Mr. President, I thank the floor manager, and I thank the chairman of the committee who had a lot to say and who operates the committee in a spirit which is very bipartisan and which is aimed at trying to solve problems. I say that at the…
Mr. President, I thank the floor manager, and I thank the chairman of the committee who had a lot to say and who operates the committee in a spirit which is very bipartisan and which is aimed at trying to solve problems. I say that at the beginning of every meeting and I say it here on the Senate floor.
I rise to support the Murray-Byrd amendment. It responds to a VA funding shortfall that is in excess of $1 billion. I will get into that in a moment.
What I have in my mind right now is about 5 days ago, I spent 2\1/2\ hours with 12 veterans, men and women who had come back from Iraq, one from Afghanistan--one several years ago, most of them within the last several months. They had sustained wounds and had healed some of those physical wounds. But what was particularly stunning to me was the degree of the psychological wounds, self-defined by them, after a period of relaxing. It takes time for veterans to open up when somebody with a dark suit and tie walks into their little circle. But they began to talk about their problems. They would not talk about what they had done because veterans do not do that. World War II veterans do not do that, Vietnam veterans do not do that, Operation Iraqi Freedom veterans do not do that. They talk about what hurts, the uncontrollable violence. They talk about deep depression. They talk about having no sense of the future. They talk about problems with their not being able to communicate with their wives--all kinds of problems.
These were mostly guardsmen and reservists, but there were some regular military. They were assembled at the Beckley, WV, Vet Center. I sort of point that out because one of the secrets of treating veterans in rural areas is you have to have Vet Centers near where veterans are. They can't all be expected to make long journeys to distant major veterans hospitals.
These folks at the Beckley Vet Center and other Vet Centers are about to be overwhelmed. They are going to be more overwhelmed when the other 130,000 soldiers return home whenever they do. And of course some soldiers will be returning to combat.
These soldiers had a very harsh and harrowing series of experiences serving their country. Once discharged, they still faced problems. They talked about difficulties in getting reimbursed. They all talked about VA appointments being put off for a long time.
As I indicated, they were reluctant to talk at all. But when they did talk, they made you very proud when they told you what they felt, not necessarily what they had been through, which they usually decline to do.
When our country called upon these brave West Virginians--and that would apply to each and every State--to serve, they answered the call of duty without question. In the case of Guard and Reserve, of course, they are always ready to do that and have to make enormous sacrifices to do that, often not being able to hold on to their jobs and retain the benefits which they had.
When they come back to West Virginia, they deserve the full care and support they have earned. Yet again, we just learned that our VA health care is well over $1 billion short on funding this year. This is outrageous, and it is shameful. Our veterans earned their VA health care benefits through their distinguished service.
They should not be delayed or denied care because of mismanagement at VA or OMB over poor budget models. This is where I disagreed a little bit with the distinguished chairman of the committee. This is not just about the Secretary of Veterans Affairs. This is not about the fact that he is new on the job. The Veterans' Administration is second only to the Pentagon in terms of the number of people who work there. If they were using a 2002 model--and at one point the Secretary said they were using the 2002 model, and then at another point he said the 2003 model--nevertheless it is a very old model. In 2002, we had not gone to war.
All of these months have passed. What was the magic that did not happen where VA or OMB management said, ``gee, if we are going to go to war and we are sending all kinds of troops first to one combat zone in one nation and then to another combat zone in another nation, and plus there is the war on terrorism, what is going to happen with our returning veterans?'' We have troops deployed all around the world and, yet nobody in VA or OMB of figures there is going to be a surge in the number of veterans we have to take care of so they do not change their model.
Well, I am sorry, I do not care whether the Secretary has been there for 6 years or 6 days, that does not work. It is the VA that has professionals who have worked there for years who should be able to adjust those models. That is no excuse whatsoever.
Yesterday, Secretary Nicholson testified that the VA had to borrow money for current accounts to cover immediate health care needs for this year, this year being 2005. Such borrowing would create at least a $1.5 billion shortfall for next year, that being fiscal year 2006. But the $1.5 billion is really at least $1.9 billion. We are not actually going to vote on either of those numbers. I sort of wish we were because of something which is not brought out but which I am going to bring out. The VA assumes the President's VA budget, which includes at least $400 million in health fees, will be collected from the veterans--what? Wait a second.
Yes, the VA Secretary is still seeking to double the co-payments for prescription drugs for veterans, and he is still supporting an enrollment fee of at least $250 for some veterans. So, yes, there is a shortfall, but then there is income VA expects but won't be collected, the shortfall will be larger. I think that requires a very sharp analysis on the part of the Veterans' Affairs Committee.
This Senator opposes such fees. I do not understand how that is done. How does one take somebody who gives up their job potentially, for example a National Guard member who works for the 130th Air Guard wing in Charleston, WV, which has complete control over the evacuation of the National Capital area, and then charge them for being able to get health care after they serve in combat? That is not what Abraham Lincoln wrote over the Veterans' Administration building.
So the VA budget is at least $1.9 billion short. Let that be understood by my colleagues. Our Members have not been told that amount, but that is because of the $400 million that VA assumes, but Congress never tries to charge our veterans. We should understand that. It is at least $1.9 billion if we fully respond to the health needs of returning veterans.
I expect, frankly, it will be more than $1.9 billion. In fact, I would say to the good Senator from the State of Washington that we discussed higher figures in our Veterans Affairs' Committee meeting.
Experts who I immediately reject, because I reject their theory on this,
suggest that up to 40 percent of our veterans will have psychological wounds such as PTSD, post-traumatic stress disorder. I have yet to meet with a single group of veterans who would put the figure at anything less than 60 or 70 percent, and that is just post-traumatic stress disorder. We are also talking about depression. We are talking about schizophrenia. We are talking about uncontrollable violence. We are talking about rage. We are talking about nightmares. We are talking about people waking up sweating and screaming. This goes all the way back to World War I, the science now proves.
These West Virginia veterans who typify veterans from around the country return from Baghdad and Afghanistan, and they describe the experiences of their colleagues, and I truly fear that VA mental health care is going to cost a whole lot more than the two amendments that we will both be voting on and voting for, I hope, this afternoon. My view is that whatever the needs of our returning veterans are, they must be met, particular right now during a time of war.
Finally, I am personally stunned by the fact that the administration's budget experts and managers use these old models, and did not warn or advise Congress until now. I will go right back to that, their models did not fully estimate the effect of the war on VA health care spending. Again, blaming a poor old model from 2002 or 2003 does not cut it in anybody's book. It is unsustainable as an argument. As I say, the VA is second only to the Pentagon in the number of people it has. A lot of those folks work on budgets. They know what models are. They can come up with new models. They did not come up with new models, and that is the point. Each time this year, VA officials have testified they were confident of sufficient VA funding. That is what they told the committee in February, in March and in April. They were dead wrong. It is stunning. It is sad.
So we asked over and over whether they were prepared for the returning troops, and we were told mission accomplished; they had everything under control. Again, they were wrong. Our soldiers are returning home and expecting the VA health care they were promised. They are not going to be able to get it. The budget shortfall is unconscionable, and our troops deserve better. We must pass this amendment or any other amendments which raise this amendment. It will still not be enough money, and it will only take care of the present situation that we are in. We must ensure that such a significant shortfall never--and I rarely say never''--happens again.
I am committed to fighting for our veterans. I believe that is the duty of the Congress.
I yield the floor.