Friday, August 23, 2019

Trump's VA Scandal: New Bragging Rights for Biggest Scandal Ever in VA History

Trump Footnote to this Honored VA Foundation Quote
(For his financial gain and nothing else)

Update on the following story which at the time was sickening – this is worse than that VA wait time scandal. This comes from two sources: (1) Rolling Stone (August 22, 2019) the current main story and which cites, (2) ProPublica (August 7, 2018) that has lots of clear-cut background evidence and links to sources.

This a long and very detailed story, but one that is easy to follow. It clearly shows this as the lead-in:

“How Marvel Entertainment chairman Ike Perlmutter and two other Mar-a-Lago Trump cronies secretly shaped VA policies.”

Setting the scene for this portion: In February 2018, and shortly after Peter O’Rourke became Chief of Staff for the VA Secretary (at the time was David Shulkin before he was fired via a Trump tweet in March 2018) he received an email from Bruce Moskowitz with his input on a new mental health initiative for the VA.

O’Rourke replied to that email:Received. I will begin a project plan and develop a timeline for action.”

O’Rourke treated the email as an order, but the problem was that Moskowitz is not his boss and in fact, not even a government official in the VA or any other agency.

Bruce Moskowitz is a Palm Beach doctor who helps wealthy people obtain high-service “concierge medical care.” Moskowitz is one-third of an informal council that exerted sweeping influence on the VA from Mar-a-Lago (Trump’s private club in Palm Beach, FL). 

That troika was led by Ike Perlmutter, the reclusive chairman of Marvel Entertainment, who is a longtime acquaintance of Trump’s. The third member was a lawyer named Marc Sherman. None of them has ever served in the U.S. military or anywhere in government.

Yet, from a thousand miles away, they leaned on VA officials and steered policies affecting millions of American Vets and their families. They have remained hidden except to a few VA insiders, who came to call them The Mar-a-Lago Crowd.”

Now, reflection back on the VA scandal: That scandal was built around the supposed maximum wait time to see a doctor that turned out to be a nasty scheme and series of outright lies. Its short summary:

The Vet wait time was a scheme to show shorter wait times vs. the reality of extremely and excessive very long wait times.”

It all stated at the VA hospital in Phoenix. This scandal was a big deal and it eventually led to the resignation of then VA Secretary Eric Shinseki (resigned under pressure on May 30, 2014). 
He was replaced by David Shulkin and later fired by Trump (Trump pushed to privatize the VA and Shulkin resisted). 
Then two “Acting” secretaries (Robert Wilkie was one Acting and now is the permanent secretary under Trump).
Background: Officials at the Phoenix VA hospital are accused of keeping a secret wait list of veterans who were seeking health care. 
Those lists were kept out of sight of federal regulators, who were instead sent and shown documents that vastly under reported how long it took for patients in Phoenix to see a doctor: the secret wait list kept out of view because it showed that patients had to wait an average of 115 days to be seen by a primary care provider and not the mandatory maximum of 14 days. 
CNN reported that as many as 40 veterans died while on wait lists at the Phoenix hospital – ergo: criminal prosecution may in order. Out of that came the Veterans Choice Program, which was created as a temporary measure and allows veterans, in certain instances, to seek health care in the private sector at the VA's expense.

It was set to end August 7, 2017, but Congress passed legislation in April allowing it to continue beyond the expiration date with the approximately $1 billion remaining of $10 billion appropriated for the program in 2014. It's now authorized to continue until it runs out of money as VA Secretary David Shulkin is working on improvements to the program – which BTW has been criticized by veterans and lawmakers as confusing and complex.
Now the Trump VA budget with this budget cite:Veterans' access to timely, high-quality health care is one of this administration's highest priorities. The budget provides mandatory funding to extend the Veterans Choice Program, enabling eligible veterans to receive timely care, close to home.”
Most would call it a sleight of hand trick or just another routine Trump monetary stunt to brag about or to grease his own palms.
Details of some of those “off-sets” include:

#1 Offset: Is for the extra cost is a new restriction on compensation for veterans through the VA's “individual un-employability program.” Currently, veterans eligible for the program have a 60 to 100 percent disability rating through the VA and are unable to secure a job because of their service-connected disability. The program allows them to get paid at the highest compensation rate. For 2017, the monthly rate for a 100 percent disabled veteran living alone is $2,915 per month.
The change, which the budget describes as a “modernization” would stop the higher payments once the Vet, who is eligible for Social Security payments, reaches the minimum age to receive them. Veterans who have already reached the age to receive Social Security would be removed from the VA benefit program if Congress approves the proposal. The change would save $3.2 billion for the VA in fiscal 2018, according to budget documents.
#2 Offset: That is the practice to round down COLA to all veterans who receive disability compensation. The practice was standard until 2013. The OMB estimates reinstating the round-down policy would decrease payments by a total of $12 annually per veteran. It would save $20 million for the VA in fiscal 2018, the documents show.
#3 Offset: It would cap student veterans' Post-9/11 GI Bill benefits for flight training. Flight programs tend to be more expensive than other courses of study, the budget states.
It proposes capping benefits for flight training at the maximum the VA will provide to students at private schools, which is about $21,000 each year. The cap would save $42 million for the VA for fiscal 2018, according to the budget.
The Trump budget further states: Through these tradeoffs, VA will focus its budgetary resources on providing veterans with the most efficient and effective care and benefits.”
I Note: Yeah, sure and if not, no biggie – they’re only Vets dime a dozen and on the dusty shelf call on only in time of war. Then as the “off-sets” above clearly show, just ignore them and benefits to date, right?

So, in total, this Trump budget (VA part) calls for $82.1 billion in discretionary spending for the VA, an increase of about 6% from 2017. Once mandated funding is included, the budget is expected to $186 billion.
But, I have to ask: “What price do you want to spend on our freedoms and homeland safety provided by Vets, um? A Rick Perry oops will not suffice in this case.
The whole original story here from Military.com.  
My 2 cents: Trump is unfit to serve and this story proves beyond any logical doubt where his interests lie: With Trump Empire, Inc. and no place else. It always does.
Thanks for stopping by.





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