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McCain's Plan to Privatise Veterans' Health Care
SAN FRANCISCO - If John McCain is elected the next U.S. president, wounded veterans could be in for a world of hurt.
On the campaign trail, the Republican's presumptive nominee has talked of a new mission for the Department of Veterans Affairs (VA) and argued that veterans with non-combat medical problems should be given vouchers to receive care at private, for-profit hospitals -- in other words, an end to the kind of universal health care the government has guaranteed veterans for generations.
"We need to relieve the burden on the VA from routine health care," McCain told the National Forum on Disability Issues last month. "If you have a routine health care need, take it wherever you want, whatever doctor or health care provider and get the treatment you need, while we at the VA focus our attention, our care, our love, on these grievous wounds of war."
The Republican senator argues that giving veterans a VA card that they can use at private doctors would shorten the long wait times many veterans face in seeing government doctors, who are nearly universally viewed as among the best in the world.
A recent study by the RAND Corporation found that "VA patients were more likely to receive recommended care" and "received consistently better care across the board, including screening, diagnosis, treatment and follow up" than that delivered by other U.S. health care providers.
Virtually all veterans groups oppose McCain's plan. The Veterans of Foreign Wars' national legislative director has said the VA card would "undermine the entire system".
According to the Centre for Responsive Politics, Democrat Barack Obama has received nearly six times as much money from troops deployed overseas at the time of their contribution than has Republican John McCain.
This may seem odd to some since McCain is a former naval officer, prisoner of war, and Vietnam War veteran.
However, Paul Sullivan, a Gulf War veteran and executive director of the non-partisan Veterans for Common Sense, says that for McCain, free market ideology is more important than providing care for former soldiers.
"Ideologues like John McCain and George Bush hate the fact that the VA exists," Sullivan told IPS, noting that the Republican candidate also wants to partially privatise social security and offer private school vouchers to students currently enrolled in public schools.
"They hate the fact that there's a functional example out there of the government providing better care at a lower cost than the private sector," Sullivan said. "The problem that the VA faces now is that the Bush administration failed to hire enough doctors and disability claims adjusters when they chose to go to war with Iraq. If these doctors had been hired, the VA would be an example of the government doing good work. Bush and McCain don't want the public to see that."
McCain has also never spelled out what he means by a "combat injury", leading many veterans worried they could be left out in the cold.
"If I'm driving a Humvee in Iraq and a roadside bomb explodes and I veer off the road and crush my arm and end up losing it and needing a prosthetic, is that a combat wound according to Sen. McCain?" asked retired Air Force Colonel Richard Klass, the president of the Council for a Livable World's VETPAC, which has endorsed Obama.
Official Pentagon policy calls such an incident a non-combat injury. Technically speaking, the only soldiers "wounded" in combat are those hit by direct enemy fire. As of Aug. 5, Department of Defence statistics showed 32,799 U.S. soldiers had been "wounded" in Iraq and Afghanistan. Another 10,685 had sustained "non-hostile" injuries which required a medical evacuation, while 29,881 were classified as "ill" enough to be airlifted out of the war-zone.
Veterans are also sceptical of McCain's plans because as a senator, he has repeatedly voted against fully funding veterans' health care. In 2005 and 2006, McCain voted against expanding mental health care and readjustment counseling for service members returning from Iraq and Afghanistan, efforts to expand inpatient and outpatient treatment for injured veterans, and proposals to lower co-payments and enrollment fees veterans must pay to obtain prescription drugs.
McCain's vote also helped defeat a proposal by Democratic Sen. Debbie Stabenow that would have made veterans' health care an entitlement programme like social security, so that medical care would not become a political football to be argued over in Congress each budget cycle.
Iraq and Afghanistan Veterans of America (IAVA) gave him a D+ when they scored his voting record (whereas Obama got a B+). He's voted with the interests of Disabled American Veterans only 20 percent of the time.
"If McCain would work to properly fund VA care, there would be no issue about a VA card," said Larry Scott, who edits the website VAWatchdog.org. "McCain, by wanting to give vets private care, is walking away from the VA and ignoring the problem. He is admitting that he will not properly fund the VA to the level where it can care for all qualified vets. "
Scott is sharply critical of the VA's often cumbersome and ineffective bureaucracy, but like most veterans' advocates, believes the VA system needs to be strengthened. He sees McCain's plan as a way to phase out the government's commitment to those who've served.
"For every vet who would get a VA card, that would be one less vet using the VA," he wrote in an e-mail to IPS. That "would mean, in a short period of time, a smaller budget, fewer locations...and the eventual dismantling of the best health care system in the country."
IPS Correspondent Aaron Glantz is author of the upcoming book "The War Comes Home: Washington's Battle Against America's Veterans".

40 Comments so far
Show AllDoes McCain REALLY care about the troops? Seriously doubt that. They're just fodder for the war machine and a burden when they get wounded.
Those veterans had better stand up to these phony wars if they want anything. Frankly, it doesn't matter if Mccain or Obama becomes president next year the way they're pandering these past two years. Oops, I forgot, many veterans having become Limbaugh-ized ZOMBIES ! Sad !
It's not the military's job to stand up against these wars, it's ours. The last time veterans took an aggressive stand for what was their due, armed men on horseback led by Douglas MacArthur burned them out like so much vermin.
Don't forget that we are responsible for their condition. We sent them into peril by electing a president to lead a government of, by and for the people. That we were deceived is not the responsibility of the military. We got what we deserved by allowing our baser natures to be pandered to by people willing to do that for their own personal gain. Figure it out!
You're correct. Hell, most of these wars are fought for fossil fuels. I'd prefer that we grow hemp and utilize that instead and along with it conserve and put public transportation first. Unfortunately, we'd be called sissies for not being "macho" enough to guzzle around which is why our veterans die for public greed for fossil fuels. The alternatives to petroleum do exist but they have been stifled for decades and to make matters worse, 80% of the electorate still thinks that fossil fuels cannot be replaced or be done without when in fact that's far from true. When people can stand up to the "war on drugs" and give hemp a chance, big agri stuffing the sheeple with fossil fuel burned corn-fed shit, big government "zoning" laws forbidding people from using solar, wind, clothesline, etc ... , crummy gizmos such as ipods, etc ... then our veterans will have a chance to SHUT DOWN these wars and come home. Until then, America will stay DYSFUNCTIONAL and in decaying status !
Bob, everytime I read comments along this line I just want to scream. I am not responsible for their condition. I did not ask them to enlist. I did not help elect the current administration, and if it was up to me I wouldn't support this war with my taxes. If you want to take the blame for this be my guest but leave me out of your collective "we."
Obama has recieved six times more in contributions from deployed overseas troops than mccain. Is the MSM reporting this? Is it mentioned in obama's ads?
Egad! Not just underfund the VA but to destroy it entirely.
This guy is more of a 'slash and burn' Neocon that Darth Cheney.
If we had a decent non-profit health care system that was open to all, (single payer) this might not be a bad idea. Health care costs would be contained, and vets could go to any hospital for care--any doctor for care--any pharmacy for their prescriptions -- The VA system would pay the providers and the costs of operating the VA system would be lessened. But with the broken system we have now, no health care provider would accept the vets. It would have to be like Medicare, but better. The VA currently negotiates for the best drug prices; Medicare has no power to negotiate due to the lousy system we have that made sure that insurance companies and big pharma continue to reap obscene profits. When are our so called leading dems going to get smart and quit talking about helping people find affordable health insurance? Do what works in every other modern nation in the world and provide universal care. DK Blake
As a senior who learned about Medicare before privatization, while taking care of a parent, and as a Medicare recipient after privatization, I'd say veterans should be very worried.
He doesn't care about the troops. The system doesn't care about the troops and hasn't since at least WWII. Instead of an army which operates as an arm of the government, we have 1.5 million contractors - which we are striving to strip of job benefits. It boils down to this:
When a private company looks to reduce its overhead, the first thing it does is reduce the benefits offered to employees. If that's not sufficient, it fires people then replaces them with people who will work more for less pay. When that doesn't work, it switches to subcontractors who must bid each other down to the lowest price - and aren't contractually granted any benefits.
Apply this model to our military and suddenly all of its ills make perfect sense.
The Pentagon has made it a habit to deceitfully deny thousands of veterans their benefits from service, medically and financially. In fact, one can argue that they've intentionally underfunded the VA program since the 1970s. If you look at pay rates for soldiers adjusted for inflation - they make less than soldiers of previous wars - yet are redeployed up to 5 or 6 times. More work, less pay. Now take a look at what they did for the Iraq/Afghan war - hired hundreds of thousands of mercenaries; contracted killers. Uncle Sam doesn't owe Blackwater mercs a goddamn thing in terms of health benefits or low-cost loans to re-establish themselves as regular members of society when they return from war.
we'll probably have to bear that cost as we encounter them in LE uniforms
What we essentially have is the ongoing privatization of our military. This is something which we will come to regret as we move toward a time of increased global conflict due to scarcity of resources. I see this as nothing short of intentional because as we face future battles, our military as a private sector is held to lower standards of accountability than a public one. It also fits the model of other major industries such as the financial one; privatize the profit, make the risk public. We saw this in the form of taxpayer bailouts for private sector ineptitude, greed, and failure.
This is the course our government is charting in all its sectors and it essentially amounts to a private government that answers to no one. Oligarchy and fascism in place of democracy and sound social policy. The founding fathers' nightmare is upon us and most people are entirely unaware, even supportive of it. Truly shameful.
amen!
The new comment system sucks by the way.
No posts over 250 words? Come on now...
The new comment system sucks by the way.
No posts over 250 words? Come on now...
And why not privatized health care -- we have a privatized government dedicated to privatized interests don't we?
Another idiot ideologue.
Arise
one other point, the US Gov is not on the hook if a private army does war crimes.
It sure is a sorry state America is in when the only jobs are Wal Mart or the military but the WH has a new job creation program a private army.
desertdweller
For those of us living in Arizona this is simply more of the same old McCain. The local VA hospital, Carl Hayden Medical Center, is a prime example of the neglect and indifference of Arizona's two senators, McCain and Kyl. While both are loud and brassy "Suuport the Troops" speakers, their actions [or inaction] show their true colors.
It might also interest people that one of McCain's former top legislative aides was the head of Tri-Care until recently, which provided HMO-type service to military dependents. The program was famous for helpling make retired generals and admirals wealthy while military families went without basic healthcare necessities.
Feudalism
I heard a clip of that statement. And I heard the veterans in attendance cheer wildly. Wasn't it stupid enough to get sucked into Korea and Nam? There's really no cure for that level of dumbth. Very sad. America will once again get the president it deserves.
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If Obama does not jump on this as a portrayal of the total hypocrisy of McCain and the Republican party on their "support the troops" horsesh!t, he is a complete fool.
The 100 years of war is already costing too much, and the health system cannot afford the lifetime of multiple disabilities in Vets that has already been incurred.
Since the private system runs at profit for multiple profit takers, the VA card will either push the costs up, or to keep costs down, push the standard of care down. The next step is for the VA card to only authorize payment for certain sorts of treatment.
Prevention is much, much better than a lifetime of cost and non-cure.
Obama has proposed that vets should be able to get health care anywhere, just by presenting their cards.
But of course, again, there's no difference between him and McCain, right?
If you're not prepared to care properly for troops after they're wounded, then DON'T SEND THEM TO WAR!
Amen!
McCain's foreign policy beliefs openly promise more and longer wars in order to ensure protection of US Empire interests. This reveals right off the bat a broken moral compass. And what better way for such an amoral man to help finance those wars, than by cutting VA health care costs for those who fight them?
Privatizing vets health care will result in:
...fragmentation of comprehensive treatments due to vets need for random access doctor shopping
...higher out of pocket expenses for vets whose vouchers fail to cover novel or extended treatments (watch voucher coverage shrink if enacted)
...hamstringing of centralized epidemological data collection about patterns of troop vulnerabilities to, and injuries from, theatre-specific weapons, toxins and psychological stresses
...no practical way of enforcing uniform care standards
...federal budgetary $billions freed-up for more weapons development and payoffs to military industries
McCain wants everyone to believe he cares about veterans.
But is VA privitization plan is really about protecting Empire as cheaply as possible.
The FBI and OIG-DHHS already have their hands full detecting and prosecuting fraud for Medicare and Medicaid claims by healthcare industry gamers.
Insurance companies' efforts to deter fraud and abuse for private sector healthcare purchasers are paltry at best. God forbid they should upset outlier healthcare providers by expelling them from their networks or launching criminal investigations.
Apparently, McCain is oblivious to the havoc that several hundred thousand more opportunities for some providers to game the system would wreak on the administrative and monitoring apparatus as it currently exists.
The VA works because it is devoid of third party payers, has no competitors siphoning funds from patient care for their own benefit, provides fair compensation to healthcare providers, utilizes centralized bulk purchasing of materials and supplies, and eliminates the abuses and waste of the private insurance non-system. It simply doesn't have a built-in cycle of enrichment proliferation for providers and other interests operative within it. Private sector healthcare is by far the most parasitic and wasteful.
Massive economies of scale are realized by the current VA system that would be erased by moving veterans to the private sector for 'routine health care'.
McSame can't figure out how many homes he owns. He has admitted to being light on economics. How can anybody expect him to effectively address the complexities inherent in healthcare delivery and finance?
This from a man who could fund at least one V.A. Hospital for a year out of his pocket.
Scratch Open A Cynic And You Will Find An Angry Idealist.
This is just a set up for school vouchers. Set precedent to help "support the troops," then when the time comes the govorporation could start funneling more money to religions & their schools via the voucher system.
Amazing how our senate, representatives, president and vice president aren't being mentioned in this change.
It appears anyone out of the special click will be deregulated up to their eyeballs. Seems the gop hate the idea that we get a break. After all it's our money.
Facts makes the best weapons against Lies.
I wish Obama would start putting out that information about McCain and how he doesn't support the troops by his voting record. McCain voted against the GI Bill because he didn't want to give them benefit of college after only three years of service because they would leave but there would be more that might sign up because of that benefit. McCain tells how he was a POW over and over and tells the same stories and after awhile it is sickening to listen to. He definitely exploits himself. I think people will get tired of it. I know veterns that have fought in wars. Does that make them ready to be President too? John Kerry was in the VietNam war and had military experience but the Republicans did everything they could to crucify him. I think if Kerry had been elected, we'd would not still be in the mess we are now.
Applaud most comments here.
Study McCain and you will find a globalization neocon who agrees with Grover Norquist's 'drown guvment in the bathtub' theory. Destroy the Commons.
That he would extend this Perversity to health care for damaged soldiers given the history here, tells me that he is utterly deluded. How does he think that FDR won WWII? The U.S. military is the most Socialistic institution in the government other than Social Security, BECAUSE IT WORKS.
What most Americans do not understand is that most governmental jurisdictions from the top to the bottom have been privatized for many decades. For example, most municipalities do not pave their own roads; they hire a private contractor to pave their roads. And when they "upgrade" sewerage systems, these are financed and constructed by private entities contracted by local governments. In such cases, which are the majority of cases in the United States, private firms are enabled by government, and benefit thereby.
The VA model is under attack. Most other models probably are more corrupt, including the models I have describd above.
History is a bitch yet we need to study her. Wars are lost by the ignorant.
-30-
Applaud most comments here.
Study McCain and you will find a globalization neocon who agrees with Grover Norquist's 'drown guvment in the bathtub' theory. Destroy the Commons.
That he would extend this Perversity to health care for damaged soldiers given the history here, tells me that he is utterly deluded. How does he think that FDR won WWII? The U.S. military is the most Socialistic institution in the government other than Social Security, BECAUSE IT WORKS.
What most Americans do not understand is that most governmental jurisdictions from the top to the bottom have been privatized for many decades. For example, most municipalities do not pave their own roads; they hire a private contractor to pave their roads. And when they "upgrade" sewerage systems, these are financed and constructed by private entities contracted by local governments. In such cases, which are the majority of cases in the United States, private firms are enabled by government, and benefit thereby.
The VA model is under attack. Most other models probably are more corrupt, including the models I have describd above.
History is a bitch yet we need to study her. Wars are lost by the ignorant.
-30-
The right wing by ideological definition cannot propose a thing that makes sense. The VA is not the only example of a socialist healthcare system that greatly outperforms the capitalist system. There is also Medicare/Medicaid in the USA. And there are many socialist healthcare programs in other countries. Cuba's stands out as the greatest value of all.
Let us remember that both candidates are wedded to private health care, whether military or civilian. Obama, as has been noted, favors health cards for vets allowing them to be seen by private physicians, a plan not much different than McCain's in practice. Both health care plans for the rest of us are equally exclusive, both leave many millions sans care at all. Is it not time to insist that our legislators and leaders recognise and support the social contract betwen our government and ourselves?
I add my voice to the chorus of those who think a 250 word limit is handicapping and unnecesary.
We see things, not as they are, but as we are.
Anais Nin
Now that the financial sector has weakened the MIC is being used as a bulwark for economic activity. The ideas of imperialism, permanent war, world dominion, and MIC investment and manufacturing fit well together in a mesh of policies designed to serve the interests of wealth and privilege. John McCain is a willing partner in these policies and is immune from the hardships and realities thrust upon the rest of us resulting from these policies. Perpetual war without the financial burdens of caring properly for injured veterans is very appealing to McCain and works to sustain his position of wealth and privilege.
CQ from Maine: One more reason not to vote for the -- ah-- for the veteran?
This all comes down from the Secretary of the VA - James Peake. It is his push to privatize healthcare in the VA. It has already started with the closing of the Emergency Department and In-Patient Hospital at the W. G. "Bill" Hefner VA Medical Center in Salisbury, North Carolina and others are soon to follow. It all sounds great on paper, but lets look at the reality of what will happen:
1) Veterans(all 32 million of them in the United States) will go to their local hospitals for emergent or urgent care and will stand in line to be seen in the already flooded emergency rooms of our nation - expect 10 hour waits in some cases;
2) A veteran who is used to going to their VA Medical Center emergency room to take care of their chronic back problems (or whatever) that they suffered while serving in the military, will present to local Emergency Rooms for these problems and will be left holding a $1,500 hospital bill that they cannot afford to pay thereby driving up the already high costs of healthcare even more higher;
3) Privatizing healthcare for our veterans will put money into the pockets of insurance companies and take from the pockets of the Veteran. How many people serving in Washington used to work for insurance companies?
Just something to think about!
Totally opposed to this idea and will vote against any official who supports it.