fraud Survey (30.2 Million Adults Defrauded.) Vet Legislation Status 29 Oct 07 Editor Note: I have ceased using the email addee raoemo@mozcom.com because spam messages at this addee have reached 150 daily. My email addee raoemo@sbcglobal.net will be the primary addee I will be monitoring after 15 SEP. I am activating raoemo1@mozcom.net as a backup in the event communications via the primary addee should become disrupted. Editor Note 2: Tricare initiated coverage for the Shingles vaccine effective 19 OCT 07. Medicare Part D Update 17: Three lawmakers have introduced legislation in the House and Senate to establish a Medicare-administered drug benefit that would compete with private plans currently offered under Part D. The laws introduction was announced by Representatives Marion Berry (D-AR) and Jan Schakowsky (D-IL) at an 23 OCT press call scheduled to publicize both the legislation and a report by the Medicare Rights Center (MRC) and Consumers Union assessing the shortcomings of private Part D plans and the advantages of providing a public option. The Medicare Prescription Drug Savings and Choice Act of 2007, sponsored by Senator Richard Durbin (D-IL) in the Senate and co-sponsored by Representatives Schakowsky and Berry in the House, would offer a public drug plan administered by Medicare with a nationally uniform premium, formulary (list of drugs covered) and cost-sharing requirements. The legislation would require the Secretary of the Department of Health and Human Services to use the breadth of the nationwide formulary to negotiate lower drug prices from pharmaceutical companies. According to the MRC & Consumers Union report, The Best Medicine: A Drug Coverage Option Under Original Medicare, the privatized delivery of Medicare drug coverage has resulted in coverage gaps created by inconsistent formularies and an ineffective appeals process. Changing formularies and premiums has meant instability in coverage for people with Medicare, particularly those with low incomes, according to the report. In a related development, the House of Representatives Committee on Oversight and Government Reform released a report showing the high administrative costs associated with using insurance companies to deliver Part D coverage. Total administrative costs for Part D amounted to 9.8% of the total cost of the program. In comparison, overhead and administrative costs amount to only 1.7% of the cost of original Medicare. In testimony given at an 16 OCT hearing held by the House of Representatives Committee on Ways and Means Subcommittees on Health and Oversight it was revealed that private Medicare plan benefit packages are not adequately regulated by the federal government, resulting in inadequate financial protections for plan enrollees and unpredictable cost-sharing requirements for expensive health services. The subcommittees were convened in response to a JUL 07 report by the GAO, Required Audits of Limited Value, which found that the Centers for Medicare & Medicaid Services had not met the legal requirement to audit at least one-third of private Medicare plans. Instead, the proportion of companies audited decreased from 23.6% in 2001 to 13.9% in 2006. Paul Precht, deputy policy director at the Medicare Rights Center, provided testimony on the lack of federal regulation of plan benefit packages, which allows plans to charge higher prices than Original Medicare for high-cost services and carve-out specific services, such as chemotherapy and other doctor-administered drugs, from yearly out-of-pocket spending limits. [Source: Medicare Watch newsletter 30 Oct 07 ++] VA Budget 2008 Update 09: In a risky change of strategy, Democrats are pursuing a plan that would dare President Bush to veto a massive bill that combines spending for veterans care, education and the Pentagon. The package, which combines three bills into one, would total almost $675 billion in discretionary spending for the fiscal year that began 1 OCT. Of this, more than 70% is defense-related. The rest is expected to incorporate about $14 billion more for domestic priorities than Mr. Bush has requested. The plan is a significant tactical change. Democrats had been expected to treat the three bills individually and send them to the White House in a sequence that allowed the party to spell out its priorities. Supporters of the new, more-unified approach say it better serves the party's political message by melding national security and domestic issues. But they also concede it could prove a confrontational, gamble that risks alienating Republican moderates whose support is vital if Congress is to convince the White House to negotiate over domestic spending. Education, veterans' health care and medical-research programs would most benefit from the added $14 billion. That is about a third of the growth in defense spending over 2007 -- a contrast Democrats will try to draw in the unified bill. At the same time, the leadership wants to showcase a commitment to fiscal discipline by cutting special spending projects for lawmakers known as "earmarks" by 40% from 2006 levels, when Republicans controlled Congress. House-Senate negotiators hope to agree on the individual pieces by 31 OCT, after which a final decision must be made on assembling the package. House Appropriations Committee Chairman David Obey (D-WI) appears to be leaning toward the new option in hope of combining enough popular interests to override any veto. White House officials say the inclusion of defense spending in the bill won't alter Mr. Bush's willingness to use his veto power, however. The recent fight over child health insurance suggests that if Democrats are seen as being too political, they won't win over the moderate Republicans they need to prevail. Just last week, for example, House Democrats failed for the third time to get a veto-proof majority for their health bill. Moderates complained Speaker Nancy Pelosi (D-CA) failed to include them adequately in shaping the newest version. The same could happen in the budget fight now. In an interview last week Sen. Thad Cochran (R-MS), senior Republican on the Senate Appropriations Committee, signaled a willingness to intercede with the White House to try to reach some compromise on spending. But when told yesterday of the new proposal to bundle bills together, he was much cooler. "The Democrats are not going to win my support by packaging the bills together," Mr. Cochran said. The fact that Democrats are still debating their legislative strategy this far into the fiscal year reflects the extraordinary confusion surrounding the budget debate this fall. No one predicts a government shutdown, but the Democratic majority faces a lame-duck president who has interpreted the 2006 elections as a call to vigorously exercise his veto power against spending. As a result, none of the 12 annual spending bills has been approved and most of the government has been left to operate under a stopgap spending resolution due to expire 16 NOV. The heart of the dispute lies in about $22 to $23 billion that would be added to Mr. Bush's requests for domestic programs such as veterans' care, education, medical research and law enforcement. The $14 billion in the proposed package constitutes about two-thirds of this money, and Democrats hope to draw a contrast between the increases they want and the much larger increases Mr. Bush will get for his defense priorities. The big exception is funding for the Iraq and Afghanistan military operations, which Mr. Bush designated "emergency" expenditures outside the budget caps. The president wants almost $190 billion, of which defense negotiators were prepared to provide a down payment of up $50 billion added to the core Pentagon budget bill. But if the Pentagon budget is to be combined with education and veterans funds, Democrats won't want any Iraq-related money in the bill since it would make it harder for their liberal members to back the package. [Source: Wall Street Journal David Rogers article 30 Oct 07 ++] VA Diverting Patients: James A. Haley VA Medical Center in Tampa and Bay Pines VA Medical Center in St. Petersburg are the nations busiest and fourth-busiest Veterans Affairs hospitals, respectively. Haley has been on divert status for critical patients 27% of the time since 1 JAN 06, or the equivalent of about 170 days, VA figures reviewed by the St. Petersburg Times show. The hospital diverts all patients regardless of condition 16% of the time. Since 2000, Bay Pines has diverted patients far more frequently than any other hospital in Pinellas County. Last year, it diverted veterans during 1,150 hours about 48 days, or 13% of the time, Pinellas paramedic records show. Theres no intent to deny veterans care, said Dr. George Van Buskirk, chief of staff at Bay Pines. I like to think were as compassionate as possible. Wed rather send them out to a place that can take care of them than have them languish on a gurney in the hallway. But some question the VAs resources. The VA has never dealt with its capacity issues seriously, said Bill Geden, district director in west-central Florida for the Blinded Veterans Association. Theyre underfunded, undermanned and overloaded. In one instance, Bay Pines said it made a rare mistake last June when it turned away a non-veteran who suffered a fatal heart attack 200 feet from its emergency room. The VA says it cannot assess
how the Florida hospitals diversion rates compare to others
nationally. But officials at both Haley and Bay Pines say they
are making it a priority to achieve better performance. In 2003,
for example, Bay Pines diverted paramedics 2,464 hours or 28%
of the time. Similar statistics were posted in 2004. This year,
Bay Pines is diverting about 7% of the time, roughly 500 hours
so far. Haleys diversion numbers have not improved in recent
years, though it also has expanded its emergency care and hired
three bed czars. Meanwhile, the number of patients
treated at both hospitals is on the rise. VA Guardian: Payment of benefits to a duly recognized fiduciary may be made on behalf of a person who is mentally incompetent or who is a minor; or, payment may be made directly to the beneficiary or to a relative or other person for the use of the beneficiary, regardless of legal disability, when it is determined to be in the best interest of the beneficiary by the VAs Veterans Service Center Manager. Unless otherwise contraindicated by evidence of record, payment will be made direct to the following classes of minors without any referral to the Veterans Service Center Manager: * Those who are
serving in or have been discharged from the military forces of
the United States; and Unless otherwise contraindicated by evidence of record, immediate payment of benefits may be made to the spouse of an incompetent veteran having no guardian for the use of the veteran and his or her dependents prior to referral to the Veterans Service Center Manager under the following circumstances: * When payments
have been discontinued or withheld from a fiduciary, benefits
may be temporarily paid to the person having custody of the minor
or incompetent. Guardians are allowed to keep a percentage of the VA payments if the state in which they reside allows it. In Florida this is 5%. [Source: http://www.warms.vba.va.gov/ Oct 07 ++] VA Tidbits: Biotape Refunds: Smart Inventions, Inc. and Jon Nokes have entered into a settlement agreement that will provide up to $2.5 million in consumer refunds to purchasers of the Biotape, an adhesive product that was falsely claimed to relieve pain when applied to the skin. In addition, a federal district court has ruled that Darrell Stoddard, the tapes inventor who appeared in a nationally televised infomercial, must give up the $86,000 he received from infomercial sales. The FTC had charged that all three defendants deceptively claimed that Biotape provided significant, permanent relief from severe pain and was superior to other pain-relief products. The infomercial claimed that Biotape was a space age conductive mylar that connects the broken circuits that cause . . . pain. The agency will contact consumers regarding refunds. For more information refer to http://www.ftc.gov/opa/2007/09/biotape.shtm [Source: FTC news release 18 Sep 07 ++] VA Flag-folding Recitation Ban: Complaints about religious content have led to a ban on flag-folding recitations by Veterans Administration employees and volunteers at all 125 national cemeteries. It all started because of one complaint about the ceremony at Riverside National Cemetery in California. During thousands of military burials, the volunteers have folded the American flag 13 times and recited the significance of every fold to survivors. For example, the 12th fold glorifies "God the Father, the Son and Holy Ghost." The complaint revolved around the narration in the 11th fold, which celebrates Jewish war veterans and "glorifies the God of Abraham, the God of Isaac and the God of Jacob." The National Cemetery Administration decided to ban the entire recital at all national cemeteries. Details of the complaint weren't disclosed. VA spokesman Mike Nacincik said the new policy outlined in a 27 SEP memorandum is aimed at creating uniform services throughout the military graveyard system. He said the 13-fold recital is not part of the U.S. Flag Code and is not government-approved. Veterans and honor detail volunteers, including Bobby Castillo, 85, and Rees Lloyd, 59, are furious. "That the actions of one disgruntled, whining, narcissistic and intolerant individual is preventing veterans from getting the honors they deserve is truly an outrage. These are decisions that should be made by the families of our deceased veteran comrades and not by Washington bureaucrats" Lloyd said. "This is another attempt by secularist fanatics to cleanse any reference to God." Lloyd, who is a California civil rights attorney, says he and his allies at the Alliance Defense Fund are considering their legal options. World War II Navy veteran Castillo said it's "a slap in the face to every veteran. When we got back from the war, we didn't ask for a whole lot," Castillo said. "We just want to give our veterans the respect they deserve. No one has ever complained to us about it. I just don't understand." Lloyd and Castillo are part of a 16-member detail that has performed military honors at more than 1,400 services. They were preparing to read the flag-folding remarks at the Riverside cemetery when graveyard staff members stopped them. Charlie Waters, parliamentarian
for the American Legion of California, said he's advising memorial
honor details to ignore the edict. "This is nuts,"
Waters told the Riverside Press-Enterprise by telephone from
Fresno. "There are 26 million veterans in this country,
and they're not going to take us all to prison." An American
Legion commander in California says he and other veterans will
defy the new ban. VA spokesman Nacincik said that though the
flag-folding narrative includes references to God that the government
does not endorse, the main reason for the new rules is uniformity.
"We are looking at consistency," Nacincik said. "We
think that's important." Rabbi Yitzhak Miller of Temple
Beth El said he understands the ban. "It is a perfect example
of government choosing to ignore religion in order to avoid offending
some religions," Miller said. "To me, ignoring religion
in general is just as problematic as endorsing any one religion."
VA Flag-folding Recitation
Ban Update 01: To ensure burial services at the 125 national
cemeteries operated by the Department of Veterans Affairs (VA)
reflect the wishes of veterans and their families, VA officials
have clarified the Departments policy about recitations
made while the U.S. flag is folded at the gravesite of a veteran.
Honoring the burial wishes of veterans is one of the highest
commitments for the men and women of VA, said William F.
Tuerk, VAs Under Secretary for Memorial Affairs. A
family may request the recitation of words to accompany the meaningful
presentation of the American flag as we honor the dedication
and sacrifice of their loved ones. Traditional gravesite
military funeral honors include the silent folding and presentation
of an American flag, a 21-gun rifle salute, and the playing of
Taps. The clarification includes the following: Veterans with a discharge other than dishonorable, their spouses and eligible dependent children can be buried in a national cemetery. Other burial benefits available for all eligible veterans, regardless of whether they are buried in a national cemetery or a private cemetery, include a burial flag, a Presidential Memorial Certificate and a government headstone or marker. [Source: VA News Release 30 Oct 07 ++] Agent Orange Lawsuits Update 10: The Haas vs. Department of Veterans Affairs case is going to be argued on 7 NOV at the US Court of Appeals for the Federal Circuit. This case has implications far beyond the payment or continuing non-payment of Agent Orange related benefits to Blue Water Navy sailors who never set foot on the ground. If the lower court (the US Court of Appeals for Veterans Claims) is upheld in tissue 06 decision, the DVA will be forced to begin processing claims for, and paying benefits to US Navy, Coast Guard, and Marine Corps, [and possibly Merchant Marine] veterans who served off the coast of Vietnam during the war, but never set foot on the ground. In essence, the decision reverts to the policy of granting presumptive eligibility to anyone who was rewarded the Vietnam Service Medal, or the Armed Forces Expeditionary Medal for service in Vietnam, a policy which was in effect from the enactment of the Agent Orange Act of 1991 until the DVA erroneously and unilaterally stop paying benefits to Blue Water Navy Veterans in 2002. But, the case, once it is upheld, will also, by dint of the presumptive service connection, create a new class of potential litigants in lawsuits against the chemical companies that manufactured the dioxin based defoliants, but also the United States Government, which specifically demanded the chemical composition to be delivered by the chemical manufacturers. It is the reason cited in the paragraph above on which the decision in Haas rests. The government escaped the Agent Orange Class Action Lawsuit of the 1990s as part of a structured deal going into litigation -- otherwise it would never have been settled. That may now be a moot point, however. The folks at BlueWaterNavy.org, the former Blue Water Navy Forum at Yahoo Groups, and the VNVets Blog have organized the Blue Water Navy Vietnam Veterans Association, and in doing so, have achieved class action size and status. Regardless of how the court rules in Haas, the option now exists to litigate a new class action settlement from both the Agent Orange chemical companies and the government. The new association is a unified focal point for blue water navy veterans and all of their issues, including the addition to the list of diseases, and subsidiary diseases and conditions currently authorized for payment under the Agent Orange Act. Keep in mind, a law suit is not a guaranteed outcome, nor is inclusion in it guaranteed. Often, those variables are negotiated prior to litigation, and sometimes during the suit. One of the things being looked at is the cross reference of spray maps and the locations of ships off shore vs. AO conditions in veterans who were on those ships at that time. The association has already begun collecting data. Instructions for enrollment in the association are available via the BlueWaterNavy Forum at http://bluewaternavy.org/phpBB2/index.php. Interested veterans and their wives, widows, and/or children are invited to register and log in to the forum. Membership in the forum is not the same as membership in the Association, nor is membership in either one automatic. Membership is open to Blue Water Navy Veterans, USMC Veterans and USCG and USMM Veterans who served off the coast of Vietnam during the war and did not set foot on the ground. Veterans Advocates can also enroll regardless of their service background. [Source: Blue Water Navy Vietnam Veterans Association notice 26 Oct 07 ++] VA Flu Shots Update 01:
To safeguard the health of Americas veterans, the Department
of Veterans Affairs (VA) is urging all veterans, especially those
enrolled in VAs health care system, to receive flu vaccinations
this season. Walk-in clinics, even drive-in clinics for the vaccinations
which are free for veterans enrolled in VAs health care
systemare being offered at many of VAs 153 hospitals
and more than 900 outpatient clinics. Veterans should check with
their nearest VA health care facility to learn about local vaccination
programs. Vaccination is a simple way of preventing serious
health care problems, especially among the elderly, those with
compromised immune systems and veterans with spinal cord injuries,
said Acting Secretary of Veterans Affairs Gordon H. Mansfield.
Part of VAs health care service is ensuring veterans
get their flu shots. Veterans should discuss flu vaccinations
with their primary health care provider. Physicians recommend
flu vaccinations for pregnant women, people with chronic medical
conditions, those at least 50 years of age, patients in long-term
care facilities, and people who live with those at high risk
for complications from flu. A recent study by Dr. Kristin Nichol,
a nationally recognized expert on the flu and chief of medicine
at the Minneapolis VA Medical Center, found dramatic reductions
in deaths and sickness after getting a flu shot. Vaccination
reduced hospitalizations for pneumonia or influenza by 27%, and
there was a 48% reduction in deaths. In addition to information
about flu vaccines available in VAs medical centers and
clinics, VA maintains information for consumers on its Web site
at: http://www.publichealth.va.gov/flu/
Tricare Flu Immunization:
Fall is the best time to get the flu vaccination in the United
States, according to health officials. This gives the body a
chance to build up immunity before the winter flu season. Tricare
beneficiaries should check with their local military treatment
facility or primary care manager to find out when and where they
are offering the flu vaccine, said Army Major General Elder
Granger, Deputy Director, Tricare Management Activity (TMA).
All beneficiaries are encouraged to protect themselves
against this potentially deadly virus. Influenza kills
about 36,000 Americans each year, and leads to about 200,000
hospitalizations, according to the Centers for Disease Control
and Prevention. It is strongly recommended that the following
people get vaccinated each year: all children aged six months
to their fifth birthday; adults aged 50 years and older; persons
with underlying chronic medical conditions; pregnant women; health
care workers involved in direct patient care; child care and
elderly care workers; and persons at high risk for severe complications
from influenza. Tricare will cover the Flu shots administered
in a civilian pharmacy or drugstore are not covered by Tricare.
For Tricare for Life beneficiaries, Medicare covers flu vaccinations
and Tricare would pay as second payer, if needed. Tricare covers
two types of vaccinations; the inactivated vaccine containing
a killed virus and given with a needle, and the nasal-spray flu
vaccine made with live, weakened flu viruses that do not cause
the flu. For more information about influenza refer to http://www.cdc.gov/flu/
For more information about your Tricare benefits refer to http://www.Tricare.mil VA Secretary Update 03: The Secretary of Veterans Affairs presides over the U.S. government's second largest Cabinet department, after Defense. It is a politically sensitive job, especially of late, with new studies showing that the Bush administration has vastly underestimated the cost of providing health care to the more than 750,000 soldiers who have returned home from the wars in Iraq and Afghanistan. But three months ago, former secretary James Nicholson resigned abruptly after a difficult tenure and tension among vets is rising because the White House still hasn't nominated a replacement. Some veterans advocates say the VA is in such disarray that the White House has been unable to find a top-notch candidate willing to take the job, much less go through a confirmation hearing. "Who wants to come in for 15 months and take over a department that has been left in shambles?" asks Paul Sullivan, a former VA official who now heads Veterans for Common Sense. White House spokeswoman Emily Lawrimore declined to comment on particular candidates, but says, "We are working hard to nominate a highly qualified individual." She adds that the White House hopes to announce a nominee "soon." In response to criticism over the issue, President Bush has unveiled new proposals to revamp the health-care and disability system for vets, partly by streamlining the bureaucracy. Days later, USA Today reported the results of a new internal VA study showing that the number of Iraq and Afghanistan vets diagnosed with post-traumatic-stress disorder is rising rapidly, from 29,041 a year ago to 48,559 this year. Few of these soldiers are even counted in the Pentagon's official tally of 27,753 wounded in Iraq. Yet a Pentagon task force recently concluded that the number of mental-health professionals available to vets is woefully inadequate, and the average wait time for disability claims is six months. Linda Bilmes, a policy analyst at Harvard who will testify before Congress this week, calculates that over the next decade, the disability costs for vets will be at least $60 billionmore than six times the administration's official projections. The numbers coming out of government budget offices, she says, are significantly underestimating the reality. All this has angered some vets and their families. "I would love to have the president live my life for one week to see how difficult it is," says Annette McLeod, wife of Army specialist Wendell McLeod, who is suffering from PTSD after serving in Iraq. "How do you fund a war but not fund the casualties?" [Source: Newsweek magazine Michael Isikoff and Jamie Reno article 29 Oct Issue ++] VA Secretary Update 04: President Bush on 30 OCT nominated retired Army Lt. Gen. James Peake to direct the embattled Department of Veterans Affairs, which is strained by the influx of wounded troops returning from Iraq and Afghanistan. "He will work tirelessly to eliminate backlogs and ensure that our veterans receive the benefits they need to lead lives of dignity and purpose," Bush said. Peake, 63, is a physician who spent 40 years in military medicine and was decorated for his service in Vietnam. He retired from the Army in 2004 after being lead commander in several medical posts, including four years as the U.S. Army surgeon general. The nomination comes as the administration and Congress struggle to find clear answers to some of the worst problems afflicting wounded warriors, such as adequate mental health treatment and timely payment of disability benefits. Peake currently is chief medical director and chief operating officer of QTC Management Inc., which provides government-outsourced occupational health, injury and disability examination services. If confirmed by the Senate, Peake would lead the government's second-largest agency with 235,000 employees in the waning months of the Bush administration. In his new post, Peake, the son of a medical services officer and Army nurse, would manage the VA, criticized for poor coordination in providing medical treatment and disability benefits to millions of veterans. Earlier this year, a presidential commission chaired by former Sen. Bob Dole, R-Kan., and Donna Shalala, former Health and Human Services Secretary during the Clinton administration, proposed sweeping change that could add to the VA's backlogged system by shifting most of the responsibility in awarding disability benefits from the Pentagon to the VA. The VA's backlog is between 400,000 and 600,000 claims, with delays of 177 days. Former Secretary Nicholson in May pledged to cut that time to 145 days, but little headway has been made with thousands of veterans from Iraq and Afghanistan returning home. "There is a lot of work to be done as we move forward on implementing the Dole-Shalala commission recommendations," Peake said. "The disability system is largely a 1945 product, 1945 processes around a 1945 family unit. About everybody that has studied it recently said it is time to do some revisions." Sen. Patty Murray, D-Wash., a member of the Senate Veterans Affairs Committee, said Peake will have to prove he is up to the task of improving the beleaguered veterans care system. Peake, a graduate of the U.S. Military Academy at West Point, was awarded the silver star and purple heart for his service in Vietnam as a platoon leader with the 101st Airborne Division. He was wounded twice in battle and received his acceptance letter to Cornell University Medical College while in the hospital recovering from injury. As surgeon general of the U.S. Army, he commanded 50,000 medical personnel and 187 army medical facilities across the world. He also was commanding general of the U.S. Army Medical Department Center and School. From 2004 to 2006, Peake was executive vice president and chief operating officer of Project HOPE, a nonprofit international health foundation. While at HOPE, he helped organize civilian volunteers aboard the Navy hospital ship Mercy as it responded to the tsunami in Indonesia and aboard the hospital ship Comfort which responded to Hurricane Katrina. Joe Davis, a spokesman for Veterans of Foreign Wars, said Peake appeared to be a strong nominee who will nevertheless face many difficult challenges at the VA. "He will inherit a department that continues to face significant challenges, ranging from the influx of a new generation of disabled veterans and an uncontrollable claims backlog, to not having an on-time budget for eight consecutive years," Davis said. "He will walk into tremendous challenges on day one." [Source: Associated Press Deb Riechmann article 30 Oct 07 ++] DOD Disability Evaluation System Update 07: The Defense Department will soon unveil a new, streamlined disability evaluation system that, in tandem with the Department of Veterans Affairs, will replace the current cumbersome process with a single exam and single disability rating. According to a copy of the plan obtained by Military Times and confirmed by Pentagon officials, veterans medically retired from service will be able to apply for, and get, VA benefits immediately. Overall, the time spent in the system, from the point a service member is found unfit for duty until he begins receiving VA disability payments, will be cut by about half, said to Bill Carr, undersecretary of defense for military personnel policy. The plan is the Pentagons best effort to make some fixes to the system immediately, without having to seek congressional approval. A broader, longer-range plan unveiled by the White House on 16 OCT, based on recent recommendations from a blue-ribbon commission, will require congressional approval and will take longer to implement. The Pentagons interim plan will be phased in with a pilot program to be launched in late November at three military hospitals: Walter Reed Army Medical Center in Washington , D.C.; National Naval Medical Center in Bethesda , MD ; and Malcolm Grove Medical Center at Andrews Air Force Base, MD. The plan will expand to other facilities as officials evaluate its effectiveness, with the emphasis on facilities that treat greater numbers of troops wounded in the wars. Carr said expansion will take place as fast as it can. The plan, a top priority of Defense Secretary Robert Gates, is the Pentagons answer to the Walter Reed scandal earlier this year in which media reports described wounded troops caught in tangle of red tape during their treatment and subsequent medical evaluations. The problems were complicated by the slow-moving VA benefits process and poor coordination between VA and the Pentagon and exacerbated by the wars in Iraq and Afghanistan, in which more than 28,000 troops have been wounded, more than 13,600 of them seriously. The new program will evaluate all service members equally, regardless of how their condition developed. Each service now does its own physical exam during the process leading to possible separation, and each service member is rated for his condition. A member medically separated or retired who then seeks VA care faces another physical exam and yet another rating. The single exam will be administered to troops as part of the standard Medical Evaluation Board (MEB), which determines a members fitness for duty. But instead of a military doctor, a VA-qualified provider with access to the members medical records will perform the exam. In addition to evaluating conditions that could make the member unfit for service, the doctor will also consider problems the member may say have been incurred in or aggravated by military service. If the MEB, which also considers a commanding officers input, decides the member does not meet retention standards, the case is referred to a Physical Evaluation Board (PEB). This board decides whether to retain, separate or return the member to duty and, under the current system, can determine the nature and amount of military disability benefits. Troops will retain the right to appeal this decision to a formal PEB. But if the original finding is confirmed, the new system will allow troops to have any single condition or rating reconsidered by a VA decision review officer while still on active duty. As it now stands, if a member is rated by the military as at least 30% disabled, he is medically retired. Unless the member served more than 20 years, a rating below 30% calls for medical separation and, under some conditions, a lump-sum, one-time payment. In the new plan, the military no longer will issue ratings; that will be solely the VAs job. But until the law is changed, the military will continue to base its disability ratings decisions only on those conditions that make a member unfit for continued service. For example, if a member is rated as 20% disabled for a knee injury and 10% disabled for hypertension, the militarys rating for the purpose of deciding whether to keep or release the member would be 20%, since hypertension is treatable, Carr said. In contrast, VA would use the total rating of 30% to calculate disability compensation for that member, using its own formula. That disparity would vanish
if Congress adopts the plan announced 16 OCT by President Bush,
Carr said. But while that plan faces competition from separate
wounded warrior legislation introduced in the House and Senate,
Carr said the essence of the new Pentagon plan likely will stand
no matter what happens with follow-on efforts. Carr agreed that
the shock of the Walter Reed scandal and Gates subsequent
push to fix the problems sped the process along. But he said
three congressionally mandated Pentagon executive groups had
been looking at such changes for the past two years. In summary
following is a summary of the current, pilot, and future plans: Pennsylvania Vet Agency: A comprehensive study issued in OCT 07 supports state Sen. Richard A. Kasunics bill calling for separate state government departments to serve the needs of Pennsylvanias military personnel and its veterans. Kasunic, who has served as Democratic chairman of the Senate Committee on Veterans Affairs & Emergency Preparedness, estimated the Keystone State is home to 1.3 million veterans. The 154-page Legislative Budget and Finance Committee studys first recommendation calls for a new cabinet-level Department of Veterans Affairs. Kasunic has introduced this measure in every legislative session dating to 1983. According to the study, the federal government annually spends an average of $545 less on Pennsylvania veterans than on vets who reside in other states. Kasunic said that amounts to $610 million fewer federal dollars, and $1.4 billion in lost economic activity. Study recommendations include: * Establishing a
separate state Department of Veterans Affairs. VA MRSA Testing Update 01: Lately the news has been saturated with stories on the increasing rates of methicillin-resistant staphylococcus aureus (MRSA) infections in the United States. The VA wants veterans to know they have taken proactive steps to combat the infection at each of its 153 hospitals and are placing greater emphasis on hygiene and screening procedures to help control spread of the disease. The new disease control plan is based on a pilot program that reduced the worrisome staph infection rate by 70% at a VA facility earlier this year. VA demonstrated that dramatic reductions in MRSA-related infections are possible, said Acting Secretary of Veterans Affairs Gordon H. Mansfield. VAs completion of our national deployment of these serious prevention measures reinforces VAs stature as one of the safest health care environments nationally. [Source: NAUS Weekly Update 19 Oct 07 ++] MRSA resists many antibiotics and is presently killing more people annually than AIDS, emphysema or homicide, taking an estimated 19,000 lives in 2005, according to a study published in the Journal of the American Medical Association. The best defense against the potentially deadly infection is common sense and cleanliness. Community-acquired staph infections, or CA-MRSA is primarily a skin infection. It often resembles a pimple, boil or spider bite, but it quickly worsens into an abscess or puss-filled blister or sore. Patients who have sores that wont heal or are filled with pus should see a doctor and ask to be tested for staph infection. They should not squeeze the sore or try to drain it that can spread the infection to other parts of the skin or deeper into the body. The vast majority of MRSA cases happen in hospital settings, but 10 to 15% occur in the community at large among otherwise healthy people. Infections often occur among people who are prone to cuts and scrapes, such as children and athletes. MRSA typically spreads by skin-to-skin contact, crowded conditions and the sharing of contaminated personal items. Others who should be watchful: people who have regular contact with health care workers, those who have recently taken such antibiotics as fluoroquinolones or cephalosporin, homosexual men, military recruits and prisoners. Clusters of infections have appeared in certain ethnic groups, including Pacific Islanders, Alaskan Natives and Native Americans. The risk of contracting MRSA
can be lowered by bathing regularly and washing hands before
meals as a start. Wash your hands often or use an antibacterial
sanitizer after youve been in public places or have touched
handrails and other highly trafficked surfaces. Make sure cuts
and scrapes are bandaged until they heal. Wash towels and sheets
regularly, preferably in hot water, and leave clothes in the
dryer until they are completely dry. Remind kids and teenagers
that personal items shouldnt be shared with their friends.
This includes brushes, combs, razors, towels, makeup and cell
phones. The bacteria may be found on the skin and in the noses
of nearly 30% of the population without causing harm. Experts
believe it survives on surfaces in 2 to 3% of homes, cars and
public places. But the bacteria are evolving, and the statistics
may already underestimate the prevalence of MRSA. Be especially
vigilant in health clubs and gyms staph grows rapidly
in warm, moist environments. The risks of infection and necessary
precautions should be explained to student athletes, particularly
those in contact sports who often suffer cuts and spend time
in locker rooms. When working out at the gym, make sure you wipe
down equipment before you use it. And if you have a scrape or
sore, keep it clean and bandaged until it heals. Minor cuts and
scrapes are the way MRSA takes hold. For more info on MRSA refer
to http://www.Mayoclinic.com
USAF Retiree Funerals: Manpower cuts and a high operations tempo, plus more retiree funerals than ever in Air Force history, mean base honor guards Air Force-wide will change the way they perform retiree funerals starting 1 NOV 07. The formal 10-person funeral will no longer be authorized for retiree funerals. The funeral detail will now consist of seven people who will serve as pall bearers, flag folders, flag presenter, bugler, spare, and firing party. This is to provide a 30% manpower relief for retiree funeral details, and 21% manning relief for overall funeral details, according to Pentagon air staff officials. "The main concern people had in the change of the funeral procedures was that we wouldn't be keeping with past traditions," said Staff Sgt. David Little, U.S. Air Force Honor Guard course supervisor for base honor guards. "Originally, the number of (Airmen) was going to be lowered to five, but we didn't want to lose the pall-bearing aspect so we determined that seven people would still be able to carry on all aspects of the funeral." This new funeral sequence has three major differences: the noncommissioned officer in charge of pall bearers also will be the NCO in charge of the funeral, the number of firing party members will be reduced to three, and a spare position will be added. The new sequence begins with the NCO of pallbearers assuming the position of NCO in charge to ensure the casket and flag are situated properly in the hearse. He or she will then join the pallbearers and call commands to carry the casket to gravesite, and finally present the flag to the family while the other team members assume their roles as either the bugler, spare or firing party. The final sequences are the same. A video was released 24 SEP documenting the new funeral, and is available on the Air Force Honor Guard Web site. Sergeant Little noted, "Another concern we've heard is that people think we're taking away the '21-gun salute' by having only three people fire. But what people don't realize is that we've never done a 21-gun salute during military funeral honors. What we do is fire three volleys in unison. Only the president receives a 21-gun salute, and only the Navy and Army have ever performed this. The three volleys come from an old battlefield custom where the two warring sides would cease hostilities to clear their dead from the battlefield, then would fire three volleys to alert the other side their dead had been properly cared for and they were ready to resume the battle. The fact that we had seven people firing the three volleys was a coincidence." Overall, the reaction has been positive, Sergeant Little said. "Retirees are grateful; they knew the Air Force was going to make changes, so they're happy we kept all aspects," he said. "The bases have been having a hard time supporting the 10-person funeral so this eases their personnel strain, and the base honor guards are happy with the new sequence. Training for the new sequence is not difficult either. We've had a lot of phone calls about the video, but what is important to remember is that all the manuals are the same. It's what you've already been trained on. The only differences are the sequences, and those are narrated to help each person understand (his or her) role. We're not teaching movements, we're teaching the sequence. The order of events is the same as the 10-person; the only real differences are the addition of the spare and the sequence at the back of the hearse." For more information or questions regarding funeral policy or protocol, call the Pentagon air staff at (703) 604-4928. [Source: Air Force Retiree News Service Madelyn Waychoff article 23 Oct 07 ++] Reserve GI Bill Update
07: In the 18 OCT hearing before the House Veterans Affairs
Economic Opportunity Subcommittee on the Montgomery GI Bill (MGIB)
the dominant subject was education benefits for returning combat
veterans from the Minnesota National Guard. The 34th Brigade
combat team served a grueling 16-month tour in Iraq and a total
of 22 months on active duty. More than half of the unit served
on two-year orders that qualified them to apply for active duty
MGIB benefits. But orders for the rest of the unit were for one
year and 364 days - one day short of two years. Based on that
one-day orders snafu, the Army denied active-duty-level benefits
for the latter group, offering them an option worth about $8,000
less. After NBC Nightly News and other media highlighted that
unfair decision, the Army let the soldiers apply for an administrative
correction that would make them eligible for the active duty
benefit. In testimony before the Committee MOAA's Deputy Director
for Government Relations, COL Bob Norton (USA-Ret) told the panel
that the real problem facing mobilized reservists is that they're
not allowed to use their GI Bill benefits after leaving service,
whereas all other active duty veterans are allowed 10 years'
eligibility after separation. Further, reservists aren't allowed
to accumulate multiple activations toward more education benefits.
All Guard and Reserve members who serve multiple tours in Iraq
or Afghanistan of less than two continuous years lose all GI
Bill benefits when they leave service. Norton urged Congress
to make two key MGIB fixes. First, consolidate reserve and active
duty programs under one law, with benefits scaled in proportion
to service rendered. Second, allow activated reservists the same
10 years of post-service access their active duty counterparts
have. The Senate approved the readjustment benefit in its version
of the FY2008 Defense Authorization Act; the House adopted the
consolidation provision in its version of the bill. Norton urged
legislators to put those fixes into law. For the longer term,
MOAA recommends tying MGIB benefits to the average cost of a
four-year public college education. New Medicare Reimbursement Rule: To defuse physicians' and hospitals' opposition to the creation of Medicare back in 1965, the program's congressional architects selected payment mechanisms designed to preserve the status quo. But as Medicare has expanded and problems of affordability and quality of care have grown, such an approach has become untenable. Recently, the Centers for Medicare and Medicaid Services (CMS) announced its decision to cease paying hospitals for some of the care made necessary by "preventable complications" conditions that result from medical errors or improper care and that can reasonably be expected to be averted. This rule, which implements a congressionally mandated change in hospital reimbursement, is the latest in a series of steps that have rendered Medicare's payment policy far less passive than it once was. The starting point for current Medicare payments for inpatient care is the system based on diagnosis-related groups (DRGs) that was adopted in 1983 by CMS's predecessor, the Health Care Financing Administration. That system is considered prospective, in that the amount paid to a hospital for a patient is fixed in advance and depends only on the diagnoses and major procedures reported at discharge (which, in turn, map to a specific DRG). In reality, payments under
this system have never been completely prospective, being influenced
to some degree by what happens to an individual patient during
a hospitalization. For example, higher payments are made on behalf
of patients in whom clinically significant complications develop
after admission than for those with the same diagnosis who have
no such complications. There are also so-called outlier payments
that partially compensate hospitals for the additional expenses
incurred for very-high-cost cases. With regard to preventable
complications, these retrospective features of the DRG payment
system have harbored a perverse incentive: hospitals that improved
patient safety and ameliorated problems such as nosocomial infections
saw their Medicare revenues and sometimes their profits
reduced. (a) High cost or high volume or both, After issuing a proposed
set of measures and considering comments from stakeholders and
experts, CMS decided to disallow incremental payments associated
with eight secondary conditions that it sees as preventable complications
of medical care. These conditions, if not present at the time
of admission, will no longer be taken into account in calculating
payments to hospitals after October 1, 2008. Medicare will continue to make outlier payments for cases with costs substantially exceeding the average for the appropriate DRG, even when these costs are the consequence of preventable complications and the likelihood of incurring such outlier payments will actually be increased by the new policy, because cases in which there are complications will more easily exceed the threshold associated with the lower-paying DRG. Moreover, preventable complications including the eight that CMS identified for exclusion may continue to result in higher Medicare payments to hospitals, because their downstream consequences may place cases in entirely different and very-high-cost DRGs, such as DRG 483 (tracheostomy with mechanical ventilation for 96 hours or more). The new approach does not attempt to unravel these more complex clinical scenarios. Conditions for which Medicare
will no longer pay more if acquired during an inpatient stay,
number of incidents in FY 2006, and average Medicare payment
for admissions in which condition was present are: DoD Retiree Pay Offset: There are new programs designed to reduce the reduction in retired pay due to receipt of Veteran Administration compensation, for certain disabled retirees. Concurrent Retirement and Disability Payments (CRDP) provides a 10-year phase-out of the offset to military retired pay due to receipt of VA disability compensation for members whose combined disability rating is 50% or greater . Members retired under disability provisions must have 20 years of service. Combat-Related Special Compensation (CRSC) pays added benefits to retirees who receive VA disability compensation for combat-related disabilities and have 20 years of service. To find out if either of this programs apply to you and to obtain the appropriate paperwork to apply refer to the following: * New Retired Benefit
Programs general information paper at http://www.defenselink.mil/prhome/docs/concurrent_retire_07a.pdf
Veterans must apply to their own branch of Service for Combat-Related Special Compensation (CRSC) benefits. Applicants are urged to contact their own branch of Service for additional information. Link to your Service web site: * Army at https://www.hrc.army.mil/site/crsc/index.html For more info refer to http://www.defenselink.mil/prhome/mppcrsc.html [Source: Under Secretary of Defense Personnel & Readiness notice 28 Mar 07 ++] VA MRSA Testing Update 01: Lately the news has been saturated with stories on the increasing rates of methicillin-resistant staphylococcus aureus (MRSA) infections in the United States. The VA wants veterans to know they have taken proactive steps to combat the infection at each of its 153 hospitals and are placing greater emphasis on hygiene and screening procedures to help control spread of the disease. The new disease control plan is based on a pilot program that reduced the worrisome staph infection rate by 70% at a VA facility earlier this year. VA demonstrated that dramatic reductions in MRSA-related infections are possible, said Acting Secretary of Veterans Affairs Gordon H. Mansfield. VAs completion of our national deployment of these serious prevention measures reinforces VAs stature as one of the safest health care environments nationally. [Source: NAUS Weekly Update 19 Oct 07 ++] VA Comp Payment Disparity
Update 09: On 17 OCT, the House Veterans Affairs
Subcommittee on Oversight and Investigations held a hearing to
review the disability claims rating process and assess the causes
of disparities in disability ratings that are administered by
the Department of Veterans Affairs. Variances in VA disability
compensation rates range from an average of $12,000 per veteran
in New Mexico to less than $8,000 per veteran in Ohio. Among
the actions under review are six recommendations from the Institute
for Defense Analyses (IDA) on providing improved consistency
in VA disability ratings and claims payments: The hearing marks what will hopefully be the continuation of a more rigorous effort to modernize and improve the way we evaluate disabilities and award compensation for injured service members, exactly as the Veterans Disability Benefits Commission and a number of other blue-ribbon panels have also recommended. [Source: NAUS Weekly Update 19 Oct 07 ++] Grayhound Discounts: 1. Fares are valid on Greyhound schedules and those of
participating interline carriers. Not available on Greyhound
Canada routes. Veterans Discount: With the Veterans Advantage Discount Card, members can save 15% on walk-up fares at the terminal or online. Veterans Advantage is available for U.S. Military Veterans, active duty, National Guard & Reservists, and their family members. Membership is good for discounts on travel, dining, entertainment, clothing, and many more services and products. To become a member and get this discount, apply online at the Veterans Advantage Web site, or call 1(866) 838-7392. A Veterans Advantage 30-day free trial offer is currently available for Greyhound riders to thank you for your service. Full memberships are available for as low as $59.95 for one year, plus $4.95 to process enrollment. VA Patient Discount: A 25%
discount on applicable one-way fares also is available to patients
of U.S. Veterans Administration Hospitals, patients assigned
by the U.S. Veterans Administration to Army, Navy, Air Force,
or military hospitals, or patients assigned by the U.S. Veterans
Administration to civil and state institutions when traveling
at their own expense. To qualify, the patient must present a
completed original Veterans Administration Request for Reduced
Rate Transportation Form (VA-Form 3068) to the ticket agent at
time of purchase. No copies, facsimiles, or other forms will
be accepted for this discount. Tricare Uniform Formulary
Update 22: On 26 OCT DoD officials announced the reclassification
of nine additional medications as non-formulary. The nasal corticosteroid
Veramyst and growth stimulants Genotropin, Genotropin Miniquick,
Humatrope, Saizen and Omnitrope will be changed to non-formulary
status on 9 DEC 07. Allergy medications Clarinex, Clarinex-D
and the asthma medication Zyflo will be reclassified as non-formulary
medications on 19 JAN 08. Medications not on the Uniform Formulary
are not available at military treatment facility (MTF) pharmacies
unless medical necessity has been established and an MTF provider
writes the prescription. Beneficiaries taking non-formulary medications
may want to consult with their health care provider about changing
to a less costly alternative. Beneficiaries can also ask providers
if establishing medical necessity for the third-tier medication
is appropriate. If medical necessity is established for a third-tier
medication, the co-payment is reduced to $9. Medical necessity
forms and criteria are available at For a complete list of medications,
their formulary status and where they are available beneficiaries
can refer to COLA 2008 Update 08: The Department of Labor announced that next years COLA (Cost of Living Adjustment) be 2.3%. The increase will apply to military retirees and their survivors, as well as Social Security annuities and certain other federal payments. Civilian federal retirees will receive a COLA of 2.0%. This is the lowest increase since 2004. The cost of living increase was 2.7 % in 2004, 4.1% in 2005 and 3.3% in 2006. COLAs are set by comparing the change in the consumer price index for wage earners and clerical workers from the third quarter of one year to the third quarter of the next year. The COLA is lower this year than last due to a drop in energy costs in August and September. Counterbalancing the COLA for Medicare beneficiaries will be a rise in Medicare premiums of $2.50, to $96.40 a month. The COLA is effective on 1 DEC 07 and will appear in your JAN checks. [Source: NAUS Weekly Update 19 Oct 07 ++] Pneumonia Vaccination:
The Army Medical Department is launching a concerted effort to
reduce the needless suffering, death, and waste of medical resources
that stem from widespread failure by older beneficiaries to get
their pneumonia vaccinations. Military medical facilities are
being pressed to stay on their toes about offering the shots
to all their older patients. Also known as the pneumococcal shot
or Pneumococcal Polysaccharide Vaccine or PPV, the pneumonia
vaccine is safe and highly effective, according to medical authoritiesprovided
it gets out of the bottle and inside somebodys body. To
encourage that to happen more often, military medical leaders
are stressing these facts: Anyone can get pneumococcal disease, but some people are at greater risk from the disease. These include people 65 and older, the very young, and people with special health problems. The pneumonia vaccine protects you from getting serious infection in your blood or brain that can cause dangerous health problems, hospitalization, and death. Pneumococcal disease can lead to serious infections of the lungs (pneumonia), the blood (bacteremia), and the covering of the brain (meningitis). About 1 out of every 20 people who get pneumococcal pneumonia dies from it, as do about two people out of 10 who get bacteremia and three people out of 10 who get meningitis. People with the special health problems are even more likely to die from the disease. Drugs such as penicillin were once effective in treating these infections; but the disease has become more resistant to these drugs, making treatment of pneumococcal infections more difficult. This makes prevention of the disease through vaccination even more important. Those who should get the pneumococcal shot are: * All adults 65
years of age or older. For more info on immunizations
Ask your doctor or nurse, refer to the National Immunization
Program Veterans Day Free Meals Update 0: In their annual salute to all veterans McCormick & Schmick's Seafood Restaurants will again provide free meals in honor of Veterans Day. All veterans can receive a free lunch or dinner entrée at McCormick & Schmick's Seafood Restaurants nationwide on Sunday, 11 NOV 06. Vets should show proper identification (VA card, VFW card, veterans ID, discharge papers, etc.) Reservations are strongly encouraged! In a show of thanks to our nation's veterans, Bill McCormick and Doug Schmick offer to serve those who've served at their McCormick & Schmick's Seafood Restaurants. Last year the company served nearly 15,000 vets nationwide. This year's event is taking place on the Sunday before Veterans Day so that families can participate. McCormick & Schmick's annual veterans program began as a small effort in just one restaurant in 1999. Due to its overwhelming popularity and positive response received from veterans the program has expanded nationwide. A complete list of participating restaurants may be found at http://www.McCormickandSchmicks.com Also thanking active duty
and veterans, the Golden Corral restaurants will be having their
annual salute to the military on Monday 13 NOV from 17-2100.
Military Appreciation Monday (First Monday after Veteran's Day)
is set aside for Golden Corral to honor all active duty and retired
military personnel with a free "thank you" dinner and
beverage at any Golden Corral restaurant. No identification is
required. Since 2001, Golden Corral has served 1,230,960 free
meals to active duty and retired military personnel. For more
info go to their website http://www.goldencorral.net/
Windows Vista Boycott: The Consumers Association (Consumentenbond) has called on consumers when purchasing a new computer to explicitly ask for the operating system Windows XP. New PCs come standard with Windows XPs successor Windows Vista but there are many complaints about this system. The organization has also called on shops to provide free Windows XP packages to clients who are having problems with Vista. The Consumers Association took this decision on 18 OCT after a meeting with Microsoft to discuss the problems with Vista. After a survey conducted by the Consumers Association showed that the performance of Microsofts latest operating system was very poor, the Association set up a registration center for complaints about Vista. In less than five weeks 5,000 users filed complaints about the functioning of the system. "The product has many teething problems, it is just not ready," a spokesperson for the association said. Printers and other hardware reportedly failed in combination with Vista, computers crash regularly and the peripherals are very slow. The association had a meeting about the complaints with Microsoft Nederland on 18 OCT and suggested that Microsoft offer Windows XP as an alternative to clients who are having problems with Vista, but Microsoft refused. "Although they do offer Windows XP to their business clients when they are having problems," the spokesperson for the association said. Microsoft was not available for comment. [Source: Expatica News ANP Oct 07 ++] Tricare Breast Cancer MRIs: Recognizing the importance of early detection, the Tricare Management Activity (TMA) recently changed its policy adding coverage for Magnetic Resonance Imaging (MRI) screening for women at high risk of developing breast cancer. The American Cancer Society has clear guidelines defining high risk which doctors can use to determine who qualifies for the coverage. If any qualified beneficiary receives this care in the near future and it is denied, they can resubmit their claim for reimbursement. An MRI is a clearly superior tool for screening the highest risk women for breast cancer, said Army Major General Elder Granger, Deputy Director, and Tricare Management Activity. We want these women to have every chance to detect any cancer at the earliest possible stages. Breast cancer is the third
most common cancer among Tricare beneficiaries and the second
most common cause of cancer death for women in the United States.
An individuals level of risk can be impacted by a number
of factors including age, family history and race. Doctors can
advise their patients of their individual risk factors, but even
women of average or low risk should be vigilant. The availability
of MRI screenings does not reduce the importance of regular examinations,
Major General Granger stressed. All women over 39 years
old need to get those annual mammograms. The key to dealing with
cancer is early detection. Anyone who meets the criteria
for a breast MRI will be covered by Tricare, retroactive to 1
MAR 07. If any qualified beneficiaries received this care on
or after March 1, 2007 and it was denied, they can resubmit their
claim for reimbursement. For more information about breast cancer
refer to Saluting the Flag Update 01: S1877, introduced by Senator Inhofe of Oklahoma, to amend Title 4, United States Code, to prescribe those members of the Armed Forces and veterans out of uniform may render the military salute during hoisting, lowering, or passing of the flag. The bill was sent to the House Judiciary Committee for consideration. The Committee, to date, has not set the bill for review. They have a huge backlog of issues currently under consideration. The staff reports that the concern with this bill is that there is no way to determine when people are in civilian clothes who is and who is not a veteran. The staff also said that there currently is in the law an appropriate method for rendering honors and that is to place one's hand over one's heart. It is not known at this point whether or not this bill will become law, but it is expected to be mired in legal wrangling and constitutional law review for quite some time. The Air Force Association (AFA) in the interim is suggesting that veterans render honors in a way they deem appropriate. If the situation warrants, place your hand over your heart - if you'd rather salute, do that. No law is going to change the way you feel about rendering honors. You earned the privilege to do as you choose. [Source: AFA Update 17 Oct 07 ++] VA Cemetery Texas Update 01: The numbers are deceiving for the Ft. Sam Houston National Cemetery. Since 31 JUL 07 the total internments have reached 116,766 and occupied gravesites number 92,980. Just five years ago, the cemetery added 40 new acres that were expected to give Fort Sam enough gravesites to last through 2010. But that section already is 90% full. There are just 5,256 gravesites left, which could run out in less than a year. Those running the cemetery say theyre utilizing the space they have left better, and are mapping plans to open one last section that could keep it in business through 2035. Run by the Veterans Affairs Department, the cemetery acquired 169.8 acres from Fort Sam Houston that is bordered by Salado Creek. Cemetery director William Trower said at least 100,000 veterans and their spouses are to be buried there before space runs out. Burials are done in concrete-lined crypts that can hold both a veteran and his or her spouse. The "lawn crypt," as its called, allows five graves to be placed in the same space that four once used. The headstone, set in a concrete containment box, wont move the way others do that rest on the earth. All headstones in American veterans cemeteries stand as soldiers do before mustering to war. But those here wont rise and fall, creating a "wave" of marble in a sea of well-manicured grass. That will spare Fort Sams maintenance workers from having to occasionally straighten the markers. [Source: San Antonio Express-News 15 Oct 07 ++] Veterans Mental Health Bill: U.S. Senator Daniel K. Akaka (D-HI), Chairman of The Committee on Veterans Affairs, has introduced comprehensive mental health legislation. The bill, inspired by an 25 APR Committee hearing on mental health care, would address the immediate needs of veterans by ensuring high quality mental health services at VA facilities and in their communities. In testimony at the hearing, veterans and their family members told heart-wrenching stories of substance abuse, PTSD, and suicide, which exposed flaws in the current mental health care system for veterans. Servicemen and women return from war suffering from invisible wounds that are complicated and wide-ranging, Akaka said. The solutions put forth in this legislation will help lead to proper mental health care for our veterans. In his floor statement Akaka noted: * A March 2007 study
published in the Archives of Internal Medicine reported that
more than one-third of war veterans who have served in either
Iraq or Afghanistan are suffering from various mental ailments
including post-traumatic stress disorder, anxiety, depression,
substance use disorder and other problems. According to the study,
a disproportionate number of young soldiers suffer mental health
problems. The Veterans Affairs Department on 24 OCT announced its opposition to the mental health care legislation, contending that it duplicates efforts already under way. Dr. Michael J. Kussman, the VA's undersecretary for health, "said the substance abuse segment of the bill was 'overly prescriptive and attempts to mandate the type of treatments to be provided to covered veterans, the treatment settings and the composition of treatment teams.' Kussman also said the contracted care sections of the bill are duplicative of currently existing authorities. [Source: SCVA News Release 15 Oct 07 ++ ] VA Pain Care: On 15 OCT Senator Daniel K. Akaka (D-HI), Chairman of the Veterans Affairs Committee, and fellow Committee member Senator Sherrod Brown (D-OH), introduced legislation that would enhance the Department of Veterans Affairs pain management program. The Veterans Pain Care Act of 2007 would assist in focusing attention on pain management as a new generation of veterans suffering from pain enter VAs health care system. This legislation seeks to significantly bolster VAs existing pain management efforts and bring them up to par at a national, system-wide level. This bill, among others, is scheduled to be reviewed at the Committees 24 OCT 07 hearing on pending legislation. It has been endorsed by the Pain Care Forum, a consortium representing over 75 health care and health advocacy organizations from across the country. Sen. Akaka noted in introducing the legislation that: * It is estimated
that nearly 30% of Americans thats some 86 million
people suffer from chronic or acute pain every year. A
recent study conducted by VA researchers in Connecticut found
that nearly 50% of veteran patients that are seen at VA facilities
reported that they experience pain regularly. VA Claim Backlog Update
12: On 9 OCT at a field hearing of the House Veterans
Affairs Subcommittee on Disability Assistance and Memorial Affairs,
Chairman John Hall (D-NY-19) called on the VA to reduce the waiting
time for veterans stuck in its overwhelming claims backlog by
two-thirds. He pointed out that these veterans have mortgages,
medical bills, and tuition bills for their childrens education
and that bill collectors dont wait 6 months, 2 years, or
5 years to collectyou have to pay them every month. The
VA must meet the same standard. He is asking that the VA cut
the waiting time from six months to two months, and someday even
be able to turn around a claim in 30 days. The VA currently maintains
a backlog of over 600,000 cases. Due to funding shortfalls over
the past five years, the backlog and waiting times became exacerbated
to the point of unmanageability. The current average waiting
periods at all levels in the VA disability benefits system are
staggering: Army Combat Action Badge:
The Army Combat Action Badge (CAB) may be awarded to any soldier
performing assigned duties in an area where hostile fire pay
or imminent danger pay is authorized; must have engaged the enemy;
and must not be assigned/attached to a unit that would qualify
the soldier for the CIB/CMB. Award of the CAB is authorized from
18 SEP 01 to a date to be determined. Retroactive awards for
the CAB are not presently authorized. Second and third awards
of the CAB for subsequent qualifying periods are indicated by
superimposing one and two stars respectively, centered at the
top of the badge between the points of the oak wreath. To expand
retroactive eligibility of the Army CAB to include members of
the Army who participated in combat during which they personally
engaged, or were personally engaged by, the enemy at any time
on or after 7 DEC 41, H.R.2267 was introduced by Ms. Ginny Brown-Waite
(FL-05) on 10 MAY 07. The bill would authorize the Secretary
of the Army to make arrangements with suppliers of the Army Combat
Action Badge so that eligible recipients of the Army Combat Action
Badge may procure the badge directly from suppliers, thereby
eliminating or at least substantially reducing administrative
costs for the Army. This bill has been referred to the House
Subcommittee on Military Personnel and will most likely die in
committee unless enough veterans contact their legislators and
convince them to bring the bill to the house floor for a vote.
Although the bill would cost the government only a minimal amount
since veterans would be authorized to purchase their own badges
it does not seem to be getting much attention by the subcommittee.
This could be because the Army is not in favor due to what they
claim would be problems verifying who was eligible. They also
cite funding. Veterans are encouraged to contact their legislators
and convince them to aid in getting this bill out of committee.
VA Budget 2008 Update 08: A war of words over veterans spending intensified 16 OCT, as Democrats went on offense after taking repeated hits from the GOP in recent days for not moving ahead on a $109.2 billion measure funding military construction and veterans' benefits. Democrats pointed out that the last time a veterans spending bill was approved before the end of the fiscal year was during the Clinton administration in fiscal 1997, when the Veterans Affairs Department was funded under the former VA-Housing and Urban Development measure. Last year, the VA budget did not pass until Democrats enacted a continuing resolution this February for the entire fiscal year, and during President Bush's tenure, the earliest Congress has sent him a final bill was 26 NOV. In each of fiscal 2003-2005, veterans spending was included as part of an omnibus appropriations package -- the earliest being 8 DEC -- which Republicans now criticize Democrats for moving toward. Earlier, House Minority Leader John Boehner (R-OH) had criticized House Democrats for not naming conferees on the Military Construction-VA bill, which he called inexcusable and evidence the majority was holding it back as a vehicle for more pork. "Mr. Boehner seems to have conveniently forgotten that last year, under his leadership, the Congress let down veterans and our troops by never passing the VA-Military Construction bill," replied House Military Construction-VA Appropriations Subcommittee Chairman Chet Edwards (D-TX). A Boehner spokesman said ignoring basic facts is becoming an all-too-common tack for House Democrats and laid last year's mess at the feet of the then-Senate leadership, as the House had passed its version. "This year the burden is on House Democrats, and their unwillingness to move forward represents a failure of leadership and demonstrates their inability to govern," he said. Both chambers have passed the measure, and Bush has indicated he would sign it despite a price tag $4 billion above his request. Bush has also demanded corresponding offsets in other areas of the budget, and Democrats have been reluctant to send him the bill and put domestic programs at risk. The Senate has already appointed conferees. But the House generally does not name conferees until right before a formal conference is ready to convene because the minority party can use that opportunity to offer procedural motions that are political in nature. Edwards said informal conference negotiations have already begun and that it is his hope that Democratic leaders would send Bush the bill by Veterans Day, 11 NOV. But senior Democratic aides said there was not yet a decision on timing or whether the measure would become part of a larger package. House Appropriations ranking member Jerry Lewis (R-CA) argued that the delays in getting the bill signed mean the VA cannot begin programs such as 450 claims processing units, addition of clinics and improvement of existing facilities. Democrats note that the White House and GOP leaders in recent years fought efforts to add spending on veterans programs, even stripping former House Veterans Affairs Chairman Christopher Smith, (R-NJ) of his chairmanship in 2005 after he had regularly spoken out against Republican budgets for not including more veterans funds. Edwards added that under Democratic leadership in Congress this year, we will pass the largest increase in veterans healthcare funding in the 77-year history of the Veterans Administration. Veterans are a crucial voting bloc for both parties, and earlier this year Bush touted his budget's increase as the largest in the agency's history. As veterans programs remain mired in the larger budget fight, Bush and Democratic leaders traded barbs over delays in passing any of the fiscal 2008 appropriations bills. In a speech in Rogers, Ark., Bush reiterated his pledge to veto Democratic spending bills, which are, overall, $23 billion above his $933 billion discretionary budget request. House Majority Leader Steny Hoyer (D-MD) shot back that the worst kept secret in Washington this fall is that Bush has taken a newfound hard line on spending in a vain attempt to establish his bona fides with his conservative base. Bush signed into law farm, highway and prescription drug legislation, as well as a number of appropriations bills that exceeded his requests when Republicans were in control. The House has passed all
12 fiscal 2008 appropriations bills. The Senate was moving toward
passage of its sixth, a $55 billion Commerce-Justice-Science
measure. Senate Commerce-Justice-Science (C-J-S) Appropriations
Subcommittee Chairwoman Barbara Mikulski (D-MD) told colleagues
it was time to fish or cut bait if they wanted to offer amendments.
Following passage of the C-J-S measure, Senate Majority Leader
Harry Reid (D-NV) said he would keep the chamber in session through
the weekend if necessary to complete work on the $150 billion
Labor-Health and Human Services bill, as Senate Labor-HHS Appropriations
Subcommittee Chairman Tom Harkin (D-IA) -- also chairman of the
Senate Agriculture Committee -- needs to turn his attention to
next week's farm bill markup. Senate Minority Leader Mitch McConnell
(R-KY) pledged significant cooperation on our end in working
through the bills, calling them the basic work of government
and we need to try and complete it as rapidly as possible. Bottom
line, Politics as Usual. Cell-Phone Scare Message:
The FTC has again stated that despite the claims made in e-mails
circulating on the Internet, consumers should not be concerned
that their cell phone numbers will be released to telemarketers
in the near future, and that it is not necessary to register
cell phone numbers on the National Do Not Call Registry to be
protected from most telemarketing calls to cell phones. Federal
Communications Commission regulations prohibit telemarketers
from using automated dialers to call cell phone numbers. No cell
phone directory is imminent. Because automated dialers are standard
in the industry, most telemarketers would be barred from calling
consumers on their cell phones without their consent even if
a directory were issued. For more info on the subject refer to
http://www.ftc.gov/opa/2007/10/dnccellphones.shtm
Remote Infrared Audible
Signs: The VA has installed their first Remote Infrared
Audible Signs (RIAS) at San Francisco VA Hospital and the Audie
Murphy hospital in San Antonio has decided to also. RIAS is a
wireless communication system that employs permanently installed
transmitters and hand-held receivers. Human voice or text to
speech messages that identify landmarks and provide information
are heard through a receiver carried by the traveler. People
who are visually or print reading disabled scan for directional
transmissions and find their way without asking for help. Talking
Signs transmitters are used in buildings, to identify approaching
buses, on bus stops, at cross-walks, in hospitals, museums, malls,
etc. Using the Talking Signs system, users are provided wayfinding,
orientation and information access in the built environment.
Alzheimers Update 04: Scientists reported progress 14 OCT toward one of medicines long-sought goals: the development of a blood test that can accurately diagnose Alzheimers disease, and even do so years before truly debilitating memory loss. A team of scientists, based mainly at Stanford University, developed a test that was about 90% accurate in distinguishing the blood of people with Alzheimers from the blood of those without the disease. The test was about 80% accurate in predicting which patients with mild memory loss would go on to develop Alzheimers disease two to six years later. Outside experts called the results, published online by Nature Medicine, promising but preliminary. They cautioned that the work needed to be validated by others and in much larger studies, because there have been many disappointments in the past. Right now, Alzheimers disease is diagnosed by a battery of mental and other tests, and even that diagnosis rests on the judgment of the physician. Doctors say it would be useful to have something like a pregnancy test for Alzheimers...one that is simple and definitive and can pick up the disease early, maybe even before symptoms appear. At present, treatments for Alzheimers disease are not very effective. The real usefulness of an early diagnostic test would come when drugs are developed that slow or halt the progression of the disease. Several therapies that might be able to do that are now being tested. The drugs would be most valuable if they could be used before cognitive ability had declined too much. Numerous efforts have been made to find an early marker in blood, urine, spinal fluid and eye movements, as well as through brain imaging using PET scans and MRI. A Norwegian company, DiaGenic, has presented some early results of a blood test that analyzes gene activity. Researchers at Cornell published early results last December using a pattern of 23 proteins in the spinal fluid. But no test has gained universal acceptance. Dr. Tony Wyss-Coray, an associate
professor of neurology at Stanford and the senior author of the
new paper, said there was evidence from animal studies that brains
affected by Alzheimers sent out signals to the bodys
immune system. So his team decided that rather than looking at
all proteins in the blood, it would focus on those involved in
communication between cells, hoping to eavesdrop, as it were,
on dialogue related to Alzheimers. The researchers gathered
more than 200 blood samples from people with Alzheimers
and those without. Using 83 of the samples, they measured the
abundance of 120 proteins involved in cell signaling and found
they could distinguish the Alzheimers samples from the
controls using 18 of the proteins. They then tested their 18-protein
signature on an additional 92 samples. The tests agreed with
the clinical diagnosis about 90% of the time. Perhaps most intriguing
were the results of the test on 47 blood samples taken from people
with mild cognitive impairment, a minor loss of memory that can
be a precursor of Alzheimers. The test was able to predict
with about 80% accuracy whether a patient went on to develop
Alzheimers two to six years after the blood sample had
been collected. VA Fraud Update 02: U.S. Attorney Mary Beth Buchanan announced a federal grand jury indicted a McKeesport PA woman for allegedly defrauding the Department of Veterans Affairs. The two-count indictment alleges Jacqueline Byrd, 58, had concealed evidence of her second marriage from authorities since 1977 in order to continue receiving veterans benefits. The Department of Veterans Affairs Inspector General conducted the investigation that led to Byrd. If convicted, Byrd faces 20 years in prison and a fine of $500,000. [Source: Pittsburgh Tribune-Review article 15 Oct 07 ++] VA Cancer Reporting Policy: Until recently, the nations cancer surveillance program was humming along. In every state, investigators were getting reports from every hospital describing every cancer patient they had seen. The data, which include the name, address, age, race and medical history of patients, are used to compile cancer rates. They also are used to investigate survival and other issues, like unusual cancer clusters and whether patients experiences are different depending on their racial or economic group. While other hospitals are required by state laws to submit data, Veterans Affairs hospitals are not. And now, for the first time, veterans hospitals have stopped providing information on their cancer patients. The concern, the VA says, is protecting patient privacy. The department has set up a new national directive setting conditions for using patients personal information and has said it cannot provide data unless and until states sign it. At issue, says Dr. Joel Kupersmith, chief of the departments research and development office, is the dynamic tension between patient privacy and the desire to use patients private information to do research. Only a handful of states have signed the directive so far, and the VA is just starting to send some of them data. Other states, including California, whose population includes more veterans than any other states, have not signed and say the departments conditions are almost impossible to meet. In the meantime, when the National Cancer Institute publishes its latest national cancer statistics next summer, they will be missing data from VA patients. And that will make them hard to interpret. For example, if prostrate cancer rates fall is that because VA patients were excluded. Dr. Brenda K. Edwards, associate director of the cancer institutes surveillance research program said, Cancer research will be severely impacted and added that the situation was so complicated that investigators could not even find a good way to estimate what the new rates would have been if the veterans data had been provided. The Centers for Disease control & Prevention (CDC) also relies on data from the state registries. Acting chief for the CDCs cancer surveillance branch says they been talking to VA administrators, trying to resolve the situation. But the veterans agency says there is a limit to how much it can compromise. The VA has come down clearly, Dr. Kupersmith said. The paramount issue for us is the protection of patient privacy and the protection of patient information. He added that the department was especially sensitive to privacy concerns in light of incidents like the theft by teenagers last year of a laptop computer containing personal information on 26.5 million veterans. The VA had been providing its patient data since 1972 without incident. However, in response to Californias cancer registry chief request for clarification on VA policy the department replied with a directive on 22 AUG that applied to every veterans hospital. And the agency told its hospitals to stop providing information on cancer patients unless and until the states signed its new directive. Among other things, it says that anyone who wants to use personal data involving Veterans Affairs patients must either get permission from the VAs under secretary of health or find an agency researcher to collaborate with and get permission from the hospitals ethics board. The directive also says that patient information must be encoded so that unauthorized people cannot read it. Cancer researchers say they have no idea how they will meet the conditions. Senator Daniel K. Akaka, the Hawaii Democrat who is chairman of the Senate Veterans Affairs oversight committee, expressed sympathy for the VAs position. Now, states are asking: Is it better to go along with the VA and get the data, even if the restrictions make it almost impossible to use the patient information in research? Or is it better to hold firm and not sign? It is especially difficult now to compile national statistics, said Dr. Edwards of the cancer institute. In some states, VA hospitals reported data until last month. In others, limited amounts are being reported, and in still other states, no data have been reported for a year or more. [Source: New York Times Gina Kolata article 10 Oct 07 ++] FTC Fraud Survey:
The Federal Trade Commission (FTC) has released its second survey
of frauds among American adults. The data were gathered from
3,888 interviews with a representative sample of adults. The
survey found that 30.2 million adults-13.5% of the adult population-were
defrauded during a 1-year period that began in late 2004. More
people were victims of fraudulent weight-loss products than of
any of the other frauds covered by the survey. The products included
nonprescription drugs, dietary supplements, skin patches, creams,
wraps, or earrings, where the seller promised that by using the
product losing a substantial amount of weight would be easy or
could be achieved without diet and/or exercise and where consumers
who purchased the product lost little or none of the weight they
had expected to lose. An estimated 2.1% of consumers-4.8 million
U.S. adults-purchased and used such fraudulent weight-loss products
during the one year period preceding the survey. An additional
700,000 adults purchased an alleged weight-loss product and didnt
use it. The estimated total number of purchases was 8.3 million.
Among purchasers, 6% said that they had lost as much or more
weight than expected, 10% said that they lost about half of what
they expected, 28% said that they only lost a little weight,
34% said that they did not lose any weight or gained weight,
and 20% said that they had not used the product. One reason these
scams are so prevalent is that the Postal Service no longer pays
attention to them. They will continue to be prevalent as long
as they remain profitable for media outlets that carry their
ads and credit card companies that facilitate the purchases.
House Bills United States House of Representatives website: http://www.house.gov/ Of the 3980 House bills introduced in the 110th Congress to date, following are those of interest to the veteran community. By clicking on the bill number you can access the actual legislative language of the bill and see if your representative has signed on as a cosponsor. Support of these bills by other legislators is critical if they are ever going to move through the legislative process for a floor vote to become law. A good indication on that likelihood is the number of cosponsors who have signed onto the bill. A cosponsor is a member of Congress who has joined one or more members in his/her chamber (i.e. House or Senate) to sponsor a bill or amendment. The member who introduces the bill is considered the sponsor. Members subsequently signing on are called cosponsors. Any number of members may cosponsor a bill in the House or Senate. At http://thomas.loc.gov you can also review a copy of each bill, determine its current status, the committee it has been assigned to, and if your legislator is a sponsor or cosponsor of it. To determine what bills, amendments your representative has sponsored, cosponsored, or dropped sponsorship on refer to http://thomas.loc.gov/bss/d110/sponlst.html. The key to increasing cosponsorship is letting our representatives know of veterans feelings on issues. At the end of some listed bills is a web link that can be used to do that. Otherwise, you can locate on http://thomas.loc.gov who your representative is and his/her phone number, mailing address, or email/website to communicate with a message or letter of your own making: House Bills Note: A short description
of each Bill is being provided. H.R.1901: A bill to amend title 38, United States Code,
to extend eligibility for pension benefits under laws administered
by the Secretary of Veterans Affairs to veterans who served during
certain periods of time in specified locations. Sponsor: Rep
Rahall, Nick J., II [WV-3] (introduced 4/17/07). Cosponsors (1).
Status: Referred to the House Committee on Veterans' Affairs. Senate Bills Note: A short description of each Bill is being provided. United States Senate website: http://www.senate.gov/
Of the 2251 Senate bills introduced in the 110th Congress to date, following are those of interest to the veteran community. By clicking on the bill number you can access the actual legislative language of the bill and see if your representative has signed on as a cosponsor. Support of these bills by other legislators is critical if they are ever going to move through the legislative process for a floor vote to become law. A good indication on that likelihood is the number of cosponsors who have signed onto the bill. A cosponsor is a member of Congress who has joined one or more members in his/her chamber (i.e. House or Senate) to sponsor a bill or amendment. The member who introduces the bill is considered the sponsor. Members subsequently signing on are called cosponsors. Any number of members may cosponsor a bill in the House or Senate. At http://thomas.loc.gov you can also review a copy of each bill, determine its current status, the committee it has been assigned to, and if your legislator is a sponsor or cosponsor of it. To determine what bills, amendments your representative has sponsored, cosponsored, or dropped sponsorship on refer to http://thomas.loc.gov/bss/d110/sponlst.html The key to increasing cosponsorship is letting our representatives know of veterans feelings on issues. At the end of some listed bills is a web link that can be used to do that. Otherwise, you can locate on http://thomas.loc.gov who your representative is and his/her phone number, mailing address, or email/website to communicate with a message or letter of your own making: S.0022: Veterans Educational Assistance Act of 2007. A
bill to amend title 38, United States Code, to establish a program
of educational assistance for members of the Armed Forces who
serve in the Armed Forces after September 11, 2001, and for other
purposes. Sponsor: Sen Webb, Jim [VA] (introduced 1/4/07). Cosponsors
(24). Status: Committee on Veterans' Affairs. Hearings held.
To support this bill and/or contact your Senator refer to http://capwiz.com/moaa/issues/bills/?bill=9242071 S.1293: Veterans' Education and Vocational Benefits Improvement
Act of 2007. A bill to amend titles 10 and 38, United States
Code, to improve educational assistance for members and former
members of the Armed Forces, and for other purposes. Sponsor:
Sen Craig, Larry E. [ID] (introduced 5/3/07). Cosponsors (None).
Status: Read twice and referred to the Committee on Veterans'
Affairs. |
VA Physician Qualifications (Hiring System Validity Questioned.) Marine Reserve Bonus (Expanded) Overseas Holiday Mailing 2007 (Mailing Dates) VA Obesity Initiative Update 02 (Epidemic Of Diabetes.) VA Flu Shots (2007/08 Season.) VA Health Care Funding Update 11 (IL Referendum.) West Virginia Vet Cemetery (Funded By Lottery.) VA Polytrauma Rehab Centers (Not Up To Speed.) VA Clinic Indianapolis IN (Fund Source.) VA VistA Update 01 (Outage Cripples Patient Care.) Check/Money Order Scams (Consumers Are An Easy Prey.) Funeral Honors Update 03 (Customs And Traditions.) Arlington National Cemetery Update 01 (Good Thru 2060.) VA Facility Expansion Update 10 (Chicago VA-DoD.) Massachusetts DPL Data Breach (450,000 SSNs Released.) SBP Basics Update 02 (Good Or Bad deal?) Tricare Reserve Select Update 08 (Continuation Coverage.) Connecticut Vets Wartime Service Medal (270,000 Vets Eligible.) VA CWT & IT (Change In Tax Status.) VDBC Update 22 (25% Disability Pay Hike.) VDBC Update 23 (Action Delayed Until 2008.) Medicare Rates 2008 ($2.90 Increase Per Month.) NDAA 2008 Update 09 (Senate Bill Passed.) VA Polytrauma Care Update 01 (5th PRC Announced.) Medicare Part D Update 16 (Closing The Doughnut Hole.) Canadian National Military Cemetery (Available To U.S. Vets.) Military Related Job Fairs Update 01 (15 Thru 31 Oct.) Veteran Legislation Status 30 SEP 07 (Where We Stand.) Editor Note: I have ceased using the email addee raoemo@mozcom.com because spam messages at this addee have reached 150 daily. My email addee raoemo@sbcglobal.net will be the primary addee I will be monitoring after 15 SEP. I am activating raoemo1@mozcom.net as a backup in the event communications via the primary addee should become disrupted. VA Physician Qualifications: Sens. Dick Durbin and Barack Obama say their own investigation raises serious questions about Veterans Affairs Department claims that officials couldn't have known about a surgeon's troubling history before he was hired at an Illinois VA hospital. In a harshly worded letter to acting Secretary of Veterans Affairs Gordon Mansfield on 11 OCT, the Illinois Democrats said their staffs easily found enough information to warrant a closer look at the qualifications of Dr. Jose Veizaga-Mendez. Veizaga-Mendez resigned from the Marion, Ill., VA hospital in August, shortly before the hospital suspended inpatient surgeries because of a spike in post-surgical deaths, reportedly from OCT 2006 to March of this year. Durbin has said he was told that nine people died at the Marion hospital during an unspecified six-month period when the typical mortality rate would have been two. He also has said that after hearing from Dr. Michael Kussman, a VA undersecretary, it is clear Veizaga-Mendez had some involvement with those surgeries. Veizaga-Mendez was hired in Marion even though he was barred from practicing in Massachusetts last year after accusations of grossly substandard care. "It appears the VA's efforts to discover the truth about Dr. Veizaga-Mendez, his past professional history, and the circumstances surrounding his license forfeiture were far from adequate and may have put the veterans seeking care at Marion in danger," the senators wrote. In a statement Thursday, the VA said it conducts a thorough background check that includes verification of professional credentials, competence, personal backgrounds and checks them against the national Practitioner Data Bank-Healthcare Integrity and Protection Data Bank. But Durbin and Obama said Kussman and another VA undersecretary, Dr. Gerald Cross, had said it was impossible for the VA to know whether Veizaga-Mendez had accurately described why he had surrendered his license in Massachusetts. "A cursory check by our staff of publicly available information has cast doubt on the validity of that claim," they wrote. Some of the information was readily available on the website of the Massachusetts Board of Registration in Medicine, the senators said. At the time the doctor was hired at Marion, information about medical malpractice payments he had made in 2004 and 2005, as well as the fact that he had been the subject of a hospital disciplinary action, were available on the website, they said. In a separate announcement
the VA said that they will be adding 2,000 advanced residency
positions for Doctors in the next 5 years. The VA already helps
to train nearly half of all physicians in the United States.
Presently every year 31,000 medical residents and 16,000 medical
students receive some of their training at a VA facility. In
JUL the VA added 341 new positions. Through its affiliations
with medical schools and universities, the VA is the largest
provider of health care training in the United States. Currently,
130 VA medical facilities are affiliated with 107 of the nation's
126 medical schools. These training positions address VAs
critical needs and provide skilled health care professionals
for the entire nation. The additional resident positions will
also encourage innovation in education that will improve patient
care, enable physicians in different disciplines to work together
and will incorporate state-of-the-art models of clinical care,
including VAs renowned quality and patient safety programs
and electronic medical record system. Marine Reserve Bonus:
The Marines are offering the following expanded bonuses for affiliation
with a Marine Corps Reserve drilling unit: Overseas Holiday Mailing 2007: Officials at the Military Postal Service Agency in Washington have established dates by for sending mail from the United States to overseas military mailing addressees for the holidays. In order to get holiday gifts to deployed service members by 25 DEC, mailers should heed the U.S. Postal Services suggested deadlines. Parcel post packages to deployed troops and those living on overseas installations should be sent by 13 NOV. Customers missing the parcel post deadline have the following options: Space-Available Mail (SAM) 27 NOV; Parcel Airlift Mail (PAL) 4 DEC (except for ZIP codes starting with 093, which is 1 DEC); Priority Mail and first-class letters and cards 11 DEC (093 ZIP codes: 4 DEC); Express Mail Military Services 18 DEC (not available to 093 ZIP codes). Parcel post packages sent to arrive by the start of Hanukkah at sundown 4 DEC should be mailed by 23 OCT. For other Hanukkah mailings, subtract 21 days from the deadlines listed above. To check mailing costs, visit http://www.usps.com click on calculate postage, then calculate domestic postage. [Source: Armed Forces News 12 Oct 07 ++] VA Obesity Initiative Update 02: NC8-TV Washington, DC broadcast on 9 OCT a report on a growing problem that's troubling the Department of Veterans Affairs. Namely, why are so many military veterans becoming obese and developing diabetes? Now the VA is looking into possible causes and promising cures. Former VA Secretary James Nicholson was shown saying, "We have an epidemic of diabetes among veterans in our country, and it's mostly adult-onset Type 2 diabetes, which is preventable." NC8 added, "At health fairs like this one at Washington's VA Medical Center, they're getting the word out. ... On the food front, they're researching veteran-specific nutrition." VA researcher Dr. William Yancey was shown saying, "We've specifically looked at low-carbohydrate diets and found pretty profound effects that their blood sugar's improved dramatically and they can come off some of their diabetes medications." The station added, "Like most doctors, VA health providers say diet and exercise are important to preventing obesity and the diabetes that often comes with it, but they say there are factors that might make veterans more susceptible to these diseases. A key worry stress. ... The VA says it's adding stress-reduction therapy to weight loss programs and doing what it can to encourage vets." Nicholson was shown saying veterans are being urged to be more conscious of how they're eating and we're giving them prescriptions of how to do this better too. [Source: VSLO Office of the Secretary of Veterans Affairs 9 Oct 07 ++] VA Flu Shots: Flu season will soon be here and veterans, especially the more elderly, are encouraged to get their shots. Most VA Medical Centers (VAMCs) are making preparations to administer these shots at no charge to enrolled veterans. If in doubt whether or not yours will be scheduling shots it is recommended you contact them. Shots are at no charge to enrolled veterans who would normally pay $20 to $30 if they were to obtain them through local medical services. Following are a few locations that have already made announcements: * The Portland VA
Medical Center has announced a series of flu vaccination clinics
for enrolled veterans. The clinics will be held at VA facilities
in Southwest Portland, East Portland, Bend, Salem, Warrenton
and Vancouver Oregon.For a schedule of dates and times, go to
http://www.visn20.med.va.gov/portland
or call 503-220-8262, ext. 155725. VA Health Care Funding Update 11: Lt. Gov. Pat Quinn has asked county boards in all 102 counties to approve placing an advisory referendum on the February primary election ballot asking voters whether the federal government should be required to adopt mandatory full funding of the Department of Veterans Affairs for the purpose of ensuring that all eligible honorably discharged U.S. veterans receive quality and accessible health care. In a letter to county clerks, Quinn said the issue of veterans' health care is of paramount importance to Illinois voters. Many county clerks agree with Quinn, but said costs for the county will be increased if any referendum is placed on the primary ballot. Perry County Clerk Kevin Kern, who serves as treasurer of the Illinois Association of County Clerks and Recorders (IACCR), said election costs are driven by the number of ballot styles that must be produced. With a referendum on the primary ballot, a non-partisan ticket would need to be printed in addition to specific party tickets. Costs of the programming of the ballots, paired with printing expenses and newspaper listing publication, would cost each county thousands of dollars, said Jackson County Clerk Larry Reinhardt, who serves as president of the IACCR. The increased cost is not the only concern of county clerks. Kern said since the referendum is advisory, it is simply meant to demonstrate support and would not create any binding effects. "Advisory basically means it isn't worth the paper it was printed on," Kern said. Placing a referendum on the primary ballot would also require additional education and training for poll workers. Quinn and his citizen support organization sent letters petitioning support for the referendums in September, stating that three counties, including Jefferson County, had already approved the referendum. Jefferson County Clerk Connie Simmons said the county board did approve the referendum but did not consult her before doing so. She would have advised the board to discuss placing the referendum on the November 2008 general election ballot. Reinhardt said a vast majority of county clerks in attendance at the IACCR's convention in September agreed that supporting a November referendum would be the preferred action. After the September convention and the letter from Quinn, Kern sent a letter of response to the lieutenant governor, addressing some of his concerns and also showing support for the overall goal of the proposal. "I think most all citizens would share Lt. Gov. Qinn's view that veterans' health care should rightfully be a high priority," Kern wrote in the letter. "Knowing that the lieutenant governor is also a watchdog for government waste and inefficiency, I would hope he would advocate that such a referendum be placed on a general election ballot when there would be much less added cost or confusion." [Source: The Sourthern Illoisan Testa article 10 Oct 07 ++] West Virginia Vet Cemetery:
West Virginia veterans might get a final resting place near Institute
in the first state-run veterans cemetery if a proposal sparked
by Veterans Affairs Director Larry Linch is acceptable to Gov.
Joe Manchin. Linch compiled a lengthy study on the proposal and
outlined much of its contents 9 OCT to Select Committee B on
Veterans Issues, saying the Veterans Council eyed two other potential
sites Carnifex Ferry Battlefield State Park near Summersville
and land offered by a church in Logan County. That was
one of the issues that actually has been on the books since 1970
that the state should run a veterans cemetery. But there
had never been a funding source. Linch said. All that changed,
however, with the advent of the special veterans scratch-off
lottery, and Linch is asking Manchin to sanction a second one
in case a backup is needed. Linch quoted Lottery Commission officials
as telling him the veterans scratch-off is the most consistently
selling of the state-run lotteries. On average, it rakes in $952,000
in sales, of which $700,000 is dedicated to bonds. That leaves
$252,000, along with $70,000 a year in interest, meaning the
Veterans Council is only about $5,000 shy of meeting the estimated
$327,105 to get the cemetery functioning. Dow Chemical is putting
up a 300-acre tract on which a house of worship is going up,
Linch pointed out. VA Polytrauma Rehab Centers:
On 25 SEP 07 the House Veterans' Affairs Oversight and Investigations
Subcommittee held a hearing on the Department of Veterans' Affairs
(VA) Polytrauma Rehabilitation Centers (PRCs) and their management
issues. The hearing focused on VA Central Offices oversight
over the PRCs and specific management issues affecting the Palo
Alto PRC. Polytrauma Rehabilitation Centers provide acute rehabilitative
care to seriously injured service members. They are managed locally,
but are part of a national program supervised by the Office of
Patient Care Services in the Veterans Health Administration.
The Committee found that PRCs were not using or had never heard
of the Joint Patient Tracking Application and the Veteran Tracking
Application systems. Critical medical information was being transferred
through multiple phone calls, e-mails, faxes, and videoconferencing
instead of using an electronic system. In addition, PRCs have
not completed securing access to department facilities and computer
network. Two PRCs were highlighted with specific issues. Visits
to Palo Alto PRC by the VAs Office of Medical Investigations
and Congressional staffers found disarray, morale problems, insufficient
programs for families, and a lack of leadership. This lack of
staffing and resources has caused a history of empty beds. Data
revealed Palo Alto on average has been filled only 60%, while
the remaining PRCs combined have been operating at 98% of capacity.
Palo Altos policy of not accepting minimally responsive
brain injured patients resulted in a higher rejection rate. The
VA has since forced Palo Alto to accept these patients. In addition
to the inefficiencies at Palo Alto, the Minneapolis PRC was found
to have an unusually high turnover rate of active duty military
liaisons. VA Clinic Indianapolis IN: The Department of Veterans Affairs (VA) will augment its health care to local veterans with a $9.9 million grant received 10 OCT from the Lilly Endowment Inc. The Indianapolis-based philanthropic foundation is providing the funds to the Richard L. Roudebush VA Medical Center to support a new clinic for injured service members returning from Iraq and Afghanistan and other projects, including a comfort home serving families of hospitalized service members while their loved ones undergo rehabilitation. The grant will provide $5.8 million for a 24,000-square-foot Seamless Transition Integrated Care Clinic where returning troops will receive comprehensive multidisciplinary health care. Another $3.5 million will be used to build a 28-suite comfort home that will provide accommodations for veterans families during extended periods of care. In addition, the endowment is funding retreats at which veterans and their spouses or loved ones can reunite and learn to work through readjustment issues typically associated with returning from deployment. Another $500,000 is designated for rehabilitation events, including the National Veterans Golden Age Games, which the Roudebush VA Medical Center will host in the summer of 2008. This senior adaptive rehabilitation program is designed to improve the quality of life for older veterans, including those with a wide range of abilities and disabilities. The Lilly Endowment was established in 1937 by members of the Lilly family as a vehicle to pursue their personal philanthropic interests. It is separate from the Eli Lilly and Co. pharmaceutical firm and is independently managed. [Source: VACO OPIA Report 10 Oct 07 ++] VA VistA Update 01: A day-long system outage at a new Veterans Affairs Department data processing center in northern California on 31 AUG 07 crippled critical information systems used to manage patient care at VA hospitals and clinics scattered across more than a third of the world, according to details from an internal VA after-action report. The outage at the VA's Sacramento, Calif., regional center was the longest of 14 disruptions since that facility started hosting the suite of clinical applications that make up the Veterans Health Information System and Technology Architecture (VistA) earlier this year. According to internal briefings, the Sacramento facility was created as part of a move by the VA to shift VistA computer operations from 126 local sites to four regional centers. Since April, problems at the Sacramento center resulted in VistA downtime ranging from 15 minutes to the nine-hour outage on 31 AUG. That event knocked out vital information systems at hospitals and clinics operated by the Veterans Health Administration in Alaska, northern California, Los Angeles, Hawaii, Guam, Idaho, Nevada, Oregon, west Texas, American Samoa, the Philippines and Washington state. The Sacramento failure first publicly surfaced at a hearing of the Senate Veterans Affairs Committee on 19 SEP, when Robert Howard, the VA's assistant secretary for information and technology, acknowledged it in response to a question by Sen. Patty Murray (D-WA). Howard characterized the outage as a big deal, but provided no details on its scope, scale or impact on patient care. But Dr. Ben Davoren, director of clinical informatics at the San Francisco VA Medical Center, told a hearing of the House Veterans Affairs Committee last week that the failure on 31 AUG was "the most significant technological threat to patient safety VA has ever had." Dr. Bryan Volpp, associate chief of staff for clinical informatics at the VA's Northern California Healthcare System, told the House that the 31 AUG outage all but sent VA hospitals and clinics in the western United States back to the paper age. The outage, Volpp testified, forced medical staff to shift from the use of electronic medical records to writing notes and summaries on paper. Outpatient surgery was delayed because clinicians could not access forms, and doctors could not access electronic records for patients with scheduled appointments. Patients discharged that day could not be scheduled for follow-up appointments electronically. Pharmacies at VA facilities connected to the Sacramento data center sputtered to a halt, Volpp said, because labeling and automatic dispensing equipment are controlled by VistA applications. Paper records from 31 AUG must be inputed into the electronic system by hand, Volpp said, a process that will take months. Both Volpp and Davoren testified
that the outage hit 17 VA medical facilities. But more than one
VA medical staffer told Government Executive that this figure
understates the scope of the outage, because the 17 are in turn
electronically linked to numerous clinics and outpatient facilities.
A VA source in Hawaii said the Honolulu VA medical center's information
systems were knocked out "because we use the Sacramento
server, and Guam was knocked out because it goes through us."
The San Francisco VA hospital, another source said, is electronically
linked to multiple clinics in its area, as are hospitals and
clinics in the region connected to the Sacramento data center.
While top VA information technology managers have touted the
establishment of regional data centers as a way to eliminate
downtime, insure continuity of operations and improve disaster
recovery, Davoren told the House hearing that the 31 AUG outage
indicated to him that the regional model introduced a new single
point of failure. He testified that in case of an outage, the
Sacramento data center was supposed to "failover" to
another regional center in Denver, but did not. The after-action
report did not address why this switchover did not happen. Volpp
testified that another backup system, a read-only backup of patient
data, was unavailable on 31 AUG due to work by the Sacramento
center to recreate accounts holding the data. Check/Money Order Scams: Investigators led by the U.S. Postal Inspection Service have arrested 77 people as part of a global fraud crackdown that intercepted more than $2.1 billion in counterfeit checks bound for the United States. The eight-month investigation involved schemes in Nigeria, the Netherlands, England and Canada, and has stopped more than half a million fake checks from being mailed to American victims. International scammers have found U.S. consumers easy prey and are increasingly targeting them. "All fake check scams have the same common pattern: Scammers contact victims online or through the mail and send them checks or money orders. They then ask that some portion of the money be wired back to them," said Postmaster General John Potter. "The best thing our citizens can do to protect themselves is learn how to avoid these scams. The old adage still holds true: If someone offers you a deal that sounds too good to be true, it probably is." Susan Grant, vice president of the National Consumers League said, "Most Americans don't realize they are financially liable when they fall for these scams. There is no legitimate reason anyone would mail you a check or money order and then ask you to wire money in return. People need to know that checks can take months to clear, even if the money initially looks like it's in your account. The scammers know that, and most consumers don't." The six most popular scams are: * Foreign Business
Offers: Scammers pretend to be businesspeople or government officials
and promise millions of dollars. But real companies and government
agencies don't offer legitimate business propositions to people
they don't know. If consumers believe they have been defrauded by a scam, the Postal Inspection Service wants to hear from them. These crimes can be reported by calling 1(800) 372-8347. [Source: Consumer affairs article 4 Oct 07 ++] Funeral Honors Update 03: As with the Military itself, our Armed Forces' final farewell to comrades is steeped in tradition and ceremony. 1. Prominent in a military
funeral is the flag-draped casket. The blue field of the flag
is placed at the head of the casket, over the left shoulder of
the deceased. The custom began in the Napoleonic Wars of the
late 18th and early 19th centuries, when a flag was used to cover
the dead as they were taken from the battlefield on a caisson.
5. A U.S. presidential death also
involves other ceremonial gun salutes and military traditions.
On the day after the death of the president, a former president
or president-elect -- unless this day falls on a Sunday or holiday,
in which case the honor will rendered the following day -- the
commanders of Army installations with the necessary personnel
and material traditionally order that one gun be fired every
half hour, beginning at reveille and ending at retreat. * The caisson or
hearse arrives at grave site, everyone presents arms. Arlington National Cemetery Update 01: The Nation's shrine to its military dead had 6,785 funerals in the just-concluded fiscal year, an all-time record. Now, as the dying of the World War II generation peaks, the cemetery is so busy that despite careful choreography, people attending one funeral can hear the bugle and rifle salutes echoing from another. As a result, the cemetery is about to begin a $35 million expansion that would push the ordered ranks of tombstones beyond its borders for the first time since the 1960s. The Millennium Project has been in the works for years as the cemetery has grown busier, dead from the Iraq war have been laid to rest with the veterans of wars past, and visitors have flocked to the see the Tomb of the Unknowns and the graves of such figures as President John F. Kennedy. Timing at Arlington has become critical. Some of the funerals can be fairly elaborate, with a band, a procession and a horse-drawn caisson, and can take up to 2 1/2 hours. Others might last only 35 or 40 minutes. All must be meticulously scheduled to minimize distractions and avoid traffic tie-ups on the cemetery roadways. The Millennium expansion has involved, among other things, the sensitive transfer of 12 acres within the cemetery from the National Park Service's historic Arlington House, the onetime home of Robert E. Lee. The Park Service has lamented the likely loss of woodland and the cemetery's encroachment on the majestic hilltop home, which dates to 1802. The project, which focuses on the northwest edge of the cemetery, includes expansion into about 10 acres taken from the Army's adjacent Fort Myer and four acres of cemetery maintenance property inside the boundaries, officials said. The extra space would provide room for 14,000 ground burials and 22,000 inurnments in a large columbarium complex, officials said. The project comes on the heels of extensive work underway to utilize 40 acres of unused space in the cemetery, creating room for 26,000 more graves and 5,000 inurnments. And there are plans for further outside expansion in the years ahead. The cemetery, established in 1864, covers more than 600 acres, and more than 300,000 people are buried there. The expansions are, in part, a response to the deaths of members of the country's World War II generation, about 16 million of whom served in the armed forces. The Department of Veterans Affairs says more than 3 million World War II veterans are alive. About 1,000 die each day. The department's National Cemetery Administration says the number of veteran deaths is peaking, at about 680,000 annually, and is expected to fall gradually to 671,000 in 2010, 622,000 in 2015 and 562,000 in 2020. At Arlington, which is run by the Army, the steady death toll from Iraq and Afghanistan has added to the numbers, although the cemetery gets only about 11% of those cases. More than 400 members of the armed forces who have died in Iraq and Afghanistan have been buried there. The initial work, to be contracted
through the Army Corps of Engineers, would control drainage into
the new sections. Katherine Basye Welton, cemetery project manager
for the Corps of Engineers, said the first contracts were to
be awarded by this month, but because of inadequate bids, the
work might not be awarded until the end of the year. The project
is expected to unfold over the next 10 years with funding hoped
for from Congress. But it has not thrilled everyone. Although
the transfer of the Arlington House land from the Park Service
was decreed by law five years ago, it still rankles there. The
parcel, which could lose many of its trees, has not been logged
since the Civil War. The cemetery also plans to acquire the Navy
Annex in 2010 and demolish it in 2013, and move underground utility
lines within the next year or so, to gain more space. The projects
should keep the cemetery open through about 2060. Meanwhile,
the pace at Arlington remains brisk. The cemetery handles 25
to 30 funerals a day. Some, involving cremated remains, are scheduled
for next year. VA Facility Expansion Update
10: A unique health care facility combining the resources
of the Department of Veterans Affairs (VA) and the Department
of Defense (DoD) will be named in honor of local native, Navy
veteran and astronaut James A. Lovell. The new VA-DoD Federal
Health Care Facility, scheduled to open in 2010, will care for
nearly 100,000 veterans, sailors, retirees and family members.
The new facility will result from the merger of the North Chicago
VA Medical Center and the Great Lakes Naval Hospital. This joint
$130 million initiative marks the first totally integrated federal
health care facility in the country. Jim Lovell, a Chicago native,
naval aviation veteran of the Korean War and former astronaut,
was command pilot of Apollo 8, the first Apollo mission to enter
lunar orbit. He also commanded Apollo 13, which suffered an explosion
enroute to the Moon and was brought back safely to Earth by the
efforts of its crew and mission control. Lovell is a recipient
of the Congressional Space Medal of Honor and the Presidential
Medal of Freedom. Massachusetts DPL Data Breach: The Massachusetts Division of Professional Licensure (DPL) last month mailed out 28 computer disks containing publicly available information such as names and addresses of state licensees to 23 individuals who requested the public records. This week, it followed up those mailings by informing 450,000 individuals that their Social Security numbers were also inadvertently included in the public data contained on those 28 disks, which were mailed out between 13 and 17 SEP. The letter urged affected individuals to contact the major credit bureaus and place fraud alerts on their credit. The agency also assured them that there has been no indication yet that the exposed information was misused. The letter also noted that all of the disks but two have already been recovered from the individuals who got them. DPL Director George K. Weber said in a letter posted on the division's Web site that none of the individuals who received the disks has indicated that they were even aware the disks contained Social Security information. The Massachusetts DPL, is an agency within the state's Office of Consumer Affairs and Business Regulation which regulates more than 40 trades and professions. According to a description
of the incident on its site, the foul-up was the result of a
programming error and the upgrading of computer hardware and
software at the DPL. Several categories of licensed professionals
were affected by the breach, including licensed nurses, health
care professionals, certified public accountants, engineers and
land surveyors. Such snafus are by no means uncommon. Earlier
this year, the Chicago Board of Elections found itself facing
charges that it failed to adequately protect the privacy of voters
in the city after it inadvertently distributed more than 100
computer disks containing the Social Security numbers of more
than 1.3 million voters to alderman and ward committee members.
In FEB 06, the Boston Globe found itself having to apologize
to about 240,000 subscribers after an attempt to recycle office
paper ended up with the company labeling newspaper bundles with
routing slips containing customer credit card information. That
same month, a human error at Blue Cross and Blue Shield of North
Carolina allowed the Social Security numbers of more than 600
members to be printed on the mailing labels of envelopes sent
to them with information about a new insurance plan. If you are
concerned about your financial data being compromised it is recommended
that you obtain insurance against identity theft. One such company
which I use with very reasonable rates can be located at http://www.lifelock.com SBP Basics Update 02: A question raised by many older retirees is, "I've been paying into SBP for decades. The government has made a lot of money on me. Why can't I get some of that money back after all these years?" On the flip side, those nearing military retirement want to know "Is SBP really worth it? It seems awfully expensive - how much bang for my buck am I going to get?" Anyone who thinks the government is making money on SBP is way off-base. As shown in the premium vs. payment chart at http://www.moaa.org/lac_issues_fully_retired_sbp.htm for the years 1985 though 2006 the government has paid out more than twice as much in SBP benefits to survivors than it collects in retiree premiums. And that difference will continue to grow, since we recently won a benefit increase for survivors age 62 and older. For members retiring after 20 or more years of active duty, the government expects that the average retiree's lifetime SBP premiums will only cover about 60% of the average benefits that will be paid to the retiree's survivor. That means three things: * Your SBP benefit
is 40% subsidized by the government to help recognize the value
of your service...(much different than the negative subsidy of
civilian insurance, for which premiums must cover 100% of benefit
costs, as well as company overhead, salaries, commissions, and
profit). Tricare Reserve Select Update 08: Tricare outreach efforts are ensuring that nearly all of the 11,000 Tricare Reserve Select (TRS) members under the tier version of TRS will stay covered under the restructured program. As of 1 OCT approximately 90% had either switched over to the new programor were in the process. The restructured TRS has also attracted interest from members of the Selected Reserves not previously covered under the tier program and nearly 10,000 have begun the process of qualifying for TRS. On 30 SEP, all current members in the tier program were disenrolled as the restructured TRS went into effect 1 OCT under changes mandated by the 2007 National Defense Authorization Act. Despite an instruction letter sent out in early August, less than half had transferred to the restructured program by mid-September. The few remaining Tier TRS members who still have not heard about the need to make the switch will not be left out in the cold. They have a 60-day window to qualify for the new program with coverage retroactive to 1 OCT under a new provision called continuation coverage. The number of new TRS members
represents a moving target as it climbs daily. Already, the number
of Selected Reservists purchasing coverage is nearly double the
average number of members in the old TRS. With the end of the
complicated tier program and its many qualifications, the majority
of National Guard and Reserve members in the Selected Reserve
are now eligible for TRS at a monthly premium of $81 for the
Service member only and $253 for the Service member and their
family. Coverage is comparable to Tricare Standard and Extra.
The restructured TRS also features continuously open enrollment.
National Guard and Reserve members must be in the Selected Reserve
to be eligible for TRS. There is an important exclusion: Selected
Reserve members cannot be eligible for Federal Employees Health
Benefits (FEHB), or currently covered under FEHB (either under
their own eligibility or through a family member). Members of
the Selected Reserve can find out about TRS costs, whats
covered, and how to purchase coverage through the My Benefit
portal at http://www.tricare.mil
Selected Reserve members who wish to see if they are qualified
to purchase TRS coverage under the restructured program should
go to the TRS Web application at https://www.dmdc.osd.mil/appj/trs/
and follow the instructions. If qualified, the member can print
out the TRS Request Form; attest that they are not eligible for
or covered by an FEHB plan; then send the form with one months
premium to the appropriate Tricare regional MCSC. National Guard
and Reserve members may also contact their Reserve Component
if they have additional questions about eligibility for TRS.
Connecticut Vets Wartime Service Medal: All Connecticut veterans with qualifying wartime military service are eligible to receive the Connecticut Veterans Wartime Service Medal. Since last fall, the Connecticut State Department of Veteran's Affairs has hosted invitation-only ceremonies during which veterans of all wars receive the Medal. It is the first of its kind that the state has minted since the end of World War I. The 270,000 veterans who will receive it are Connecticut natives or current residents who served in a war and received honorable discharges. All living war veterans from World War II to the current war in Iraq are entitled to the medal. The medal can also be mailed to the veteran's home. In order to receive the medal, the veteran must meet all of the following requirements: 1. Submit documentary proof
of qualifying military wartime service (90 days wartime service,
unless the war or operation lasted less than 90 days); (i.e.
DD Form 214 or other documentation if DD Form 214 is unavailable) Awards will not be made posthumously.
Send applications & supporting documentation to: Department
of Veterans' Affairs, ATTN: Wartime Medal and Registry, 287 West
Street, Rocky Hill, CT 06067 or Fax: (860) 721-5919. VA CWT & IT:
The Department of Veterans Affairs Compensated Work Therapy (CWT),
and Incentive Therapy (IT) programs are work therapy programs
intended to help veterans receiving treatment at VA Hospitals
to return to employment. Veterans who have participated in these
programs and received payments from VA as part of their therapy
may have had their payments reported to the Internal Revenue
Service (IRS), if they received over $600 in any year. The payments
from these programs may have been treated as taxable income,
based on IRS regulations in place at the time. The United States
Tax Court has recently determined that the payments from these
VA programs are not taxable because they are tax-exempt veterans
benefits. Veterans who reported CWT or IT work therapy program
payments as taxable income may be eligible to file amended tax
returns claiming refunds of the tax they paid on program payments.
Veterans who reported these payments as taxable income are advised
to speak with a tax advisor regarding this matter. VDBC Update 23: A presidential commission has called for an immediate 25% increase in veterans disability compensation while awaiting a larger overhaul of disability and transition benefits. The Veterans Disability Benefits Commission (VDBC) says the current compensation system is outdated and fails to consider the complete impact that a service-connected disability has on the life of veterans and their families. The current system also is unnecessarily cumbersome to the point that it discourages veterans from getting the help they deserve, says the commission report, a copy of which was obtained 2 OCT by the Military Times. The 562-page report was released 3 OCT, although what happens next is unclear. Most of the recommendations, including the proposed 25% benefits boost, would require congressional action before they could take effect. With the Bush administration already balking at the $4 billion increase in veterans health care and benefits programs being pushed by Congress, it is unlikely that administration officials would support further increases. However, an overhaul of the veterans disability rating system, streamlined claims processing and an easier transition from military to veterans programs are all issues under consideration by Congress, and could end up included in the Wounded Warrior Assistance Act that lawmakers expect to pass later this year. An overhaul of the militarys complicated disability retirement and physical evaluation process is expected to be part of that bill. The report by the 13-member commission, led by retired Army Lt. Gen. James Scott, caps more than two years of work, including several precedent-setting studies of disabled veterans and their compensation that looked at their total income and compared military and veterans benefits to those received by disabled workers who never served in the military. In calling for an overhaul of the military and Department of Veterans Affairs rating systems, the commission said a revised system needs to be fair so that people who have experienced similar losses receive similar compensation. Veterans with mental disorders, including post-traumatic stress disorder, are particularly poorly served by the current rating system, the report says. The VA ratings schedule that sets disability levels has not been changed in 62 years, and needs to be updated, the commission says, with top priority going to revising the ratings for PTSD, traumatic brain injury and other mental health and neurological body systems says. This could be done quickly, in time to help Iraq and Afghanistan war veterans, while leaving a review of the rest of the ratings to roll out over five years. The commission comes down
squarely on the side of veterans on several controversial issues.
For example, it supports allowing disabled retirees to receive
full veterans disability compensation and military retired
pay when they are eligible for both, and to allow survivors to
receive their full veterans and military survivors
benefits. On both of those issues, the Pentagon has resisted
efforts in Congress to allow both payments in full, although
in recent years lawmakers have been phasing out the mandatory
offsets in one pay or the other that had been on the books for
decades. One recommendation that may not please veterans calls
for periodic reviews of case in which disability pay is based,
in part, on the fact that a veterans disability prohibits
him or her from holding a job. When former VA Secretary R. James
Nicholson made a similar recommendation several years ago, veterans
went wild about the government trying to cut their payments.
The commission calls for periodical and comprehensive evaluations
of disabled veterans employability status, and a way to
slowly wean veterans off benefits if it is possible for them
to return to work at some point. VDBC Update 22: The House Veterans' Affairs Committee likely will not consider until next year legislation to address the recommendations of two major commissions created to study veterans' health and disability issues. A commission chaired by former Sen. Bob Dole and former Health and Human Services Secretary Donna Shalala examined servicemembers' transition from military to civilian life and released its report in JUL 07, while the congressionally mandated Veterans' Disability Benefits Commission released its report 3 OCT. Committee Chairman Bob (D-CA) said that he plans to combine the recommendations of the two reports in a single piece of legislation that the panel likely would not mark up until next year. Retired Army Lt. Gen. James Terry Scott, chairman of the Veterans' Disability Benefits Commission, said that his commission and the Dole-Shalala commission have parted on some issues, which could prove a challenge in drafting legislation. However, Filner suggested that the commissions' findings would give a new secretary a window of opportunity to make major changes at VA. At the hearing Scott said, A VA pilot program that would allow veterans to get benefits without having to prove their claim first, subject to random audits later for validity, might work if the new VA secretary works closely with Congress to ensure there are no unintended consequences. Such a proposal has been touted before by Harvard professor Linda Bilmes and more recently by former VA Secretary Jim Nicholson in his final days before leaving office." Separately, two major veterans groups expressed impatience with government delays in improving care for wounded troops. They called on President Bush to move quickly to nominate a new VA secretary who would finally make the needs of our nation's veterans a national priority. "This is no time for the president to fill such an important position with a placeholder for the remainder of his term," said David W. Gorman, an executive director of Disabled American Veterans. Testimony to Congress by Scott is the first among several commissions and task forces to weigh in on the issue of reducing intractable delays in veterans disability pay. In early OCT the 13-member commission issued a 544-page report on the ailing system that called the current 177-day wait unacceptable. It called for better technology, standardized procedures and additional staff to reduce the claims backlog to about 90 days within two years. Under questioning Scott acknowledged that more radical efforts might be needed. "The VA as an institution has been hit about the head and shoulders so much that trying something new is sometimes resisted because they're afraid they'll be left holding the bag," Scott told the House Veterans Affairs Committee. "I wouldn't object to a pilot program. The current system is so complicated, it's a wonder to me that anyone can get a claim processed." Scott said. The comments come as the Bush administration and Congress struggle to find clear answers to some of the worst problems afflicting wounded warriors more than seven months after disclosures of shoddy outpatient treatment at the Pentagon-run Walter Reed Army Medical Center. The Government Accountability Office earlier this month in particular cited Army problems in providing personalized medical care and the VA's backlogs in disability pay. Nicholson, who stepped down 1 OCT, has said his successor will have "think outside the box" to solve intractable delays in disability pay. Gordon Mansfield, the VA's deputy secretary, is serving as acting secretary pending a nomination of a successor by Bush. On 10 OCT the group Iraq and Afghanistan Veterans of America aired a new television ad that chastises both Congress and the Bush administration for continuing problems in veterans care. [Source: AP Hope Yen and USA Today articles 11 Oct 07 ++] Medicare Rates 2008: The Bush administration announced 1 OCT that the standard Medicare premium would rise to $96.40 a month next year, an increase of $2.90 a month. The 3.1% increase is the smallest since 1999-2000, when the premium was at the same level, $45.50, for two years in a row. Most of the 43 million beneficiaries pay the standard premium for Medicare Part B, which covers doctors services, outpatient hospital care, X-rays, laboratory services and other diagnostic tests. About 5% of beneficiaries, with annual incomes exceeding $82,000 for individuals and $164,000 for couples filing joint tax returns, will pay higher premiums on a sliding scale. The maximum will be $238.40 a month for the most affluent, individuals with annual incomes exceeding $205,000 and each member of a couple reporting combined income of more than $410,000. For an individual with annual income from $102,000 to $153,000, the premium will be $160.90 a month. Most beneficiaries pay separate premiums for Medicare coverage of prescription drugs on top of the standard premium. The drug premiums typically range from $25 to $40 a month. The increase in the standard Part B premium was less than many experts had expected, in part because officials decided to correct an accounting error. As a result of the error, money for certain hospice benefits was inadvertently drawn from the Part B trust fund rather than a separate trust fund that pays hospital costs. The money will be paid back in the coming year. In addition, the premium for 2008 is artificially low because it assumes that Medicare payments to doctors will be cut about 10% next year, as required by law. Congress has usually stepped in to avert such cuts, and the cost is passed on to beneficiaries in subsequent years. The chief Medicare actuary, Richard S. Foster, said, The low increase in premiums is good news for 2008, but added that it was probably a one-time phenomenon. The annual deductible for doctors visits and other Part B services will be $135, up from $131. The deductible was fixed at $100 a year from 1991 to 2004. It now increases to reflect the growing average cost of Part B services for beneficiaries 65 and older. For a beneficiary admitted to a hospital, the deductible will be $1,024 next year, up from $992. [Source: the New York Times Robert Pear article 2 Oct 07 ++] NDAA 2008 Update 09: On 1 OCT the Senate finally passed their version of the National Defense Authorization Bill (H.R. 1585) by a vote of 92-3. The bill now moves to conference with the House to work out differences. The bill faces a possible veto by President Bush over an expansion of federal hate-crime laws, unrelated to national defense but stuck in regardless, if that provision makes it through the conference. Among the many amendments added to the bill are several items of imminent interest to retirees and their families. They include: * The Lautenberg
amendment to prohibit increases in TRICARE fees for FY2008 and
to express the sense of the Senate that military service is unique
and that military members have earned their benefit by virtue
of their service and sacrifices. The Senate has appointed its conferees for H.R.1585, the FY 2008 National Defense Authorization Act. House conferees have not yet been announced. The conferees will meet to discuss differing provisions of the NDAA. The Senate conferees are as follows: Senators Levin; Kennedy; Byrd; Lieberman; Reed; Akaka; Nelson FL; Nelson NE; Bayh; Clinton; Pryor; Webb; McCaskill; McCain; Warner; Inhofe; Sessions; Collins; Chambliss; Graham; Dole; Cornyn; Thune; Martinez; and Corker. [Source: NAUS Special Update for 2 OCT 07 ++] VA Polytrauma Care Update
01: The Department of Veterans Affairs (VA) announced
28 SEP the Audie L. Murphy Memorial Veterans Hospital located
in San Antonio, Texas will house the Nations newest Polytrauma
Rehabilitation Center (PRC). This Center will provide intensive
medical rehabilitation for seriously injured and wounded service
members and veterans who suffer from Traumatic Brain Injuries,
amputations, burns, blindness, and Post-Traumatic Stress Disorders.
Care has been structured around teams of specialists. There are
currently four VA PRCs in Minneapolis, MN; Richmond, VA; Tampa,
FL; and Palo Alto, CA. The San Antonio project will consist of
two stages. In the first, VA will construct an 84,000 square-foot,
three-level building for rehabilitation, transitional living
and prosthetics. This will be followed by renovation of 32,500
square feet of office and exam room spaces in the main medical
center building at the VAs medical center. The Center will
eventually house one floor of polytrauma ward space (12 beds)
and transitional housing (12 apartments); one floor of polytrauma
rehabilitation and multi-purpose space; and one floor for physical
medicine and prosthetics service. The cost of the entire project
is estimated at $66 million. Construction is expected to begin
next year. Medicare Part D Update
16: Senator Bill Nelson (D-FL) has introduced a bill -
the Medicare Prescription Drug Gap Reduction Act of 2007 (S.2089)
- to give the Secretary of Health and Human Services authority
to negotiate prescription drug prices on behalf of Medicare beneficiaries.
Currently, more than one-quarter of all Medicare Part D recipients
are affected by a large gap in coverage, often referred to as
the doughnut hole. After $2,400 in prescription expenses, seniors
receive no prescription drug coverage but continue to pay premiums
until they exceed $5,451 in expenses. Savings generated by prescription
drug negotiation under S.2089 would be directed toward reducing
this gap in coverage. Canadian National Military Cemetery: An expansion of the Canadian Forces National Military Cemetery (NMC) in Ottawa earlier this year allows veterans of British forces, along with those of France, the United States and Poland, to be buried alongside Canada's military casualties. Former members of allied merchant navies can also be laid to rest there. Eligibility criteria for internment in the NMC is: * All former members
of the Canadian Forces, both Regular and Reserve Force, including
the Merchant Navy of Canada. Allied Force members, or
a member of their estate must provide documents demonstrating
that the applicant was honorably released. Upon determination
of eligibility, the applicant or their estate will coordinate
burial arrangements directly with the staff of Beechwood Cemetery.
Family members and/or funeral directors will facilitate burial
arrangements directly with Beechwood Cemetery, once the NMC application
has been approved. Burial and most associated costs will be borne
by the military for serving members of the Regular Force and
Reserve Class C Service and by the estate for veterans. Charges
for burial and services are based on rates approved annually
by the Ontario Ministry of Corporate and Consumer Relations.
Beechwood offers pre-payment options so that those wishing to
be buried at the NMC can take advantage of current prices. Plots
will not be pre-selected nor will they be allocated on the basis
of rank, service, regiment, or personal preference. Registration
applications are available online at http://www.forces.gc.ca/hr/nmc-cmn/engraph/coverpage_e.asp?docid=2
Applications should be forwarded to: Director Casualty Support
and Administration 6, National Defense Headquarters Military Related Job Fairs Update 01: The Veteran Eagle is a newsletter for veterans, transitioning military, their family members, and friends and supporters of VetJobs. It provides informational assistance to users in finding the job that best meets their needs. Interested vets can review data that will enable them to find a job and/or subscribe to the newsletter at http://www.vetjobs.com The site also provides information to employers on the advantages of hiring vets. Following are the scheduled military related Job Fairs for 15 thru 31 OCT: * TX, 10/16, NCOA
Job Leader National Job Fair, Fort Hood Conference and Catering
Center, Bldg. 5764, 24th and Wainwright
Streets, Fort Hood, 10:00 AM to 2:00 PM Veteran Legislation Status
13 Oct 07: For a listing of Congressional bills
of interest to the veteran community that have been introduced
in the 110th Congress refer to the Bulletin attachment. By clicking
on the bill number indicated you can access the actual legislative
language of the bill and see if your representative has signed
on as a cosponsor. Support of these bills through cosponsorship
by other legislators is critical if they are ever going to move
through the legislative process for a floor vote to become law.
A good indication on that likelihood is the number of cosponsors
who have signed onto the bill. A cosponsor is a member of Congress
who has joined one or more other members in his/her chamber (i.e.
House or Senate) to sponsor a bill or amendment. The member who
introduces the bill is considered the sponsor. Members subsequently
signing on are called cosponsors. Any number of members may cosponsor
a bill in the House or Senate. At http://thomas.loc.gov
you can also review a copy of each bill, determine its current
status, the committee it has been assigned to, and if your legislator
is a sponsor or cosponsor of it. To determine what bills, amendments
your representative has sponsored, cosponsored, or dropped sponsorship
on refer to http://thomas.loc.gov/bss/d110/sponlst.html
The key to increasing cosponsorship on veteran related bills
is letting our representatives know of veterans feelings
on issues. At the end of some listed bills is a web link that
can be used to do that. Otherwise, you can locate on http://thomas.loc.gov
who your representative is and his/her phone number, mailing
address, or email/website to communicate with a message or letter
of your own making. 110th Congress U.S. House of Representatives: Want to call or see you congressman regarding legislation that affects your benefits or well being? Clerk of the U.S. House of Representatives at: http://clerk.house.gov/about/index.html Official Alphabetical List of House Members by State and District at: http://clerk.house.gov/member_info/olmbr.html Official List of House Members by State and District at: http://clerk.house.gov/member_info/olm110.html Official House Member Telephone and Room Directory at: http://clerk.house.gov/member_info/mcapdir.html For complete contact info go to http://www.visi.com/juan/congress/index.html and fill in your home address to find your legislators political profile, committee membership, distinct office address along with maps on how to get there, email/web site, local and DC Fax numbers, personal bio, and names of their key office staff members. [Various: Jan 07 ++] House Bills United States House of Representatives website: http://www.house.gov/ Senate Bills United States Senate website: http://www.senate.gov/
S.1293: Veterans' Education and Vocational Benefits Improvement
Act of 2007. A bill to amend titles 10 and 38, United States
Code, to improve educational assistance for members and former
members of the Armed Forces, and for other purposes. Sponsor:
Sen Craig, Larry E. [ID] (introduced 5/3/07). Cosponsors (None).
Status: Read twice and referred to the Committee on Veterans'
Affairs. |
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