Tag Archives: Veterans Day 2021

Biden Administration Announces Actions to Address the Health Effects of Military Exposures

On Veterans Day 2021, the Biden Administration announced new actions to address health effects of military exposures on veterans © Karen Rubin/news-photos-features.com

On Veterans Day 2021, the Biden Administration announced new actions to address health effects of military exposures on veterans. The White House provided a fact sheet outlining new initiatives to address health impacts of military service:

Exposure to contaminants and environmental hazards poses a major health concern for veterans of all generations. There are also gaps and delays in the scientific evidence demonstrating conclusive links between known exposures and health impacts, leaving many veterans without access to Department of Veterans Affairs (VA) benefits and high-quality treatment to address significant health conditions. For example, it took decades to provide access to compensatory benefits and health care to many Vietnam era veterans for conditions presumed to be related to Agent Orange exposure. For the newest generation of veterans, concerns about burn pits and other exposures continue to mount. While the federal government has taken some steps to address these issues, including implementing registries to track veterans exposed to potentially hazardous substances, the Biden-Harris Administration is committed to doing more to enable timely access to services and benefits for those potentially exposed to hazardous materials.

As we mark Veterans Day and honor those who have worn the uniform of the United States, the Administration is moving forward to support our service members and veterans who may have encountered environmental hazards by:

Developing and testing a model for establishing service connection. It can be difficult for veterans to prove connection for disabilities resulting from environmental hazards. To mitigate this difficulty, VA may create presumptions of exposure in order to establish service connection for various chronic conditions when the evidence of an environmental exposure and the associated health risks are strong in the aggregate but hard to prove on an individual basis. In order to deliver benefits more quickly to veterans who developed disabilities due to exposure to environmental hazards and to lower the evidentiary burden on such veterans, VA developed a new model to accelerate the decision-making process to consider adding new presumptive conditions. This new model takes into consideration not only consensus reports from the National Academy of Sciences, Engineering, and Medicine, but also includes analyses of data from other sources as well, including data from the Veterans Benefits Administration and the Veterans Health Administration. The new model relies upon a multi-faceted scale to evaluate the strength of scientific and other evidence and allow VA to make faster policy decisions on key exposures. VA successfully applied this model to examine the association between exposures to particulate matter and three respiratory conditions, as announced last May.

Adding new presumptive conditions. In August, VA began processing disability claims for asthma, rhinitis, and sinusitis based on presumed exposure to particulate matter. Veterans who served in the Southwest Asia theater of operations and other areas and who developed these conditions within 10 years of military service are now eligible to apply for disability benefits and access to VA health care. This rulemaking was based upon application of the new presumptive model and involved careful review of a study conducted by the National Academies of Science, Engineering, and Medicine, as well as other evidence assessed by VA subject matter experts.

Applying new model to review evidence of service connection for rare respiratory cancers and constrictive bronchiolitis. VA will further test the new presumptive model to assess potential associations between military environmental exposures and constrictive bronchiolitis, lung cancers, and rare respiratory cancers such as squamous cell carcinoma of the larynx or trachea and salivary gland-type tumors of the trachea. The President has directed VA to complete the review of rare cancers and provide recommendations about new presumptions of service connection within 90 days. Based on the results of this review, the Administration will consider initiating additional rulemaking. Once the process is complete, the Administration will continue to test this model on additional health conditions and exposures to ensure more timely review and consideration of potential service connection.

Improving data on individual exposures. The Individual Longitudinal Exposure Record (ILER) is the primary Department of Defense and VA application to track, record, and assess environmental and occupational exposure to potentially hazardous substances. Currently, ILER is not scheduled to reach full operating capability until September 2023. To ensure full capability of the ILER, DoD plans to expand and accelerate the development schedule—and add additional data—enabling more comprehensive information on health risks of potential exposures to be more rapidly incorporated into service member and veterans medical care and benefit decisions.

Raising awareness of VA benefits related to military exposures. Many veterans are unaware of their eligibility for benefits and services related to potential military exposures. In addition, some claims adjudicators may not have up-to-date awareness of recent policies related to conditions newly presumed to be service-connected. In October 2021, VA launched an outreach campaign to inform service members and veterans about eligibility and benefits related to chronic disabilities that may be due to military exposures while in service. This includes efforts to embed educational and outreach materials into the Transition Assistance Programs (TAP) and as part of the Solid Start program, which reaches out to transitioning service members at regular intervals during the first year following their military separation. VA will also initiate new public service announcements and live events to encourage early and regular engagement with VA and other federal agencies for benefits, health care, and other services. VA also plans to provide refresher trainings for all claims processors, share information related to military exposures, and host a series of Q&A sessions related to implementation of the new presumptive disabilities that were implemented this summer. VA will also revise Frequently Asked Question materials and call scripts to ensure that front line employees are able to better assist veterans through the claims process. 

Expanding training for VA and non-VA providers. Veterans often find that their providers and compensation and pension examiners are not well-trained to understand or treat veterans’ exposure concerns. To address this issue, VA has completed a contract with the American College of Preventive Medicine (ACPM) to provide a five-module certificate training program in military environmental exposures. This will provide a basic level of competence for all VA- and non-VA providers across the nation that will help better treat veterans with concerns about toxic exposures. VA will require all providers to complete the first module of this training for an entry-level understanding of the health outcomes of military exposures and encourage the remaining four modules for certification.

Establishing network of specialized providers and call center. Veterans with concerns about the health outcomes of military exposures experience inconsistent care to address these specific issues, especially outside of VA. Beginning in 2022, VA will launch VET-HOME, The Veterans Exposure Team-Health Outcomes of Military Exposures. VET-HOME will consist of two interconnected parts: a call center for veterans and providers, and a nationwide network of specialists. Veterans with questions about environmental exposures will call into a central location and be guided through the registry exam or environmental exposure process. They would then be referred to one of 40 environmental health providers across the United States who would use a telemedicine platform to assess and if necessary refer the veteran to a VA facility to complete any specialty testing, like a pulmonary function test or other lab work. Providers with questions on military exposures would be referred to one the 40 military environmental heath subject matter experts. The results of the consultation would be shared with the veteran’s primary care doctor, helping to deliver better care to the veteran.

Extending Eligibility Period for VA Health Care. Some Veterans do not have concerns about their health until several years after deployment or leaving service. At present, VA allows veterans to receive free VA health care for up to 5 years after discharge or release for any condition related to service in Operation Enduring Freedom (OEF) in Afghanistan or Operation Iraqi Freedom (OIF) or Operation New Dawn (OND) in Iraq. This is called an “enhanced eligibility period.” To ensure that veterans who served in these conflicts have access to health care from VA, the Administration will call upon Congress to implement a change to the statute to enable a longer enhanced enrollment period for the 3 million veterans who deployed to support recent combat operations.

Taken together, these actions will improve our understanding of the health effects of military-related exposures, educate providers and veterans about these exposures, and provide timelier access to health services and benefits for individuals who were exposed. The Administration will continue to prioritize efforts to support veterans who were exposed to environmental hazards during their military service. At the same time, the Administration will work with Congress on its encouraging ongoing efforts to ensure we are able to quickly and fairly recognize additional presumptions of service-connected disabilities, in order to live up to our sacred obligation to provide veterans the care they have earned.

Biden Proclaims Veterans Day: ‘Our nation has only one truly sacred obligation: to properly equip military, care for veterans on return’

President Biden pays his respects to the fallen at Arlington Cemetery, April 14, 2021 © Karen Rubin/news-photos-features.com via MSNBC

All too often, especially in the Trump years, veterans and active military have been used as props and as pawns to achieve personal and political gain. Trump demeaned Senator John McCain’s heroism as a prisoner of war in Vietnam and later called those who made the ultimate sacrifice for their country, “losers and suckers” and repeatedly questioned the intelligence of those who serve and couldn’t be bothered to visit the graves of Americans who died in World War I in a cemetery while in France.

Well before Joe Biden became President, he and First Lady Jill Biden were activists on behalf of the military, veterans and military families. As Second Lady, Jill Biden teamed with then First Lady Michelle Obama to create Joining Forces – the White House initiative to support veteran and military families, caregivers, and survivors – to solve many of the problems that military families and veterans face. Now, as President, Biden has advanced policies on behalf of active military, veterans and their families and the First Lady continues her work with Joining Forces.

I often have problems each Veterans Day and Memorial Day because these events shroud the horrors of war in glory – necessary because otherwise no one would sign up. And I have often warned about the difference between lying the nation into war as George W. Bush did to invade Iraq, and Kennedy, Johnson and Nixon did during Vietnam, using war for political gain, as Reagan did in invading Grenada, being used by callous business interests to make their fortune, like World War I, and a justified war like World War II.

This Veterans Day, November 11, 2021, Biden’s Proclamation is genuine and speaks to this administration’s commitment: “Our Nation has only one truly sacred obligation:  to properly prepare and equip our service members when we send them into harm’s way and to care for them and their families when they return home.” — Karen Rubin, news-photos-features.com

VETERANS DAY, 2021

BY THE PRESIDENT OF THE UNITED STATES OF AMERICA
 
A PROCLAMATION

For generations, millions of Americans have answered the call to serve — taking the sacred oath to defend and preserve our Nation’s ideals of liberty and democracy.  These patriots represent the best of us.  On Veterans Day, we honor their service, dedication, and valor and are forever grateful for their sacrifice. 

Our Nation has only one truly sacred obligation:  to properly prepare and equip our service members when we send them into harm’s way and to care for them and their families when they return home.  For our 19 million veterans, that means ensuring that they have access to the support and resources for a future of security, opportunity, and dignity.  This is even more important as we continue to recover from the global COVID-19 pandemic. 

Our obligation to support our Nation’s veterans and their families is personal for me and the entire Biden family, and I remain committed to ensuring that every veteran receives the care and support they have earned.  The recently passed bipartisan Infrastructure Investment and Jobs Act will create millions of good jobs for veterans and grow opportunities for veteran-owned businesses. My Build Back Better framework also prioritizes improvements to VA health care, ensuring that every veteran — including our often-underserved female and LGBTQ+ veterans — receives competent, world-class health care through the Department of Veterans Affairs.  Last month, the White House Gender Policy Council released the first-ever United States Strategy for Gender Equity and Equality, which included the unique needs and contributions of women service members and veterans.  And the Department of Veterans Affairs is also working to get every eligible veteran the information and opportunity they need to register and vote, protecting their voice in the democracy they fought to preserve. 

Ensuring veterans have timely access to services and benefits is at the center of my Administration’s commitment to fulfilling our sacred obligation.  This includes addressing the adverse health effects of service-related exposures.  In August, the Department of Veterans Affairs announced it will begin processing disability claims for respiratory conditions connected to exposure during military service in Southwest Asia and other areas.  My Administration also added three conditions to the list of those presumptively associated with exposure to Agent Orange, ending the long wait for disability benefits for many Vietnam era veterans.  In the coming months, we are committed to taking additional action to address potential adverse health effects associated with military environmental exposures.  

So many of our veterans carry the scars from their service — both visible and invisible — and it is our Nation’s responsibility to help them heal. Too many veterans and service members have considered suicide or taken their own lives, and addressing this tragedy is a national responsibility. That is why I have made military and veteran suicide prevention a top priority, and earlier this month, I released a new comprehensive, cross-sector public health strategy to reduce military and veteran suicide. Implementing this approach will unite us around a common mission and accelerate meaningful improvements in suicide prevention programs, helping us live up to our sacred obligation to those who have served in our Nation’s Armed Forces.

Fulfilling our Nation’s promise to our veterans and military families, caregivers, and survivors is not only a moral imperative — it is crucial to our national security and to maintaining the finest military the world has ever known.  We are a Nation that keeps our promises.  That is why my Administration is dedicated to a whole-of-government approach in responding to the needs of our veterans and their families, caregivers, and survivors. 

Through the First Lady’s work with Joining Forces — the White House initiative to support veteran and military families, caregivers, and survivors — my Administration is addressing employment and entrepreneurship, military and veteran child education, and health and well-being for veteran families.  Earlier this year, the First Lady met with military and veteran families to learn how we can better support and prioritize their needs, and in September, Joining Forces and the National Security Council released a report outlining the first round of Administration-wide commitments and proposals that support veteran and military families, caregivers, and survivors.  These efforts will honor our sacred obligation to support our veteran families and ensure they receive the resources they need to thrive. 

On Veterans Day, we honor our Nation’s veterans, who have given so much to protect our freedoms and the freedom of others around the globe.  They represent the highest ideals of our country.  While we can never fully repay the debt we owe these heroes, we will honor their service and provide them the care and support they deserve. We also salute and show gratitude for all who ensure our Armed Forces remain strong, united, and unmatched…

I encourage all Americans to recognize the valor, courage, and sacrifice of our veterans through appropriate ceremonies and private prayers.  I call upon Federal, State, and local officials to display the flag of the United States of America and to participate in patriotic activities in their communities. And I call on all Americans, including civic and fraternal organizations, places of worship, schools, and communities, to support this day with commemorative expressions and programs.