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On this Veterans Day, Military.com's Patricia Keim joins us.
She's covered military issues for decades, focuses these days on military families and veterans and health care.
I want to start with your recent story about who might be VA secretary in a second Trump administration.
Who do we know is in the mix for the job?
What can we say?
Well, I spoke with the previous VA secretary, Dr. David Shulkin, right after the election, and he likes to say it's sort of a fool's errand to figure out who it is.
But we do know that former VA Secretary Robert Willkie is very much involved with the Trump transition team.
And he is actually leading the defense sort of transition at DOD.
But he has been at the forefront of some veterans, you know, just policy issues and being an advisor through this entire thing.
The last four years, he's been working on VA issues behind the scenes.
So he's definitely a person to consider.
Some other people that are interesting.
There's Dan Gade, who is former VA for the state of Virginia.
He directed the state of Virginia's VA.
He's a retired Army Lieutenant Colonel who's an amputee.
And his name has been put out there.
There's Darren Selnick, retired Air Force officer, who has for decades been at the forefront of community care reform and just getting VA care outside of VA, strengthening the VA facilities, but also giving vets more options.
So he's a thought, too.
Remind viewers about the VA during the first Trump administration, what Donald Trump was looking for in his VA secretaries then and what he might try to build on in a second Trump administration.
So President Trump, you know, the Mission Act was signed under him and that was an expansion of the VA Choice program.
And VA Choice was a response to a scandal over wait times over veterans waiting at Phoenix and then elsewhere not being able to get care.
So they passed the Choice Act and then President Trump expanded it, the Mission Act, which gave shortened wait times for access to care and also drive times.
So we gave veterans a lot of bigger options for just going to the VA, not just going to the VA.
So I think we're going to see some focus on that.
And also just a re-look at just the structure of the VA.
And it's got aging facilities.
It's got a lot of veterans moving to certain parts, the Sun Belt, that kind of thing, leaving old VAs in the Northeast.
So I know there's going to be an effort to really look at the structure of VA and just see how they can make it work better for veterans.
When the Biden administration came in, was there parts of VA programs that they tried to unwind from the first Trump administration?
And are we going to see some of that come back or some Biden programs try to get unwind by the next Trump administration?
Well, one of the concerns has been the cost of community care.
So community care now is 42% of the medical care provided by VA.
And what is community care?
That's where a veteran can't get access at the local VA, so they just get a, you know, they get a referral and they can go and it's paid for by VA, but it's in a private, yes, private.
One of Secretary Dennis McDonough's top priorities was to sort of rein in the expansion of community care basically by considering that now veterans have access to telehealth.
And so maybe the current metrics of 20 days to get a primary care appointment, you know, weren't as effective and they needed to be redone.
He wasn't able to do that.
So again, community care has become a very large part.
I think we'll probably see a continuance of that.
And also, you know, with any administration, there's focuses.
The Project 2025 was written, the veterans section was written by Brooks Tucker, who's a former chief of staff at the VA under the Trump administration.
And, you know, there's focus on some hot button issues like LGBTQ care, abortion, also unions, how broad unions are at the VA.
That's definitely thought to be a focus of the next administration.
We're talking veterans issues with Patricia Keim of Military.com and taking your phone calls as we do that.
Phone lines, we're going to keep them the same throughout our program today.
So continuing with the lines we set up in our first segment, veterans and their families, it's 202-748-8000.
If you're active military, 202-748-8001.
And then all others, 202-748-8002, will also look for your text messages and for your tweets, your Facebook posts, as well as folks are calling in.
The story I wanted to get you to explain to viewers here, and it's a long investigation that you did on this, canceled appointments, unexplained mix-up, veterans facing challenges getting VA mental health care.
What did you find in your investigation?
Well, we about a year ago started hearing stories of veterans really having trouble getting appointments once they got appointments at the VA facilities themselves for mental health care, just facing unexplained cancellations.
Now, early on, obviously in the early 2020, 2020, 2021, we had the pandemic and cancellations were more common.
These mostly face-to-face cancellations, or just the illustration that goes with your stories shows a veteran staring at their computer in one of these Zoom meetings.
Right.
A lot of it was the Zoom meetings.
That was a theme, but also people going into a VA and showing up and either being told you don't have an appointment or, oh, the provider's not here.
We have to reschedule.
And so that was a concern.
And we did hear these stories as recently as 2023 and this year.
So it is a continuing thing.
The VA has said that they definitely have brought down the level of cancellations down to roughly 8% of the facilities, sorry, 8% of appointments.
But for a person, a veteran who's experiencing a mental health issue, a cancellation can be a really devastating thing.
So about one out of every 10 appointments that is scheduled gets canceled.
How does that compare to the private sector?
It's really hard to, I tried to get at that.
It's hard to figure that out because it's not a centralized system.
But I talked with some experts who said that it seems to be a little high in terms of cancellations just because it is such a large system and there are so many veterans seeking appointments.
And this comes at a time when the VA, the government in general, the military specifically, has been pushing the crisis hotlines to get veterans to reach out if they're in crisis.
It runs counter to what they're trying to do here, it seems like, on mental health.
Yeah, it does.
So, you know, one of the, they did a huge hiring surge last year.
One of the main focuses is mental health providers.
They've scaled back a little bit on hiring, but they're still very trying to stay very focused on mental health.
And that was one of the, you know, we talked to some folks who work inside the VA, and they said part of the issue is provider shortages, no backup.
You know, if somebody goes on holiday, there's nobody to backfill and take those appointments.
And so it is a problem, and it does need to be addressed.
Several other of your stories I want to talk about, but let me bring in some calls already for you.
This is Jerry out of Long Island Up First.
You're with Patricia Keim of Military.com this morning.
Go ahead.
Good morning, John.
How are you?
Doing well, sir.
Good.
Just like to say that you're a fantastic person.
I can tell you care a lot about people.
I wanted to make mention of a thing that the Knights of Columbus put on recently called the Honor Flight.
My father was a Vietnam vet.
And it was, he said he had the time of his life, and I really appreciate it.
Jerry, for folks who don't know what an honor flight is.
For people who don't know what an honor flight is, just explain it real quick, Jerry.
They take a bunch of veterans from around the United States, and they fly them down to D.C.
And it is actually like a second homecoming for the veterans.
And, you know, because when they originally came back from Vietnam, they were treated horribly.
And they take them around Washington, D.C.
They give them breakfast, lunch, and dinner.
They take them to the monuments, to the Tomb of the Unknown Soldier.
And it made my father's, it made his day.
Jerry, what was your father's name?
My father's also named Jerry.
Jerry, thanks for telling us about Jerry.
Patricia Kaim, have you ever experienced an honor flight?
Have you ever watched one of those?
So I am blessed to live in this gorgeous city, right?
And running on the mall on Saturday mornings.
And you'd run by the World War II Memorial and see these honor flights, you know, the buses come in and with the veterans.
And a little known thing about for years, Senator Robert Dole, even until his very last of his days, used to get up on Saturday mornings and would sit at the World War II Memorial and just basically welcome the honor flight people.
He stayed there for two or three hours.
Not that it was scheduled.
He would just see anyone who came.
Usually there's an honor flight almost every Saturday.
Like it's they're really amazing.
It's an amazing if you go through National Airport, one of the gates there has all the flags up from the various eras of service with World War II, Korea, Vietnam.
And it seems like that's the main gate that they come through when they come to National.
Right.
It's an incredible program.
I wish I knew more of its history and how it came about, but it's just inspiring to see the buses.
Elizabeth is waiting in New York.
Good morning.
You're next.
Good morning.
Good morning.
Yes.
I wanted to ask if she knows about the order or the order last time Trump was in office that he said he would have no trans people in the military serving.
Is there going to be that same position of his?
I have family who serve in the military.
Some of them are no longer with us.
A son who reached the rank of captain and my family.
I'm concerned because also my granddaughter received one of those racist texts 15 years old at school on Friday saying that she would be picked up by a brown van to take her to the plantation to pick cotton and to be ready by a certain time.
I'm very, very concerned about the possibility that trans people will not be allowed to serve because not just because they would possibly be in combat, but we have to realize there are trans people who are nurses, they're doctors.
They care for others who are in the service.
So I would like to know what...
Well, Elizabeth, let me take the question and listen to Patricia Kime here.
I...
I understand your concerns, and I would say that, you know, at the end of the first Trump administration, trans people were barred from serving in military service.
You know, that went through the court system, as we know, and it was put in place.
And, you know, President Biden rescinded that on his first day in office.
But we hear repeatedly that, you know, Project 2025 is not necessarily the blueprint for the Trump administration, but it does specifically say that transgender conditions are just not compatible with military service.
So that is a real possibility.
And, You know, that's that they have been pretty clear about that.
We talked about potential VA secretaries in the second Trump administration.
What are your thoughts on the next Defense Secretary?
I am really going to defer because I just don't track the DOD as closely as you would think I would.
I'm very entrenched in covering the Defense Health Agency and military medicine, but in terms of the politics of DOD, I'm going to pass.
Well, a lot of speculation right now on every of the cabinet administrations.
It's a speculation game that happens at the turn of every new administration.
We have plenty of time to continue to speculate.
Although we do know that Donald Trump's chief of staff, Susan Wilde, his campaign manager, and we're starting to look at some of these other positions as well as they start to get filled in, or at least names continue to float.
This is Ed in Jacksonville, Florida.
Good morning.
You are next.
Yeah, good morning.
I'd like to ask your guests, why there's such a disparity in the VA system between the National Guard veterans versus the active duty component veterans.
We served right along.
The Guard has served right along the active duty component, but when it comes to veterans' care issues, whether it's their premiums for TRICARE, they're different.
So I would like to see if she could address that.
Oh, by the way, John, the National Guard Museum is right across the street from you.
I did do that, Ed.
Thanks for the thanks to the National Guard.
National Guard is a unique animal, right?
And that goes to the very heart of a definition of a veteran.
And in terms of VA, a veteran has to have served on active duty for at least 30 days continuously.
And there's a whole bunch of on active duty serving in federal service, which is very different than serving as a state component.
So there are differences and issues there.
There would have to be a big policy shift in terms of deciding, considering who exactly is a veteran and how those benefits would be changed based on that.
Let me go to John in McLean, Virginia.
Line for Veterans.
Good morning.
Good morning.
How are you today?
Doing well, sir.
You're on with Patricia Kine.
Most people joined to be a veteran because of our Constitution.
A Constitution to me means three things: rule of law, individual rights, and free enterprise.
Our forefathers that chased the English out when we beat them at Yorktown formed a Continental Congress.
It took seven to eight years to hash out the Constitution.
These men never had TV or radio.
They read the classics, Roman and Greek law, and applied it to our Constitution, which is the greatest piece of paper ever written.
And in the end, in 1789, they ratified it, and we became a country.
John, bring me into 2024 and some of these veterans issues we're talking about.
Right, right.
I'm not talking about veterans issues.
I'm talking about being an American and why we're veterans and why we have to protect the Constitution.
I don't want to talk to any pundit or bureaucrat inside the beltway that knows everything, that spends 30 years getting a degree, working for a PAC or writing a paper and knowing everything.
You saw what happened the last election.
Those people inside the beltway are in never, never land.
Thank you, and happy Veterans Day.
That's John in McLean, Virginia.
About 20 minutes left here with Patricia Kynmilitary.com, a long series of stories in her writing career.
You can scroll through them at military.com.
But I want to ask about one recent one.
What is K2 and who are K2 veterans?
So, K2, Karshi Khanabad, which was an air base in Uzbekistan that the U.S. used as sort of a way station during early on in the global war on terror.
About 37,000 people over the course of the time were stationed there.
And it being a former Soviet base had a lot of environmental pollution.
You know, the research done and talking to the veterans who actually lived there, they had one like a pond, a sort of a waste pond that was like, they called it the Skittles Pond because it was like bright green with who knows what.
There were signs that said, you know, radiation, don't pass this, you know, don't pass this point.
So there's discussion about whether there was depleted uranium on the base.
But there are, it's a cohort of veterans that uniquely were exposed to just a whole host of environmental exposures.
And they've been pushing recently for more recognition for the illnesses that they believe were caused by being stationed at that.
And this is another group of veterans like Agent Orns or Burn Pitts.
This is another group of veterans who's been exposed to something.
Exactly.
You know, Agent Orange, you know, that legislation, just landmark years ago, really did sort of expose how the combat environment is environmentally hazardous.
From lead to Agent Orange to burn pits to just the waste of being a troop.
It's not a healthy environment.
On K2, VA Secretary Dennis McDonough spoke at the National Press Club about this.
This was recently back on October the 29th.
I want to play, it's about two minutes for viewers.
13,000 of the 16,000 K2 vets are enrolled in VA healthcare.
Nearly 12,000 are service connected for at least one condition, receiving an average of 30,000 a year and earned benefits.
All told, K2 veterans now have a higher claim and approval rate than any other cohort of veterans.
But we have more work to do to get this right.
Some K2 vets still understandably feel overlooked.
They've waited for 23 years to see their uniquely dangerous service recognized.
I say that again, uniquely dangerous, dangerous service recognized.
So we have to do better and be better for those K2 vets.
That's why today I'm proud to announce that VA will begin rulemaking to add bladder, ureter, and other genital urinary or GU cancers as new presumptive conditions for K2 vets and all eligible toxic exposed vets.
We're not stopping there.
Next week we'll complete the scientific review of multiple myeloma and leukemias.
The preliminary findings are promising and they suggest that VA will be able to make those conditions presumptive for K2 veterans and all eligible veterans.
And once the final results are in, VA will look to expand that presumption to all biologically linked blood cancers.
This may include polycythemia vera Or what a guy like I can pronounce as P. Vera.
A condition identified by K2 vets themselves and shared with VA.
We will do so based on biological science and on the results of a PACT Act presumptive process without requiring vets to wait for VA to complete additional studies.
And moving forward, I'm committed to establishing service connection for any rare condition found in K2 vets which has plausible biological link to the toxic soup we now know and acknowledge was present at K2.
VA Secretary Dennis McDonough there.
Put that in perspective.
How significant are the changes that he announced and more importantly, how quickly did this happen compared to, say, the burn pits or going as far back as Agent Orange?
Well, it's interesting.
One of the biggest things he said during that speech was about the blood cancers, which were left out of the PACT Act, the massive legislation that was for burn pits exposure.
The blood cancer thing is not just for K2 people, it's for the PACT Act people too.
So that's pretty significant.
And it's fairly rapid.
In 2012 early on, there were a handful of families that were pushing for burn pit legislation.
They were sick, didn't know why.
And so between that and until 2022, when the PACT Act was finally passed, that's a decade.
K2 veterans have been sick for years.
But the reporting that actually exposed that, on that clip, they sort of showed a picture of Tara Kopp, who was the major reporter who covered that issue.
She started writing her stories in 2018, 2019, and five years later, we're having some legislation, some movement, sorry, policy changes to help these veterans.
So things are moving a little faster.
Is there something out there right now that could be the next K2, could be the next burn pits, could be the next Agent Orange?
What is another group of veterans that has come together to advocate for another one of these toxic environments that soldiers were exposed to?
So a lot of these veterans that you hear about are overseas conditions, it's serving overseas.
We know from Camp Lejeune, North Carolina, where it had for 30 years water that sickened people who live there, people who serve there, that there are places in the U.S. that have issues or stored things stored like Agent Orange, or they used Agent Orange.
I've previously reported on like Fort Ord in California, where they used dioxins to kill off herbicides, that kind of thing.
Fort McClellan, there's a very vocal small group of people, and that's down in Alabama, that believe that they were sickened by those bases.
So I think the next group will probably be the folks on domestic bases who have gotten sick because of dumping or just poor management in the past of toxic substances.
Back to the calls.
On that line for veterans, this is Everett, Grand Junction, Colorado.
Good morning.
Good morning, John.
Thank you.
And Patricia, thank you for just trying to answer some questions.
I served from 1970 to 1978.
And I did not go over and serve in Vietnam, but I knew an awful lot of people that did.
And those that came back and were trying to apply through the VA system for different types of benefits, either mental or physical.
It just seemed it took such a long, long, long time for them to even get to somebody that could help them.
And I was lucky enough to, we have an old guard unit here that was turned into a veterans help kind of center.
And we do have a veterans hospital here.
And Brian Oney was a fellow that was a Marine that was injured, and he was picking people's claims and trying to help them out.
And he did a wonderful job.
I was lucky that my mother during the time I was in the service kept all my records.
But I know veterans and servicemen that just at that particular time threw their veterans records out the window.
They threw their medals over the fence in Washington.
It was extremely frustrating to them.
But I was lucky to have all of my records, and I had to communicate back and forth between Denver and Grand Junction.
And one lady over there, I didn't know her, but she kept asking for forms.
You know, do you have this form?
Do you have that form?
I sent 13 forms over there.
It took five years to get somebody to look at my case.
And I'm looking at a shirt that I wear on Veterans Day, and it says, all gave some and some gave all.
And it has some boots and a flag M16 with a helmet on it.
I'm sure all the veterans out there know that particular one.
And even those that didn't serve in the military, my dad, he was a railroader during the Second World War.
He couldn't serve because he was needed to operate an engine and the freight train delivering tanks and military personnel.
So just a shout out to everybody, and thank you for this program.
Everett, thanks for the call from Colorado.
Can you come back to the record keeping and that in a digital age?
Yeah, thank you for that.
And thank you for your service.
It's a complex system.
I think the VA between the paper records and the digital records, they have to sort of find a balance.
Sometimes they'll like promote the digital thing, but we still have a generation, the older generation, some of them have a real hard time with the digital system.
So, you know, we're sort of in a transition period where eventually we'll get to a point where we'll have all digital natives who are applying for claims and that will make it easier.
But the record systems is hard.
There was a, you know, we hear about that there was a major fire years ago in St. Louis where they kept a lot of Army and Air Force records.
So if people didn't have their own copies of their own records, those all went up in smoke years ago.
So they're hard to find.
The VA has pledged to help veterans find their records.
Also, there are veteran service organizations out there.
They all employ veteran service officers who can help veterans like the American Legion and VFW and the disabled American veterans.
So many.
I can't name them all, but that will be that can help veterans try to get their records and try to get those claims.
Let me process.
Let me go to Shippensburg, Pennsylvania.
Dennis, Korean War veteran, Dennis, is that correct?
It's Second Korean War from 1966 to 1970.
We were exposed to many toxic chemicals, Agent White, Agent Blue, Agent Purple.
Agent Blue is the one that has given me the most problems.
put in for a obstructive sleep apnea claim on May the 5th, 26 VA.
I was finally granted a percent rating for that on May the, on, let's see when they did this, they just did it, 23.
And now if you do the math from 26 to 23, or 24, that was over eight years time span for the VA to consider my claim, which at first they denied, and then I appealed it.
They denied it a second time.
I appealed that, and I finally had a judge hearing in 2023, but they took part of the claim and they gave me 10% evaluation for my COPD, and then they referred back to Pittsburgh VA the balance.
Now, they finally gave me a 50% rating.
Now, what they should have done originally, based on the VA's own guidelines, I should have been automatically rated at 100% back in 2016 when I filed this claim.
And I have appealed the judge's decision now because they have sent me two different checks.
They sent me one for 10% for the COPD, and then they sent me one for 50% saying they're combining the two, that my disability on breathing, I can't walk more than 60 feet before I have to stop and get out my puffers because I cannot breathe.
This is the way the Korean War veterans, the one that served from 66 on, that were exposed.
And these veterans were exposed up to probably the year 2000 when we came off of the DMZ.
To give you an idea of how the DMZ veterans were first treated, when I first filed my first claim, and that was probably 16 years ago, I included paperwork.
I included mimeographed copies of my orders sending me to Korea, from Korea to my artillery unit, from my artillery unit to the infantry unit in the infantry promoted to sergeant, and then my orders going back stateside to Fort Riley, Kansas in 1969.
When I filed my first claim, I had all those orders attached to my first claim.
My first claim was for frostbite, which I suffered in the winter of 1968-69.
My denial came back from the VA that said, and I quote, you were in Vietnam and you could not possibly have gotten frostbite in your unit in Vietnam.
Dennis, thanks for sharing your story.
Chair Sherman, what do you take from that?
Well, it's interesting when he talked about filing appeals and going before the judge and the Veterans Court of Appeals.
There actually is a Supreme Court case that was just heard a couple of weeks ago about two veterans who there's something called the benefit of the doubt clause.
And in this, it's Buffkin versus McDonough as the name of the Supreme Court case.
McDonough being Dennis McDonough?
Yes.
Whenever they file a thing, it's against the head of the department, and it'll switch over to the next secretary, whoever that might be.
But the Court of Appeals is supposed to, when you have equal looking proof, sort of weigh towards the veteran, give them the benefit of the doubt, and weigh in favor, grant a disability rating in favor of the veteran.
There were two vets that challenged this because they didn't get what they believe is the benefit of the doubt.
So depending on how the Supreme Court rules on that, a lot of these cases that may take forever, it could affect the Court of Appeals in expediting cases like that.
When somebody says they're a 50% disabled veteran or 100% disabled veteran or 70%, what does that mean?
It's a level of each percentage is a level of monetary compensation.
Is it on every bill that you get from a doctor's visit?
No, so claims are very different.
The Veterans Benefit Administration is separate than the Veterans Health Administration, so they're not tied, the bills aren't tied to your medical care or whatever.
When you apply for a disability claim, I mean, it's like applying for, say, Social Security disability.
You're filing, you're saying, I got this sickness when I was in the service or I was injured in the service and now it's aggravated or it's getting worse.
So 100% disabled is obviously the highest rating you get.
And it's the most monetary compensation, but it also affords you some interesting benefits like now disabled vets can go shop at like military PXs and there's some other things like that that benefits that afford the veterans are afforded with a 100% disability rating.
Let me ask a question from Robert on social media.
Is there any word on adding cannabis-based remedies to the VA so VA doctors can prescribe them?
Interesting.
You know, there's a white paper that's been out by the VA.
VA has been trying to get that removed, get cannabis removed from what's called the Schedule I sort of classification that restricts it from being readily used for research.
And what the VA would like to have done is have that removed from Schedule I so that they can then do the research that's needed to actually be able to, for them to be able to prescribe cannabis.
I mean, they probably would not move forward with that without having solid research that shows that it is beneficial to a certain number of veterans, proportion of veterans.
I know we're over our time.
Do you have time for one or two more calls?
Sure.
Seattle.
Jenna, thanks for waiting.
Military family.
Jenna, are you with us?
Some of those stands up for those things.
Jenna, do you have a question for Patricia Kaim?
Hello.
Go ahead, Jenna.
You know, my issue was just because I'm the daughter of a 30-year veteran and three other military people in Vietnam, but I don't have any medical issues.
Is that okay?
What's your question, Jenna?
Does it relate to the VA?
I wanted to just, I thought they wanted to talk to families of veterans.
Sure.
Tell me about your family, Jenna.
And I've got about two minutes here, so I'm sorry to make you rush up.
My father was a 30-year veteran in the military.
He was an officer and took a whole, the first black troop, the only black troop into Omaha Beach.
And then he was in seven different wars over there in Europe and the Middle East before he came back.
But then I have two brothers who were in Vietnam for double, you know, when they went back twice.
And a sister who was a nurse in Germany.
And we did a lot of traveling with the military.
And I have a lot of respect for it.
And I have a lot of respect for our flag.
And when I moved to Seattle, the flag where I was in a senior home was tattered and torn and ripped and left out 24 hours a day, I guess for years.
And when I saw it, I know this flag's supposed to be respected and being light at night, which it was not, and taken out of storms and not in the snow and rain.
So I brought it to their attention.
They put a new flag out.
And when I asked this young man to just help me put it up, which was pretty easy, kind of light, he said, well, no, I don't want to help you.
He said, I don't care about the flag.
And so I think that's a really important issue that people need to know a little bit more about because there's a lot of rules for flying the flag and the flag means a lot.
Jenna, thanks for that from Seattle, Washington.
Patricia Kaim, a minute left here this morning.
I did want to ask you, you do so many investigations for military.com.
What are you working on next?
Well, I think we're going to get through the next presidential transition and then dig into quite a few.
We've got some ideas, so not disclosing.
And you'll be able to find them all at military.com.