CargoAdmin, Bureaucrats, Moderators (CommentStreams), fileuploaders, Interface administrators, newuser, Push subscription managers, Suppressors, Administrators
14,662
edits
m (Text replacement - "fiscal year" to "fiscal year") |
|||
| (9 intermediate revisions by 2 users not shown) | |||
| Line 55: | Line 55: | ||
While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans' Administration. In 1982, its mission was expanded to include caring for civilians and people who were not veterans in case of a national emergency.<ref name="Horton-2020">{{cite news |last=Horton |first=Alex |title=VA's mission to see civilian patients in times of crisis vanished from its website |url=https://www.washingtonpost.com/national-security/2020/03/16/va-fourth-mission-website/ |newspaper=[[The Washington Post]] |date=March 17, 2020 |access-date=March 26, 2020}}</ref> In 1989, the Veterans' Administration became a cabinet-level Department of Veterans Affairs. The [[President of the United States|president]] appoints the [[United States Secretary of Veterans Affairs|secretary of veterans affairs]], who is also a cabinet member, to lead the agency.<ref>U.S. Const. art. II, § 2, cl. 2.</ref><ref>Department of Veterans Affairs Act § 18(b), 38 USC § 301 (2017).</ref> | While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans' Administration. In 1982, its mission was expanded to include caring for civilians and people who were not veterans in case of a national emergency.<ref name="Horton-2020">{{cite news |last=Horton |first=Alex |title=VA's mission to see civilian patients in times of crisis vanished from its website |url=https://www.washingtonpost.com/national-security/2020/03/16/va-fourth-mission-website/ |newspaper=[[The Washington Post]] |date=March 17, 2020 |access-date=March 26, 2020}}</ref> In 1989, the Veterans' Administration became a cabinet-level Department of Veterans Affairs. The [[President of the United States|president]] appoints the [[United States Secretary of Veterans Affairs|secretary of veterans affairs]], who is also a cabinet member, to lead the agency.<ref>U.S. Const. art. II, § 2, cl. 2.</ref><ref>Department of Veterans Affairs Act § 18(b), 38 USC § 301 (2017).</ref> | ||
{{As of|2020|6|post=,}} the VA employed 412,892 people<ref>{{cite web |title=VA - Department of Veterans Affairs |url=https://www.fedscope.opm.gov/ibmcognos/bi/v1/disp?b_action=powerPlayService&m_encoding=UTF-8&BZ=1AAABlPHx4_R42n1OwW6CQBT8mX3YHmrePlwLBw7L7hJtWrDCvaG4GlPYNUoP%7En0DHGw9dCYvmcybSSYoi3lZFVuz1sml92e71g9AdJQ8VYhZFCkRLZbmOQ61EalRQggZm2wJRI%7EB0DVyq1YbWa0SoKzxrreuB8r2vt3ZM4gUFujqzkKoZ5u6_aoP9vJhulPrr511%7EQyEBspO0_dv%7EJYCwicgfPl2FggHDr1Al2quijw3qloXeS7fTPJfJ0jfkz0i44jIOTLGkAlkhGwgY%7EJgXXMFQqAdEMq2BYxffVP3R_%7EubAYUAYUIZDnQJ1A8GfxmsBFA4RD%7EBT5yVNOY8aYJE34ACJlmVA%3D%3D |publisher=[[United States Office of Personnel Management]] |access-date=December 15, 2020 |date=June 2020}}</ref> at hundreds of Veterans Affairs medical facilities, clinics, benefits offices, and cemeteries. In | {{As of|2020|6|post=,}} the VA employed 412,892 people<ref>{{cite web |title=VA - Department of Veterans Affairs |url=https://www.fedscope.opm.gov/ibmcognos/bi/v1/disp?b_action=powerPlayService&m_encoding=UTF-8&BZ=1AAABlPHx4_R42n1OwW6CQBT8mX3YHmrePlwLBw7L7hJtWrDCvaG4GlPYNUoP%7En0DHGw9dCYvmcybSSYoi3lZFVuz1sml92e71g9AdJQ8VYhZFCkRLZbmOQ61EalRQggZm2wJRI%7EB0DVyq1YbWa0SoKzxrreuB8r2vt3ZM4gUFujqzkKoZ5u6_aoP9vJhulPrr511%7EQyEBspO0_dv%7EJYCwicgfPl2FggHDr1Al2quijw3qloXeS7fTPJfJ0jfkz0i44jIOTLGkAlkhGwgY%7EJgXXMFQqAdEMq2BYxffVP3R_%7EubAYUAYUIZDnQJ1A8GfxmsBFA4RD%7EBT5yVNOY8aYJE34ACJlmVA%3D%3D |publisher=[[United States Office of Personnel Management]] |access-date=December 15, 2020 |date=June 2020}}</ref> at hundreds of Veterans Affairs medical facilities, clinics, benefits offices, and cemeteries. In fiscal year 2016 net program costs for the department were $273 billion, which includes the VBA Actuarial Cost of $106.5 billion for compensation benefits.<ref>{{Cite web |url=https://www.va.gov/finance/afr/ |title=2016 VA Agency Financial Report, Section II – Financial Statements, Net Program Costs By Administration Before Changes In Veterans Benefits Actuarial Liability Assumptions |date=November 15, 2016 |website=Department of Veterans Affairs |page=36 |format=PDF |access-date=June 12, 2017 |quote=VA expends a substantial amount of its budgetary resources on medical care for Veterans and also disburses large cash amounts for Veteran's compensation and education benefits programs.}}</ref><ref>{{Cite web |url=https://www.va.gov/finance/afr/ |title=2016 VA Agency Financial Report, Section I – Analysis of Entity's Financial Statements and Stewardship Information, Net Cost of Operations, Chart 5: FY 2016 Program Costs (Gross) |date=November 15, 2016 |website=Department of Veterans Affairs |page=30 |format=PDF |access-date=June 12, 2017}}</ref> The long-term "actuarial accrued liability" (total estimated future payments for veterans and their family members) is $2.491 trillion for compensation benefits; $59.6 billion for education benefits; and $4.6 billion for burial benefits.<ref>{{Cite web |url=https://www.fiscal.treasury.gov/fsreports/rpt/finrep/fr/16frusg/01112017FR_(Final).pdf |title=2016 Financial Report of the United States Government, Notes to the Financial Statements, Note 12. Federal Employee and Veteran Benefits Payable |date=January 12, 2017 |website=Bureau of the Fiscal Service, U.S. Department of the Treasury |pages=101–109 |access-date=June 13, 2017 |archive-date=June 29, 2017 |archive-url=https://web.archive.org/web/20170629134829/https://www.fiscal.treasury.gov/fsreports/rpt/finrep/fr/16frusg/01112017FR_%28Final%29.pdf |url-status=dead }}</ref>[[File:VA Medical Center NYC.jpg|thumb|VA Medical Center in [[Manhattan]], New York City]] | ||
==History== | ==History== | ||
The history and evolution of the U.S. Department of Veterans Affairs are inextricably intertwined and dependent on the history of America's wars, as wounded former soldiers and other US military veterans are the population the VA cares for. The [[list of wars involving the United States]] from the | The history and evolution of the U.S. Department of Veterans Affairs are inextricably intertwined and dependent on the history of America's wars, as wounded former soldiers and other US military veterans are the population the VA cares for. The [[list of wars involving the United States]] from the American Revolutionary War to the present totals ninety-nine wars. The majority of the [[United States military casualties of war]], however, occurred in the following eight wars: American Revolutionary War (est. 8,000), American Civil War (218,222), World War I (53,402), [[World War II]] (291,567), Korean War (33,686), Vietnam War (47,424), [[Iraq War]] (3,836), and the [[War in Afghanistan (2001–2021)|War in Afghanistan]] (1,833). It is these wars that have primarily driven the mission and evolution of the VA. The VA maintains a detailed list of war wounded, as it is this population that comprises the VA care system.<ref>{{Cite web |title=America's Wars |url=https://www.va.gov/opa/publications/factsheets/fs_americas_wars.pdf |access-date=2 November 2023 |website=www.va.gov}}</ref> | ||
===Origins=== | ===Origins=== | ||
The [[Continental Congress]] of 1776 encouraged enlistments during the | The [[Continental Congress]] of 1776 encouraged enlistments during the American Revolutionary War by providing pensions for soldiers who were disabled. Three weeks after passing the law compensating the injured, the Continental Congress in September 1776 also approved a resolution awarding grants of public land to all who served in the Continental Army for the duration of the conflict.<ref>{{Cite web |date=2022-01-07 |title=Object 2: Bounty land warrant - VA History |url=https://department.va.gov/history/100-objects/object-2-bounty-land-warrant/ |access-date=2024-08-06 |language=en-US}}</ref> Direct medical and hospital care given to veterans in the early days of the U.S. was provided by the individual states and communities. In 1811, the [[Philadelphia Naval Asylum|first domiciliary and medical facility]] for veterans was authorized by the federal government but not opened until 1834.<ref>{{Cite web |date=2022-01-13 |title=Object 4: U.S. Naval Asylum - VA History |url=https://department.va.gov/history/100-objects/004-naval-asylum/ |access-date=2024-08-06 |language=en-US}}</ref> In the 19th century, the nation's veterans assistance program was expanded to include benefits and pensions not only for veterans but also their widows and dependents.<ref>{{Cite web |date=2022-03-24 |title=Object 16: War of 1812 Widow's Pension Claim - VA History |url=https://department.va.gov/history/100-objects/object-16-war-of-1812-widows-pension-claim/ |access-date=2024-08-06 |language=en-US}}</ref> | ||
Prior to the end of the | Prior to the end of the American Civil War in 1865, Delphine Baker, a volunteer nurse during the war, rallied support to petition the federal government to create a national home for Civil War veterans, based on the [[Armed Forces Retirement Home|U.S. Soldiers Home]] in Washington, D.C. and the Naval Asylum in Philadelphia for U.S. active-duty veterans. The bill establishing the [[National Home for Disabled Volunteer Soldiers]] was passed on March 3, 1865.<ref>{{Cite web |date=2023-03-23 |title=Delphine Baker and Emma Miller: Women and the Creation of the National Home for Disabled Volunteer Soldiers - VA History |url=https://department.va.gov/history/featured-stories/emma-miller-delphine-baker/ |access-date=2024-08-06 |language=en-US}}</ref> The very next day, President Abraham Lincoln vouched for the mission of the future facilities in his second inaugural address: <blockquote>With malice toward none; with charity for all; with firmness in the right, as God gives us to see the right, let us strive on to finish the work we are in; to bind up the nation's wounds; to care for him who shall have borne the battle, and for his widow, and his orphan—to do all which may achieve and cherish a just and a lasting peace, among ourselves, and with all nations.</blockquote>The middle section of that quote would later form the guiding principle for the future Department of Veterans Affairs.<ref>{{Cite web |date=2022-05-26 |title=Object 30: President Lincoln's Second Inaugural Address - VA History |url=https://department.va.gov/history/100-objects/object-30-lincolns-second-inaugural-address/ |access-date=2024-08-06 |language=en-US}}</ref> | ||
While domiciliary care for Civil War veterans was managed by the National Home system at 11 various campuses, the pension benefits was split amongst various agencies in the federal government. Throughout the mid-to-late 19th Century, the [[Bureau of Pensions]] managed financial benefits to veterans, widows and dependent children. With the completion of the Civil War and an expansion of eligibility in 1890, pension numbers soared, from 303,000 to 966,000 in 1893.<ref>{{Cite web |last=Affairs |first=Department of Veterans |date=2023-03-21 |title=VA History Summary - Department of Veterans Affairs |url=https://department.va.gov/history/history-overview/ |access-date=2024-08-06 |language=en-US}}</ref> Eventually the workforce had to be housed in a new purpose-built home, the [https://department.va.gov/history/100-objects/object-12-pension-bureau-building/ Pension Bureau building], which housed the organization from 1885 to 1926.<ref>{{Cite web |date=2022-03-24 |title=VA History Summary |url=https://department.va.gov/history/history-overview/ |access-date=2024-08-06 |website=VA History Summary - Department of Veteran Affairs |language=en-US}}</ref> | While domiciliary care for Civil War veterans was managed by the National Home system at 11 various campuses, the pension benefits was split amongst various agencies in the federal government. Throughout the mid-to-late 19th Century, the [[Bureau of Pensions]] managed financial benefits to veterans, widows and dependent children. With the completion of the Civil War and an expansion of eligibility in 1890, pension numbers soared, from 303,000 to 966,000 in 1893.<ref>{{Cite web |last=Affairs |first=Department of Veterans |date=2023-03-21 |title=VA History Summary - Department of Veterans Affairs |url=https://department.va.gov/history/history-overview/ |access-date=2024-08-06 |language=en-US}}</ref> Eventually the workforce had to be housed in a new purpose-built home, the [https://department.va.gov/history/100-objects/object-12-pension-bureau-building/ Pension Bureau building], which housed the organization from 1885 to 1926.<ref>{{Cite web |date=2022-03-24 |title=VA History Summary |url=https://department.va.gov/history/history-overview/ |access-date=2024-08-06 |website=VA History Summary - Department of Veteran Affairs |language=en-US}}</ref> | ||
| Line 70: | Line 70: | ||
===Veterans' Bureau=== | ===Veterans' Bureau=== | ||
The United States' entrance into | The United States' entrance into World War I in 1917 caused a massive increase in veterans, overwhelming the federal system. When the [[Republican Party (United States)|Republican]] nominee for president [[Warren G. Harding]] accepted his party's nomination to the [[1920 United States presidential election|1920 presidential election]], he issued a promise to the more than four million Americans who served in the war: <blockquote>It is not only a duty, it is a privilege to see that the sacrifices made shall be requited, and that those still suffering from casualties and disabilities shall be abundantly aided and restored to the highest capabilities of citizenship and enjoyment.</blockquote>At the time of the election, dissatisfaction with the benefits programs for World War I veterans ran rampant throughout the country. To receive benefits, veterans had to navigate through three different federal agencies: the [[War Risk Insurance Act|Bureau of War Risk Insurance]] (BWRI) for insurance and compensation, the [[United States Public Health Service|U.S. Public Health Service]] (PHS) for medical and hospital care, and the [[U.S. Federal Board for Vocational Education|Federal Board for Vocational Education]] for rehabilitation, education, and job training. Veterans from previous conflicts continued to rely on the Bureau of Pensions and National Homes for Disabled Volunteer Service for their compensation and medical care respectively. | ||
After winning the election, President Harding appointed a committee in April 1921 to identify a solution. On August 8, 1921, Harding signed Public Law 67-47, popularly known as the Sweet Act, which established the [https://department.va.gov/history/featured-stories/veterans-bureau/ Veterans' Bureau], which absorbed the War Risk Bureau and the Rehabilitation Division of the Federal Board for Vocational Education.<ref>{{Cite web |date=August 15, 2016 |title=Records of the Veterans Administration [VA] |url=https://www.archives.gov/research/guide-fed-records/groups/015.html |access-date=March 11, 2021 |website=National Archives |language=en}}</ref> In 1922,<ref>{{Cite web |date=August 15, 2016 |title=Records of the Public Health Service [PHS], 1912-1968 |url=https://www.archives.gov/research/guide-fed-records/groups/090.html |access-date=September 15, 2020 |website=National Archives |at=Section 90.3.2 |language=en}}</ref> it gained a large number of veterans' hospital facilities from the Public Health Service, most of which had been recently established on former U.S. Army bases.<ref>{{Cite web |date=2023-08-17 |title=Object 64: U.S. Public Health Service Hospital #50 - VA History |url=https://department.va.gov/history/100-objects/64-public-health-service/ |access-date=2024-08-06 |language=en-US}}</ref><ref name="U.S. Department of Veterans Affairs-2023" /><ref>{{Cite book |url=https://books.google.com/books?id=DpFoh3NcheEC&pg=PA11 |title=Annual Report of the Surgeon General of the Public Health Service of the United States |date=1921 |publisher=U.S. Public Health Service |pages=11, 301ff }}</ref> | After winning the election, President Harding appointed a committee in April 1921 to identify a solution. On August 8, 1921, Harding signed Public Law 67-47, popularly known as the Sweet Act, which established the [https://department.va.gov/history/featured-stories/veterans-bureau/ Veterans' Bureau], which absorbed the War Risk Bureau and the Rehabilitation Division of the Federal Board for Vocational Education.<ref>{{Cite web |date=August 15, 2016 |title=Records of the Veterans Administration [VA] |url=https://www.archives.gov/research/guide-fed-records/groups/015.html |access-date=March 11, 2021 |website=National Archives |language=en}}</ref> In 1922,<ref>{{Cite web |date=August 15, 2016 |title=Records of the Public Health Service [PHS], 1912-1968 |url=https://www.archives.gov/research/guide-fed-records/groups/090.html |access-date=September 15, 2020 |website=National Archives |at=Section 90.3.2 |language=en}}</ref> it gained a large number of veterans' hospital facilities from the Public Health Service, most of which had been recently established on former U.S. Army bases.<ref>{{Cite web |date=2023-08-17 |title=Object 64: U.S. Public Health Service Hospital #50 - VA History |url=https://department.va.gov/history/100-objects/64-public-health-service/ |access-date=2024-08-06 |language=en-US}}</ref><ref name="U.S. Department of Veterans Affairs-2023" /><ref>{{Cite book |url=https://books.google.com/books?id=DpFoh3NcheEC&pg=PA11 |title=Annual Report of the Surgeon General of the Public Health Service of the United States |date=1921 |publisher=U.S. Public Health Service |pages=11, 301ff }}</ref> | ||
| Line 83: | Line 83: | ||
The [[G.I. Bill|World War II GI Bill]] was signed into law on June 22, 1944, by [[President Franklin D. Roosevelt]].<ref>{{cite web |title=Welcome to |url=http://www.ourdocuments.gov/doc.php?doc=76 |publisher=Ourdocuments.gov |access-date=August 1, 2014}}</ref> "The United States government began serious consolidated services to veterans in 1930. The GI Bill of Rights, which was passed in 1944, had more effect on the American way of life than any other legislation—with the possible exception of the [[Homestead Act]]."<ref>{{cite web |author=U.S. Senior Vets |url=http://www.usseniorvets.com/veterans_about_the_va.html |title=U.S. Senior Vets, Serving Those Who Sacrificed, Veterans Aid and Attendance |publisher=Usseniorvets.com |access-date=August 1, 2014}}</ref> | The [[G.I. Bill|World War II GI Bill]] was signed into law on June 22, 1944, by [[President Franklin D. Roosevelt]].<ref>{{cite web |title=Welcome to |url=http://www.ourdocuments.gov/doc.php?doc=76 |publisher=Ourdocuments.gov |access-date=August 1, 2014}}</ref> "The United States government began serious consolidated services to veterans in 1930. The GI Bill of Rights, which was passed in 1944, had more effect on the American way of life than any other legislation—with the possible exception of the [[Homestead Act]]."<ref>{{cite web |author=U.S. Senior Vets |url=http://www.usseniorvets.com/veterans_about_the_va.html |title=U.S. Senior Vets, Serving Those Who Sacrificed, Veterans Aid and Attendance |publisher=Usseniorvets.com |access-date=August 1, 2014}}</ref> | ||
Further educational assistance acts were passed for the benefit of veterans of the | Further educational assistance acts were passed for the benefit of veterans of the Korean War. | ||
===Promotion to Department of Veterans Affairs=== | ===Promotion to Department of Veterans Affairs=== | ||
| Line 94: | Line 94: | ||
In May 2014, critics of the VA system reported problems with scheduling timely access to medical care. In May 2014, a retired doctor said that veterans died because of delays in getting care at the Phoenix, Arizona, Veterans Health Administration facilities.<ref>{{cite news |last1=Bronstein |first1=Scott |last2=Griffin |first2=Drew |title=A fatal wait: Veterans languish and die on a VA hospital's secret list |url=http://www.cnn.net/2014/04/23/health/veterans-dying-health-care-delays/ |work=CNN|access-date=May 31, 2014 }}{{Dead link|date=October 2022 |bot=InternetArchiveBot |fix-attempted=yes }}</ref><ref>{{cite news |title=Obama vows action on any VA 'misconduct' |url=https://www.bbc.co.uk/news/world-us-canada-27508745 |work=BBC News |access-date=May 31, 2014}}</ref> An investigation of delays in treatment in the Veterans Health Administration system conducted by the Veterans Affairs Inspector General of 3,409 veteran patients found that there were 28 instances of clinically significant delays in care associated with access or scheduling. Of these 28 patients, six were deceased.<ref name="VAOIG-14-02603-267">{{cite report |date=August 26, 2014 |title=Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System |url=https://www.va.gov/oig/pubs/VAOIG-14-02603-267.pdf |publisher=VA Office of Inspector General |page=1 |docket=14-02603-267 |access-date=May 5, 2020 |archive-url=https://web.archive.org/web/20200213013857/https://www.va.gov/oig/pubs/VAOIG-14-02603-267.pdf |archive-date=February 13, 2020 |quote=OIG examined the Electronic Health Records (EHRs) and other information for the 3,409 veteran patients and identified 28 instances of clinically significant delays in care associated with access or scheduling. Of these 28 patients, 6 were deceased. In addition, we identified 17 cases of care deficiencies that were unrelated to access or scheduling. We also found problems with access to care for patients requiring Urology Services. As a result, Urology Services at PVAHCS will be the subject of a subsequent report. The 45 cases discussed in this report reflect unacceptable and troubling lapses in followup, coordination, quality, and continuity of care. The VA OIG Office of Investigations opened investigations at 93 sites of care in response to allegations of wait time manipulations. While most are still ongoing, these investigations confirmed wait time manipulations were prevalent throughout VHA.}}</ref> The same OIG report stated that the Office of Investigations had opened investigations at 93 sites of care in response to allegations of wait time manipulations, and found that wait time manipulations were prevalent throughout the VHA. On May 30, 2014, [[Secretary of Veterans Affairs]] [[Eric Shinseki]] resigned from office due to the fallout from the scandal,<ref>{{cite news |title=Veterans Secretary Eric Shinseki resigns after report |url=https://www.bbc.co.uk/news/world-us-canada-27640375 |work=BBC News |access-date=May 31, 2014}}</ref> saying he could not explain the lack of integrity among some leaders in VA healthcare facilities. "That breach of integrity is irresponsible, it is indefensible, and unacceptable to me. I said when this situation began weeks to months ago that I thought the problem was limited and isolated because I believed that. I no longer believe it. It is systemic. I was too trusting of some and I accepted as accurate reports that I now know to have been misleading with regard to patient wait-times," Shinseki said in a statement.<ref name="ShinsekiStatement">{{cite news |title=US president accepts with 'regret' Veterans Affairs chief's resignation |url=http://www.chicagochronicle.com/index.php/sid/222467197/scat/b8de8e630faf3631/ht/US-president-accepts-with-regret-Veterans-Affairs-chiefs-resignation |access-date=May 31, 2014 |newspaper=Chicago Chronicle |archive-date=May 31, 2014 |archive-url=https://web.archive.org/web/20140531144235/http://www.chicagochronicle.com/index.php/sid/222467197/scat/b8de8e630faf3631/ht/US-president-accepts-with-regret-Veterans-Affairs-chiefs-resignation |url-status=dead }}</ref> | In May 2014, critics of the VA system reported problems with scheduling timely access to medical care. In May 2014, a retired doctor said that veterans died because of delays in getting care at the Phoenix, Arizona, Veterans Health Administration facilities.<ref>{{cite news |last1=Bronstein |first1=Scott |last2=Griffin |first2=Drew |title=A fatal wait: Veterans languish and die on a VA hospital's secret list |url=http://www.cnn.net/2014/04/23/health/veterans-dying-health-care-delays/ |work=CNN|access-date=May 31, 2014 }}{{Dead link|date=October 2022 |bot=InternetArchiveBot |fix-attempted=yes }}</ref><ref>{{cite news |title=Obama vows action on any VA 'misconduct' |url=https://www.bbc.co.uk/news/world-us-canada-27508745 |work=BBC News |access-date=May 31, 2014}}</ref> An investigation of delays in treatment in the Veterans Health Administration system conducted by the Veterans Affairs Inspector General of 3,409 veteran patients found that there were 28 instances of clinically significant delays in care associated with access or scheduling. Of these 28 patients, six were deceased.<ref name="VAOIG-14-02603-267">{{cite report |date=August 26, 2014 |title=Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System |url=https://www.va.gov/oig/pubs/VAOIG-14-02603-267.pdf |publisher=VA Office of Inspector General |page=1 |docket=14-02603-267 |access-date=May 5, 2020 |archive-url=https://web.archive.org/web/20200213013857/https://www.va.gov/oig/pubs/VAOIG-14-02603-267.pdf |archive-date=February 13, 2020 |quote=OIG examined the Electronic Health Records (EHRs) and other information for the 3,409 veteran patients and identified 28 instances of clinically significant delays in care associated with access or scheduling. Of these 28 patients, 6 were deceased. In addition, we identified 17 cases of care deficiencies that were unrelated to access or scheduling. We also found problems with access to care for patients requiring Urology Services. As a result, Urology Services at PVAHCS will be the subject of a subsequent report. The 45 cases discussed in this report reflect unacceptable and troubling lapses in followup, coordination, quality, and continuity of care. The VA OIG Office of Investigations opened investigations at 93 sites of care in response to allegations of wait time manipulations. While most are still ongoing, these investigations confirmed wait time manipulations were prevalent throughout VHA.}}</ref> The same OIG report stated that the Office of Investigations had opened investigations at 93 sites of care in response to allegations of wait time manipulations, and found that wait time manipulations were prevalent throughout the VHA. On May 30, 2014, [[Secretary of Veterans Affairs]] [[Eric Shinseki]] resigned from office due to the fallout from the scandal,<ref>{{cite news |title=Veterans Secretary Eric Shinseki resigns after report |url=https://www.bbc.co.uk/news/world-us-canada-27640375 |work=BBC News |access-date=May 31, 2014}}</ref> saying he could not explain the lack of integrity among some leaders in VA healthcare facilities. "That breach of integrity is irresponsible, it is indefensible, and unacceptable to me. I said when this situation began weeks to months ago that I thought the problem was limited and isolated because I believed that. I no longer believe it. It is systemic. I was too trusting of some and I accepted as accurate reports that I now know to have been misleading with regard to patient wait-times," Shinseki said in a statement.<ref name="ShinsekiStatement">{{cite news |title=US president accepts with 'regret' Veterans Affairs chief's resignation |url=http://www.chicagochronicle.com/index.php/sid/222467197/scat/b8de8e630faf3631/ht/US-president-accepts-with-regret-Veterans-Affairs-chiefs-resignation |access-date=May 31, 2014 |newspaper=Chicago Chronicle |archive-date=May 31, 2014 |archive-url=https://web.archive.org/web/20140531144235/http://www.chicagochronicle.com/index.php/sid/222467197/scat/b8de8e630faf3631/ht/US-president-accepts-with-regret-Veterans-Affairs-chiefs-resignation |url-status=dead }}</ref> | ||
In September 2017, the VA declared its intent to abolish a 1960s conflict of interest rule prohibiting employees from owning stock in, performing service for, or doing any work at [[Proprietary colleges|for-profit colleges]]; arguing that, for example, the rule prohibits VA doctors from teaching veterans at for-profit universities with special advantages for veterans.<ref>{{cite news |last=Cohen |first=Patricia |date=September 29, 2017 |title=Veterans Agency Seeks to Scrap Ethics Law on For-Profit Colleges |url=https://www.nytimes.com/2017/09/29/business/veterans-affairs-ethics.html |url-status=live |work= | In September 2017, the VA declared its intent to abolish a 1960s conflict of interest rule prohibiting employees from owning stock in, performing service for, or doing any work at [[Proprietary colleges|for-profit colleges]]; arguing that, for example, the rule prohibits VA doctors from teaching veterans at for-profit universities with special advantages for veterans.<ref>{{cite news |last=Cohen |first=Patricia |date=September 29, 2017 |title=Veterans Agency Seeks to Scrap Ethics Law on For-Profit Colleges |url=https://www.nytimes.com/2017/09/29/business/veterans-affairs-ethics.html |url-status=live |work=The New York Times |archive-url=https://web.archive.org/web/20190905161336/https://www.nytimes.com/2017/09/29/business/veterans-affairs-ethics.html |archive-date=September 5, 2019}}</ref> In 2018, the VA instead established a process for employees to seek waivers of the policy based on individual circumstances.<ref>{{Cite web |last=Gross |first=Natalie |date=July 6, 2018 |title=Should VA employees be allowed to work at for-profit schools? |url=https://rebootcamp.militarytimes.com/news/education/2018/06/20/should-va-employees-be-allowed-to-work-at-for-profit-schools/ |access-date=November 9, 2021 |website=Military Times: Reboot Camp}}</ref>[[File:Perspective view from west - National Home for Disabled Volunteer Soldiers, Central Branch, Protestant Chapel, 4100 West Third Street, Dayton, Montgomery County, OH HABS OH-2364-X-4 (cropped).tif|thumb|right|upright=0.9|National Home for Disabled Volunteer Soldiers, Dayton Ohio]] | ||
[[File:Paloaltoveteransaffairshospital.jpg|thumb|VA Medical Center in [[Palo Alto, California]]]] | [[File:Paloaltoveteransaffairshospital.jpg|thumb|VA Medical Center in [[Palo Alto, California]]]] | ||
| Line 172: | Line 172: | ||
No [[copayment]] is required for VA services for veterans with military-related medical conditions. VA-recognized service-connected disabilities include problems that started or were aggravated due to military service. Veteran service organizations such as the [[American Legion]], [[Veterans of Foreign Wars]], and [[Disabled American Veterans]], as well as state-operated Veterans Affairs offices and County Veteran Service Officers (CVSO), have been known to assist veterans in the process of getting care from the VA. | No [[copayment]] is required for VA services for veterans with military-related medical conditions. VA-recognized service-connected disabilities include problems that started or were aggravated due to military service. Veteran service organizations such as the [[American Legion]], [[Veterans of Foreign Wars]], and [[Disabled American Veterans]], as well as state-operated Veterans Affairs offices and County Veteran Service Officers (CVSO), have been known to assist veterans in the process of getting care from the VA. | ||
In his [[United States Federal Budget|budget]] proposal for | In his [[United States Federal Budget|budget]] proposal for fiscal year 2009, President George W. Bush requested $38.7 billion—or 86.5% of the total Veterans Affairs budget—for veteran medical care alone.{{Citation needed|date=March 2020}} | ||
In the 2011 [[Costs of War Project|Costs of War]] report from [[Brown University]]<!----see Cost of conflict article---->, researchers projected that the cost of caring for veterans of the [[War on Terror]] would peak 30–40 years after the end of combat operations. They also predicted that medical and disability costs would ultimately total between $600 billion and $1 trillion for the hundreds of thousands treated by the Department of Veterans Affairs.<ref>{{cite web |title=Caring for US Veterans |url=http://costsofwar.org/article/caring-us-veterans |work=Costs of War |publisher=Brown University |access-date=July 19, 2011 |archive-date=July 1, 2011 |archive-url=https://web.archive.org/web/20110701180440/http://costsofwar.org/article/caring-us-veterans |url-status=dead }}</ref> | In the 2011 [[Costs of War Project|Costs of War]] report from [[Brown University]]<!----see Cost of conflict article---->, researchers projected that the cost of caring for veterans of the [[War on Terror]] would peak 30–40 years after the end of combat operations. They also predicted that medical and disability costs would ultimately total between $600 billion and $1 trillion for the hundreds of thousands treated by the Department of Veterans Affairs.<ref>{{cite web |title=Caring for US Veterans |url=http://costsofwar.org/article/caring-us-veterans |work=Costs of War |publisher=Brown University |access-date=July 19, 2011 |archive-date=July 1, 2011 |archive-url=https://web.archive.org/web/20110701180440/http://costsofwar.org/article/caring-us-veterans |url-status=dead }}</ref> | ||
edits