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$17.6b request seeks to cover more efficient veteran care

From Staff and Wire Reports
July 16. 2014 8:25PM

WASHINGTON — The U.S. Department of Veterans Affairs needs $17.6 billion in additional funding over the next three years to eliminate long wait times for veterans’ health-care appointments, the embattled agency’s acting chief said on Wednesday.

Pay the money, said Mark McCabe, commander of the Veterans of Foreign Wars Department of New Hampshire.

“I think it’s because of the lack of funding in the past,” McCabe said. “He’s really playing catch up.”

Acting VA Secretary Sloan Gibson told senators that without additional resources to buy private care and increase internal capacity, “the wait times just get longer” as more veterans return from wars, get older and turn to VA for healthcare.

Gibson told the Senate Veterans Affairs Committee that the $17.6 billion request would only last through the 2017 fiscal year. About $10 billion of the total would be needed to purchase private care for veterans and hire about 10,000 additional clinical staff, including about 1,500 physicians.

“I appreciate that Acting Secretary Gibson has offered his assessment of the resources the VA needs to properly care for our veterans,” U.S. Rep. Carol Shea-Porter, D-N.H., said in a statement. “However, the VA must be transparent about its needs and 100 percent accountable as it works with Congress to plan and implement needed reforms that cut wait times and improve access to care. Whatever the cost of meeting our commitments to our vets turns out to be, Congress will have to do the right thing and keep our promises to the men and women who served.”

U.S. Sen. Kelly Ayotte, R-NH, said she is focused on passing the Senate-approved VA reform bill that would reduce wait times.

“The legislation also includes a provision I worked on with Senator (Jeanne) Shaheen that would allow veterans in states without a full-service VA hospital, such as New Hampshire, to seek private care if they reside more than 20 miles from the nearest full-service VA hospital,” Ayotte said in a statement. “The Senate and House needs to finalize VA reform legislation that’s currently pending, so veterans can get the timely care they deserve while also making it easier to fire or reprimand VA officials who have engaged in misconduct.”

Elizabeth Kenigsberg, Shaheen’s press secretary, said, “If the VA sends a formal funding request to Congress, Senator Shaheen will review it, but right now she believes Congress should focus on getting the bipartisan Sanders-McCain reform bill to the President for his signature.”

Rosie Hilmer, spokesman for U.S. Rep. Annie Kuster, D-NH, said Congress should pass the bipartisan legislation providing for more access to health care for veterans and that she has worked to hold the department accountable.

“As a member of the House Veteran’s Affairs Committee and as one of the first members of the committee to call for (VA) Secretary Eric Shinseki’s resignation, Congresswoman Annie Kuster has long advocated for measures to hold the VA accountable for mismanagement and immediately fix any problems at the VA so no veteran ever has to wait for care,” Hilmer said.

Gibson said to keep ahead of the rising population of veterans needing VA care, even more money will be needed in the future.

“These funds represent only the current shortfalls in clinical staff, space, information technology and purchased care necessary to provide timely, high-quality care,” Gibson said.

The VA has been rocked by scandal in the past three months over systematic cover-ups of months-long waiting times for medical appointments at its clinics and hospitals across the country. In Phoenix, doctors have alleged that some 40 veterans died as their names languished on secret waiting lists while officials misrepresented wait-time data to meet targets for bonus compensation.

The controversy caused Shinseki to resign as VA secretary in late May. President Barack Obama appointed Gibson, a former banker who joined the VA in February, to run the department temporarily.

Obama has since nominated Bob McDonald, the former chief executive of consumer products giant Procter and Gamble Co, to be secretary. McDonald will face the Senate veterans panel next week in a confirmation hearing.

Gibson said he had been working with the White House budget office to develop the funding request.

Both the House and Senate have passed legislation aimed at speeding care to veterans, allowing them to see private doctors for two years at VA expense if forced to endure long waits. But lawmakers are reeling from sticker shock after the Congressional Budget Office pegged the cost at $35 billion over 10 years.

The number Gibson gave to senators was significantly lower and would be more geared to purchasing private care in the near term. Later in the 2014-2017 period, the VA would rely more on expanding its own internal capacity.

He said that VA would likely be more efficient at caring for veterans, who tend to be “older, sicker and poorer” than the general population.

About $6 billion of the $17.6 billion request would cover construction of new clinics and other facilities, which would open up about 8 million new appointment slots per year, Gibson said.

The VA operates the largest U.S. healthcare system, providing healthcare to nearly 9 million U.S. veterans at some 1,700 facilities, including 150 hospitals and 820 outpatient clinics.

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