Graham Concerned That Draft CARES Plan Puts Veterans LastAugust 4, 2003
Senator Bob Graham, ranking member of the Senate Veterans Affairs Committee, expressed concern about the draft plan to restructure the VA health care system, citing the plan's focus on cost at the expense of quality care for veterans. The plan, which was released today, will now be evaluated by the Capital Asset Realignment for Enhanced Services (CARES) Commission, with final recommendations scheduled to go to the Secretary for review on November 30, 2003.
"Today's draft plan comes after a manipulation of the CARES process, where the bureaucracy of the VA dictated the end results they were looking to achieve," said Graham, D-Florida. "The CARES process is supposed to be about the future health care needs of veterans, but targeting up to 32 facilities for reductions in services does not lend itself to the best interest of veterans."
One facility that VA cited for cutbacks in the draft report, the Lake City VA Medical Center, would retain nursing care facilities, but VA would move inpatient surgery transfers to another facility and study the possibility of moving inpatient medical services also. The draft report also proposes construction of a new inpatient tower in Orlando, additional contracting sites in Fort Myers, a bed tower in Gainesville and expanded acute care facilities in Jacksonville.
"In Florida, where we have some of the longest wait times in the nation, cutting back on health care facilities is no solution to the problem," said Graham. "While it is a positive step that Orlando could gain additional facilities and needed nursing home beds are recommended to remain in Lake City, it is unacceptable to move vital health care services out of the Lake City VA Medical Center."
Graham, a critic of the CARES process, has filed legislation that would allow Congress a role in the realignment of VA health care facilities. S. 1283 would give Congress 60 days to approve before any VA facility could be closed. The bill has 5 co-sponsors in the Senate and a companion bill has been filed in the House.