Our veterans reyna payamps
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This document discusses veterans in the United States, including definitions of "veteran", projections of the veteran population from 2017-2037, vulnerabilities among older veterans, and the government agencies that provide benefits and healthcare to veterans. It also briefly compares veterans support in the US to that in the Dominican Republic and discusses the impacts of the Affordable Care Act and the proposed American Health Care Act on veterans.
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Our veterans reyna payamps
- 1. Our Veterans: Who can defend them? Reyna Payamps Western Michigan University PADM-6515
- 2. “veteran” • Federal statutes define as a “person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable.” • Cambridge English Dictionary “ someone who has been in the armed forces during a war”.
- 3. Veteran Population Projections 2017-2037
- 4. why I chose this population?
- 5. 2017 • Gulf War 7,271,000 • World War II 624,000 • Korean Conflict 1,475,000 • Vietnam Era 6,651,000
- 6. old-age vulnerabilities • Poor • Childless • Frail • Isolated
- 7. Department of Veterans Affairs (VA) Veteran’s Benefits Administration (VBA) Veteran’s Health Administration (VHA) National Cemetery Administration (NCA)
- 9. The Affordable Care Act (ACA) • Does not change any benefits received and the out-of-pocket costs remain the same. • Does not affect or alter your VA coverage alone or in coordination with other plans. • Family members covered under the CHAMPVA program also meet ACA coverage requirements.
- 10. American Health Care Act (AHCA) • would increase the population of uninsured veterans from 5.8% to 9.1% • most of the nonelderly veterans who would lose their health coverage would be low-income and unhealthy • Some veterans will become more likely to seek VA health system
- 11. President Trump and Secretary Shulkin Announce Veteran Telehealth Initiatives “It will make a tremendous difference for the Veterans in rural locations.” Trump said.
- 12. Comparison with the Dominican Republic • There is no Department of Veterans Affairs or similar legislation. • Some retirees still receive the salary with which they retired more than 30 years ago. • The Dominican Constitution prohibits military opinion or deliberation on public issues.
- 13. References • Bradley, M. H., Panangala, S. V., Weimer, D. R., Smole, D. P., Loane, S. S., Burrelli, D. F., . . . Sundaraman, R. (2010). Veterans benefits and care. Hauppauge, NY: Nova Science. • C-span. (2017, August). President Trump Announces Veterans Telehealth Services Initiative, Aug 3 2017. Retrieved April 03, 2018, from https://www.c-span.org/video/?432115-1/president-trump-announces- veterans-telehealth-services-initiative • Cambridge English Dictionary. (n.d.). Veteran Meaning in the Cambridge English Dictionary. Retrieved April 02, 2018, from https://dictionary.cambridge.org/dictionary/english/veteran • Coburn, T. A., M.D. (2014, June). “Friendly Fire: Death, Delay and Dismay at the VA. Retrieved from https://www.hsdl.org/?view&did=755200 • Department of Veterans Affairs. (n.d.). Health Care Benefits Eligibility. Retrieved April 03, 2018, from https://www.vets.gov/health-care/eligibility/ • Department of Veterans Affairs. (n.d.). Health Needs and Conditions. Retrieved April 03, 2018, from https://www.vets.gov/health-care/health-conditions/ • Department of Veterans Affairs. (n.d.). About VA Health Care Coverage. Retrieved April 03, 2018, from https://www.vets.gov/health-care/about-va-health-care/ • Department of Veterans Affairs. (n.d.). The Affordable Care Act and You. Retrieved April 03, 2018, from https://www.vets.gov/health-care/affordable-care-act/ • Giroir, B. P., & Wilensky, G. R. (2015). Reforming the Veterans Health Administration — Beyond Palliation of Symptoms. New England Journal of Medicine,373(18), 1693-1695. doi:10.1056/nejmp1511438 • Shi, L., & Singh, D. A. (2019). Delivering health care in America: A systems approach. Burlington, MA: Jones & Bartlett Learning. • SSA. (n.d.). Social Security. Retrieved April 04, 2018, from https://www.ssa.gov/OP_Home/comp2/D-USC-38.html • The White House. (2017, November 09). President Trump and Secretary Shulkin Announce Veteran Telehealth Initiatives. Retrieved April 03, 2018, from https://www.whitehouse.gov/articles/president- trump-secretary-shulkin-announce-veteran-telehealth-initiatives/ • VA Office of Inspector General. (2014, August 26). Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Retrieved from https://www.va.gov/oig/pubs/VAOIG-14-02603-267.pdf • Veterans Health Administration. (2009, June 10). Veterans Health Administration. Retrieved April 03, 2018, from https://www.va.gov/health/aboutVHA.asp
- 14. “The true soldier fights not because he hates what is in front of him, but because he loves what is behind him.” G..K. Chesterton
Editor's Notes
- Our veterans are those men and women who gave everything to keep the homeland free and sovereign. They gave a lot: their soul, dreams, ideals, health and even their lives; therefore, it is priceless to give them back their work.
- Defining a veteran is not an easy task. According to Cambridge English Dictionary “someone who has been in the armed forces during a war” (n.d.). But as defined by Federal statutes as a “person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable.” [38 U.S.C. § 101(2); 38 C.F.R. § 3.1(d)]. No matter who the author is, it all comes down to the fact that a veteran is a person who exposed his life for the good of his country.
- As founded in the Veteran Population Projection Model 2016 the total number of veterans expected to the end of 2018 is 19, 602, 316. Similarly the population will be mostly composed by baby-boomers, as shown in figure 1, seconded by those belonging to the silent generation.
- All this aroused our curiosity and forced us to continue deepening the investigation, until we found scandal headlines in the media where, unfortunately, human lives were lost. As stated by the CNN investigators Scott Bronstein and Drew Griffin “At least 40 U.S. veterans died waiting for appointments at the Phoenix Veterans Affairs Health Care system, many of whom were placed on a secret waiting list” (2014). These situations led to a long bureaucratic battle where a Pandora's box was uncovered where the Acting Secretary Sloan D. Gibson confirmed “at least 18 Arizona veterans died while awaiting doctor appointments in Phoenix” (2018).This leads us to think that many human lives cannot be returned, and that although the United States is a world power, it has many failures in its system, but that these failures can and are being improved.
- There is a high rate of older adults within the population of veterans, in addition to the fact that the elderly population are more exposed to vulnerabilities. As expressed by Elisabeth Schröder-Butterfill And Ruly Marianti “vulnerability in old age has mainly been approached by identifying high risk groups, like the poor, childless, frail or isolated” (2006, p. 1).
- When we talk about veterans in America we must mention the institutions designated to their welfare. We start with the US Department of Veterans Affairs (VDA) which on its website explains “VA operates the nation's largest integrated health care system, with more than 1,700 hospitals, clinics, community living centers, domiciliaries, readjustment counseling centers, and other facilities.” (n.d.). This institution has dependencies like Veteran’s Benefits Administration (VBA), National Cemetery Administration (NCA), and the Veteran’s Health Administration (VHA); this last mentioned is the one that has more personnel.
- So, it is necessary to classify the main diseases treated in this health system. According to Eibner and Krull, the main pathologies found were: “diabetes, mental health, cancer, Gastroesophageal reflux disease (GERD), Chronic obstructive pulmonary disease (COPD), hearing loss, and posttraumatic stress disorder (PTSD)” (2015, p.27).