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A4   U.S. NEWS
              Wednesday 25 OctOber 2017


















            VA touts private health care for vets but cost issues linger



            By HOPE YEN                                                                                                         that  needed  adjustments
            Associated Press                                                                                                    to  protect  against  erosion
            WASHINGTON  (AP)  —  Vet-                                                                                           of VA medical centers.
            erans    Affairs   Secretary                                                                                        Dubbed  Veterans  CARE,
            David  Shulkin  touted  an                                                                                          the  VA  proposal  would
            overhaul  plan  Tuesday  to                                                                                         eliminate  Choice’s  current
            give  veterans  even  wider                                                                                         restrictions  that  veterans
            access  to  outside  doctors                                                                                        can go outside the VA net-
            than  under  its  troubled                                                                                          work  only  in  cases  where
            Choice  health  care  pro-                                                                                          they had to wait more than
            gram,  stressing  ties  with                                                                                        30  days  for  an  appoint-
            the  private  sector  even                                                                                          ment or drive more than 40
            while  acknowledging  key                                                                                           miles to a facility. Veterans
            questions of rising cost and                                                                                        would get outside referrals
            sharing of medical records                                                                                          based  on  “clinical  need,”
            were still unresolved.                                                                                              consulting  with  VA  health
            Testifying at a House hear-                                                                                         providers about their medi-
            ing,  Shulkin  provided  new                                                                                        cal problem.
            details  on  the  VA’s  plan                                                                                        The  health  provider  and
            to  permanently  replace                                                                                            patient  would  then  jointly
            the  Veterans  Choice  pro-                                                                                         decide whether it was best
            gram.  Acknowledging  the    In this Aug. 4, 2017, photo, Secretary of Veterans Affairs David Shulkin speaks during a visit to the   to  receive  care  within  the
                                         Veterans Administration Medical Center in, Manchester, N.H. Shulkin is touting an overhaul plan
            program  would  run  out  of   to give veterans even wider access to outside doctors than under its troubled Veterans Choice   VA or with a private doctor.
            money  sooner  than  ex-     health care program.                                                                   A  veteran  could  take  into
            pected,  he  urged  Con-                                                                   (AP Photo/Charles Krupa)  account the length of time
            gress to act by year’s end  VA system.”                   to approve the costs of its  campaign  promises  from  waiting  for  a  VA  appoint-
            to  provide  stopgap  fund-  Still,  faced  with  repeated   proposal.  Major  veterans’  President Donald Trump to  ment, poor performance at
            ing  and  loosen  restrictions  questioning  from  lawmak-  organizations generally op-  expand  “choice”  for  vet-  the local VA hospital based
            to  ensure  timely,  qual-   ers, Shulkin conceded that   pose paying for Choice by  erans.  “Veterans’  health  on department ratings, or if
            ity  treatment  for  veterans  an  upgraded  VA  informa-  reducing  veterans’  disabil-  care  should  not  be  sub-  the  VA  can’t  provide  the
            when  unavailable  at  VA  tion  technology  system       ity  benefits  or  with  cuts  to  jected  to  offsets  or  pay-  service.  The  House  Veter-
            medical centers.             needed  to  reduce  delays   core VA health programs.     fors, and the full burden of  ans  Affairs  Committee  led
            Veterans     should    get  and ensure a smooth shar-     “This  program  will  require  providing  care  for  service-  by  Rep.  Phil  Roe,  R-Tenn.,
            “more  choice  in  the  say  ing of medical records with   offsets,” Shulkin said.     disabled  veterans  needs  is  crafting  a  separate  pro-
            of  their  care,”  Shulkin  told  outside  doctors  was  still   His  remarks  underscored  to be borne by the federal  posal  aimed  at  providing
            the  House  Veterans  Af-    seven to eight years away    significant  change  under-  government,”  said  Roscoe  an  integrated  network  of
            fairs  Committee.  “Nobody  and  that  the  White  House   way  at  the  VA,  drawing  Butler, a deputy director for  private and VA care. Gen-
            should  feel  trapped  in  the  budget office also had yet   both praise and consterna-  The  American  Legion,  the  erally,  fewer  restrictions  for
                                                                      tion after a 2014 wait-time  nation’s  largest  veterans  veterans to access private
                                                                      scandal at the Phoenix VA  group. He called the initial  care  would  mean  higher
                                                                      medical  center  and  big  proposals  a  “great  start”  costs to VA. q
                         Paradise in the Caribbean
                                                                      California chief justice calls for end to cash bail

                                                                      By SUDHIN THANAWALA          stead  rely  on  assessments  Republican  Gov.  Arnold
                                                                      Associated Press             of  defendants’  flight  risk  Schwarzenegger,  said  the
                                                                      SAN  FRANCISCO  (AP)  —  and  danger  to  the  public  report  should  serve  as  a
                                                                      California’s  top  judge  said  to determine whether they  framework  for  discussions
                                                                      Tuesday  she  wants  to  do  should be released.The pro-  with Gov. Jerry Brown and
                                                                      away with the state’s cash  posals  are  contained  in  a  the  Legislature.  “I  support
                                                                      bail system, adding a pow-   report by a group of judges  the conclusion that Califor-
                                                                      erful voice to criticism that  that concluded the state’s  nia’s current pretrial system
                                                                      it  keeps  poor  people  be-  cash bail system “unneces-  unnecessarily compromises
                                                                      hind  bars  while  wealthier  sarily  compromises  victim  victim  and  public  safety,”
                                                                      suspects  can  pay  for  their  and public safety” and “ex-  she said in a statement. The
                                                                      freedom. The bold propos-    acerbates  socioeconomic  proposal is likely to face op-
                                                                      al  endorsed  by  California  disparities and racial bias.”  position from the bail indus-
                                                                      Supreme  Court  Chief  Jus-  The  changes  would  re-     try. Similar bail reform mea-
                                                                      tice  Tani  Cantil-Sakauye  quire  legislative  approval  sures approved in New Jer-
                                SALES OFFICE +297 2801005 info@leventaruba.com  (ta-NEE’   kahn-TEEL   sah-  to go into law, and Cantil-  sey and New Mexico have
                                    MOBILE +297 5927275  www.leventaruba.com  kah-OO-weh)  would  in-  Sakauye,  appointed  by  faced lawsuits.q
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