VA’s Medical Foster Homes (MFH) Program

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WSJ photo WWII vet in
MFH

Losing one’s independence due to disability is costly in many ways.  No one wants to end up in a nursing home and eating poor quality food.  The idea of living with strangers seems unpleasant but many aged are alone in this world when they need more help. Caregiving is hard work. But the pay is decent if caring for the maximum allowed 3 vets.  It should attract good people to this private-public partnership.

The VA can pay for nursing home care for service-connected disabilities or partially for Medical Foster Homes.  This 2010 Wall Street Journal article, is favorable for reasons the title makes clear:  Happier Vets, Lower Costs

The home is one of hundreds across the country that take in veterans who can’t care for themselves, but don’t want to live in an institution. The vets pay the foster family’s expenses, while the VA covers the costs of regular visits from health-care providers, such as nurses, therapists and dietitians. The result is dramatically lower costs—the VA pays just about $52 a day for patients in foster homes, compared with an average of $469 for those in nursing homes.

Slides from Denver put the VA’s cost at around $1,500 per month including health visits.  Priorty 1A vets are used in the cost estimates towards the end.   I would keep an open mind about this option in case one can no longer age in one’s own home and you want to pay for a private room.  (Some vets share a room and use the VA’s telehealth services–NYT.)

VSO’s often get involved.  Here is the American Legions fact sheet.  The DAV estimates taxpayer savings of 1 million dollars every 12 days.  With such huge savings to the taxpayers, I’m sure this program will continue to expand to all 50 states.

The Official VA Handbook 1141.02  is here.

 

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BVA–THIRD QUARTER DECISIONS ARE UP

safe_imageThe third quarter release of BVA decisions are out as of this morning. Someone must be working overtime. We had hoped to see them by August 30th but we all know that the BVA is backed up and constipated just as badly as the rest of it’s parent VBA organization. 

Hopefully, those of you who study HCV decisions will spot some daisies that have import with jetgun claims. I, for one, will be perusing them heavily for that alone. Onward through the Fog.

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SUNDAY FUNNYFACE PAGE

564080_10151920125960700_500815409_nSpotted on Deb Zuckewise’ Face page this morning. I love it. Seems we’re just “in the news” these days on GMO Initiative 522 , left-handed tobacco and anything else the somnolent drive-by media can pick up on that doesn’t require getting out of the news van for. One thing is evident. Vets are gradually becoming a dinner table conversation topic in more and more households. This is one reason why I still enjoy the newspaper. It isn’t filled with the breathless, vapid, monosyllabic chatter of verbally challenged newsies. 

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$47,000 mechanical bull for Utah National Guard?

AMVETS National Exec­u­tive Direc­tor Stew­art Hickey was ticked off.

While the Depart­ment of Defense has money to call 350,000 employ­ees back to work, and buy a $47,000 mechan­i­cal bull, they don’t have the fund­ing for our fallen fam­i­lies…. This is such a trav­esty that I am barely able to remain civil when I think about it.

bull

Me ride bull. Me cool.

Can this be true? Yup!  From the GSA (see left menu):

Sept. 4--The National Guard – Utah requires the following items, Brand Name or Equal, to the following:

LI 001: We are seeking purchase Mechanical Bull Sales bull which needs to be durable & low maintenance. Seeking brand name or equal see attached specifications.

Oct. 7 (Day 7 of shutdown)–Contract Award Dollar Amount: $47,174.00

MECHANICAL BULL SALES, INC [DUNS: 782182203],220 Region Court,State College PA 16801

Oct. 10 (after publicity) Cancelled. 

This was an Army contract. Someone’s fury made a difference–for now.

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The big GI bill carrot, student veterans, and the shutdown

carrot

Congress to post 9/11 vets
We promise you can go to college after Iraq/AF.

Who are these veterans? Student Veterans of America (SVA) have a few facts up on their website.  They note that 47% have families, 85% are older than 25, and 27% are female.  My DS (dear son) is in the first two statistics and he is one of thousands who receives post 9/11 GI bill benefits. Because the GI bill hotline was shut down, SVA and VFW stepped up and answered student veterans’ questions via email.  The message for student vets was not good:

VA Secretary Eric Shinseki confirmed this week that living stipends and other benefit payments for nearly one million currently-enrolled student-veterans could be cut off if Congress fails to resolve the government shutdown by Nov. 1.

Wounded Warriers pledged 20 million dollars, or $500 each to about 40,000 veterans who would miss their Nov. 1 payment.  With the shutdown ended, they are reallocating this money back to their programs.

When these young people joined the military, they faced getting beheaded and other atrocities in the middle east. To have certain Congressman vote to abruptly end the program they really need and value-a college education–and a financial stipend rug out from under them, mid-term, is deeply shameful to me. The Washington Post’s infographs “Faces of the Fallen” is a poignant reminder that  6,735 U.S. service members have died in Operation Iraqi Freedom and Operation Enduring Freedom.  The Army and Marines lost the most of America’s finest. God bless them all.

The GI Facebook page is back up, “We’re back!”

https://twitter.com/VAVetBenefits

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VA RESUMES “NORMAL” OPERATIONS

bildeMember Randy sends in this redundancy. If VA isn’t doing their job by adjudicating our claims in an expeditious manner as mandated by Congress, why would announcing that they are returning to “normal” fill us with joy and gratitude? 

While some may find humor in Uncle Ric’s latest regurgitation on normalcy, most of us would find the remark far off the target. In 1989, just before the buildup to the war(s) beginning in Southwest Asia, it took about 3 months for us to receive a decision-usually a denial out of hand based on little or no research or honest investigation. By 1994, the delay had stretched out to almost six months-again with the same slipshod methodology towards honesty and true investigation.

In 2007, the delay had grown to over sixteen months, on average, with the same token effort towards finding out the truth. By now, any excuse for denial was deemed justified and Adobe Acrobat programs were modified to accommodate this. They have yet to program in something to correct tense, dangling participles and other annoying grammatical errors, but by using Adobe, they condemn themselves to mediocrity. Besides, we need humor when getting the bitchslap to avoid resultant depression.

Getting anything done at the VA now requires a Writ of Mandamus from the Court of Appeals for Veterans claims. I have recommended it several times and even resorted to it myself once. Imagine requesting a copy of your c-file not once but repeatedly- and being ignored. Not so much as a letter with the standard innocuous “Rog on the c-file. We’ll get back to you on that soon.” Utter silence for years in lieu of the file. This creates hostility and animosity between VA and the Veteran which they can ill afford. Or can they?

My observation is that you can rail at the top of your lungs figuratively nigh on to laryngitis and receive nothing until it behooves them to answer. Currently, a decision on a new claim the old fashioned way is running about a year but they aren’t developed. They are simply a boilerplate denial and an opportunity to gain more time while you appeal for two years. As for Fully Developed Claims (FDC), rots of ruck on objectivity. This is nothing more than decisions at 78 rpm. One small wrinkle, one inadvertent glitch, one improperly uploaded document and it goes into the bone pile. Yes, you can rescue it but it is now in the “regular adjudications” in-basket and condemned to the 33 1/3 rpm Alex Trebeck music score.

Look forward to an incredible increase in the backlog as they struggle to gin up their engines and reinstitute overtime. Look forward to a new excuse letter blaming the TEA party for your protracted delay. I foresee they will murder untold trees in an effort to create a paper blizzard of more explanations for the interminable delay. You have my word on it. Watch for a new round of bonuses, too.

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VA’s Telehealth programs

telehealthVeterans facing barriers to face-t0-face care ( e.g. mobility, rural homes, transportation issues, likely winter storms), may be able to participate in a VHA Telehealth Service. About 77,000 veterans are enrolled according to a Oct. 2012 VA Newsletter.  This could offer time and cost savings to one’s current manner of accessing health care if you have illnesses like diabetes or COPD. 

Good news! In May 2012, the VA eliminated the co-payment for charged for video-to-homes services.  This is a win-win for all eligible veterans and the VA.

Examples of other services: Telehealth Clinic Outreach Centers; Telehealth Home program; Mobile telehealth vehicles; Telepharmacy; TeleMOVE program,  Telemental Health, Telechaplaincy; Telehealth Store and Forward and many more programs.

http://www.telehealth.va.gov/video/CVT_Providers.asx

If you have a health savings account (HSA) or have to pay out-of-pocket, this private telehealth service charges $49.00. My Mayo primary doctor is online with cheaper E-visits but I haven’t tried it yet.

Another private firm, Now Clinic, is available to patients in these states: Arizona, California, Connecticut, Illinois, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Missouri, Michigan, Nebraska, New Mexico, New York, North Dakota, Ohio, Pennsylvania, South Dakota, Utah, Wisconsin and Wyoming

I think video-conferencing is an improvement over telephone alone and one’s germs stay out of the waiting room.   This VA study showed that the program is cost effective for veterans with chronic illnesses and helps vets in their eighties stay at home longer.  Have any experience with virtual care to share?

Posted in Guest authors, VA Health Care | 2 Comments

SIX FLAGS® OVER YOUNTVILLE VETS HOME

images Emma sends me this: Imagine having a vision for Vets and just desperately wanting to reach out and help them. Well, pilgrim, what better way than to start your own TARP program and start throwing around some serious money stimulating your local economy (and probably your brother-in-law’s construction and land clearing company)? Yep. In an act of largesse that will be remembered by CalVets for a long, long time, one of their own administrators took it upon herself to help the locals out and start converting a 200-acre backwater for old Vets into a go-to destination for zip line enthusiasts. Envisioning seven chained zips from one platform to another connected by short paths, mountain hiking and biking paths and a lake attraction, she invested $650,000.00 + of Veterans’ funding  on clearing, setting up the beginnings of the zip lines and breaking ground for the internet cafe. Oh, and of course the brewhaus. Brewskis and celebratory photos  after surviving the dreaded ziplines are a given. Anything less would be uncivilized.    

It seems in her haste to make sure the Vets would be able to enjoy all this for free, she overlooked the median age dynamic of the 1,100 inhabitants–79 years young. Not even fazed in the least, she pursued her vision with gusto right up until they pulled the plug on the shindig. It appears she has moved on to greener employment pastures. Perhaps Solyndra Solar Energies® has a home for her in marketing. Ice cubes for Eskimos?

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Our poor native Americans were the subject of land-grabbing in the 19th century but finally got wise to the program. It seems West LA’s campus and Yountville are part of the new Mexifornia dynamic to “create wealth” having exhausted all the other possibilities. Vets should be grateful for their concerns about how to fund Veterans homes.

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Proposed Yountville ziplines
(Artist’s rough conception)

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FACETHOUGHT

deja-poo-2Member emeritus “Pop” Smoke put this winner up on his Facepage this morning. Nothing seems more apropos under the circumstances. The public servants on the hill must feel unclean this morning.

Posted in Complaints Department, Humor | Tagged , , , , , , , , | 2 Comments

H.R. 2775: Veterans’ Committee members who voted for continuing the government shutdown last night

homeless

Know who your friends are

Of the original 11 Veterans’ House Committee members who voted for the shutdown/default, only 3 voted to reopen the government.  Two of the anti-vet votes were cast by veterans Jeff Denham and Brad Wenstrap.

On the U. S. Senate Committee on Veterans Affairs, only Senator Dean Heller of Nevada cast an anti-veteran vote. 

The anti-veteran House Committee of Veterans’ Affairs member votes were cast by (data source): 

Chairman Jeff Miller FL-1st 

Jeff Denham–CA-10th

Doug Lamborn, CO-5th

Jackie Walorski, IN-2nd

Tim Huelskamp, KN-1st

Brad Wenstrap, OH- 1st

Phil Rose, TN-1st

Bill Flores, TX-17th

These nuts were in favor of delaying/stopping ALL VA beneficiaries’ payments (including GI Bill benefits) on November 1.  Sec. Shinseki’s recent testimony before them fell on deaf ears.  They will never have the backs of the most vulnerable vets, such as homeless vets, in any state, not even their own.  And as if living with HCV isn’t hard enough imagine living with HCV and homelessness.  According to this report, homeless veterans (2 years or less) have a 10.6% rate of HCV. If homeless for over 2 years, they have a 18% rate of HCV.  They’re doomed.  I hope that veterans will not give the individuals listed above (and their other like-minded comrades) a platform to use veterans so they can abuse them later.

Note:  This opinion is my own.

Posted in Guest authors, vA news | Tagged , , , , , , , , , | 10 Comments