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U.S. Health Policy

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Please describe some major differences in health policy between the Military Health System, the Veterans Health Administration, and the private sector. Give an example of how policies in one system might influence policymaking in another system. What are some criteria for answering the question, "is the issue significant enough to spend political resources?"

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Solution Summary

This solution describes some major differences in health policy between the Military Health System, the Veterans Health Administration, and the private sector. Example are provided of how policies in one system might influence policymaking in another system. It also examines some of the criteria for answering the question, "is the issue significant enough to spend political resources?" Supplemented with a highly informative article on private health care.

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PLEASE SEE THE ATTACHED RESPONSE FOR BEST FORMATTING (242199[1].docx). I ALSO ATTACHED AN EXTRA RESOURCE ON PRIVATE HEALTH CARE.

RESPONSE:

1. Please describe some major differences in health policy between the military health system the Veterans Health Administration, and the private sector

The main difference between the Military and the Veteran Health Care policies is dependent on duty status (i.e., active duty, reserve, guard, veteran, retiree, spouse and family). In fact, the Veteran's lose some of their benefits when NOT in active duty (i.e., Deers, but also have additional benefits (i.e., blindness rehabilitation, etc.). Thus, there are different eligibility criteria for the three health care systems. Each system serves different populations. Military and Veteran Health Administration are public funded through a mixture of federal and state funding, whereas private sectors are privately owned. Therefore, they have the differences associated with public and private health care systems. Whereas public health care systems have specific criteria to meet, public health is based on one's ability to pay and a choice, which has resulted in poor access for many Americans and many uninsured, which President Barak Obama has promised to fix.

Let's look closer at each of the three health care systems separately:

Each health benefit is linked to a health policy (e.g., A policy might be: To provide rehabilitation to Veterans for an extended period of time, and which is covered under VA benefits or To provide health care benefits to military in active duty and her or his family members who meet the criteria for active duty).

A. Military: Active, Veteran, etc.

Active Duty Reserve Guard Veteran Retiree Spouse & Family

Career Services
Deployment Resources
Discounts
Education & Scholarships
GI Bill
Military Emergency Aid
Family Support
Forms
Health Care
Insurance
Job Boards
Legal Matters
Memorials & Burial Benefits
Pay Charts
Records
Relocation
Spouse Employment
Severely Injured Career Center
State Vet Benefits
Survivor Benefits
Transition
Travel
TRICARE
VA Benefits
VA Home Loans
Veteran Employment
Veteran Job Network
(Source: http://www.military.com/Benefits/0,14972,,00.html).

Now let's look more closely Military, Veteran Health Administration and Private health care systems:

a. Military/Veteran's Health Care Overview

There are currently over 25 million veterans living today and about a quarter of the nation's population -- approximately 70 million people -- are potentially eligible for VA benefits and services because they are veterans, family members or survivors of veterans. The Department of Veteran Affairs, State and local government agencies offer these veterans, and their families, services ranging from health care to education (http://www.military.com/benefits/veteran-benefits).
Veterans have made many sacrifices as a Veteran, but "just because you leave active-duty does not mean that you lose all of your health benefits. But what exactly are you qualified for? Do you need help with an old injury, rehabilitation, or alcohol/drug dependence counseling?? Public Law 104-262 calls for VA to provide the veteran with hospital care and outpatient care services that are defined as "needed". VA defines "needed" as care or service that will promote, preserve, and restore health. This includes treatment, procedures, supplies, or services. This decision of need will be based on the judgment of your health care provider and in accordance with generally accepted standards of clinical practice.

There are also health ...

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