Office of Public and Intergovernmental Affairs
Remarks by Secretary Eric K. Shinseki
National Association for Uniformed Services
Fort Belvoir, VA
November 6, 2010
VADM Jim Zimbleâ€”Thank you for that kind introduction. Iâ€™m honored to be here today. Let me just acknowledge up front:
- LTG and Mrs. Carmen Cavezza; VADM Dan Cooper; LTGs Bill Campbell, Sam Ebbesen, Bill Dyke; LTG and Mrs. Bob Foley; BG and Mrs. Jack Nicholson;
- MG and Mrs. Bill Matzâ€”Bill, thank you for your leadership, both in uniform and here at NAUS;
- Other flag and general officers;
- Former SMA Jack Tilleyâ€”always great to my old battle buddy;
- Msgt. Bob Larson and other senior enlisted members;
- Members of the gold star wives; Peter Gaytan, Terry Kuyayama, Mark Nakagawa, and other VSO representatives; and a couple of old friendsâ€”Sid Ashworth, John Fales, Sergeant Shack;
- All our young Wounded Warriors in the audienceâ€”Thank you for your service and sacrifice. We are so proud of you;
- Fellow Veterans, other distinguished guests, ladies and gentlemen:
Since 1968, the National Association for Uniformed Services has been a strong and consistent voice, here, in Washington for Servicemembers, Veterans, and their families. Over the years, we have worked together to serve Veterans. Our collaboration has never been better, thanks to the leadership of your president, Bill Matz. It takes hard work on both of our parts to address the challenges facing Veterans, especially during this period of extended economic difficulty.
Many see VA as a large healthcare provider, and for the most part, that is trueâ€”the largest integrated healthcare system in this country with 152 medical centers affiliated with 107 of the best medical schools in the Nation, 784 Community-Based Outpatient Clinics, 271 Vet Centers, and a number of outreach and mobile clinics, which we roll into highly rural places where Veterans choose to live.
But, hereâ€™s whatâ€™s also true:
- VA operates the countryâ€™s largest national cemetery system with 131 cemeteries.
- It is second only to the Department of Education in providing educational benefits of more than $9 billion annually.
- VA guarantees nearly 1.3 million individual home loans with an unpaid balance of $175 billion dollars. Our VA foreclosure rate is among the lowest in all categories of mortgage loans.
- VA is the Nationâ€™s eighth-largest life insurance enterprise with $1.3 trillion in coverage, 7.2 million clients, and a 96 percent customer satisfaction rating.
- Over 300,000 good people come to work at VA every day, making us the second-largest department in federal government.
In FY 2009, we implemented the new Post-9/11 GI Billâ€”the largest student aid package of its kind since the original GI Bill of 1944. To date, over 384,000 Veterans and family members have enrolled in college under the new GI Bill. When you include VAâ€™s other education programs, that number jumps to over 660,000. We need their ingenuity, their leadership, their operational experience, their toughness, their discipline, and their dreamsâ€”in American business and government today. But as I tell them, unless they graduate, there is no payoff for them, this program, or the American people. This is Dad speakingâ€”Iâ€™ll keep sending the tuition checks, but Iâ€™ll also be checking graduation rates.
There will always be unfinished workâ€”thatâ€™s the nature of the mission. As some of you may know, we have two children of civil war Veterans still on our beneficiary rolls. We have 151 Spanish-American War beneficiaries we are still caring for. President Abraham Lincolnâ€™s promises are being fulfilled by President Barrack Obama. Likewise, President Obamaâ€™s obligations will be continue to be fulfilled by some Secretary of Veterans Affairs a century from now.
So, we have established clear priorities, fought for and gained the Presidentâ€™s support for increased funding, and we are addressing those priorities. Let me provide some specifics about where weâ€™ve come over for the past 22 months and where we are headed in the next 24:
- In 2009, a congressionally-enhanced budget of $99.8 billion allowed us to begin addressing a range of issues that had accumulated over time. Thanks to the Congress, we were able to begin enhancing Veteransâ€™ access to VA benefits and services, improve the quality and safety of our healthcare programs, and reengineer our business processes to provide efficiency and accountability, where returns on investments are part of the analysis.
- FY 2010â€™s budget of $114 billion was a $14.2 billion, 16% increase to the 2009 budget. President Obama provided the largest single-year increase to VA in over 30 years. The President enabled us to put in place programs and procedures that will serve Veterans well into the next two decades.
- Our 2011 budget request of $125 billion, an $11 billion, 10% increase over 2010â€™s historic increase, will enable increasing Veteransâ€™ access to our benefits and healthcare services, eliminating the disability claims backlog, and ending Veteransâ€™ homelessness by 2015.
To deliver all this, VA must, without hesitation, be an advocate for Veterans. We need to make permanent the gains of the past 21 months. Given the economic challenges facing the government and the Nation, VAâ€™s $25 billion increase, over these two years, underscores the Presidentâ€™s commitment, and the Congressâ€™ support, for transforming VA and fixing persistent problems that have plagued the department for decades. The department needs a sense of urgency that matches the Presidentâ€™s commitmentâ€”and we are developing that.
These fixes require setting clear priorities, challenging the VA workforce to get more and better results out of the funding weâ€™ve been provided, and generating new business processes to track the money and ensure it produces the greatest gains for Veterans.
We have worked two issues hardâ€”Agent Orange and Gulf War illness. A little over a year ago, I accepted the Institute of Medicineâ€™s 2008 Agent Orange update, and based on the requirements of the law and the IOMâ€™s findings, I decided that the evidence was sufficient to award presumptions of service connection to three new diseasesâ€”Parkinsonâ€™s disease, hairy-cell and other chronic b-cell leukemias, and ischemic heart diseaseâ€”bringing the total number of Agent Orange presumptions to 15.
The President fully supported these presumptions and the Congress has appropriated $13.4 billion to begin making benefits payments to the 250,000 or so Veterans who are expected to submit Agent Orange claims in the next 12-18 months. It was the right decision, and the President and I are proud to finally provide this group of Veterans the care and benefits they have long deserved. Automated payments began this week.
In the same vein, in March of this year, we provided presumption of service connection for nine new diseases associated with service in the Gulf during Operation Desert Storm. While we must continue to research what might have caused these illnesses, our primary mission is to address Veteransâ€™ suffering by diagnosing and treating the symptoms of the ailments.
Likewise, in July, we simplified claims processing for Veterans suffering from PTSD, or post-traumatic stress disorder. This decision ends decades of focusing on documenting a stressor event, and streamlines the delivery of medical care and benefits to Veterans suffering verifiable PTSD resulting from combat. This is a generational issueâ€”not just Iraq and Afghanistanâ€”and we aim to get it right.
We provided $4.5 billion for mental health programs and hired another 1,000 mental health professionals in 2009. This year, we are spending an additional $379 million on mental health and our mental health staff now totals over 20,000.
Our priority here is to diagnose, treat, and cureâ€”and if cure is not possibleâ€”diagnose, treat, and care must be the standard. We are not going to allow our Veterans, who have carried the responsibilities of our national security squarely on their shoulders, to languish for the rest of their lives without hope.
For traumatic brain injury, or TBI, weâ€™ve fielded a new disability rating system to greatly improve how claims are evaluated. And weâ€™ve made enormous advances in treating those Veterans with the most serious head injuriesâ€”those who arrive at our polytrauma centers comatose, with injuries that, only a few years ago, were thought to be irreversible and hopeless.
USA Today recently reported on some of our successes, chronicling the breakthroughs in VAâ€™s four â€śemerging consciousnessâ€ť centers in Tampa, Minneapolis, Richmond, and Palo Alto. Through innovative care, a tripling of their professional staffs over the past six years, from 78 to 255, increased resourcing, and engaging families as co-providers in treating their loved ones, VA facilities have brought nearly 70% of these comatose patients back to consciousness. This is a rate that far exceeds the national norm according to the highly respected Kessler Institute for Rehabilitation in New Jersey. At VA, we donâ€™t accept hopelessnessâ€”not among the injured, not among the ill, and not among the homeless.
In 2011, we are focusing on three critical priorities:
- increasing access to benefits and services now;
- eliminating the disability claims backlog;
- and ending Veteransâ€™ homelessness.
Let me touch on each of them:
Access: First, VA must do much better at reaching out to all Veterans to ensure they are aware of our programs and their entitlements based on service-connection and need. Access includes that system of healthcare delivery I described earlierâ€”152 hospitals, 784 outpatient clinics, 271 Vet Centers, and mobile clinics on wheels. But access also includes telehealth technologies to deliver quality healthcare uniformly across the Nation, extending our reach into the most remote rural areas and even into Veterans homes, where life-saving monitoring is ongoing today for roughly 40,000 chronically ill Veterans. In 2010, we invested $121 million in telehealth technologies. In 2011, those investments go up to $163 million. We see this as the next major breakthrough in high-quality and safe healthcare delivery in this country, and we intend to invest heavily in it.
Benefits: in 2009, we completed 975,000 Veterans claims and took inâ€”for the first timeâ€”over one million new claims. Disability claims have more than doubled since 2000 [up 106%, from 578,773 in 2000 to 1,192,346 in 2010]. We now average over 99,000 new disability claims each month.
Weâ€™ve launched an aggressive campaign to attack the claims backlog problem on multiple fronts, and we have set an ambitious objective: no claim over 125 days in processing and a 98-percent accuracy rateâ€”not just faster, but also better and more accurate decisions.
In the past two years, VBA, our Veterans Benefits Administration, expanded its workforce by over 4,500 people, began accepting on-line applications for initial disability benefits, initiated an innovation competition, launched over 40 pilot programs and initiatives to identify best practices, and invested over $138 million in a paperless Veterans benefits management system that will be deployed in fiscal year 2012.
We must automate quickly and well. Today, we have 15,000 people authorized to adjudicate claimsâ€”the 82nd Airborne Division without parachutes. And to go faster, hire more people. That cannot be our solution as the number of incoming claims increases geometrically each year.
A week ago today, last Saturday, VBA began processing claims associated with our Agent Orange presumption decisions of October 2009, using a new â€śfast trackâ€ť system that automates this claims process. We must do the same for the rest of VBA.
To enable VBA to meet its aggressive targets, the Presidentâ€™s 2011 budget request provides $2.1 billion in discretionary funding, an increase of $460 million, or 27%, over the 2010 level. The budget also includes $145.3 million in information technology funds to support the ongoing development of a smart, paperless claims processing system. We intend to break the back of the backlog this year.
Homelessness: Roughly 643,000 Americans remain homeless on any given night. Nearly one in six of Americaâ€™s homeless is a Veteranâ€”107,000 of them. The President has stated that no Veteran should be living on the streets of this rich and powerful nation. If you wonder what I will be working on for the next several years, this is it. We will end Veteran homelessness by 2015.
National Cemetery Administration: In FY 2010, NCA performed over 111,000 interments of Veterans and eligible family members, up from 106,000 in FY 2009. This June, we began offering bronze medallions, signifying Veteran status, for attachment to personal headstones or markers in private cemeteries.
VA expanded its burial policy, resulting in a plan to develop new state and national cemeteries. Ten grants, totaling $40 million, were awarded to fund five new state Veteran cemeteries, and VA opened five new national cemeteries for a total construction cost of over $89 million.
The Presidentâ€™s proposed 2011 budget request seeks $251 million for cemetery maintenance and operations to support an estimated 114,000 interments next yearâ€”a 3.8% increase over 2010. We are providing final resting places for the heroes of our Nation, and we want those cemeteries to represent the national shrines those heroes deserve.
So, what is the point of my detailing for you these programs and initiatives? Because every dollar in additional resources, every step forward toward improving care, increasing access, eliminating the backlog, and ending homelessness has been a fight for resources. We have succeeded with your help and support. We have also succeeded because the President has thrown his weight behind caring for Veterans and their survivors. It has had a profound effect on my negotiations in the budget process.
On 1 October 2009, 13 months ago, a roadside bomb, on the outskirts of Kandahar, Afghanistan, targeted a patrol of nine Army Rangers out of 1st Batt. Ranger SSG Cory Remsburg was blown into a nearby canal, the right side of his head shattered and caved in. Other members of his patrol were killed or severely wounded.
Following medevac, six surgeries at military hospitals in Afghanistan, Germany, and at Bethesda, Maryland, Ranger Remsburg was sent to the Tampa VA Medical Center last November. He was fully comatoseâ€”in a state doctors described as vegetative. The odds for recoveryâ€”any recoveryâ€”were slim.
But Cory, his family, VA therapists, doctors and nurses never gave up. They rallied to his side, working and massaging his limbs, keeping his body limber, using a wide variety of medications, aromas, televisionâ€”anything which might stimulate his senses, everything they could think of to bring him to consciousness.
For long days, weeks, monthsâ€”nothing. But three months after his injury, doctors recognized that he had awakenedâ€”Cory Remsburg had regained consciousness. Through sheer determination on his part, mirrored by the unwavering efforts of those who love and care for him, his progress has been agonizingly slow but miraculously steady. He communicated first with a computer keyboard, but has now, slowly, regained his ability to speak. He is one of VAâ€™s 70 percentersâ€”one of those, who was comatose with severe, traumatic brain injury, that VAâ€™s doctors and therapists, along with the love of his family and Coryâ€™s own fighting spirit, brought back from the darkness. In June, he returned for a visit to Hunter Army Airfield in Savannah, Georgiaâ€”home of the 1st Ranger Battalionâ€”to shake hands with his Ranger buddies.
As President Obama recounted in a recent speech, Cory is just what weâ€™d expect of a Ranger staff sergeant. When someone at the VA hospital told him, â€śCory, some day youâ€™re going to walk out of here,â€ť he replied, â€śNo. Iâ€™m going to run out of here.â€ť
Staff Sergeant Cory Remsburg embodies the fighting spirit that has made our Nation great. â€śRangers lead the wayâ€ť is the slogan of the Rangers. And whatever service you come from, I think all Veterans can relate to the importance of these words from the Soldierâ€™s Creed:
- I will always place the mission first
- I will never accept defeat
- I will never quit
- I will never leave a fallen comrade
Staff Sergeant Cory Remsburgâ€™s lifeâ€”from his 10 deployments since 9-11, to his rescue by other Rangers, to his fight for lifeâ€”epitomize that creed. He will not give upâ€”period. And VA will not give up on him, or on any other Veteran who needs us and the care and benefits promised by President Lincoln in 1865. That promise defines my mission. It is the purpose of the funding update I just gave you. And it is the mission of VAâ€™s 300,000 employees. We will always look to the members of the National Association for Uniformed Services for assistance, advice, and advocacy to fulfill it.
May God bless our Veterans, our men and women in harmâ€™s way, and the United States of America. Thank you.