3.15.2008

pentagon keeps two sets of books

When it comes to counting wounded American soldiers, the Pentagon keeps two sets of books. Why? To avoid paying their health care costs, of course. Emphasis mine.
The number of wounded soldiers has become a hallmark of the nearly 5-year-old Iraq war, pointing to both the use of roadside bombs as the extremists' weapon of choice and advances in battlefield medicine to save lives. About 15 soldiers are wounded for every fatality, compared with 2.6 per death in Vietnam and 2.8 in Korea. But with those saved soldiers comes a financial price — one veterans groups and others claim the government is unwilling to pay.

Those critics also say that the tens of thousands of soldiers wounded in Iraq are part of a political numbers game, one they say undermines the system meant to care for them. The most frequently cited figure is the 29,320 soldiers wounded in action in Iraq as of Thursday. But there have been 31,325 others treated for non-combat injuries and illness as of March 1.

"The Pentagon keeps two sets of books," said Linda Bilmes, a professor at Harvard and an expert on budgeting and public finance whose newly published book, The Three Trillion Dollar War, was co-authored with Nobel Prize-winning economist Joseph Stiglitz. "It is important to understand the full number of casualties because the U.S. government is responsible for paying disability compensation and medical care for all our troops, regardless of how they were injured," Bilmes said.

Veterans Affairs predicts it will treat 330,000 veterans from Iraq and Afghanistan in 2009 — a 14 percent increase over the 2008 estimate of 263,000 — at a cost of nearly $1.3 billion.

For the 2009 budget, the White House requested $93.7 billion for the VA, including $41.2 billion for medical care for all veterans — not just those from Iraq and Afghanistan. That's an increase of $2.3 billion over the current budget.

But critics say that is not enough for a system that has a backlog of about 400,000 pending medical claims and complaints, especially in mental health care.

The VA "will not request enough resources to care for the troops — and in fact this is precisely what has happened in the past three years," said Bilmes.

. . .

But Bilmes says the VA is hoping to offset some of the costs through increased fees and co-payments — putting more of the burden for health care costs back on soldiers. [Full story here.]

Five years on, and counting.

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