Trump’s VA Just Announced Plans To Shut Down 1,100 VA Care Facilities

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chucky2

Lifer
Dec 9, 1999
10,018
37
91
Short of the physical trauma specialties a VA that is local to a vet may provide, why do vets need to get the same medical care at a VA that everyone else gets at a hospital? Put them on Medicare-VA, let them get covered in the public domain, and call it a day. Gov can select specialized public/private in areas they wish vets to attend for specialized services (burn care, amputations, brain trauma, etc) and work with those centers to ensure vets are not turned away/shorted.

I'll give an example local to me:

We have a fine medical facility, Loyola, in shithole Maywood, IL. There are vets at our lake property in Indiana who travel 1.5-2 hours to the VA that sits literally right next to Loyola. WTF type of services is this VA providing that couldn't either be handled by Loyola itself, and/or, public medical facilities much closer to these vets? They sure aren't providing great care, as none of the vets have great things to say about the Maywood VA.
 

chucky2

Lifer
Dec 9, 1999
10,018
37
91
Spreading it pretty deep, huh?

Geez, like AgentFail, someone has latent mental issues from the @SS f*cking Trump gave them. It must have been a hell of a shock to see Trumps d*ck slide past your face up Billary's rear on election night, eh? :D
 

Mai72

Lifer
Sep 12, 2012
11,562
1,742
126
We need to get rid of it all!

SS, MEDICARE, VET CARE, MEDICADE, WELFARE, RETIREMENT, ETC. Only the rich are allowed to prosper. Throw the rest into jail! :(
 
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Sunburn74

Diamond Member
Oct 5, 2009
5,076
2,635
136
Short of the physical trauma specialties a VA that is local to a vet may provide, why do vets need to get the same medical care at a VA that everyone else gets at a hospital? Put them on Medicare-VA, let them get covered in the public domain, and call it a day. Gov can select specialized public/private in areas they wish vets to attend for specialized services (burn care, amputations, brain trauma, etc) and work with those centers to ensure vets are not turned away/shorted.

I'll give an example local to me:

We have a fine medical facility, Loyola, in shithole Maywood, IL. There are vets at our lake property in Indiana who travel 1.5-2 hours to the VA that sits literally right next to Loyola. WTF type of services is this VA providing that couldn't either be handled by Loyola itself, and/or, public medical facilities much closer to these vets? They sure aren't providing great care, as none of the vets have great things to say about the Maywood VA.

The cost the veteran's pay for VA care (ie hospitalizations, medications, rehabilitation services) will be a fraction of the cost, compared to public facilities with medicare. Furthermore, if you are residing in a portion of the country and suddenly need advanced care that that VA center cannot provide, you will be flown or driven to the nearest VA center that can provide it. Also there is no condition that the VA refuses to treat and there is no upper limit on services provided.

The difference is the VA is a vertically integrated healthcare system where everything on every level is owned by the VA. It is akin to the most nationalized health care systems in western Europe in the model. Also for reference, patients basically have no idea what good healthcare is and what bad healthcare is. In fact, this fact and the fact that patient opinion surveys affect hospital reimbursement/funding is the bane of modern medicine and probably led in part to the current opiod crisis we experience. "If I ask for pills and don't get pills, its bad health care. If I ask for a lobotomy, and the doc refuses to give me a lobotomy, it's bad healthcare".

The VA is not perfect, but the VA centers in most big cities are run by the same physicians that run the big name hospitals in those cities (boston by Harvard physicians, tennesee by Vanderbilt guys, Houston by Baylor guys, Ca by Stanford and USCF guys, etc etc) and often offer similar levels of advanced care. As a system, if you are living in a major US city, there really is no better insurance plan.
 

Homerboy

Lifer
Mar 1, 2000
30,890
5,001
126
The cost the veteran's pay for VA care (ie hospitalizations, medications, rehabilitation services) will be a fraction of the cost, compared to public facilities with medicare. Furthermore, if you are residing in a portion of the country and suddenly need advanced care that that VA center cannot provide, you will be flown or driven to the nearest VA center that can provide it. Also there is no condition that the VA refuses to treat and there is no upper limit on services provided.

The difference is the VA is a vertically integrated healthcare system where everything on every level is owned by the VA. It is akin to the most nationalized health care systems in western Europe in the model. Also for reference, patients basically have no idea what good healthcare is and what bad healthcare is. In fact, this fact and the fact that patient opinion surveys affect hospital reimbursement/funding is the bane of modern medicine and probably led in part to the current opiod crisis we experience. "If I ask for pills and don't get pills, its bad health care. If I ask for a lobotomy, and the doc refuses to give me a lobotomy, it's bad healthcare".

The VA is not perfect, but the VA centers in most big cities are run by the same physicians that run the big name hospitals in those cities (boston by Harvard physicians, tennesee by Vanderbilt guys, Houston by Baylor guys, Ca by Stanford and USCF guys, etc etc) and often offer similar levels of advanced care. As a system, if you are living in a major US city, there really is no better insurance plan.

Stop with the facts and reasoning!
 

Uppsala9496

Diamond Member
Nov 2, 2001
5,272
19
81
snip

I'll give an example local to me:

We have a fine medical facility, Loyola, in shithole Maywood, IL. There are vets at our lake property in Indiana who travel 1.5-2 hours to the VA that sits literally right next to Loyola. WTF type of services is this VA providing that couldn't either be handled by Loyola itself, and/or, public medical facilities much closer to these vets? They sure aren't providing great care, as none of the vets have great things to say about the Maywood VA.
My old man goes to Hines. He has nothing but good things to say about it. He is considered 90% disabled by the VA due to both physical and mental injuries sustained in combat. He also refused to go to the VA for 40+ years after he was released from service.
Loyola does not have the capability to handle the volume of patients that Hines handles in addition to the current patient load they have. It's a matter of volume at that point. Additionally, Loyola doesn't have the specialized care that Hines does.
Hines is a one stop shop. My dad can get all of his specialized care taken care of at one facility. Hearing, eyes, PTSD, heart, lungs, etc. Doesn't have to drive to multiple locations and waste time.
 
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MajinCry

Platinum Member
Jul 28, 2015
2,495
571
136
Why does public healthcare have to shut down for private healthcare to prosper? Rhetorical question, as that would allow corporate interests to be as rapacious as they wish.

Over here in the UK, there's both, and I dare say it's commonplace for doctors and specialists to spend time in both sectors. Get a few "rest days" in a nicer office for one half of the week, and then spend the other half in a less roomy office so as to attend to the wider populace.
 

trenchfoot

Lifer
Aug 5, 2000
16,021
8,612
136
From a Corporatist's/very wealthy elitist's point of view, it's a win/win scenario. They get to privatize facilities for profit and they get to reduce gov't costs thus giving themselves a better chance at pushing for more tax cuts and subsidies for themselves.

Whatever happens to the veterans in this push for shrinking gov't, privatization, more profits and tax cuts is immaterial to the Corporatist's/very wealthy's interests.

Same with any other gov't function that the profiteers want to get their greedy claws on, like gov't sponsored health care. The latest iteration of gov't assisted health care that the Repubs in the House passed is a perfect example of the attitude I just described. Their plan's biggest feature and primary purpose is to give the very wealthy a nice hefty tax cut. Every other aspect of the plan is aligned with and designed for that primary purpose. The most conservative members of the House (the ones that are the most corrupted by the Corps.) made absolutely sure that the interests of the very wealthy was first and foremost in how their plan got structured. It's why every one of them had to consistently lie about, deflect and misrepresent their intentions. Most obvious of them all is Trump himself. At the Rose Garden victory celebration, he came right out and in true Trump fashion thoroughly lied his ass off, without any concern whatsoever about how obviously blatant it was. And to top it all off, as Trump was doing that, there were all of these smiling faces behind him, thus blessing his words with their stamp of approval. Hilarious, really.

The other "feature" of whatever health plan the Repubs are literally being forced to provide as an Obamacare replacement, is that they want to build it to fail, and they want to make sure that the Dems are held responsible for it.

The Repubs were forced to lay their cards on the table for all to see (through EVERY fault of their own), and it's as if the very wealthy wanted to make a very strong point about how they are in control of the Repub Party and the working class folks who keep them in power. It seems to me the very wealthy drew a line in the sand and demanded that every Repub in the House not cross it for fear of being blackballed into obscurity and the threat worked.

Want proof? Just look at that shit piece of legislation they passed over to the Senate. It's got the wants and needs of the very wealthy written all over it in nice big fat font styles.

This effort to reduce services for our veterans is just another gov't service that the Repubs think they can throw out with the other gov't sponsored trash they're zeroing in on.
 
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fleshconsumed

Diamond Member
Feb 21, 2002
6,486
2,363
136
This whole story is lacking details and is just bizarre. So they plan to close 430 vacant (I assume completely unused) and 735 underutilized buildings thus saving 25 million a year. These numbers do not make sense. Divide $25 million by 1165, you get total yearly cost of $21,460 per facility. What kind of building takes just $22K per year to run? How can they provide any services at all for just $22K per year? And if in fact they do provide valuable service to veterans, then why do we need to save stinking $22K per building? Can anyone make sense of these numbers for me? I feel like I'm either in a twilight zone, or I'm just not seeing Grand Canyon right in front of me.
 
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trenchfoot

Lifer
Aug 5, 2000
16,021
8,612
136
This whole story is lacking details and is just bizarre. So they plan to close 430 vacant (I assume completely unused) and 735 underutilized buildings thus saving 25 million a year. These numbers do not make sense. Divide $25 million by 1165, you get total yearly cost of $21,460 per facility. What kind of building takes just $22K per year to run? How can they provide any services at all for just $22K per year? And if in fact they do provide valuable service to veterans, then why do we need to save stinking $22K per building? Can anyone make sense of these numbers for me? I feel like I'm either in a twilight zone, or I'm just not seeing Grand Canyon right in front of me.

You're in the "Trump Zone", where surreal is the norm and it takes for you to leave your intelligence, your common sense and your logical train of thought at the door before entering. That you entered without doing that is why you're having a problem with it at the moment.

Look at Trump's supporters when they conjoin their auras at any rally they flock to.

See what I mean? ;)
 
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Jhhnn

IN MEMORIAM
Nov 11, 1999
62,365
14,686
136
Geez, like AgentFail, someone has latent mental issues from the @SS f*cking Trump gave them. It must have been a hell of a shock to see Trumps d*ck slide past your face up Billary's rear on election night, eh? :D

Yes, I'm sure that you can speak authoritatively for all vets receiving care at that facility...

Obviously you can't, which just means you're spreading bullshit.
 
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shortylickens

No Lifer
Jul 15, 2003
80,287
17,082
136
Well, I'm a veteran and I didn't vote for Trump because I am not a god damn moron.
On the next point: I am not at all surprised to see he is reversing his campaign promise with regard to ANYTHING and I'm even less surprised he's fucking over the V.A.