Sunday, October 15, 2006 E-mail this | Print page
Many vets lose health benefits
Afghan, Iraq troops get special provision
By Laura Ungar
[email protected]
The Courier-Journal
Vietnam veteran Jack Vance figured that if he ever lost his health insurance, he could always get care at Louisville's veterans hospital.
That was part of the deal when he joined the Navy in 1961, he said -- and that deal "should be forever."
But under federal rules blamed on budget constraints, Vance and millions of other middle-class veterans who weren't injured in the military can no longer enroll in the U.S. Department of Veterans Affairs health-care system.
The change occurred in 2003, and news of it has gradually trickled down to veterans. Yet with the government now promising money to replace Louisville's aging veterans hospital on Zorn Avenue, there's a growing chorus of complaints from veterans who say a longstanding promise to them has been broken.
Under the 2003 enrollment policy, a single veteran in Louisville who earns $32,600 or more, and doesn't have a service-connected injury or illness, is not allowed to enroll in the VA medical system -- although those enrolled before Jan. 17, 2003, are grandfathered in, and there's a special provision for veterans returning from Iraq or Afghanistan.
The Washington Post has reported that as many as 10 million veterans who aren't in the system wouldn't be allowed to enroll under the new rule. In just the past three years, more than 250,000 veterans who sought care at the nation's VA hospitals have been turned away because of the new rule.
VA officials say the changes were necessary, given limited funds, the growing numbers of veterans seeking care, and the need to focus on those with service-connected disabilities and the poor.
There are an estimated 24 million veterans in the United States, and about 5.4 million are expected to seek care from the VA this year, compared with 2.9 million a decade ago. This dramatic increase is reflected in the VA's medical budget, which reached $30.7 billion this year.
"We don't have the resources to be able to take care of all 24 million veterans at any point in time," VA spokesman Terry Jemison said.
Jack Humphries, business office manager for the Louisville VA Medical Center, estimated that three-quarters of the vets who've been turned away locally since 2003 had not heard of the rules change.
VA officials have talked about it at veterans group meetings, and there is a pamphlet that describes enrollment policies, which also are listed on the Internet. But Humphries said there have been no mass mailings or other wider effort to inform all veterans.
While Jemison said the VA does send letters to recent veterans when they return from war, Humphries said others are surprised to learn of the change just when they need care.
And, he added, "Most are not happy."
Care enrollment
VA officials said nondisabled, higher-income veterans made up much of the rapid growth in its health-care enrollment between 1996 and 2003, hindering the system's ability to care for the disabled and poor.
Under the current enrollment policy, veterans fall into one of eight priority groups established in 1998. The highest-priority veterans are those with service-connected disabilities considered 50 percent or more disabling, and those determined to be unemployable because of service-related conditions.
Those no longer eligible for care are in the lowest-priority group -- Priority Group 8, which includes veterans without service-connected injuries or illnesses and with an income above a geographically specific cutoff. The VA calls the change a "suspension" but does not say when it would end.
Humphries said the Louisville region has a greater-than-usual portion of Priority 8 veterans. "Our veteran population is fairly well employed," he said.
The new rule isn't the only way the VA has tried to limit enrollment. In 2002, rising demand for services prompted the VA to issue a national memo that discouraged recruiting veterans for enrollment.
A similar directive issued in 2004 for the VA MidSouth Healthcare Network, which includes the Louisville hospital, said "facilities may not aggressively take steps to recruit new enrollees or new workload."
U.S. Rep. Anne Northup, a Republican who has been championing Louisville's new VA hospital, had no comment on the enrollment policy, except to say, "our office would be glad to work with veterans on a case-by-case basis regarding VA medical care."
Veterans speak out
John Sterner of Louisville, a quadriplegic Vietnam veteran whose service-connected disability is considered 100 percent disabling, said he has mixed feelings about the new rule.
"I see their argument," he said of the VA, agreeing that severely injured veterans or those returning from recent conflicts should be priority. "I worry about the ones who got blown up in combat."
But he also said the Bush administration should pour more money into the VA medical system instead of giving "tax cuts to millionaires."
Jade Chapman, a 25-year-old Army veteran who recently returned from Iraq along with her husband, said she would love to use the VA system but never assumed she would automatically qualify for free, lifetime health care.
"I understand government money runs out and someone has to pay," said Chapman, who lives just over the Tennessee line near Fort Campbell, where her unit was based.
But James Burgess, who is the grandfather of Chapman's husband, is among those who strongly disagree with the policy. "Veterans deserve lifetime care," said Burgess, a World War II veteran who splits his time between Louisville and Florida.
And at a smoke-filled VFW post in Okolona last week, Jim Ray, a 78-year-old Korean War vet, said the government should eliminate restrictions and bolster the medical budget with money it plans to spend on Louisville's new hospital. (The VA announced plans for the new state-of-the-art hospital in June; it will have 135 to 150 beds and likely be located downtown.)
Veterans "were promised when they went into the service -- I know I was -- free health care for life," said Ray, who is enrolled in the VA. "This stinks. If you served your country, you're entitled to the care."
Rick Heavrin, a 58-year-old Vietnam veteran sitting a few barstools away, echoed those sentiments, saying rich, poor or middle-class, veterans are all entitled to VA care.
"Someone should not be denied care just because he's been a productive citizen. He still put his life on the line," said Heavrin, who retired from Ford in 2000. "If you put your life on the line, you should get the benefits. You should get a reward."