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                      VA NEWS FLASH
from Larry Scott at VA Watchdog dot Org -- 02-26-2009
 



 


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PRIVATIZING THE VA:
OFFICIAL SAYS OUTSOURCED

HEALTHCARE NOW COVERS 30 PERCENT OF VETERANS --

So-called "pilot program" now has private contractors

gobbling up huge chunk of budget as VA hospitals struggle.

 

 

Story below: 

Your comments accepted at bottom of page.


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-------------------------

by Larry Scott

 

In 2006, the VA started a pilot program called Project HERO.  The concept was to provide local care to rural veterans.  This would be done by paying private providers instead of building more VA clinics where needed.

At that time I wrote that this was just another step in privatizing the VA:

This is a lesson in political manipulation.  Give your program a compelling name: Project Hero.  Tell people that it will not do what it is really designed to do: Privatize VA healthcare.  Then, sit back and watch people buy into it.  We all know that veterans who live in rural areas need access to VA healthcare.  So, instead of building VA clinics and staffing them with VA doctors and nurses...the VA, with the help and blessing of House Vets' Chair Rep. Steve Buyer, is privatizing the system by providing healthcare from private doctors at private hospitals.  (Complete article here... http://www.vawatchdog.org/old%20newsflashes
%20APR%2006/newsflash04-02-2006-1.htm
)

Today, not three years later, we find out that Project HERO has outsourced VA healthcare to 30% of the veteran population.  More on Project HERO here... http://www.yourvabenef
its.org/sessearch.php?q=project+hero&op=ph

Not 3%... 30%... nearly one-third!  "We do cover 30 percent of the enrolled veteran population within the entire country," said national [Project HERO] program manager Greg Eslinger.  This quote from the story below.

When first proposed, Project HERO was to be for "rural" veterans and their "routine" healthcare needs.  But, in the story below, we see Project HERO is operating in Minneapolis / St. Paul and providing specialty care.

A close look at the Project HERO web page on the VA's site shows this change in the program.  The page says, "Project HERO is a pilot program that helps veterans access the health care they need when specific medical expertise or technology isn't available inside the VA health care system."  So, we see that the entire focus of the program has changed.  Project HERO home page is here...
http://www.va.gov/hac/hero/

The real kicker here is this:  Who manages Project HERO?  Humana Veterans Healthcare Services.  Who is the head of this Humana group?  Alfonzo Poteet, a former VA deputy assistant secretary. 

This is big business working to privatize the VA... and VA officials handing out the checks.  There's lots of money to be made.  How much?  Here is an article from the Business Section of the Milwaukee Journal titled, New Veterans unit could be big business for Humana Inc.  Article here...
 http://www.vawatchdog.org/07/nf07/nfJUN07/nf060507-1.htm

I've said this time and again... For every veteran who receives privatized healthcare, the VA becomes that much weaker.  More on privatizing the VA here...
http://www.yourvabenefits.org/sessearch.ph
p?q=privatize+privatizing&op=or

Fewer vets being seen at the VA means fewer dollars for the VA... and more for private healthcare providers.

And, fewer dollars for the VA means cuts in care.  In the past few weeks we have been receiving reports of VA hospital directors being told to "shed beds," that is, lower the patient census.  Along with this, some have been told to freeze hiring.  Why?  Lack of funds.

Our retirees have already been through this.  Their military hospitals were closed and they were shoved in a HMO for which some pay dearly... and which is having a difficult time finding providers.

Is this the future of the VA, as well?

Below is a news story and a video that explains Project HERO and includes the 30% quote.

Story here...
http://wcco.com/health/project.hero.veterans.2.939294

Story below:

---------------

Expanding Private Medical Care For Veterans

Dennis Douda
(WCCO)



There are 24 million military veterans in the United States. Current conflicts in Iraq and Afghanistan have made many Americans ask if we are serving the veterans as well as they have served us. Project HERO, a program launched in the Twin Cities three months ago, is an effort to do that.

Marine Corporal Danny Glassic injured his neck 20 years ago while serving in the military.

"I was partially paralyzed from the chest down for a couple months," said Glassic.

Amazingly, he bounced back after therapy and was redeployed during the Gulf War. His assignment was to guard the U.S. Airbase in Kuwait City.

While the tour of duty eventually ended, the pain of his injury did not. It then flared out of control last fall.

"At that time my arm was going numb, tingling. It felt like somebody hit me in the funny bone with a sledge hammer," Glassic said.

"We are going to have to replace, essentially, the damaged discs that he has in his neck," said neurosurgeon Mahmoud Nagib. "And we'll be replacing his discs [with] a cage."

Glassic is one of a growing number of veterans whose medical care is being contracted out to the private sector. The Veterans Health Administration (VHA) picks up the tab through Project HERO.

"We do cover 30 percent of the enrolled veteran population within the entire country," said national program manager Greg Eslinger.

He said while the VHA medical system is building up its own infrastructure, this is a great way to reduce wait times for those in need of care now.

"The veterans have to be seen within 30 days," Eslinger said. "And [they] actually have their appointments made [for them] and these companies coordinate all of that for the veteran."

Abbott Northwestern Hospital has been treating about a hundred veterans a month through the program. The payments are roughly along the lines of Medicare reimbursement, which means it is not very profitable to physicians, so the decision to participate went beyond Abbott's hospital walls.

"Abbott Northwestern's medical staff is made up of a lot of private practice physicians," said hospital president Jeff Peterson. "And a lot of this care is provided in the physicians' office and may or may not end up in the hospital. I want to congratulate all of them and thank them. They stepped right up and said this is the right thing to do and we need to be part of it."

Glassic's surgeon echoed that sentiment.

"My group is Neurosurgical Associates. We are nine members here," said Nagib. "No exceptions. They are all eager to help."

The concept is to provide first-rate comprehensive care. Glassic said he's been very impressed with Project HERO and with Nagib, the doctor assigned to his case.

"To be honest with you, I was shocked," he said. "The people that I've talked who have gone to [Dr. Nagib] say he's the best in the country. If anybody's gonna be poking around in my neck I want it to be him."

The vast majority of veterans are still being treated at Veteran's Affairs facilities. For instance, the VA Medical Center in Minneapolis handled 593,000 out-patient visits last year and another 8,000 in-patient admissions.

However, if there is a rapid troop withdrawal from Iraq, the network of private care services is in place and growing to meet the need. It's a notion that makes Glassic proud to have been a Marine all over again.

"[Veterans] need to get the treatment they deserve," said Glassic. "Mainly because they've given up so much. They're without their families for a year, two years at a time. And [if they] come back a not get the treatment? All they want to do is to get back to work and serve our country in a different way."

Project HERO covers virtually every field of care from orthopedics to obstetrics including dental care and mental health.

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posted by Larry Scott
Founder and Editor
VA Watchdog dot Org

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