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THE CANDIDATES: McCAIN AND OBAMA BOTH AGREE
THAT THE VA IS BROKEN -- A closer look at where
McCain and Obama stand on veterans' issues.

Sen. John McCain (R-AZ)
Sen. Barack Obama (D-IL)
For more about the candidates, go to the
Presidential Candidates Page... click here...
http://www.vawatchdog.org/08/nf08/PRE
SIDENTIALCANDIDATES.htm
Story here...
http://www.mcclat
chydc.com/election2008/story/54689.html
Story below:
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Veterans: Candidates agree that VA is broken
By Chris Adams | McClatchy Newspapers
WASHINGTON — Even as the country heads into an era of tighter budgets,
John McCain and Barack Obama are united on giving more help to the
nation's veterans and overhauling the agency that cares for them.
McCain, one of the nation's most celebrated veterans, and Obama, who never
served in uniform but became an advocate for veterans issues soon after
entering the U.S. Senate, generally agree that the Department of Veterans
Affairs does some things well and other things quite poorly.
And while veterans issues have come into the limelight only briefly during
this election, the two campaigns have sparred over how best to improve
access to the VA's health-care system.
"We expect whoever becomes president to take care of America's veterans,"
said Joe Davis, a spokesman for the Veterans of Foreign Wars, the oldest
major veterans' advocacy group in the country.
The country has an estimated 24 million veterans, with World War II and
Korean War veterans rapidly dying off and soldiers from Iraq and
Afghanistan quickly adding to the rolls. Vietnam veterans, many now in
their 60s, are the largest group and are steadily increasing the VA's
health-care tab.
The VA's budget has risen substantially in recent years, driven by an
increasing number of veterans receiving disability payments for mental and
physical injuries suffered while in the service, and by the cost of the
VA's health-care operations. Those two functions make up the vast majority
of VA operations, although the department also funds veterans' education
and insurance benefits, as well as a nationwide network of cemeteries.
When it comes to the VA's disability compensation system, the candidates
and major veterans' groups are in agreement: The VA system is broken.
The
agency has been struggling with a backlog of claims that has hovered near
400,000 for the past few years. The time it takes to process a new claim
is about 180 days, far higher than the department wants.
In addition, both candidates say that the government needs to fully fund
the VA's far-flung health care system, and they both support a bill now in
Congress to approve VA medical funding a year in advance to allow for
smoother operations.
However, expanding veterans' access to health care is also a point on
which the candidates disagree.
The VA treats 5.6 million veterans at more than 150 hospitals and more
than 800 clinics scattered across all states. The system has undergone a
major transformation over the past decade, boosting outpatient and
preventive care in its growing network of outpatient clinics.
While the transformation has generally received favorable reviews from
medical experts, there still are pockets of the country where veterans
have trouble getting in for treatment. In Western and rural states,
veterans sometimes have to drive for hours to reach the nearest clinic or
hospital. In other locations, waiting times may be far longer than the VA
itself considers acceptable.
McCain wants to provide a veterans care "access card," which is intended
to allow veterans to access private doctors if they aren't able to get
into a VA facility in a timely manner. He said it would be a supplement to
VA care, not a replacement for existing programs.
The Obama campaign has criticized McCain's plan, saying it would take
resources and patients out of the VA system, thus hurting the economies of
scale that let the VA provide cost-effective care.
Joe Violante, the national legislative director for Disabled American
Veterans, said details for McCain's plan are sketchy, but that any attempt
to move patients out of the VA "concerns us because it costs more to
provide care outside the system, and moving patients out undermines the
critical mass that the VA needs to provide a full continuum of care."
Lang Sias, McCain's veterans director, said the plans have been distorted
by Obama's campaign. The card, he said, "is an additional option, not
privatization."
The other main health access issue concerns what are known as "Priority 8"
veterans. Since 2003, many of those veterans haven't been allowed into the
VA's health care system because they make too much money and don't have
severe enough disabilities.
Obama said one of his first acts as president would be to sign an
executive order allowing those veterans into the VA system. McCain
believes that opening the doors to all those veterans at once could risk
clogging the system. Instead, McCain wants to "aggressively increase
capacity" in the system while adjusting the income tests to gradually
absorb Priority 8 veterans.
The department has struggled for years to improve its disability system.
In fact, the wide variation in disability payments from state to state is
one thing that Obama focused on in 2005 after joining the Senate. Obama is
a member of the Senate Veterans' Affairs Committee.
The VA doesn't have as many workers as it needs to process claims, said
Phil Carter, the Obama campaign's veterans director. "The people there
aren't staying long enough, and they are not getting good leadership," he
said. "They need better management."
The claims process, he added, has become "far too adversarial," with
veterans feeling they have to fight — and often wait for years — to
receive benefits they are due.
Obama said he'd hire additional claims workers, revamp the training
system, and bring the VA's paper claims systems into the digital age.
The McCain campaign agrees that there should be a complete review of the
VA's disability system, both in the processing of claims and the
guidelines for how disabilities are evaluated. "I think you need clear,
predictable and understandable standards," said Sias, McCain's veterans
director.
The campaign said that the VA's disability system is "tragically broken"
and that "too many of our wounded veterans come home to an administrative
nightmare rather than a hero's welcome."
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Scott
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