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Pentagon's proposed approach to TRICARE for retirees.

 I was a mid-grade Captain when it just struck me like a ton of bricks what a quintessentially socialist system the military is.  From soup to nuts.  With two key things that made it work, more or less.  One, it was, generally, and certainly for the career crowd, a personal choice to stay in.  Yes, draftees are an outlier of sort... except when you look at the sometimes rather compulsory aspects of socialism.

Two, it was dependent upon (and worked because) of all the inputs from outside the system; i.e., taxes on a whole lot of people who were *not* part of the system.  

But at least you could opt-out periodically.

Now comes the Pentagon's budget proposal which includes fee increases (which, since we long ago lost the fight in the Supreme Court on free health care) I can live with, in that costs have skyrocketed, and we haven't seen a fee increase in 12 years.   

But what I don't like is the "tiering" - mating different fees to different retired pay.  Talk about nose under the tent...

The medical care piece is an "earned* benefit.  Not an entitlement, like Medicare.  Ideas like this have been floated before - pegging COLAs to retired pay, proposals that if you made a lot of money elsewhere, your retired pay would have *zero* COLAs, until your income dropped sufficiently, and then there would be no catch up, you'd just start getting COLAs.  None of those flew, thankfully - but they, along with this TRICARE scheme, represent a change in how the government is choosing to view military retirement - and not just for new entrants, but for people who paid their bills in blood, sweat and tears long ago.  

Not as an earned benefit, contractually agreed to, and the terms of which I have already complied with - but... as welfare, and subject to all the tinkerings and tweaks thereunto appertaining.  Only I can't get my part back.  Or, for some of us... actual parts.  

No, I'm not above waving the bloody shirt on this issue - it's the core of the government's obligation.

The TRICARE tiers...  I have a good friend who is a retired NCO.  He makes over 250K a year, in addition to his retired pay.  His retired pay is less than mine.  And I make a *lot* less than he does.  But his TRICARE fee will be significantly less than mine.  I don't grudge him his success - but he's a good example of the topsy-turvy logic here.  The fix for that, of course, would be to tie it to Adjusted Gross Income, but in fact I object to that even more.  Because you just reinforce the entitlement view, vice the earned benefit view.

And while I understand that, for example, federal civilian employees are paying more for their health insurance, they all get the same benefit for the same cost based on their cafeteria selections.  But not us.  Some of us will have to pay more than others - actually paying a fee for serving longer, or taking on more responsibility, both things we're generally encouraged to do.

Of course, the money crunch generates a lot of this kind of thinking - such as the thought to turn over the commissaries to AAFES, and shift that money to pay for some VA programs.  So, in this instance, rather than spread the burden on the population at large, we propose to essentially shift a cost (because AAFES will *not* be a cheaper alternative) to the active duty and retiree population to support the greater veteran population (many of whom aren't authorized the commissary benefit).  In the case of the Morale, Welfare, and Recreation programs (which are funded by AAFES profits and user fees) I understand that funding that by essentially making the users pay for what are nice to have programs (and taking away the ability of senior people diverting funds to other purposes, which happened when MWR came out of appropriated funding).  But tossing the commissaries to AAFES as a bill-payer to fund VA programs cuts a lot closer to the heart of the compact between the military and our overseers.

I understand the crunch.  I understand we aren't going to be shielded from the fiscal realities here.  But I do want to kick this camel in the nose.  And get it out of the tent.


15 Comments

Goernment promises are not worth less than nothing as we learned with dental care, then the establishment of TriCare. 

Napoleon I, Emperor of the French, once said words similar to, "A nation that doesn't care for its Veterans, their widows and orphans is without honor."

Having said that I would serve again because I loved the life.  I didn't do it for benefits but promises are promises and broken promises to we veterans are a warning to everyone else.
 
I think we are already off the edge of the cliff and plummeting into the chasm of socialism.  And class warfare is underway, even if only in an implied, not declared, state of war.

I guess contractual obligations no longer matter.  (Ask GM bondholders how their legal rights worked out for them!)    We have already been told that "free health care for life" did not actually mean that.

I really don't know if our oaths to "defend the Constitution of the United States against all enemies, foreign and domestic" are ones that they expect us to keep or not.  

So far, it looks like the ballot box is still a viable option to do so, but the Marxists may push to the point where the cartridge box is the necessary, and only, tool left to defend the Constitution, as well as "our lives, our Fortunes, & our sacred Honor."

Our nation is in really deep, serious trouble.  And its hard working citizens even more so.

 
But what I don't like is the "tiering" - mating different fees to different retired pay. Talk about nose under the tent...

The camel's ass has been inside the tent for years, in certain portions of the country -- the Philly area VA, in particular.

I *have* no VA health benefits. When I retired, I duly checked in with them and was told -- and this is an exact quote -- "We'll schedule you for consults, but you'll have to pay for any treatment [not co-pay, pay the whole freight], because you were an officer. You made more than the enlisted guys, so you can afford to pay." Last time I dropped in to schedule a consult, I was reminded that if the derma-doc *did* find that my little Agent Orange souvenir had returned, I'd be fully-responsible for footing the bill for the excision.

V29er can back me up on that. He got the same song-and-dance from them, which is one of the reasons he moved to the Sunshine State.

"Delay, deny, and wait for 'em to die." -- the VA Motto

 
Unfortunately, I don't think the Federal government's aversion to paying is limited to these issues, as critically important as they are.  There's a much larger problem.

The organization I work for helped create a "sister" organization modeled on ours but which deals with similar issues on an international level, with participating countries in the US, UK, Canada, Ireland, Australia, and New Zealand.  It's entirely funded by grants from each of these countries.  All of the foreign countries are basically single-payer, universal health systems, except for NZ which is something of a hybrid between that and what we have in the US.

Each of these countries pays out their grant in a timely fashion, with no delay.

However, the US (which is handled by SAMHSA - the Substance Abuse and Mental Health Services Administration) invariably hems and haws and delays and drags its feet every year, refusing to pay until it's almost several months past due.

It's almost like someone, somewhere is skimming money from the interest gained on the principle by holding onto the capital as long as they can.
 
Stickin' yer head above the parapet there, you are, John(NTA). Owhell, we fly the Gadsden flag at this house. Not the one The Armorer sent me, but the housemate's. He's an ex-Army intel guy, and later worked for An Agency, so yeah he knows about nasty goings-on and dirty dealing at high levels in the government. He said he got a good hit on the tank carcass with a LAW in training (yeah, he's that old) but the Sergeant yelled at him anyway for bad form, or bad posture, or something.
 
Yes and not just the military. The other conservative bastions of socialism are the church and the family. It isn't called social-ism for nothing. All of them work because they have stable outside funding. Self-funded socialism is self-terminal. And all 3 also have times of mismanaged finances which have to be corrected.

One of the problems with the Promise for mils is that the people didn't promise it. The government did. Government Promises are given in words of definitely forever but delivered in maybe until it's inconvenient. A secondary problem is that the people are not backing this up. That's where the honour leaks out.

Over here where we have a left government actually increasing the military budget. How bad was it hmm? I don't know the details because here the military is hidden from civilians but I rather think it was starting to fall apart.

You know many on the left and even moderates do not think the US Military has yet had a cut. That the one, if they noticed it, was superficial. Think about the implications for the future.

And the future is the key. The US is in decline. This current crisis is very bad but it will end. The decline will not.

Is is true that here in Australia the insurance companies or government pay up on time for the most part. The trouble in payment is what they will pay for instead.
 
 Bill is that just a function of the Philly area of the VA, or is it general?

So just being a retired ossifer means you didn't serve? Sounds like a VA where we need to take out the trash, then doze the place and start over.

The question is, where would we stop? 98% of FedGov is illegal according to the constitution. Taking care of the Vets is a pretty basic obligation when they used us. Now they just want to throw us away. This is too much like the Kipling poem "Tommy." You're the brute, I suppose.
 
QM, Philly area has a few issues, *specifically*! I was switched to Wilmington without any kind of notification of any kind.
 
It's almost like someone, somewhere is skimming money from the interest gained on the principle by holding onto the capital as long as they can.

VA administrators receive a bonus based on how much they "save" the gummint. My guess is the Admin was sitting on the bills until after the fiscal quarter (or however the bonus is decided) ended.

Bill is that just a function of the Philly area of the VA, or is it general?


Philly's the most blatant example, but a lot of my forum-buds on the Viet-vet aircrew site have reported similar problems in their areas. One in WBG Virginia is still battling for treatment of colon cancer even though he's rated at 100% disabled, the cancer was determined to be service-related, *and* he was enlisted, not an officer. It's all about administrators receiving bonuses for not spending the money for vet care they were *given* to spend for vet care in the first place.

There are actually two VAs -- the medical half, which consists of folks who overwhelmingly *want* to do their jobs and provide good services and the admin half, some of whom believe that their job is to insure that vets don't get to see the medical half. It took the VA nine months to schedule me for a hearing re-evaluation after I got back from Iraq. I could have picked up the phone and gotten one from a lab up the road within five minutes -- but the VA doesn't accept eval reports from outside (civilian) sources.

 
Tsk. Almost forgot. By the time the VA got me the appointment, I was in the Ukraine, so I missed the appointment, and now I'm on the "Bad Boys List."

I feel soooooooo mortified...
 
Sounds like a VA where we need to take out the trash, then doze the place and start over.

Bingo. The QM called it. Perhaps the vets should Occupy VA. Actually, the Bonus Army did something kind of similar about benefits after War One, and guess what the Feds did...sent in the Army to attack. Right there on the streets of Washington, D.C.
 
Just how far has this offer been degraded?  I assume it's given during recruitment but it seems to have been nickel and dimed fairly severely.

QM brings up the Tommy poem by Rudyard Kipling.  If you don't know it find out. Even though it's British it's fairly relevant here and shows what an old saw this problem is.

I really think pinning hopes on politicians including those GOP hopefuls isn't enough to help fix this problem.  I don't think protest by the military is really best either.  A much wider front of the people of America need to fight this because it is very much about a fair go.

I'm being too idealistic.  What would actually work?

It's appears like it's gone from if you risking taking a bullet for us we'll look after you even if you don't.  To if you risking taking a bullet for us we'll patch you up if you get that bullet.  To if you risking taking a bullet for us we'll patch you up maybe if you don't look too rich or sucessful otherwise tough titties and stop bleeding on our carpet.  The next step isn't too pretty is it?



 
...if you risking taking a bullet for us we'll patch you up maybe...

Remember when Obie said that it wasn't unreasonable for troops wounded in Iraq and Af-stan to foot part of the bill for their treatment?

Remember how flustered he was that people actually disagreed with him?

This is his end-run around the American public...

 
If you have joined up, and sworn The Oath, to run in front of that bullet if required, it behooves the rest of us to take care of the consequences to you of your having run in front of that bullet for us. That seems just simple justice to me.
 
BillT, can you give us a timeframe about your issues with Philly  VA? I don't think this is true of the whole system but a more true of this one facility. In many ways, I believe the VA is trying to change. I am being treated now from the South  Jersey–Wilmington VA Healthcare  System. After a lengthy series of e-mails dated December 2011, telling me they were not going to be in the office between certain dates in August 2011 and bills were not being paid for over a year. Something didn't smell right.  I received a letter from Wilmington dating eventually I would be transferred to Wilmington VAMC. Dealing with the people from Wilmington was like a breath of  fresh air. They asked me to bring all of the documents that I had sent my last doctor's appointment, I brought everything, including the bills that were not paid for over year. Actually  these were scanned copies. The people from Wilmington are trying to make things right. Then, one day, out of the blue, I get a phone call from Philadelphia vAMC and my contact person told me that their staff has been cut from 100 to 4 and they were “gone”. I said, “Do you mean retired?” She said, “I never said retired, I said, 'gone'.”  To me, this speaks volumes, as I write this comment there are changes in the VA that are actually being implemented today. I am not going to tell you that I have not had days that I could 'pith' flaming napalm. But, slowly, I am beginning to believe, “This is not my father's VA.”