Mr. Speaker, I have a motion to instruct at the desk. Mr. Speaker, we have all heard so much about the challenges that the VA faces and how it has totally, thoroughly, and completely failed many of our veterans. This motion to instruct the…
Mr. Speaker, I have a motion to instruct at the desk.
Mr. Speaker, we have all heard so much about the challenges that the VA faces and how it has totally, thoroughly, and completely failed many of our veterans.
This motion to instruct the conferees would be a motion to ask that we essentially recede to the Senate provisions on leases per VA facilities.
What this would do would be to provide and expand 26 VA facilities from across the country and improve access to care for our Nation's veterans, including the 1.7 million veterans from across Texas.
In the district that I represent, as an example, District 23, which comprises about 24 percent of the land area of Texas, it is 800 miles or so from one corner of the district to the other, and in that district are a very large number of veterans. The challenge is, first off, to be able to get the veterans who have served, who are from the rural areas, to get them access to the nearest VA facility.
From my hometown of Alpine, for example, to El Paso, where there is a VA clinic, it is some 220 miles. If you live further south in Brewster County, that distance is longer. If you live here in Eagle Pass, in Maverick County, for example, you have got to go all the way down to the Rio Grande Valley before you find the nearest veterans facility-- actually, all the way down to Corpus.
The Senate provisions would allow for an additional 26 facilities, including a new facility in Lubbock and improvements and consolidations to facilities in San Antonio that are critical to veterans and their families. New facilities will help address the wait times for medical care where it is needed for veterans in our communities.
Frankly, these facilities will help open up appointment slots. According to an internal VA audit that has been released, there are more than 57,000 patients who have waited at least 90 days for their first appointment. Unfortunately, some VA facilities in Texas have among the highest average of wait times in the Nation, and that is totally inexcusable. It fails the people who stood up and served their country and did so much to maintain and protect our freedom.
While we need to explore all our options, including more contracted care to address the backlog, we also have to make sure that the VA has the capacity to fill the needs of our vets, and especially for those who have unique health care needs.
I maintain that regardless of where you live in Texas or any other State, you have as much right to health care as any veteran from any other part of the State. And by creating an additional 26 facilities, you would actually be creating more slots and giving more access to more people.
For rural vets who face additional barriers--for example, if you are driving from Alpine to El Paso, that is 220 miles, and you need a driver, and that driver has to take time off from work; you need probably to spend the night in El Paso, that is a hotel room; and you have got to eat while you are there, so that is meals--all of those, additional expenses.
The other thing, frankly, is that many of the rural vets tend to be older, sicker, and poorer than the general population. These additional facilities may very well be lifesavers for that population.
These new facilities will help address wait times for medical care where it is needed, and they are crucial. Frankly, I know there has been a conversation on the House side with my colleagues on both sides of the aisle about creating more facilities than 26.
I know that my friends from Oklahoma, for example, would like to see an additional clinic in Tulsa that would serve Oklahoma. Oklahoma veterans, as Texas veterans, as veterans across the board in every State, deserve more access to health care and better access to health care.
This week, in fact, the Acting Secretary of the VA, Secretary Gibson, told members of the Senate Veterans' Affairs Committee that we need to increase the internal capacity at the VA. And while we need to do a lot more than just that, these additional facilities would help achieve that goal.
One thing is clear. We have a growing demand for care. As we draw down from all of the places where we are right now--Afghanistan, for example--as we change the shape of our military going into the future, we will have more and more veterans entering the health care system. They deserve better treatment than the veterans in our health care system have had.
Frankly, the entire system needs to be upgraded and to provide A-1 quality health care to each and every person who has served in uniform and their families. We must grow the capacity. We must continue to ensure quality and to meet the growing demand for our veterans.
These leases that I am talking about in some 18 States, they will help address some of the underlying problems that lead to treatment delays. If you look at it, we are funneling all of the veterans into a very few health care facilities across the country. If we accede to the Senate's suggestion for additional facilities, we will have community- based outpatient clinics, for example, or primary care clinics or specialty clinics. It will be a huge help to everyone, and that is incredibly important.
As you look at this map, it gives you some idea of just one microcosm in one congressional district in this country what difference additional VA facilities would make.
Look at the distance from the nearest facilities. If you live here along the Texas-Mexico border and you are trying to go up to the nearest facilities, which are either in El Paso or in Big Spring or over here in San Antonio, the distances are enormous. That is so much to ask of a World War II vet or a Korean war vet who is getting older, who is having to ask for help from somebody, for somebody to take time off of work to take them for a basic appointment, and then, frankly, as we have seen, to be unable to get the health care that he or she needs and deserves.
There is no part of the population in this country that is more deserving of health care than our veterans who have served in uniform in any conflict; or, frankly, even if they haven't been in conflict, they have stepped forward, they have put themselves at the Nation's disposal, and they have protected our freedom each and every day that they wore that uniform. They deserve much better than they have gotten over the course of history.
And I would point out, this isn't a new issue. There were more than 15 reports at the VA that have indicated that care was substandard. Congress has known about this for a long time.
The challenge with Congress is that it is a crisis management institution. Whatever the crisis of the day is, that is what Congress responds to. And if there is a subsequent crisis that takes the first crisis off of the front page, then suddenly Congress is reacting to the new crisis and forgets about the old one.
This is too important to forget about. This is too critical to our veterans. It has to be taken care of; it has to be resolved; and it has to be resolved once and for all so that there are not an additional 15 reports out there about problems at the VA, so that we don't hear every day from the American Legion or the Veterans of Foreign Wars or any of these other organizations that for years have been telling Congress that the VA has problems.
Let's step forward. Let's fix it. Let's fix it now, once and for all. And we can take that first step, as a body, Mr. Speaker and Members. We can take that first step as a body by making sure that there are at least--at least--26 new leased facilities across the country that will take care of this issue and that will provide additional service to our veterans across the country.
I point out that these additional facilities are in places like Texas, Louisiana, Florida, Puerto Rico, California, Connecticut, Massachusetts, Missouri, Tennessee, Illinois, Nebraska, South Carolina, Arizona, New Mexico, New Jersey, Georgia, Hawaii, and Kansas.
Whether you are a Democratic Member of this body or a Republican Member of this body, you should be in favor of additional VA facilities. You should be in favor of broadening up that funnel so that it is not so clogged up and we are not trying to put so many people through such a narrow slot and create all of these problems where people don't get the health care that they need and deserve.
New facilities, as I said, will help address the wait times for medical care where it is needed. And as a guy who represents a vastly rural area but who also represents urban areas in El Paso and San Antonio, I will tell you that this helps everybody. It helps every single veteran, whether you are a rural guy or an urban guy, whether you served in uniform in World War II or whether you are a serviceman or -woman from the most recent conflict. You deserve, and America has made a commitment to you, that you will get health care, and you will get quality health care.
This is the first step in that direction. It is incredibly important that, right, left, center, Democrat, Republican, or Independent, whatever you think you are, you ought to be in favor of additional facilities for the VA, you ought to be in favor of better health care for our veterans, and you ought to be in favor of using the Senate language.
Frankly, again, I know that there are some Members, my colleagues who are from Oklahoma, who would like to see additional facilities and who would want one in their State. I agree with that too. The more that we can do to help our veterans and to meet our commitment, the more we ought to do. And, frankly, we ought to do a lot more than we have been doing.
Again, I move that we instruct the conferees on H.R. 3230, the Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014, to recede to the Senate provisions on leases for VA facilities under title 6, section 601. It is incredibly important not only to me, not only to the 23rd, but it is important to 435 Members of this body, and it is important to every single veteran in every single one of our congressional districts.
Mr. Speaker, I yield back the balance of my time.
Mr. Chairman, I ask unanimous consent to reclaim the balance of my time.
Mr. Speaker, how much time remains?
Mr. Speaker, I yield myself such time as I may consume.
I am in my first term as a Member, and growing up as a kid in Alpine, Texas, I always heard the saying with respect to things that were really, really hard, and that saying was it takes an act of Congress to do that, and for the first time in my life, Mr. Speaker, I finally understand what that means because part of our challenge as an institution is that we are so wrapped up with who goes first, whether it is the House or the Senate.
The House passed a bill by 390 votes. That is great. The Senate version passed by 93-3, and here, we are discussing whether the House version or the Senate version is better, and in the meantime, we are failing our veterans.
My own view is that people across the political spectrum, veterans and nonveterans alike, are tired of the political blame game and the finger-pointing. Notice that not once did I ever really talk about the differences between Democrats and Republicans because, frankly, there are both Democratic veterans and Republican veterans and Libertarian veterans and Independent veterans and apolitical and nonpolitical veterans.
The issue of veterans should not be something that we pound each other over the head on. The issue of veterans is something that should bring us all together in a cohesive fashion, so that we can move forward as a country and show the rest of America that Congress can actually function as intended, that it can actually work its will as a body and move a product forward.
The idea that we would have to wait for a clean bill, that we would have to wait for procedure to take its course and for things to happen is telling people we will get to it.
Along the border, there is a saying, and that saying is manana. Manana seems to be the busiest day of Congress' week. Manana, we will do it tomorrow. Tomorrow seems to be the day that Congress takes action on every single issue, and veterans are too important to be left until tomorrow.
The American people view Congress as an institution that is very full of hot air, and they don't understand why we recess in August when it is hot here because we would fit right in with the rest of the environment in the month of August.
The approval ratings for Congress are lower than they have ever been since the Gallup organization started taking polls, and it would appear to me that there is good reason for that.
I have great respect for the chairman and the other Members of this body. Their work, I admire. I don't admire, though, how much time it takes for this Congress to move forward. Another day, another hearing, another conversation, another headline--all of that while another veteran waits, and another veteran waits, and another veteran waits.
My motion to instruct doesn't touch topside or bottom the rest of the Senate bill. My motion to instruct talks about one particular provision of the Senate bill, and that one particular provision deals with additional space--additional leases for additional facilities.
It doesn't talk about choice cards or private pay or the rates or any of those other things which are crucial issues and important. My motion just deals with this issue that I talked about earlier, which is the funnel. We have such a narrow opening in this funnel that we try to channel all of our veterans through, and there is not enough space.
There are not enough resources there. We don't have adequate health care providers in the mental health fields, for example. We don't have enough specialists. We don't have enough places to put them. We don't have enough facilities. People have to go too far in order to get their health care, and as a result, they are not getting their health care at all.
Mr. Speaker, manana isn't good enough. Manana, tomorrow, should not be the busiest day of our week. This is not an issue or question that should be left for tomorrow. This is an issue that Congress can decide now, immediately.
We can instruct our conferees not on the rest of the aspects of the bill because I understand that takes time and negotiation, but we can come together on one part of the bill. We can come together to the one part of the bill that
says we need additional facilities, not only in Texas--although Texas needs them--but in other States as well. That serves all of our veterans well.
This isn't about a Democratic position or a Democratic Senate versus a Republican position and a Republican House. This is about our veterans who served every day in uniform, who sacrificed every day, so that 435 people here in this body and 100 people in the body across the way could serve and do our jobs and vote and participate in the American democratic experiment.
We wouldn't be here participating in this American democratic experiment, but for the service and the sacrifices of our veterans. If we recognized that, if we truly recognized that, then we would step forward now, not tomorrow. We would step forward now and admit that we desperately need additional VA facilities.
We desperately need those 26 additional places. We could put off for the conferees and allow the conferees the latitude to discuss all of the rest of the bill, but we ought to be able to come together on that one thing, and that one thing is those additional 26 facilities.
Waiting for a clean bill, I can't tell you, Mr. Speaker, how many times in meeting with the VA or the VFW or the American Legion or any one of the number of organizations like the Vietnam Veterans, I can't tell you how many times they tell me they have been asked to wait another day--wait, you will get your bill; wait, we will take care of you; wait, we understand you are important.
They don't need a pat on the head. They don't need a pat on the shoulder. What they need is what they have earned, and what they have earned is health care. Those 26 additional facilities would help us get them their health care and help us get them exactly what they need and what our government has committed to them, regardless of party, regardless of rhetoric, regardless of partisanship, regardless of blame, regardless of whatever.
If I started by saying it takes an act of Congress to do this, this is a great opportunity for Congress to step forward and say, through an act of Congress, we understand how important the veterans are, and we are not saving that until tomorrow--you will get your 26 facilities, your 26 additional facilities.
We will broaden that pipeline, so that more veterans across this country will have access to health care, and we will do it now.
Mr. Speaker, I don't think that is too much to ask.
I reserve the balance of my time.
Mr. Speaker, I yield myself the balance of my time.
Let me start by, in all sincerity, saying that I have the greatest respect for Chairman Miller and the work that he has been doing. I follow his comments and his remarks and his committee regularly because the issue of veterans is an issue that is near and dear to my heart, as it is to so many of us, and I have great respect for his views and his expertise.
While I may differ in my opinion, I certainly would never, ever think that his motives are impure because they are not. He is very sincere and very driven to help, but here is what I don't understand. For veterans across the country, they don't care, in my view, if the first two letters on a bill are H.R. or S.
That makes no difference, topside or bottom, to any veteran that I have ever talked to. I would urge my colleagues to talk to as many veterans as they can and to ask them specifically: Does it matter to you if this is a Senate bill or a House bill? I guarantee you that every veteran across the country will say, no, it doesn't matter.
So the idea that we are stuck here at this point in the process because the House wants a House bill and the Senate would like a Senate bill, frankly, that is ludicrous, and it is offensive to the veterans who have served our country.
I am happy to yield.
Absolutely, Mr. Chairman, I am happy to yield.
I would point out that part of the conversation that we have had is asking the Senate to take action on a bill that the House sent over, when that is even a better argument for this motion, because the House bill is already back from the Senate in the House, and we can settle this question once and for all by instructing our conferees to accept that language.
I would urge that we have 26 additional facilities. I would commit to the chairman that I will do all I can to make sure that it is not just 26 facilities, that if it needs to be 27, I am happy to do that. I have worked in a very bipartisan fashion with the Democratic and Republican members of the Armed Services Committee, particularly the freshman members of the committee, in order to do that.
Mr. Chairman, I am always happy to yield.
Mr. Speaker, again, I am always happy. I love the process, and I am a huge believer in the democratic system, but I will tell you that
the idea that we are stuck at 26 and we are stuck at 26 forever is not a credible argument because there are other vehicles in the process that would be just as rapid and just as fast if we would get over this idea, this pride of authorship, and if we would all work together on a bipartisan basis to fashion a solution that all veterans can live with. That is incredibly important. For me, this is a starting point, not an ending point.
It is important, it seems to me--and I hope to do that by example, Mr. Speaker, that we stay away from the finger-pointing and the blame game--that we not be guilty of the fiery rhetoric I have never understood.
As a west Texan, my instinct is always to put fires out. It is never my instinct to add additional fuel. So the partisan fires that rage in this building, it seems to me, need to be put out, and the interest of the American people and, in this case, the American veteran need to be put first and foremost and at the front and center of everything that we are doing.
We shouldn't stand and salute the VA, as the chairman has indicated-- I agree with that--but we should stand and salute every single veteran who has served and every single veteran who deserves health care and who doesn't get it.
We should apologize, Mr. Speaker, to every single veteran who has stood in line for those months and months at the VA and not been able to make it through that small funnel, and we should apologize to them if we don't broaden that funnel to allow more people to get more care.
Yeah, there may be changes to the system, but those changes to the system are further down the hall, further down the way, further down the road, further down whatever. Today, here, we are talking about additional VA facilities. That one question we can settle, we can settle tonight or tomorrow, whenever the vote is on this, and we can make sure that we expand that pipeline, so that we don't try to push so many veterans through this really narrow pipeline, so that some of them get squeezed out of the system.
We should make that pipeline bigger so that more people get served, and each of us, each of us--Republican, Democrat, Independent, Libertarian, agnostic--each of us should be proud of that vote.
Stand up and salute our veterans, stand up and salute our people who served, and stand up and admit that they need access to health care. That is what this motion does, Mr. Speaker.
On that note, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.