This Ain’t Hell
March 17, 2009

Regular readers will remember the exchange I wrote about last week in which Eric Shinseki the new VA director proposed a system to force veterans to buy insurance to treat their service-connected injuries from a Stars and Stripes article;

The administration is considering charging veterans’ health insurance plans earned through civilian employment for VA’s costs in treating service-connected injuries or ailments.

The VA already taps “third party” insurance plans for treatment of non-service-related conditions. Collections in fiscal 2008 totaled $2.4 billion. The VA expects to collect $2.5 billion this year. The total could jump to $3 billion next year if care of service-connected conditions are included.

Shinseki emphasized that this is only a consideration and not yet part of Obama’s budget request. But members of the veterans’ committees wanted Shinseki to know they won’t support the proposal.

I made mention to some people that it was a done deal in the collective mind of the Obama Administration. I was told it wasn’t – that I was over-reacting. Well, look at this from the American Legion today;

The leader of the nation’s largest veterans organization says he is “deeply disappointed and concerned” after a meeting with President Obama today to discuss a proposal to force private insurance companies to pay for the treatment of military veterans who have suffered service-connected disabilities and injuries. The Obama administration recently revealed a plan to require private insurance carriers to reimburse the Department of Veterans Affairs (VA) in such cases.

“It became apparent during our discussion today that the President intends to move forward with this unreasonable plan,” said Commander David K. Rehbein of The American Legion. “He says he is looking to generate $540-million by this method, but refused to hear arguments about the moral and government-avowed obligations that would be compromised by it.

The Commander, clearly angered as he emerged from the session said, “This reimbursement plan would be inconsistent with the mandate ‘ to care for him who shall have borne the battle’ given that the United States government sent members of the armed forces into harm’s way, and not private insurance companies. I say again that The American Legion does not and will not support any plan that seeks to bill a veteran for treatment of a service connected disability at the very agency that was created to treat the unique need of America’s veterans!”

[efoods]Commander Rehbein was among a group of senior officials from veterans service organizations joining the President, White House Chief of Staff Rahm Emmanuel, Secretary of Veterans Affairs Eric Shinseki and Steven Kosiak, the overseer of defense spending at the Office of Management and Budget (OMB). The group’s early afternoon conversation at The White House was precipitated by a letter of protest presented to the President earlier this month. The letter, co-signed by Commander Rehbein and the heads of ten colleague organizations, read, in part, ” There is simply no logical explanation for billing a veteran’s personal insurance for care that the VA has a responsibility to provide. While we understand the fiscal difficulties this country faces right now, placing the burden of those fiscal problems on the men and women who have already sacrificed a great deal for this country is unconscionable.”

Commander Rehbein reiterated points made last week in testimony to both House and Senate Veterans’ Affairs Committees. It was stated then that The American Legion believes that the reimbursement plan would be inconsistent with the mandate that VA treat service-connected injuries and disabilities given that the United States government sends members of the armed forces into harm’s way, and not private insurance companies. The proposed requirement for these companies to reimburse the VA would not only be unfair, says the Legion, but would have an adverse impact on service-connected disabled veterans and their families. The Legion argues that, depending on the severity of the medical conditions involved, maximum insurance coverage limits could be reached through treatment of the veteran’s condition alone. That would leave the rest of the family without health care benefits. The Legion also points out that many health insurance companies require deductibles to be paid before any benefits are covered. Additionally, the Legion is concerned that private insurance premiums would be elevated to cover service-connected disabled veterans and their families, especially if the veterans are self-employed or employed in small businesses unable to negotiate more favorable across-the-board insurance policy pricing. The American Legion also believes that some employers, especially small businesses, would be reluctant to hire veterans with service-connected disabilities due to the negative impact their employment might have on obtaining and financing company health care benefits.

“I got the distinct impression that the only hope of this plan not being enacted,” said Commander Rehbein, “is for an alternative plan to be developed that would generate the desired $540-million in revenue. The American Legion has long advocated for Medicare reimbursement to VA for the treatment of veterans. This, we believe, would more easily meet the President’s financial goal. We will present that idea in an anticipated conference call with White House Chief of Staff Rahm Emmanuel in the near future.

“I only hope the administration will really listen to us then. This matter has far more serious ramifications than the President is imagining,” concluded the Commander.

SOURCE The American Legion

The emphasis is mine.

Notice that this is part of the Obama budget plan – he thinks he’s going to get a $half-billion from this proposal to fund some of the other stuff he wants to buy. I don’t know where they get that number from.

This will jack up everyone’s insurance premiums if insurance companies are forced to accept pre-existing conditions of veterans…most of all the premiums of veterans. But it’s what I’ve been warning about since before the election – I wish I didn’t have to say “I told you so” but Democrats are famous for making veterans and the military pay for their buying electoral patronage.

To their credit, the American Legion commander isn’t pussy-footing around on this. I’m wondering where my own VFW is with their press release. I guess, I’d better buy my lifetime membership in the American Legion.

And, oh, who thinks Shinseki will resign in protest over this? Yeah, me neither.

UPDATE at 11PM Eastern: Our local CHANNEL 9 News (WUSA) reports that Shinseki claims he’ll oppose the measure when the whole bill is presented next month. Why is he waiting? Look, Eric, we all know you – just fold like a K-Mart lawn chair now and get it over with.

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