

We observed considerable variability in access to care and found opportunities to improve access, even at the top-performing VA facilities. From 2020 and onward, demand for VA care will level off or decline, barring any major conflicts or changes in eligibility policy. Through 2019, the demand for VA services may outpace supply. Veterans who use VA for health care are typically older and sicker than other veterans however, veterans who rely most on VA care tend to be younger and poorer and to live in rural areas and lack health care from other sources. The median age of this population will continue to increase, and veterans are projected to become more geographically concentrated over this period. The total number of veterans is expected to decrease by 19 percent between 20, assuming no major policy changes or large-scale conflicts. The three-decade decline in the number of veterans will continue. Key Findings from Across RAND's Three Assessments This article summarizes the findings of our assessments and includes recommendations from the reports for improving the match between veterans’ needs and VA’s capabilities, including VA’s ability to purchase necessary care from the private sector. RAND conducted three of these assessments: Veteran demographics and health care needs (A), VA health care capabilities (B), and VA authorities and mechanisms for purchasing care (C).
#Ved health series#
In addition, the law called for a series of independent assessments of the VA health care system across a broad array of topics related to the delivery of health care services to veterans in VA-owned and -operated facilities, as well as those under contract to VA. The law was passed to help address access issues by expanding the criteria through which veterans can seek care from civilian providers. In response to concerns that the Department of Veterans Affairs (VA) has faced about veterans’ access to care and the quality of care delivered, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 (“Veterans Choice Act”) in August 2014. The bill broadens health care access for veterans who became ill after exposure to toxic “burn pits,” which were commonly used by the military to dispose of waste, including medical and hazardous materials and jet fuel, during the Iraq and Afghanistan wars.This Article RAND Health Quarterly, 2016 6(1):12 Lee offered amendments to the bill that he said would prevent the misuse of taxpayer money, but they were not accepted. Romney said the nation has a responsibility to veterans and that he would support legislation that better targets disability eligibility requirements based on scientific evidence and research. At a total cost of $667 billion, it would add hundreds of billions of dollars to the national debt and would represent a dramatic expansion of qualifying conditions that aren’t necessarily service-connected disabilities,” he said. However, the scope and cost of this bill is astronomical and unjustified.

“We should absolutely help veterans who have contracted illnesses as a direct result of toxic exposure during their service. Asked Wednesday why he voted against the bill, his office referred to a statement the senator made when the legislation came up for a vote in June. Romney is among those senators who have issues with the cost. How a bipartisan bill to help sick veterans became the casualty of partisan wars.
