Obama VA Budget Request Challenges Republicans

2016 Budget and 2017 Advance
Appropriations requests for VA

Veterans' care and benefits remain unpopular with congressional Republicans.

Obama's 2016 VA budget request is rough twice that of Bush-Cheney's 2008 budget request.

  

Care and Benefits for Veterans Strengthened by $169 Billion VA Budget

WASHINGTON – The President has proposed a $168.8 billion budget for the Department of Veterans Affairs (VA) in fiscal year 2016. The proposed budget will support VA goals to expand access to timely, high quality health care and benefits, continue the transformation of VA into a Veteran-centric department and end homelessness among Veterans.

“VA has before it one of the greatest opportunities in its history to enhance care for Veterans and build a more efficient and effective system.  This budget will allow us to continue important progress to better serve Veterans, their families and their survivors,” said Secretary of Veterans Affairs Robert A. McDonald. “We are listening to what Veterans, Congress, employees, Veterans Service Organizations (VSOs), and other stakeholders are telling us.  We aspire to make VA a model agency that is held up as an example for other government agencies to follow with respect to customer experience, efficient and effective operations, and taxpayer stewardship.”

The budget includes $73.5 billion in discretionary funding, largely for healthcare, and $95.3 billion for mandatory benefit programs such as disability compensation and pensions.  The $73.5 billion total in discretionary spending, including over $3.2 billion in medical care collections from health insurers and Veteran copayments, is $5.2 billion and 7.5 percent above the 2015 enacted level.  The budget also requests $66.6 billion, including collections, for the 2017 advance appropriations for medical care, an increase of $3.4 billion and 5.4 percent above the 2016 medical care budget request.  As a first-time request for advance appropriations for 2017 for Compensation and Pensions, Readjustment Benefits, and Veterans Insurance and Indemnities, within our mandatory benefits programs in the Veteran’s Benefits Administration, $104 billion is requested for 2017.

“We remain committed to providing Veterans the opportunity to pursue their education, find meaningful employment and access high-quality health care and earned benefits,” Secretary McDonald added.  “From the men and women of ‘the greatest generation’ to the Veterans who have returned from our most recent conflicts in Iraq and Afghanistan, every Veteran deserves to have a seamless, integrated, and responsive VA customer service experience every time.”

However, more resources will be required to ensure that VA can provide timely, high-quality health care into the future.  VA is hearing directly from Veterans and their representatives that they would prefer to get their care in VA facilities from the medical professionals they know and with whom they have relationships.  In the coming months, the Administration will submit legislation to allow the Department to reallocate a portion of unused funding from the Veterans Choice Program to support essential investments in VA system priorities in a fiscally responsible, budget-neutral manner.  This flexibility will allow the Department to serve Veterans the way they want and deserve to be served.

VA operates one of the largest integrated health care systems in the country with approximately 9.4 million enrollees; the tenth largest life insurance program; monthly disability compensation, pensions and survivors benefits to more than 5.2 million beneficiaries; educational assistance or vocational rehabilitation benefits and services to 1.2 million students; mortgage guaranties to over 2 million homeowners; and the largest cemetery system in the nation.

Here are highlights from the President’s 2016 budget request for VA.

Health Care

With a medical care budget of $63.2 billion, including collections, VA is positioned to serve approximately 9.4 million Veteran patients enrolled to receive care in the fiscal year beginning Oct. 1.  The enrollee total includes over 1.4 million Veterans who served in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn

Major spending categories within the health care budget are:

•     $7.5 billion for mental health;
•     $2.8 billion for prosthetics;
•     $556 million for spinal cord injuries;
•     $232 million for traumatic brain injuries;
•     $243 million for readjustment counseling; and
•     $7.5 billion for long-term care.

Expanding Access

The President’s Budget would ensure that care and other benefits are available to Veterans when and where they need them.  Among the programs that will expand access under the proposed budget are:

•   $1.2 billion in telehealth funding, which helps patients monitor chronic health care conditions and increases access to care, especially in rural and remote locations;
•   $446 million for health care services specifically designed for women, an increase of 8.3 percent over the present level;
•   $598 million for the activation of new and enhanced health care facilities;
•   $1.1 billion for major construction projects;
•   $86.6 million for improved customer service applications for online self-service portals and call center agent-assisted inquiries; and
•   $5.9 million to bring into full operation two new national cemeteries opening in 2015, and to activate one new national cemetery and one rural National Veterans Burial Ground in 2016.

Improving the Efficiency of Claims Processing

The President’s Budget provides for full implementation of the Veterans Benefits Administration’s (VBA) robust Transformation Plan -- a series of people, process, and technology initiatives -- in 2016.  This plan will continue to systematically improve the quality and efficiency of claims processing and assist the Department in processing all disability compensation claims within 125 days.

Major claims transformation initiatives in the budget invest $431 million to bring leading-edge technology to claims processing, including:

•  $290 million ($253 million in Information Technology and $37 million in VBA) to support the electronic claims processing system – the Veterans Benefits Management System (VBMS); and
•  $141 million for Veterans Claims Intake Program (VCIP) to continue conversion of paper records, such as medical records, into electronic images and data in VBMS.

In addition, the President’s Budget supports rightsizing VBA’s workforce to address staffing needs so it can continue to improve the delivery of benefits to Veterans.  As VBA continues to receive and complete more disability compensation rating claims, the volume of appeals, non-rating claims, and fiduciary field examinations correspondingly increases.  The request for $85 million for 770 additional full-time equivalent employees (FTE) will allow VBA to provide more timely actions on appeals and non-rating claims, and will ensure strong fiduciary oversight.

Eliminating Veterans Homelessness

The Administration has made the elimination of Veteran homelessness a national priority.  The budget request targets $1.4 billion for programs to prevent or reduce homelessness, including:

•    $300 million for Supportive Services for Veteran Families (SSVF) to promote housing stability;
•    $374 million for the HUD-VASH program wherein VA provides case management services for at-risk Veterans and their families and HUD provides permanent housing through its Housing Choice Voucher program; and
•    $201 million in grant and per diem payments that support temporary housing provided by community-based organizations.

MyVA

In 2014, Secretary McDonald introduced the MyVA initiative, an effort to reorient the Department around the needs of Veterans and make VA a more customer-centric organization.  This will ultimately be the largest department-wide transformation in VA’s history and will measure success based on Veteran outcomes and satisfaction.  The 2016 budget supports MyVA implementation, which will create a VA that is organized for success from the perspective of Veterans – combining functions, simplifying operations, and proving Veterans the care and services they have earned and deserve.  

Veterans Choice Act

The Veterans Choice Act provided $5 billion in mandatory funding to increase Veterans' access to health care by hiring more physicians and staff and improving the VA’s physical infrastructure.  It also provided $10 billion in mandatory funding through 2017 to establish a temporary program (the Veterans Choice Program) improving Veterans’ access to health care by allowing eligible Veterans who meet certain wait-time or distance standards to use eligible health care providers outside of the VA system. The Veterans Choice Program may provide a measure of short-term relief from the pressure of escalating health care needs as current patients in the VA system elect to receive their care through the program. These investments, together with the 2016 Budget, will provide the authorities, funding, and other tools to enhance services to Veterans in the short-term while strengthening the underlying VA system to better serve Veterans in the future.  However more resources in certain areas will be required to ensure that the VA system can provide timely, high-quality health care into the future. In the coming months, the Administration will submit legislation to allow the VA Secretary to best meet Veteran needs. This will allow the Secretary to make essential investments in VA system priorities in a fiscally-responsible, budget-neutral manner.

Other Key Services for Veterans

•   $266 million to administer the VA-run system of 133 national cemeteries;
•   $4.1 billion for information technology (IT), including investments to modernize Veterans’ electronic health records, improve Veterans’ access to benefits, and IT infrastructure; and
•   $1.7 billion in construction, cemetery grants, and extended care grants to include nine VHA major construction projects and four gravesite expansion projects.

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FACT SHEET

DEPARTMENT OF VETERANS AFFAIRS

The President's 2016 Budget is designed to bring middle class economics into the 21st Century. This Budget shows what we can do if we invest in America's future and commit to an economy that rewards hard work, generates rising incomes, and allows everyone to share in the prosperity of a growing America. It lays out a strategy to strengthen our middle class and help America's hard-working families get ahead in a time of relentless economic and technological change. And it makes the critical investments needed to accelerate and sustain economic growth in the long run, including in research, education, training, and infrastructure.

These proposals will help working families feel more secure with paychecks that go further, help American workers upgrade their skills so they can compete for higher-paying jobs, and help create the conditions for our businesses to keep generating good new jobs for our workers to fill, while also fulfilling our most basic responsibility to keep Americans safe. We will make these investments, and end the harmful spending cuts known as sequestration, by cutting inefficient spending and reforming our broken tax code to make sure everyone pays their fair share. We can do all this while also putting our Nation on a more sustainable fiscal path. The Budget achieves about $1.8 trillion in deficit reduction, primarily from reforms to health programs, our tax code, and immigration.

The Department of Veterans Affairs (VA) has before it one of the greatest opportunities in its history to enhance care for veterans and build a more efficient and effective system.  The Department is listening to what veterans, Congress, employees, Veterans Service Organizations (VSOs), and other stakeholders are telling us.  We aspire to make VA a model agency that is held up as an example for other government agencies to follow with respect to customer experience, efficient and effective operations, and taxpayer stewardship.

VA is charged with fulfilling President Lincoln’s promise to care for those “who shall have borne the battle, and for” their families and their survivors.  To support this mission, the 2016 Budget provides $70.2 billion in discretionary funding for VA, a 7.9 percent increase above the 2015 enacted level.  In addition, the budget includes $3.2 billion in estimated medical care collections, for a total discretionary budget authority of $73.5 billion (which includes $3.2 billion in Medical Care Collections), and $95.3 billion for VA’s mandatory benefit programs.

This funding level will provide the resources to fulfill VA’s mission to provide timely, quality health care and services to veterans.  It will allow VA to operate one of the largest integrated healthcare systems in the country, serving approximately 9.4 million veterans enrolled to receive care; a compensation benefits program for about 4.3 million veterans and 400,000 survivors, and a pension benefits program for 306,000 veterans and 216,000 survivors; the tenth largest life insurance provider, covering both active duty servicemembers and veterans; an education assistance program serving 1.2 million students; a home mortgage program with a portfolio of over 2 million active loans, guaranteed by VA; and a national cemetery system that leads the Nation as a high-performing organization projected to inter 129,200 veterans and their family members in 2016. Additionally, VA will be developing a legislative proposal to reallocate funding in order to ensure the continued improvements of VA operations and the timely access to care for Veterans.

 The Veterans Choice Act provided $5 billion in mandatory funding to increase veterans' access to health care by hiring more physicians and staff and improving the VA’s physical infrastructure.  It also provided $10 billion in mandatory funding through 2017 to establish a temporary program (the Veterans Choice Program) improving veterans’ access to health care by allowing eligible veterans who meet certain wait-time or distance standards to use health care providers outside of the VA system. The Veterans Choice Program may provide a measure of short-term relief from the pressure of escalating health care needs as current patients in the VA system elect to receive their care through the program. These investments, together with the 2016 Budget, will provide the authorities, funding, and other tools to enhance services to veterans in the short-term while strengthening the underlying VA system to better serve veterans in the future.   However more resources in certain areas will be required to ensure that the VA system can provide timely, high-quality health care into the future. In the coming months, the Administration will submit legislation to allow the VA Secretary to best meet Veteran needs. This will allow the Secretary to make essential investments in VA system priorities in a fiscally-responsible, budget-neutral manner.

 Funding Highlights:

The President’s 2016 Budget requests $70.2 billion in discretionary funding for the Department of Veterans Affairs (VA) to provide needed care and other benefits to eligible veterans, their families, and survivors. VA also received $15 billion in the Veterans Access, Choice, and Accountability Act of 2014.

The FY 2016 Budget  invests in VA by:

    Improving veterans’ access to medical care by providing $60.0 billion, in addition to requesting $63.3 billion in 2017 advance appropriations;
    Supporting improvements in veterans mental health care, telehealth care, lifesaving treatment for Hepatitis C, specialized care for women veterans, long-term care, and benefits for veterans’ caregivers;
    Providing $1.4 billion for programs that will continue VA’s gains toward ending veteran homelessness in 2015;
    Strengthening veterans benefits programs by improving the timeliness of non-rating claims, reducing the inventory of veterans appeals, strengthening the fiduciary program, and further enhancing disability claims processing accuracy and efficiency through centralized mail and the national work queue.
    Increasing burial access for veterans and eligible family members with the opening of new national cemeteries and a rural burial ground.

 Reforms:

 Continues the largest Department-wide transformation in VA’s history through MyVA, an effort to reorient the Department around the needs of veterans.

 Sustains and Strengthens Services for Veterans and Their Families

 Improves Veteran Access to Medical Care. The Budget provides $60.0 billion for VA medical care, a 7.4 percent increase above the 2015 enacted level, to provide high-quality and timely health care services to veterans and other eligible beneficiaries.  The Budget proposes $63.3 billion in advance appropriations for the VA medical care program in 2017, a 5.5 percent increase above the 2016 request.

 Protects Critical Funding for VA Medical Care.  The 2016 Budget provides over $7 billion to continue VA’s focus on expanding and transforming mental health services for veterans to ensure accessible and patient-centered care, including treatment for Post-Traumatic Stress Disorder, ensuring timely access to mental healthcare, and treatment for Military Sexual Trauma.  In addition, the Budget includes $7.5 billion for veterans' long-term care; $690 million for lifesaving treatment for veterans suffering from Hepatitis C, and $555 million to support veterans’ caregivers.

 Ends Veteran Homelessness.  Between 2010 and 2014, overall veteran homelessness dropped by 33 percent, and we have achieved a 42 percent decrease in unsheltered veteran homelessness.  Through unprecedented partnerships with Federal and local partners, we have greatly increased access to permanent housing, a full range of health care including primary care, specialty care, and mental health care; employment; and benefits for homeless and at risk for homeless veterans and their families.  As a result of these investments, in fiscal year 2014 alone, VA provided specialized homeless services to nearly 260,000 homeless or at-risk veterans. Nearly 72,000 veterans and their family members were placed in permanent housing or were prevented from becoming homeless.  Despite the significant progress and important accomplishments, much work remains.  The 2016 Budget requests $1.4 billion for VA homeless-related programs, including case management support for the Department of Housing and Urban Development (HUD)-VA Supportive Housing  program (HUD-VASH), the Grant and Per Diem Program, VA justice programs, and the Supportive Services for Veteran Families program.  In addition to supporting all existing HUD-VASH vouchers, the 2016 Budget for HUD requests new Housing Choice Vouchers to support special populations, including homeless veterans, regardless of their discharge status.  Overall, the 2016 Budget supports VA’s commitment to ending veteran homelessness by emphasizing rescue for those who are homeless today, and prevention for those at risk of homelessness.

 Advances Medical and Prosthetic Research.  The 2016 Budget includes $622 million for development of innovative and cutting-edge medical research for veterans, their families, and the Nation.  One example includes continuing the Million Veteran Program (MVP), a groundbreaking genomic medicine program, in which VA seeks to collect genetic samples and general health information from one million Veterans in the next five years.  MVP will help provide answers to many pressing medical questions and lead to improvements in care and prevention to veterans and the Nation.  The Budget also includes funding for a new strategic initiative toward building a learning health care system that is responsive to new information, adapts to implement more effective clinical practices, and is committed to an ongoing mission of excellence, supported by a culture of self-reflection and continuing education.  In addition to the direct appropriation, medical research will be supported through an additional $1.2 billion from VA’s medical care program and grants.  As part of one of the largest integrated health systems in the United States, VA’s research program benefits from clinical care and research occurring together, allowing research to be directly coordinated with veterans’ care.

 Strengthens Veterans Benefits Programs.  Improving quality and reducing the length of time it takes to process disability compensation claims are integral to VA’s mission of providing the care and benefits that veterans have earned and deserve in a timely, accurate, and compassionate manner.  VA has decreased the disability claims backlog by more than 58 percent, since its peak in March 2013, and is on track to meet the President’s goal to eliminate the claims backlog and provide all veterans with quality decisions on their claims within 125 days by the end of 2015.  In addition, the Budget requests an increase of $85 million for 770 new staff to improve the timeliness of non-rating claims, reduce the inventory of appeals, and strengthen the fiduciary program.  The 2016 Budget also supports continuation and expansion of these efforts through the Centralized Mail and the National Work Queue (NWQ) initiatives -- new approaches to increase the accuracy and efficiency of claims processing.  The Centralized Mail initiative expands VA’s capabilities for scanning and conversion of claims evidence, increases electronic processing capabilities, and assists in converting 100 percent of received source materials to electronic format.  In addition, with all claims placed in the electronic NWQ, Veterans’ claims will be automatically directed across all ROs to efficiently match claim demand with available expertise and processing capacity regardless of RO jurisdiction, delivering benefits to Veterans more quickly and accurately.  

 Provides Lasting Memorial Services and Increases Burial Access.  The 2016 Budget includes $266.2 million for the National Cemetery Administration (NCA) for cemetery operations and maintenance, to uphold VA cemeteries as National Shrines, and to increase burial access for veterans and eligible family members. The budget supports the activation of two new national cemeteries opening in 2015 at Cape Canaveral and at Tallahassee, Florida and activation of a third new national cemetery in 2016 at Omaha, Nebraska.  NCA anticipates conducting 129,200 interments of veterans and their family members, along with maintaining and providing perpetual care for approximately 3.6 million gravesites.  NCA will also maintain 9,120 developed acres and process approximately 360,500 headstone and marker applications.

Transforms VA through MyVA.  In 2014, Secretary McDonald introduced the MyVA initiative, an effort to reorient the Department around the needs of veterans.  VA is consulting private sector experts and is building performance improvement teams to enhance productivity, efficiency and customer-focused outcomes for our Nation’s veterans. This initiative will encompass programmatic and policy changes, the potential for new programs, as well as cost-neutral initiatives designed to make VA a more customer-centric organization.  This will ultimately be the largest department-wide transformation in VA’s history and will measure success based on veteran outcomes and satisfaction.

Humane PTSD Regs, Better Veterans' Care Are Obama Legacy

Myriad chickenhawks and neocons led the call against phantom PTSD fraud ala voter fraud

President Obama's administration expanded the VA's disability programs, and changed the PTSD rules for obtaining disability benefits, a move that drew criticism from the neocons and their allies.

This comprehensive altering of the PTSD disability regulations in 2010 is an achievement vastly underreported, and following eight years of neocon war was badly needed.

Obama expanded the rules for Agent Orange claims.

Traumatic brain injury (TBI), Gulf War Illness, and an end to prosecuting and intimidating veterans for tenaciously pursuing disability benefit claims like Wisconsin's Keith Roberts, Obama made huge strides in veterans' care, though the GOP is trying to rid political history of this reality.

This Veterans Day, stand with President Obama and the many safeguards for veterans instituted against Republican Party opposition.

Obama Throws Down Veterans' Gauntlet at Benefits-hostile Congress

Obama to veterans: We stand with you

Update:  Obama’s Executive Order to DoD, VA: Establishes Two Multi-Institutional Consortia to Research PTSD and TBI

Speaking at the Disabled American Veteran National Convention in Orlando, Florida today, President Obama again challenged Republicans in Congress to tackle the disability claims process, just days after Congress began its five-week Summer recess, announcing a new fight for veterans on several fronts and all but demanding GOP support.

Not the first time, Obama has scolded Congressional Republicans for sitting on their collective ass as veterans coming home from Iraq and Afghanistan are derided by Republicans as what Sally Satel of the GOP's American Enterprise Institute said: Greedy takers sucking on the government's breasts.

Obama renewed his commitment to the convention of disabled veterans and vowed to keep our country's promise "for as long as you and your families walk this earth."

He could have added, despite Republicans in Congress who won't do jack.

Obama called for more GOP support for traumatic brain injury, a new national plan to guide mental health research, post-traumatic stress disorder (PTSD), suicide, veterans' care givers, veterans' jobs, and education initiatives such as high-skilled jobs credentials and funds for obtaining college degrees.

Remarks by The First Lady and The President at Disabled American Veterans Convention

Hilton
Orlando, Florida

MRS. OBAMA:  (Applause.)  Thank you.  Thanks so much.  Thank you all.  Thank you.  (Applause.)  Good afternoon, everyone.  It’s so good to be here.  (Applause.)  We are so proud of you all.  Thank you all.  Please, I know you’ve been working hard, so rest yourselves.  (Laughter.)

I am beyond thrilled to be here with all of you today, and I want to start by thanking Larry for that very kind introduction, but more importantly for his tremendous leadership of the DAV and for all of his outstanding service to this country.  But most of all, I want to thank all of you here today -- the men and women who have served and sacrificed so greatly on behalf of all Americans.

Truly, one of my greatest joys over these past few years has been spending time with veterans and military families like all of you.  I have laughed with your children at barbeques.  I’ve gone to baby showers with spouses.  I’ve learned so much during my many visits to military bases across this country.  I’ve even smashed a champagne bottle to christen a Coast Guard cutter.  (Laughter.)

And let me tell you, day after day, I have been so inspired by your stories -- so inspired.  And I’m reminded of one of those stories today, the story of a young man I met at Walter Reed.  His name is Sergeant Winder Perez, and he is 24 years old.  Now, a year and a half ago, Sergeant Perez was on a combat mission in Afghanistan, when he was hit by an RPG.  He collapsed, but the grenade stayed lodged in his left thigh and it didn’t go off.  Sergeant Perez’s fellow Marines ran to his aid and together they chose to carry him off the battlefield to safety, even though they knew that any wrong move would mean certain disaster.

Moments later, four pilots and medics chose to load him onto a helicopter with the live explosive still in his leg, transporting him 65 miles to the nearest medical station.  And finally, when they arrived, a nurse and explosive expert chose to rush to his aid, finally dislodging the rocket by hand and giving doctors a chance to save his leg -- which they did.

Now, just that part of Sergeant Perez’s story tells you everything you need to know about the men and women of our armed forces.  But as all of you know very well, stories like these don’t end in the combat zone.  Since his injury, Sergeant Perez has endured 30 or 31 surgeries -- he doesn’t remember the exact number.  He has survived a heart attack and an aneurysm, and he’s fought through hundreds of hours of rigorous physical therapy to strengthen his leg.

And time and again, just when he’s regained the strength to walk, his doctors have told him that it’s time for another surgery, and then Sergeant Perez is back in a wheelchair, starting all over again from square one.

But here is the thing:  You don’t hear about any of that when you talk to Sergeant Perez.  What you do hear about is his mother, who he will tell you has stayed by his side every single day.  You will hear about his gratitude to those who saved his life, to the family and friends who come from New York to visit, and for the life he has in front of him.

Today, Sergeant Perez is walking again.  He’s three months into an internship with the Defense Intelligence Agency, and he plans to spend the rest of his career serving his country.  And when asked about everything he’s been through, Sergeant Perez puts it all in perspective by simply saying, "I just think you’ve got to get back up."  That’s all he said.  "You’ve got to get back up."

And as I look across this room, I see a group of people who know how to get back up.  No matter what you’ve been through -- (applause) -- no matter what the struggles you have faced, you all get back up.  And that is what inspires me.  That’s why, every day, I work to push myself harder to live up to your example.

And that’s why Jill Biden and I are working so hard on Joining Forces, because we want to honor and serve you and your families -- to make sure that you and your families have the educational opportunities you need, the support you’ve earned and the good jobs you deserve.

And if there is one thing that I want all of you to know today, it’s this:  You will never have to get back up all on your own.  Not while we’re here, Never.  (Applause.)  And it’s not just us.  You have got families who support you day and night.  You have countless neighbors and pastors, business owners -- I’ve met them -- even strangers who will snap into action for you.

And one important person you have is a Commander-in-Chief who doesn’t simply understand your service and your sacrifice.  (Applause.)  Let me tell you something about this man, he carries your stories with him every single day.  I have seen it in his eyes when he comes home from a visit to a military hospital.  I’ve noticed the extra energy he gets after a military commencement.  And I’ve heard the emotion in his voice after he talks with the families of our fallen.  That is the well he draws from as Commander-in-Chief.  You are that well.

And that’s why he has stood up for you again and again and again, and it’s why he’s going to keep fighting for you and your families every single day.  So ladies and gentlemen, please welcome my husband, our President Barack Obama.  (Applause.)

*****
THE PRESIDENT:  Hello, DAV.  (Applause.)  Thank you so much.  Thank you.  Everybody, please have a seat.  Do we have an extraordinary First Lady?  (Applause.)  We will be celebrating our 21st anniversary in October.  The first time I saw her, I knew she was something special.  (Laughter.)  She was a little more skeptical about me.  (Laughter.)  But persistence is the key.  You just got to stay on it.  Eventually, you can marry up.  (Laughter.)

To Michelle and Jill Biden and Joining Forces, we are so proud of the work you've done to help rally America around military families and veterans.  I'm inspired by what they are doing.  So thank you, Michelle, for your extraordinary work.

DAV, I was proud to join at your convention three years ago.  (Applause.)  It is wonderful to be back.  I want to thank your national commander, Larry Polzin.  Thank you so much to the entire leadership team -- Joe Johnston, Marc Burgess, Donna Adams, all the incredible spouses and families of the DAV Auxiliary.  I want to thank Barry Jesinoski.  (Laughter.)  I got it.  (Laughter.)  They used to mispronounce Obama too.  (Laughter.)  I want to thank Barry and your great team in Washington.
Disabled American Veterans, like all veterans, you carry in your hearts the story of brave service that took you to every corner of the Earth.  As young men and women, you left home, left everything and everyone you ever knew because storm clouds gathered far across the sea.  You had your whole lives ahead of you, but you were willing to risk all of it for this land that we love.  Because you know, from hard experience, what we must never forget -- our country endures because in every generation there are Americans like you who stand beside her and guide her and protect her.

You fought across the Pacific, island by island.  You fought into the heart of Europe, mile by mile, freeing millions from fascism.  That’s your legacy as veterans of the Second World War.  You held the line at the Pusan Perimeter and survived the bitter cold of the Chosin Reservoir.  And on this 60th anniversary of the end of that war, we salute all of our veterans of the Korean War.  (Applause.)
To our Vietnam veterans -- (applause) -- you served with valor not just in the thick of the jungle, but through intense urban combat.  And let it be remembered that you won every major battle that you fought in.  (Applause.)  And so in the decades since, whenever our country has needed you, you said "send me" -- from the sands of Desert Storm to the mountains of the Balkans to the villages of Afghanistan and Iraq -- and next year, your profound sacrifice will be recognized in the heart of our nation’s capital when our country dedicates the American Veterans Disabled for Life Memorial.  (Applause.)

That memorial will honor your courage in war.  But it will also pay tribute to your bravery in the other battle you have fought -- the fight to recover from the wounds of war.  And this may be your greatest triumph of all.  Because rather than being defined by what you lost, by what you can’t do, you’ve inspired America with what you can do.

Maybe you lost your sight, but you can still see the truth that our disabled veterans make extraordinary contributions to our country every single day.  Maybe you lost an arm, but you still have the strength to pick up a friend or neighbor in need.  Maybe you lost a leg, but you still stand tall for the values and freedoms that make America the greatest nation on Earth.  (Applause.)

I think of the wounded warrior who spoke for so many of you when he said, "Your life will never be the same, but that doesn’t mean you can’t go on to do amazing things with the second chance you were given."  I think of wounded warriors across America and how they’ve used that second chance --volunteering in communities, building homes, being a mentor to local kids, showing up after tornadoes, after Hurricane Sandy to help folks rebuild.  I think of the wounded warriors who reached out to the survivors of the Boston Marathon bombing with the example of their own recovery and with a simple message -- "We stand with you."

I think of all the inspiring wounded warriors that Michelle and I have met -- their resilience, their resolve, their determination to push through and to carry on.  That’s the fighting spirit of our wounded warriors.  That’s the spirit of DAV -- (applause) -- dedicated not just to your own recovery, but to taking care of each other.  Every day you work to ensure that America is fulfilling its promises to our men and women who have served.  That’s your mission.  And I want you to know it is my mission, too.
I believe that this work is more important than ever, because this time of war that we've been in is coming to an end.  (Applause.)  For nearly 12 years -- ever since we were attacked on that clear September morning -- our nation has been at war.  Our fight in Afghanistan is now America’s longest war.  At the same time, our troops fought courageously in Iraq for nine long years.  And among us today are proud veterans of the wars in Afghanistan and Iraq.

Now, we’ve marked another milestone in Afghanistan.  As of this past June, Afghan forces have taken the lead for security across their entire country.  Instead of leading the fight, our troops now have a different mission -- supporting Afghan forces.  Our war in Afghanistan has entered the final chapter.  More of our troops are coming home.  This winter, we’ll be down to 34,000.  By the end of next year, the transition will be complete -- Afghans will take full responsibility for their security and our war in Afghanistan will be over.  (Applause.)

For this progress, we thank all who have served in Afghanistan, including DAV members here today -- just a few I want to mention.  We salute folks like Timothy Duke.  Where’s Timothy?  Right here -- (applause) -- in the early days of the war, Timothy's helicopter unit served in some of the most remote parts of Afghanistan.  On another tour, in Iraq, his convoy was hit by an IED.  He endured three spinal surgeries.  Then he went to school on the Post-9/11 GI Bill.  Today he is helping at the DAV, helping veterans and their families access their benefits.  That's the kind of spirit the DAV represents.  Thank you, Timothy, for your outstanding service and work.  (Applause.)

We salute Staff Sergeant Jacare Hogan.  (Applause.)  Where’s Jacare?  In Iraq, she was hit by IEDs three times.  She’s endured surgeries, rehab -- which continue to this day -- but she refused to stop serving.  She deployed again to Afghanistan.  As a logistics specialist, she served at forward operating bases -- keeping them running, flying between bases, getting shot at along the way.  At those remote outposts, she was often the only woman on base.  She proudly wears the Combat Action Badge.  (Applause.)  But her service hasn't stopped.  So here at DAV, she counsels others as they recover.  "Helping [the] troops is what I’m about."  That's what she says.  And we are grateful to you, Jacare, for your extraordinary service.  (Applause.)

And we salute Jason Hassinger.  Where is Jason?  (Applause.)  Right here -- when Jason's unit was ambushed and pinned down, he was hit five times in the chest.  But he pushed on, helped lead his men to safety for which he earned the Silver Star.  (Applause.)  After months of care and rehab he returned to his unit -- going out on patrol, gritting his teeth through the pain in his chest.  And today, at DAV, Jason helps his fellow vets access the benefits that they have earned.  It is "my job" to "help people heal."  That's what Jason says.  Thank you.  (Applause.)

So Timothy, Jacare, Jason -- they're just examples of all who've served in these years of war -- the 9/11 Generation.  And now, you’re beginning the next chapter in your lives wearing a proud new title -- veteran of the United States Armed Forces.  So this time of war may be coming to an end, but the job of caring for our veterans goes on and our work caring for our newest veterans has only just begun.
Think about it -- we lost the last veteran of the First World War two years ago, but we still care for the children of our World War I veterans.  To this day, we still help care for children of men who fought in the Spanish-American War, even the daughter of a Civil War veteran.  (Applause.)  So when we talk about fulfilling our promises to all who serve, we’re not just talking about a few years, we’re talking about decades -- for as long as you and your families walk this Earth.

With a new generation joining your ranks, I believe that now is the time to make sure our nation is truly ready -- organized and structured to get this right not just for this year, not just for next year, but for decades to come not just for the veterans of today’s wars, but for all wars.  And I believe we need to focus on five key priorities.

Number one, we need to make sure we’ve got the resources, the budgets our veterans deserve.  (Applause.)  Since I took office, we’ve made historic investments in our veterans.  Even in these tough fiscal times, we’ve boosted the VA budget by more than 40 percent.  We now budget for veterans’ health care a year in advance.  (Applause.)  And I’ve proposed a further increase in veterans funding for next year.  (Applause.)

Now, some of you may be aware right now we've got these reckless, across-the-board budget cuts called the sequester that's hitting a lot of folks hard.  And it’s cost jobs.  It's hurting our military, slashing investments in education and science and medical research.  I made it clear that your veteran’s benefits are exempt from this year’s sequester.  I've made that clear.  (Applause.)  But I want to tell you going forward the best way to protect the VA care you have earned is to get rid of this sequester altogether.  (Applause.)  Congress needs to come together and agree on a responsible plan that reduces our deficit and keeps our promises to our veterans and keeps our promises to future generations.  That’s what I’m fighting for.  That’s what you deserve.  (Applause.)

Number two, we need to make sure you’re getting the veterans’ health care you’ve been promised.  We’re already making record investments -- more outreach, more clinics, more service.  For our Vietnam vets, we made sure that you and your families finally got the disability pay you deserved because of your exposure to Agent Orange.  (Applause.)  For our Desert Storm veterans, we made it easier for you to get the care you need for illnesses connected to your service.  (Applause.)  For our veterans with PTSD, we’ve made it easier for you to get the VA care you need as well, regardless of the war that you served in.  (Applause.)

For our women veterans -- and there are more of you than ever -- we’re offering more tailored care, more clinics just for women, more clinicians trained to treat you with respect and dignity.  (Applause.)  So all told, we’ve made VA health care available to more than 2 million veterans who didn’t have it before.  (Applause.)

I’ve proposed more funding for prosthetics for our disabled vets, to help you work and walk and run again.  And for you -- the caregivers and families -- we’re going to keep empowering you with the skills and support you need as you care for the veterans that you love.  (Applause.)

We also need to keep improving mental health services, because we’ve got to end this epidemic of suicide among our veterans and troops.  (Applause.)  Last year, I said this had to be an all-hands-on-deck approach -- not just at DOD and the VA, but across our government.  I issued an executive order to step up our game, and we have:  hiring more counselors, hiring more mental health providers, new awareness campaigns so that those who are hurting know that asking for help is not a sign of weakness; it’s a part of staying strong.  It’s a part of getting back up.  (Applause.)  Hundreds of medical and nursing schools have committed to improving research and care for our veterans and their families.  And I’ve proposed more funding for mental health.  We can’t just promise better care, we’ve actually got to deliver better care.

So today I’m proud to announce the next step in this fight.  We’re unveiling a new national action plan to guide mental health research across government, industry and academia, so that we’re going to focus on developing more effective ways to prevent, diagnose and treat mental health conditions like TBI and PTSD.  And to get it done, we’re moving ahead with more than $100 million in new research.  (Applause.)  So I’m not going to be satisfied until every veteran and every man and woman in uniform gets the support and the help they need to stay strong.  (Applause.)

Now, on the subject of veteran’s health care, you may have noticed there’s still a lot of misinformation out there about the new health care law -- Affordable Care Act.  Some folks are out there trying to scare people, including veterans.  So let me say this as plainly as I can.  If you already have health insurance, or health care from the VA, you do not have to do a thing; your VA health care does not change, it is safe; there are no new fees.  Don’t let them hoodwink you.  (Applause.)

But the good news is if you’re among one of the more than 1 million veterans who don’t have health insurance, starting October 1st, you’ll have a new option.  Online marketplaces will let you shop and compare and buy private health insurance plans, just like you can go online to compare prices when you buy a TV, or airplane ticket or a car.  And because of the Affordable Care Act, insurance companies will no longer be able to discriminate against you or deny you coverage because of preexisting conditions -- like PTSD.  (Applause.)  So you’ll have more security in being able to get health insurance.  So don’t let them fool you.  No one is taking away your benefits.  Your veterans’ health care is safe.  We’re not reducing veterans’ access to health care, we’re expanding it.  That’s the truth.  (Applause.)

And that leads me to the third priority we’ve got to focus on.  We’ve got to attack this claims backlog.  (Applause.)  Now, the last time I was with you, I pledged to cut the backlog, slash those wait times, deliver your benefits sooner.  And I’m going to be honest with you, it has not moved as fast as I wanted.  Part of it is all these new veterans in the system who came in -- Agent Orange, PTSD.  It means a lot more claims, and despite additional resources, it’s resulted in longer waits.  And that’s been unacceptable -- unacceptable to me, unacceptable to Secretary Shinseki.

So we put more of our VA folks to work as claims processors, we hired more claims processors as well.  We’ve got them working overtime -- completing more than a million claims a year.  We prioritized the oldest claims.  Veterans groups like the DAV have pitched in as well, helping vets with their claims, getting them ready, so when they bring them, they’re in better shape and they can move a little quicker.  And today, I can report that we are not where we need to be, but we’re making progress.  We are making progress.  (Applause.)  So after years when the backlog kept growing, finally the backlog is shrinking.  In the last five months alone, it’s down nearly 20 percent.  We’re turning the tide.
And we’re not going to let up until we eliminate the backlog once and for all.  And we’ll keep moving ahead with paperless systems so the backlog doesn’t come back, and so your claims are processed right -- the first time, on time.  (Applause.)  After years of military service, you shouldn’t have to wait for years for the benefits you have earned.

Fourth, just like you fought to defend our rights and freedoms, we need to uphold the dignity and rights of every veteran.  And that starts by keeping up our campaign to end homelessness among veterans.  (Applause.)  We’re not just bringing our veterans off the streets, we’re doing more to reach at-risk and low-income vets, so they don’t become homeless in the first place.  And we’re not going to rest until every veteran who has fought for America has a home in America.  (Applause.)

Yesterday, I was proud to sign into law the Helping Heroes Fly Act -- to end those intrusive airport screenings so you, our wounded warriors and disabled vets, especially those of you with prosthetics, can travel with dignity.  And I know how disappointing it was last year when the Senate failed to approve the Disabilities Treaty despite the fact that we had a former senator and World War II veteran, Bob Dole, in the Senate chamber.  But we’re going to keep fighting to ratify that Treaty, because the United States has always been a leader for the rights of the disabled.  We believe that disabled Americans like you deserve the same opportunities to work and to study and to travel in other countries as any other American.  It’s the right thing to do.  We need to get it done.  (Applause.)

Which brings me to the final priority we need to stay focused on, and that’s making sure that our veterans have every opportunity to pursue the American Dream, starting with the education and jobs worthy of your extraordinary talents.

With our new transition assistance program we’re doing more to help departing service members and their spouses plan their careers and find that new job.  We’re going to keep helping our newest veterans and their families pursue their education under the Post-9/11 GI Bill.  We’re building on the executive order I issued last year to protect you as you go looking for schools.  I said we’re going to stand up against dishonest recruiting and predatory practices that target our veterans.  So we set new standards.  And so far, more than 6,000 schools across the country have signed on and pledged to do right by you and your families.  We don’t want our veterans cheated.  (Applause.)

I also said that schools need to step up their support so we’re doing more to help our veterans succeed on campus.  So today, we’re announcing what we call "8 Keys to Success" -- specific steps that schools can take to truly welcome and encourage our veterans.  And so far, more than 250 community colleges and universities have signed on, and today I’m calling on schools across America to join us in this effort.  Let’s help our veterans get that degree, get that credential and compete for the high-skilled jobs of tomorrow.  (Applause.)

Now, I’m also going to make sure that the federal government keeps doing its part.  I’m very proud of the fact that, since I took office, federal departments and agencies have hired nearly 300,000 veterans -- including many disabled veterans.  (Applause.)  And I’m going to keep calling on Congress to pass the Veterans Jobs Corps, to put our veterans to work protecting and rebuilding America.

And we’re also doing everything we can to help you get those private sector jobs.  More help with job searches.  More tools like our online jobs bank to connect veterans to jobs that are open right now.  Making it easier for you to transfer your skills to the licenses and credentials you need for civilian jobs.  And because tens of thousands of our veterans have already been helped, Congress needs to make permanent tax credits for companies that hire our veterans and wounded warriors.  It’s the right thing to do.  (Applause.)

And we’re going to keep urging companies across America to do the smart thing -- hire some of the best workers you’ll ever find; hire a vet.  Michelle and Jill have done great work on this.  And responding to our challenge, working with Joining Forces, America's businesses have already hired or trained 290,000 veterans and military spouses and they’ve committed to hiring over 400,000 more.  More companies are signing up all the time.  We are going to get companies to understand that you can’t get a better deal than hiring a veteran.  (Applause.)

Because of all the efforts I’ve described, and because of a growing economy, veterans unemployment is going down, more veterans are finding jobs, and we’re going to keep at this.  Because with your skills and drive, we don’t just want you fighting for America overseas, we want you to be right here, building a stronger America, fighting for a better future for our kids.

So ensuring the resources and budgets you deserve, delivering the health care that you’ve earned, making sure you can count on it -- continuing to reduce the backlog, standing up for your rights and dignity, creating jobs and opportunity so you can realize your dreams -- that’s what I’m focused on.  That’s what I have told my entire administration to be focused on.  That’s what our country needs -- to stay focused for the many years to come.

And nobody knows this better than you, our disabled veterans.  The road of recovery is often such a long haul.  And America needs to be there for you during that long haul.  And that’s the lesson of the extraordinary young man I told you about when I spoke to you three years ago -- an Army Ranger, Sergeant First Class Cory Remsburg.

A massive IED in Afghanistan nearly killed him.  He was in a coma for months, with severe traumatic brain injury.  And I told you then how, when I saw him in the hospital, he had come out of the coma, but he still couldn’t speak.  And when I asked how he was feeling, he slowly brought his hand up and he pulled his fingers together and he gave a thumbs up.  His mom was sitting there with him.

A few days ago, I saw Cory and his family again, this time in Phoenix where they live.  So I wanted to give you an update on how he’s doing.  I suspect it won’t surprise you to know that for Cory, the years since he was injured have been very hard -- brain surgeries, half dozen of them; surgeries to replace part of his skull; eye surgeries; special procedures on his lungs; skin grafts and skin flaps -- all told, dozens of surgeries and procedures.

Rehab has been grueling.  On a typical day, Cory wakes up and spend hours in therapy -- physical therapy, occupational therapy, speech therapy.  Progress has come slowly, but it has come.  He had to learn the simple things all over again -- how to speak, how to write his name, how to throw a ball.  And this past spring, he reached another milestone.  After years in the hospital and rehab facilities, he finally came home greeted by hundreds of neighbors and friends waving American flags.

And so when I saw Cory a few days ago, he is still blind in one eye.  He still struggles to move his left side.  But the young man I had seen in that hospital bed unable to speak, barely able to move, this time he was in a chair sitting up -- alert, smiling, talking.  And then, he wanted to show me something.  And he leaned out of his chair.  And he reached out and grabbed his walker.  And with the help of his parents, he pulled himself forward and he stood up.  And he looked at me, and he gave me a sharp salute.  (Applause.)  He said, "Rangers Lead the Way."  (Applause.)

And his stepmom held one arm for balance and I held the other.  And then, Cory took a step -- then another, and then another one after that all the way across the room.  Little by little, Cory is learning to walk again.  (Applause.)  And he's starting to get good on his recumbent bike.  He hopes to bike in a race this fall -- 42 miles.  He’s scheduled to move into his own home adapted to his needs with the help of a caregiver -- another step towards the greater independence he seeks.  And so Cory says, "My recovery has not been easy.  Nothing in life that’s worth anything is easy."  But he says, I don't "give up."

The war in Afghanistan may be ending, but for Cory and our disabled vets, the work has only just begun.  Cory is 30 years old.  His recovery -- like so many of yours -- will last a lifetime.  But he won’t give up, because you haven't given up.  And when it comes to our work, to making sure that our nation is fulfilling its promises to the men and women who served and sacrificed, America cannot give up either.  I will not give up.  We cannot give up.

So long as I'm the United States' President, I will make it my mission to make sure that America is right there beside you every step of the way, every step with Cory, every step with the DAV.  God bless you.  God bless our veterans.  God bless the United States of America.  (Applause.)

VA Partners with ABA, Legal Services Corp in Claims Pilot Program

Don't waste one dime on VA cops, get the money to veterans

The Department of Veterans Affairs (DVA or VA), the American Bar Association (ABA) and the Legal Services Corporation (LSC) announced a new partnership and pilot program aimed at reducing the veterans claims backlog, helping unrepresented veterans, reads a VA press release Friday.

That's great news. And it is another departure from the Bush-Cheney years that were so hostile to veterans' disability claims, the Bush administration threw a Wisconsin veteran in federal prison for diligently pursing his PTSD claim and telling VA employees what assholes they can be

Still, why we don't we employ for two years some brilliant, young techies from Silicon Valley to integrate government systems and cut through it to expedite disability pay for veterans?

That's what we need, fresh innovation with no respect for bureaucratic incursions on creativity.

Locally, let's purge the regional VA offices of bureaucrats who hate the idea of disability benefits; like in Roanoke, Virginia and in Milwaukee.

Neocons in the VA won't like it. Who cares?

The believe-in-God-and-you-won't-have-PTSD crowd won't like it either. Forget them and their nonsense.

Can the VA cops; they're useless, and they're in the way at best.

Under the Obama administration, the mission and objectives of the VA and its Veterans Benefit Administration have changed to actually approving claims.

But way-better than Bush-Cheney won't cut it for too many veterans.

One concern is that attorneys whose practice and life is helping veterans, and who get paid in peanuts, might get the short end on this.