More veterans uninsured, ineligible for VA care, study says

WASHINGTON — About one of every eight veterans under the age of 65 is uninsured, a finding that contradicts the assumption many have that all vets qualify for free health care through the Veterans Affairs Department, says a new study.

Researchers at Harvard Medical School projected that about 1.8 million veterans overall lack health coverage. That’s an increase of 290,000 since 2000. The researchers said most uninsured veterans are in the middle class and are ineligible for VA care because of their incomes. Still others cannot afford their copayments, or lack VA facilities in their community.

“Like other uninsured Americans, most uninsured vets are working people — too poor to afford private coverage but not poor enough to qualify for Medicaid or means-tested VA care,” said Dr. Steffie Woolhandler, an associate professor and a physician at the Cambridge Health Alliance.

The study is based on an analysis of government surveys released between 1988 and 2005. Veterans do fare better than the overall population when it comes to obtaining health insurance. Still, the Harvard researchers said the rising number of uninsured vets points to the need for more funding for the VA. The best solution, they said, would be for universal health coverage in the United States.

“Only the government can put men and women into military service and only the government can guarantee that they are covered after they serve,” said Dr. Jeffrey Scavron.

The study notes that the VA in January 2003 ordered a halt to the enrollment of most veterans who are not poor. The move was designed to reduce the backlog of patients waiting for care.

But Peter Gaytan, who monitors veterans’ issues for the American Legion, said veterans now make as little as about $24,000 a year in some regions and still do not qualify for health coverage from the VA.

“That decision created a large number of veterans who have served in the U.S. military who are denied access,” Gaytan said.

Gaytan said the number of uninsured vets could rise in coming years if soldiers returning from Afghanistan and Iraq have trouble getting back their old jobs.

“It will be an increasing issue that needs to be dealt with,” Gaytan predicted.

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On the Net

American Journal of Public Health: http://www.ajph.org

American Legion: http://www.legion.org

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