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333,000 US Casualties: Are They Covered?
By Maya Schenwar
t r u t h o u t | Report
Thursday 14 February 2008
As Iraq and Afghanistan war casualties
soar to unprecedented levels, Bush's 2009 Veterans Affairs' budget comes up
short.
The Department of Veterans Affairs (VA) will treat about 333,000 sick and injured
veterans of the Iraq and Afghanistan wars in 2009, according to VA statistics
released last week. That number is a 14 percent increase over this year's casualty
total. Yet, despite the Bush administration's promises to prioritize the VA
even as other domestic departments' funds are cut, its annual budget request
for next year places more financial burdens than ever on many returning soldiers.
At first glance, Bush's 2009 budget may seem like a boon to veterans: It would
increase the VA budget by $3.4 billion.
"The President's ongoing commitment to those who have faithfully
served this country in uniform is clearly demonstrated through this budget request
for VA," said VA Secretary James B. Peake at a budget hearing last Thursday.
"Resources requested for discretionary programs in 2009 are more than double
the funding level in effect when the president took office seven years ago."
However, veterans' advocates argue the budget's growth has not kept pace with
the skyrocketing size of the veteran community - or the increasing cost of servicing
them.
"Bush only provides the news on the increased budget without providing
full facts on the increased demands and costs," said Paul Sullivan, executive
director of Veterans for Common Sense.
Although the "discretionary spending" Peake mentions has indeed doubled
since Bush entered office, the VA budget as a whole has only increased by about
a third - roughly in proportion to the growth of the veteran population, according
to VA statistics.
Peake's comparison of today's VA budget to that of seven years ago also sidesteps
the reality of changing market values. Congressman Bob Filner, chairman of the
House Veterans Affairs' Committee, says that regardless of the administration's
sweeping claims, the 2009 VA budget is not much improvement over last year's.
According to Filner, the budget's much-touted 5.5 percent increase for veteran
health care "barely covers the cost of medical inflation."
"The service and sacrifice of our veterans is real, and the budget for
the VA must provide realistic funding levels to meet these needs," Filner
said in a statement upon the budget's release. "I am concerned that this
budget proposal contains only modest increases for veterans' health care
while paying for this slight increase with cuts in other veterans' programs
below the historic levels this Congress provided for in this fiscal year."
For example, the new budget would require veterans to pay more out-of-pocket
expenses, such as pharmacy co-pays and annual enrollment fees. Also, under Bush's
plan, the VA's medical research budget would drop below 2007 levels, with the
expectation the department would outsource its research needs.
"The VA reduces its research budget [in 2009] and sets sights on coordinating
with other agency research activities, agencies such as the Institute of Medicine,"
said Rick Jones, legislative director of the National Association for Uniformed
Services. "With so much unknown on traumatic brain injury and post-traumatic
stress disorder, it seems ill-advised to depend on outside-agency coordination
when these issues are veteran-centric."
The administration's proposal cuts the VA medical and prosthetic research budget
by 8 percent and veterans' rehabilitation research by 7 percent.
It also slashes construction funds for new medical facilities by about 44 percent,
with grants for construction of extended care facilities losing 49 percent.
Moreover, after the 2009 VA budget increase, the Bush plan calls for billions
of dollars in budget cuts over the next four years, according to Filner. For
a system already playing a losing game of catch-up, the reductions could be
devastating.
"The VA's backlog of claims and appeals has been exacerbated by funding
shortfalls," said Jay Agg, national communications director for American
Veterans (AMVETS). "Currently, 870,000 veterans are awaiting decisions
from the VA, a process that may take many months or even years. That's about
the same size as 15 Yankee Stadiums full of veterans."
The administration has shown no signs of altering its 2009 VA request; in fact,
it is currently immersed in a lawsuit defending its right to deny health care
to Iraq and Afghanistan veterans.
However, veterans' advocacy groups aren't giving up. During last Thursday's
testimony, Jones and representatives from several other organizations, including
AMVETS, presented "The Independent Budget" (IB): their own proposal
for next year's VA spending. It would up the Bush budget by almost $3 billion,
emphasizing mental health research and medical facility construction.
"The IB is by veterans, for veterans, and provides a full picture of veterans'
needs and how our government can meet them," Agg said. "Our position
is that the administration and Congress, having authorized funding for war,
must now be prepared to provide sufficient, timely and predictable funding to
meet the needs of our war fighters."
Despite the Bush administration's firm stance on the VA budget, some advocates
see signs of hope. Last Thursday's hearing was not a battle, according to Sullivan;
in fact, administration officials appeared interested in listening to what the
"other side" had to say.
"While Secretary Peake and VA's top political appointees testified
first, they broke their usual pattern of quickly departing the hearing room,"
Sullivan said. "Instead of bolting for the door, Peake asked Under Secretary
Kussman and Under Secretary Cooper to remain, and they all remained and listened
to the testimony of ten different [veteran] groups."
As casualties mount and the end of the Bush administration draws nearer, Congress
will take up the VA request and, likely by this summer, propose its own version
of the budget.
Maya Schenwar is an assistant editor and reporter for Truthout.
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