Rising cost of veterans’ care

WASHINGTON — Increasing numbers of U.S. troops have left the military with damaged bodies and minds, an ever-larger pool of disabled veterans that will cost the nation billions for decades to come, even as the total population of America’s vets shrinks.

Despite the decline in total vets — as soldiers from World War II and Korea die — the government expects to be spending $59 billion a year to compensate injured warriors in 25 years, up from today’s $29 billion, according to internal documents obtained by the Associated Press. And the Veterans Affairs Department concedes the bill could be much higher.

What changed? Worse wounds. More disabilities. More vets aware of the benefits and quicker to file for them. Also, ironically, advanced medical care. Troops come home with devastating injuries that might well have killed them in earlier wars.

Time is also a factor when it comes to disability compensation costs. Payments tend to go up as veterans age, and an increasing number of soldiers from the Vietnam War will be getting bigger payments as they get older and are less able to work around their disabilities.

The number of disabled veterans has jumped by 25 percent since 2001 — to 2.9 million — and the cause really is no mystery.

“This is a cost of war,” says Steve Smithson, a deputy director at the American Legion. “We’re still producing veterans. We’ve been in a war in Iraq for five years now, and the war on terror since 9/11.”

VA and Census Bureau figures show the previous six-year period, before hostilities in Afghanistan and Iraq, saw a more modest increase of 4 percent in the number of disabled vets. Veterans can make claims for disability benefits long after their military service has ended.

Inflation’s toll

Today’s veterans, disabled or not, number nearly 24 million. That population is projected by the VA to fall under 15 million by 2033, mostly because of dying World War II and Korean War vets. But costs are expected to rise.

Inflation accounts for a big chunk of the increase. But even when the VA factors out inflation, the compensation for disabled veterans would still grow from $29 billion to $33 billion in today’s dollars — a more than 10 percent increase. And the department acknowledges the estimate could rise by 30 percent.

Smithson says the Iraq and Afghanistan wars are resulting in more severe injuries — amputations and traumatic burns — the kind of injuries that troops in Vietnam and earlier wars would not have survived.

Smithson says today’s veterans also are filing claims for more disabilities because they are more aware of them.

Another factor driving up costs and the overall number of disabled veterans is Vietnam. Veterans from that era make up the biggest group of vets today receiving disability compensation. At the end of 2006, more than 947,000 Vietnam vets were getting monthly checks.

Disability and paychecks

Veterans who are approved for disability receive monthly checks for injuries or illnesses sustained or aggravated while on active duty. Ratings are scaled from 0 to 100 percent in 10 percent increments. A rating of 10 percent, for example, is given to tinnitus, or ringing in the ears, which is increasingly common for troops returning from Iraq and Afghanistan because of roadside bombings. Ratings for post-traumatic stress disorder and traumatic brain injury can range from 0 to 100 percent, and 10 to 100 percent, respectively.

Annual benefits run from $1,404 for a veteran rated at 10 percent to about $30,324 for those at 100 percent. Severe disabilities, such as the loss of a limb, draw additional compensation.

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