2013년 11월 25일 월요일

About 'united health care veterans'|The Decline Of Too Many Health Care Services For America's Military Veterans







About 'united health care veterans'|The Decline Of Too Many Health Care Services For America's Military Veterans








Setting               aside               the               important               argument               that               war               kills               and               health               care               saves               lives,               sustaining               both               is               an               unsustainable               policy               as               both               Senator               Harry               Reid               Reid               and               Congressman               Barney               Frank               know.

Frank               has               proposed               a               25               %               cut               in               defense               to               cover               health               care,               and               Reid,               when               asked,               during               a               meeting               in               Las               Vegas,               how               the               federal               government               can               pay               for               looming               entitlement               deficits               for               Social               Security               and               Medicare               while               piling               on               another               $1               trillion               for               health               care               reform,               responded:               "I               hope               all               of               you               ask               that               when               we               talk               about               spending               $1               trillion               on               a               war               of               choice."
               Unfortunately,               their               voices               are               far               too               few.

Most               Republicans               and               far               too               many               Democrats               carefully               avoid               comparing               the               cost               of               the               war               in               Iraq               and               Afghanistan               to               the               nations               need               for               health               care.

Indeed,               even               President               Barack               Obama               prefers               to               say               that               additional               health               care               costs               will               be               absorbed               by               increasing               taxes               on               the               wealthy               and               improvements               in               efficiency.

The               Republicans,               on               the               other               hand,               simply               say               that               improvements               in               the               health               care               will               require               tax               increases               for               everyone.

Both               of               these               arguments               are               economic               red               herrings               designed               to               shift               the               debate               away               from               the               real               issue:               increasing               health               care               by               decreasing               defense               costs.
               The               defense               baseline               budget               for               2009               is               $518.3               billion.

Additional               war               costs               are               added               to               this               baseline               each               year.

For               example,               Congress               added               an               additional               $239.7               billion               to               the               2009               budget               to               cover               the               war.

This               brings               the               actual               2009               costs               of               Defense               to               $758               billion.
               The               Middle               East               war               has               cost               the               taxpayers               $915               billion               over               its               lifetime.

This               is               45.64%               of               the               estimated               National               Health               spending               of               $2.5               trillion               for               2009.

In               essence,               close               to               one-half               of               this               years               health               care               costs               could               have               been               paid               for               if               that               money               had               not               been               spent               on               the               Iraq-Afghanistan               war.
               Neither               party               saves               for               a               rainy               day.

Thus               a               more               careful               look               at               baseline               defense               spending               reveals               a               department               that               has               extended               the               annual               2009               debt               by               about               $166.7               billion.

The               current               defense               baseline               is,               as               stated,               $518.3               billion.

However,               had               it               only               increased               by               3               %               since               1997,               the               budget               would               be               $351               billion.

This               $166.7               billion               difference               can               be               attributed               to               an               aggressive               defense               establishment               eager               to               purchase               new               weapon               systems,               and               the               congressional               propensity               to               add               unnecessary               systems               to               the               budget.
               If               we               add               the               unnecessary               $166.7               billion               to               the               wasted               $915               billion               war               appropriations               the               figure               rises               to               $               1.81               trillion               which               increases               the               percentage               of               2009               health               care               costs               to               53.92               %.

Clearly,               a               harder               line               on               defense               spending               would               allow               the               congress               and               the               administration               to               take               a               big               bite               out               of               rising               health               care               costs               with               no               real               impact               on               national               security.
               A               redistribution               of               funds               from               war               to               health               is               only               the               first               step               in               decreasing               health               care               costs.

Unfortunately,               current               war               spending               is               sunk               costs               that               cannot               be               reclaimed.

However,               reducing               defense               by               about               32               %               and               allowing               only               a               3               %               annual               growth               rate               would               serve               two               purposes:               1)               limit               the               propensity               for               war               mongering,               and               2)               allow               the               annual               distribution               of               nearly               $166               billion               (in               2009               dollars)               to               health               care.
               For               those               who               argue               that               such               a               redistribution               would               ruin               our               national               security,               it               should               be               remembered               that               China               spends               between               $105               and               US$150               billion               and               Japan               about               42.1               billion               on               defense.

Across               the               globe,               China               is               second               only               to               the               United               States               in               defense               spending.

Japan               is               fourth.

Thus,               three               of               the               top               four               nations               spend               from               $42               to               $150               billion               on               defense.

A               32               %               cut               in               current               defense               spending               would               leave               the               United               States               with               $351               billion,               and               they               would               still               be               the               number               one               spender               in               the               world.

As               a               reminder,               we               owe               China               $739.6               billion               (24.07%)               of               our               debt.Japan               is               second.

We               owe               them               $634.8               billion               (20.66%)               for               our               debt.

In               essence               both               China               and               Japan               are               using               money               not               spent               on               defense               to               invest               in               the               United               States               debt.

Together               they               own               44.73               %               of               the               treasury               debt.
               The               reason               that               European               countries               and               Canada               have               better               health               care               systems               is               simple:               They               pay               less               for               Defense               and               depend               on               the               United               States               to               fight               the               wars               for               them.

This               allows               them               to               spend               more               on               health               care               for               their               citizens.
               Reducing               defense               to               an               3%               annual               growth               rate               would               generated               about               $166               billion               that               could               be               added               to               the               Veterans               Administration               budget               of               about               $112.8               billion.

This               would               increase               the               VA               budget               to               $278.8               billion.

There               is               some               symbolism               in               making               this               adjustment.

It               says               that               if               the               Military               is               committed               to               warfare,               they               must               also               pay               for               the               resulting               human               tragedies.

Therefore,               the               President               and               the               military               would               have               to               make               a               choice               between               continued               improvement               of               the               force               structure               (under               a               limited               budget)               or               allocating               the               money               to               the               VA               to               take               care               of               the               damaged               veterans.

Under               no               circumstances               should               they               be               allowed               to               grow               their               weapon               systems               and               avoid               paying               for               medical               costs,               which               is               the               current               situation.
               Beyond               symbolism               there               are               real               savings               to               be               generated               by               increasing               the               VA.

For               example               additional               funding               might               allow               them               to               increase               eligibility               requirements               under               The               Civilian               Health               and               Medical               Program               of               the               Department               of               Veterans               Affairs               (CHAMPVA)               program               which               provides               comprehensive               health               care               on               a               shared               cost               basis.

Additions               to               the               Va               could               include:
               -Reservists               and               National               Guard               members               who               have               not               been               called               to               active               duty               by               a               Federal               Executive               Order,               and,               therefore,               are               denied               VA               care.
               -               Increase               the               eligibility               to               allow               lifetime               benefits               for               all               spouses               and               children               of               any               veteran,               reservist               or               national               guard               member               without               regard               for               wartime               service               or               age.
               Many               of               those               individuals               are               also               covered               by               Medicare,               or               Medicaid               and               are               also               paying               high               insurance               costs.

Shifting               major               costs               to               the               VA,               funded               through               decreased               defense               spending,               should               lower               Medicare,               Medicaid               and               Insurance               cost.
               Both               political               parties               are               to               blame               for               the               imbalance               between               war               and               health               care.

However,               between               1978               and               2005,               Republicans               increased               federal               spending               12.10               %               compared               with               9.90               %               for               Democrat's.

This               equates               to               a               very               high               36.40               %               increase               in               the               Federal               Debt               by               republicans               compared               to               a               very               low               4.2               %               by               Democrats.

Further,               while               republican               spending               only               increased               the               gross               domestic               product               by               10.70               %,               the               spending               by               the               Democrats               increased               the               GDP               by               12.6               %.

In               the               final               analysis,               a               9.9               %               increase               in               federal               spending               by               the               Democrats               increased               the               GDP               by               3               %,               whereas               the               Republican               increase               in               federal               spending,               decreased               the               GDP               by               1               %.
               What               people               need               to               understand               is               that               defense               spending               is               a               business.

It               is               only               marginally               about               protecting               us               from               some               enemy               foreign               or,               god               forbid,               domestic.

Keeping               the               defense-industrial               complex               profitable               is               the               primary               aim               of               the               Defense               establishment,               congress,               and               former               and,               unfortunately,               the               current               administrations.
               Keeping               defense               spending               on               the               rise,               is               accomplished               by               convincing               people               that               war               is               necessary               and               therefore               should               be               funded.

Fortunately,               the               Bush-Cheney               war               has               laid               bare               the               real               truth               about               defense               policy:               it's               based               upon               lies               and               innuendos               sold               to               the               taxpayer               as               necessary               and               to               young               people               as               heroism.
               A               major               policy               shift               is               necessary               to               minimizes               war               and               maximizes               health               care.

Unfortunately,               if               one               thinks               that               the               health               care               lobby               is               corrosive               just               wait               until               the               defense               lobby               is               activated.

Somewhere,               along               the               line               of               history,               far               too               many               of               our               elected               officials               have               sold               their               collective               soles               to               an               industry               dedicated               to               death               and               destruction               at               the               expense               of               the               nations               health.
               Implementing               an               unnecessary               war,               and               paying               for               it               with               Chinese               and               Japanese               money,               while               denying               medical               care               to               the               Nation,               is               not               only               poor               policy               but               it               verges               on               racketeering               and               should               not               be               tolerated               any               longer.
               Sources
               Center               for               Defense               Information,               (1997               Congressional               add-ons               to               the               1997               military               budget,               at:               http://www.cdi.org/issues/addon97.htm
               Frank,               Barney,               "Cut               the               Military               Budget               II,"               at:               http://www.thenation.com/doc/20090302/frank
               Kosiak,               Steven               M.,               "               Analysis               of               the               FY               2009               Defense               Budget               Request,"               at:               http://www.csbaonline.org/4Publications/PubLibrary/R.20080421.Analysis_of_the_FY/R.20080421.Analysis_of_the_FY.pdf
               Office               of               the               Secretary               of               Defense               -               Annual               Report               to               Congress:               Military               Power               of               the               People's               Republic               of               China               2009               (PDF)[1]
               Robinson,               Jennifer,               "Reid               Hit,               Feted               at               Business               Luncheon,"               at:               http://www.lvrj.com/news/55332617.html
               Siska,               A,               et               al,               Health               Spending               Projections               Through               2018:               Recession               Effects               Add               Uncertainty               to               The               Outlook               Health               Affairs,               March/April               2009;               28(2):               w346-w357.
               The               World               Health               Organization's               ranking               of               the               world's               health               systems.

at:               http://www.photius.com/rankings/healthranks.html
               Veterans               Administration,               2010               Budget               Fast               Facts,"               at:               http://www.va.gov/budget/summary/2010/Fast_Facts_VA_Budget_Highlights.pdf
               Wikipedia,"National               Debt               by               U.S.

Presidential               Terms,"               at:               http://en.wikipedia.org/wiki/National_debt_by_U.S._presidential_terms
               Wikipedia,               "Racketeer               Influenced               and               Corrupt               Organizations               Act,"               at:               http://en.wikipedia.org/wiki/Racketeer_Influenced_and_Corrupt_Organizations_Act
               Wikipedia,               "United               States               Public               Debt;               Foreign               Ownership,"               at:               http://en.wikipedia.org/wiki/United_States_public_debt#Foreign_ownership
               Notes:
               A               Defense               baseline               is               calculated               by               adding               3               %               each               year               to               the               Clinton               $1997               Defense               budget               of               $254               billion.
               Reducing               defense               to               an               annual               growth               rate               of               about               $3               %               ($351               billion               or               32               %               in               2009               dollars)               would               serve               two               purposes:               1)               limit               the               propensity               for               war               mongering,               and               2)               allow               the               distribution               of               nearly               $166               billion               to               health               care.

For               those               who               argue               that               $351               billion               is               not               enough,               it               should               be               remember,               that               China's               2008               military               spending               was               between               US$105               and               US$150               billion.

This               is               the               second               highest               in               the               world               after               the               United               States.

As               a               reminder,               we               owe               China               $739.6               billion               (24.07%)               of               our               debt.Japan               is               second.

We               owe               them               $634.8               billion               (20.66%)               for               our               debt.

Japan,               it               should               be               noted,               ranked               fourth               in               world               defense               spending               in               2004-2005,               spending               $42.1               billion.

Thus,               three               of               the               top               four               nations               spend               from               $42               to               $150               billion               on               defense.

This               is               considerably               lower               than               the               recommended               $351               billion               for               the               number               one               spender;               the               Unties               States.
               Of               the               Congress               approved               supplemental               spending,               NPP               analysis               show               that               $84.8               billion               is               for               operations               in               Iraq               and               Afghanistan.

This               includes               Department               of               Defense               provisions               including               Military               Personnel,               Operations               &               Maintenance,               Procurement,               and               Military               Construction;               Department               of               State               provisions               including               Diplomatic               and               Consular               Programs               and               Economic               Support;               and               Department               of               Justice               provisions.
               Previous               NPP               analysis               have               attributed               80%               unspecified               war               funding               to               operations               in               Iraq               and               20%               to               operations               in               Afghanistan.

In               light               of               the               troop               level               reductions               announced               thus               far               for               Iraq               and               increases               announced               for               Afghanistan               in               2009,               we               have               made               new               estimates               of               approximately               58%               unspecified               funding               to               Iraq               and               42%               to               Afghanistan.
               Total               war               funding               to               date               includes               all               approved               funds               for               Afghanistan               since               FY2001               plus               all               approved               funds               for               Iraq               since               FY2003.

See               CRS               Report               RL33110               May               2009.






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