• Monthly
  • $25
  • $50
  • $100
  • $other
  • use PayPal

ONE WEEK TO DOUBLE YOUR DONATION!

A generous CounterPuncher has offered a $25,000 matching grant. So for this week only, whatever you can donate will be doubled up to $25,000! If you have the means, please donate! If you already have done so, thank you for your support. All contributions are tax-deductible.
FacebookTwitterRedditEmail

Trumpcare for Veterans? VA Outsourcing Will Create Healthcare Industry Bonanza

Photo by Jay Adan | CC by 2.0

In January President Trump delivered on his promise to shrink the federal government: he announced a hiring freeze, despite thousands of federal job vacancies.

As a candidate, Trump campaigned as a great friend of veterans. He pledged to make big improvements in the Veterans Health Administration (VHA) the arm of the Veterans Administration (VA) which operates the largest healthcare system in the country.

Yet Trump’s hiring freeze deepened an already existing staffing crisis at VHA hospitals and clinics throughout the U.S where there are 49,000 vacant positions.

Union activists believe that the resulting understaffing is designed to generate patient complaints and negative publicity that will cause veterans and their families to lose faith in VA-provided care.

“Some in Congress want to underfund the VA so they can say that government doesn’t work,” says Dusten Retcher, a 29-year old Air Force veteran, who processes veterans’ benefit claims in Minneapolis. “Then they want to turn it over to the private market.”

The VHA covers nine million veterans who qualify based on their low income or, like Retcher, have a service-related medical condition. Unlike Canada’s single payer system or Medicare in the U.S., it does not function primarily as an insurer, simply reimbursing private hospitals, doctors, or pharmacies.

SOCIALIZED MEDICINE

Instead, like Britain’s National Health Service, the VHA provides direct care to veterans, via salaried personnel who are not paid on a fee-for-service basis. As the nation’s largest publicly funded, fully integrated health care network, it’s a model of socialized medicine more far reaching than the single payer plans proposed by Congressman John Conyers and Senator Bernie Sanders (who is also a leading defender of the VHA).

Overall, the VHA employs 300,000 people, a third of whom are veterans themselves. Because  care-givers are salaried, they have little incentive to over-treat patients. And, as a large-scale public agency, the VHA can negotiate with pharmaceutical and medical equipment companies to secure prices lower than private hospital chains get.

This combination of “socialized medicine,” negotiated prices, and a salaried workforce heavily represented by the American Federation of Government Employees is not popular in a Republican Congress or in the Trump White House.

Earlier this summer, both attacked the due process rights of AFGE members by passing the “VA Accountability Act.” As the AFL-CIO notes,  this draconian measure, backed by some Democrats, eliminates “any guarantee that employees will feel safe speaking out against mismanagement or to protect patient safety.” According to the federation, it  “destroys grievance procedures that have been successfully used throughout the federal government to provide protection against arbitrary treatment.”

Such union-busting legislation—and more currently under consideration by Congress—has been a longtime objective of right-wing Republicans and the “Concerned Veterans of America.” CVA is an astro-turf group, funded by the Koch brothers, which has gained policy-making influence within the VA since Trump’s election. While CVA has few actual members, it has been quite successful in promoting negative coverage of the VHA in the media, including the New York Times and NPR. Unlike traditional veterans organizations (American Legion, VFW, Disabled American Veterans), CVA hates the VHA and would like to see it totally privatized.

MULTI-FRONT CAMPAIGN

To resist this outsourcing threat, VHA union members and their allies have launched a multi-front campaign. They have held dozens of town hall meetings, local “Save the VA” rallies, and protests with labor and veterans organizations in California, Arkansas, Indiana, Illinois, New Mexico, Tennessee, Montana, Ohio, and Colorado. More protests are scheduled for October and such activity, throughout the federal government, has helped the union sign up 5,000 new members since January.

Bay Area AFGE activists joined fellow VHA staffers, their patients, and other concerned veterans at a speak-out in San Francisco attended by House minority leader Nancy Pelosi. Michael Blecker, a leader of Swords to Plowshares who served in Vietnam, warned that local programs to reduce homelessness among veterans were at risk of being curtailed. Pelosi argued that GOP critics care little about improving VHA services or reducing their cost. “The people who want to privatize the VA don’t want to make it better,” she said. “They want to make a buck.”

In its critique of privatization, Fighting for Veterans Healthcare, a San Francisco–based advocacy group, notes that VHA hospital budgets are already stretched thin because of chronic underfunding.  As the financial burden of paying for more costly private care increases, in-house staff shortages will worsen, specialized research and treatment programs will be cut, demoralized employees will leave, and “the VA will become a shell of itself.”

At the Denver VA medical center, where workers rallied against privatization August 23, AFGE Local 2241 President Bernard Humbles says employee frustration is mounting. “I’ve had some members that just say, “’I’m done,’ and leave because of the overwhelming workload,” he said. “We need to fill these positions.”

Bernie Sanders, former chair of the Veterans Affairs Committee in the Senate and longtime defender of the VHA, has introduced legislation to reduce staff shortages by allocating $5 billion to new hiring. But Secretary for Veterans Affairs Dr. David Shulkin, who served in the Obama administration, is under White House and Congressional pressure to expand a program called “Choice” instead.

Created by Congress in 2014, Choice allowed veterans who had to travel 40 miles or more to the nearest VHA facility, or who faced appointment delays longer than 30 days, to use private providers instead. Federal reimbursement of these private hospitals and doctors has already drained billions from the VHA. A recent internal report revealed a pattern of over-payments to  TriWest and Health Net, two private insurers hired to set up outside provider networks, and process  Choice program reimbursement claims.

Meanwhile, as a Rand Corporation study found in 2015, actual wait times at the VHA are shorter than in the private sector, and the quality of veterans’ care is equal to or superior than that received by private hospital patients.

AN OUTSOURCING GOLD MINE

Nevertheless, Republicans seek a wholesale expansion of VHA outsourcing, to create a gold mine for the health care industry. Their goal is to steer more veterans toward non-VHA providers, including for-profit firms that would fill prescriptions, handle routine visits, or provide out-patient services like audiology and optometry.

The fight to defend quality care for veterans is uniting care-givers on the VHA staff, their patients, other veterans, and concerned community members. The fight also helps expose the ever-widening gap between President Trump’s pro-veteran rhetoric and the actual impact of his policies on working class people who have served in the military and, in some cases, voted for him last fall.

At a late September protest at the VA Medical Center in Minneapolis, AFGE picketers were joined by other unionists, including Navy veteran Tom Edwards, who carried a sign saying, “No Vet Should Wait in Line.” A retired postal worker, Edwards told Workday Minnesota that he hears plenty of rhetoric about “supporting our troops.” But when they come home and need access to skilled, specialized care like the VHA provides, it’s another story. “What’s happening in this country is a travesty,” he declared.

Suzanne Gordon is a CWA/NewsGuild member and author of The Battle for Veterans’ Healthcare: Dispatches from the Front Lines of Policy Making and Patient Care. Ian Hoffmann is a legislative and political organizer with AFGE, based in northern California. For more on the fight against VHA privatization, see ffvhc.org.

bernie-the-sandernistas-cover-344x550
October 16, 2019
Patrick Cockburn
How Turkey’s Invasion of Syria Backfired on Erdogan
Chitrangada Choudhury – Aniket Aga
How Cotton Became a Headache in the Age of Climate Chaos
Jack Rasmus
US-China Mini-Trade Deal: Trump Takes the Money and Runs
Michael Welton
Communist Dictatorship in Our Midst
Robert Hunziker
Extinction Rebellion Sweeps the World
Peter A. Coclanis
Donald Trump as Artist
Chris Floyd
Byzantium Now: Time-Warping From Justinian to Trump
Steve Klinger
In For a Dime, in For a Dollar
Gary Leupp
The Maria Ramirez Story
Kim C. Domenico
It Serves Us Right To Suffer: Breaking Down Neoliberal Complacency
Kiley Blackman
Wildlife Killing Contests are Unethical
Colin Todhunter
Bayer Shareholders: Put Health and Nature First and Stop Funding This Company!
Andrés Castro
Looking Normal in Kew Gardens
October 15, 2019
Victor Grossman
The Berlin Wall, Thirty Years Later
Raouf Halaby
Kurdish Massacres: One of Britain’s Many Original Sins
Robert Fisk
Trump and Erdogan have Much in Common – and the Kurds will be the Tragic Victims of Their Idiocy
Ron Jacobs
Betrayal in the Levant
Wilma Salgado
Ecuador: Lenin Moreno’s Government Sacrifices the Poor to Satisfy the IMF
Ralph Nader
The Congress Has to Draw the Line
William A. Cohn
The Don Fought the Law…
John W. Whitehead
One Man Against the Monster: John Lennon vs. the Deep State
Lara Merling – Leo Baunach
Sovereign Debt Restructuring: Not Falling Prey to Vultures
Norman Solomon
The More Joe Biden Stumbles, the More Corporate Democrats Freak Out
Jim Britell
The Problem With Partnerships and Roundtables
Howard Lisnoff
More Incitement to Violence by Trump’s Fellow Travelers
Binoy Kampmark
University Woes: the Managerial Class Gets Uppity
Joe Emersberger
Media Smears, Political Persecution Set the Stage for Austerity and the Backlash Against It in Ecuador
Thomas Mountain
Ethiopia’s Abiy Ahmed Wins Nobel Peace Prize, But It Takes Two to Make Peace
Wim Laven
Citizens Must Remove Trump From Office
October 14, 2019
Ann Robertson - Bill Leumer
Class Struggle is Still the Issue
Mike Miller
Global Climate Strike: From Protest To Power?
Patrick Cockburn
As Turkey Prepares to Slice Through Syria, the US has Cleared a New Breeding Ground for Isis
John Feffer
Trump’s Undeclared State of Emergency
Dean Baker
The Economics and Politics of Financial Transactions Taxes and Wealth Taxes
Jonah Raskin
What Evil Empire?
Nino Pagliccia
The Apotheosis of Emperors
Evaggelos Vallianatos
A Passion for Writing
Basav Sen
The Oil Despots
Brett Wilkins
‘No Friend But the Mountains’: A History of US Betrayal of the Kurds
John Kendall Hawkins
Assange: Enema of the State
Scott Owen
Truth, Justice and Life
Thomas Knapp
“The Grid” is the Problem, Not the Solution
Rob Kall
Republicans Are Going to Remove Trump Soon
Cesar Chelala
Lebanon, Dreamland
Weekend Edition
October 11, 2019
Friday - Sunday
Becky Grant
CounterPunch in Peril?
FacebookTwitterRedditEmail