Opinion: Obama promises electronic medical records to U.S. veterans -- e-transcript, video here

April 9, 2009 11:37 AM PT

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President Obama today proposed a “joint virtual lifetime electronic record” for U.S. military veterans -- a way to streamline their passage and that of their healthcare records between the Pentagon and the Veterans’ Administration. In a speech on veterans’ health care at the Old Executive Office Building today, Obama said that there is no system for a seamless transfer of records.

“And that results in extraordinary hardship for a awful lot of veterans, who end up finding their records lost, unable to get their benefits processed in a timely fashion. I can’t tell you how many stories that I heard during the course of the last several years, first as a United States senator and then as a candidate, about veterans who were finding it almost impossible to get the benefits that they had earned despite the fact that their disabilities or their needs were evident for all to see.

And that’s why I’m asking both departments to work together to define and build a seamless system of integration with a simple goal: When a member of the Armed Forces separates from the military, he or she will no longer have to walk paperwork from a DOD duty station to a local VA health center; their electronic records will transition along with them and remain with them forever.:

Joined by Defense Secretary Robert Gates and VA Chief Eric Shinseki (he’s the one who infuriated Bush Pentagon Chief Donald Rumsfeld by predicting it would take several hundred thousand U.S. soldiers to do the job in Iraq), Obama said he is committed to a seamless process of healthcare for returning veterans that includes mental health benefits and that is “not hindered by budget delays.”

And, as he did on the campaign trail, Obama renewed a pledge to end the specter of homeless veterans. Unveiling a pilot program with not-for-profit organizations so that veterans don’t lose their homes, he said:

“We all share the shame of 154,000 veterans going homeless on any given night...We will not rest until we reach a day when not one single veteran falls into homelessness.”

Obama hailed the sacrifice of U.S. soldiers, like those cheering U.S. troops he met with in Baghdad this week before returning from an eight-day odyssey overseas. He pledged to “make sure that all those who wear this nation’s uniform know this:When you come home to America, America will be there for you.”

Read the full transcript of his remarks below.

-- Johanna Neuman

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THE WHITE HOUSE

_________________________________________________________________
For Immediate Release April 9, 2009 REMARKS BY THE PRESIDENT ON IMPROVING VETERANS’ HEALTH CARE

Dwight D. Eisenhower Executive Office Building, Room 450, 11:54 A.M. EDT

THE PRESIDENT: Thank you, John, for your outstanding service, and your friendship is greatly appreciated. I want to thank my two outstanding Secretaries who are behind me -- Bob Gates, who is doing just an extraordinary job over at the Pentagon, and General Shinseki, now Secretary Shinseki, who has served our country with extraordinary valor.

I also want to acknowledge all the wounded warriors and veterans and all those who care for them who are here today. You make us very, very proud.

To the VSO and MSO leaders who work hard on behalf of those who serve this nation, thank you for your advocacy and your hard work. As I look out in the audience, especially seeing these folks in their uniforms, I am reminded of the fact that we have the best fighting force in world history, and the reason we do is because of all of you. And so I’m very grateful for what you’ve done to protect and serve this country.

It is good to be back. We’ve had a productive week working to advance America’s interests around the world. We worked to renew our alliances to enhance our common security. We collaborated with other nations to take steps towards rebuilding the global economy, which will revitalize our own.

And before coming home, I stopped to visit with our men and women who are serving bravely in Iraq. First and foremost, I wanted to say “thank you” to them on behalf of a grateful nation. They’ve faced extraordinary challenges, and they have performed brilliantly in every mission that’s been given to them. They have given Iraq the opportunity to stand on its own as a democratic country, and that is a great gift.

You know, we often talk about ideals like sacrifice and honor and duty. But these men and women, like the men and women who are here, embody it. They have made sacrifices many of us cannot begin to imagine.

We’re talking about men like Specialist Jake Altman and Sergeant Nathan Dewitt, two of the soldiers who I had the honor to meet when I was in Baghdad. In 2007, as Specialist Altman was clearing mines so that other soldiers might travel in safety, he lost his hand when an IED struck his vehicle. And at Walter Reed, he asked to relearn the skills necessary to perform his duties with a prosthetic so that he could rejoin his old battalion. Sergeant Dewitt was severely injured in an attack last September, but he refused to let his injuries stop him from giving first aid to his wounded comrades. Today, they’re both back alongside their fellow soldiers in their old units.

And we’re talking about women like Tammy Duckworth, who I think is here -- Tammy, where are you? There you are -- a great friend who lost her legs when a rocket struck the Black Hawk helicopter she was piloting over Iraq. And when she returned home, she continued to serve her country heading the Department of Veterans Affairs in Illinois, and she serves her country still as my nominee for Assistant Secretary of the Department of Veterans Affairs.

We’re talking about heroes like all the service members and veterans of the United States Armed Forces, including the veterans who’ve joined us here today -- many who gave up much yet signed up to give more; many with their own battles still to come; all with their own stories to tell.

For their service and sacrifice, warm words of thanks from a grateful nation are more than warranted, but they aren’t nearly enough. We also owe our veterans the care they were promised and the benefits that they have earned. We have a sacred trust with those who wear the uniform of the United States of America. It’s a commitment that begins at enlistment, and it must never end.

But we know that for too long, we’ve fallen short of meeting that commitment. Too many wounded warriors go without the care that they need. Too many veterans don’t receive the support that they’ve earned. Too many who once wore our nation’s uniform now sleep in our nation’s streets.

It’s time to change all that. It’s time to give our veterans a 21st-century VA. Over the past few months we’ve made much progress towards that end, and today I’m pleased to announce some new progress.

Under the leadership of Secretary Gates and Secretary Shinseki, the Department of Defense and the Department of Veterans Affairs have taken a first step towards creating one unified lifetime electronic health record for members of our armed services that will contain their administrative and medical information -- from the day they first enlist to the day that they are laid to rest.

Currently, there is no comprehensive system in place that allows for a streamlined transition of health records between DOD and the VA. And that results in extraordinary hardship for a awful lot of veterans, who end up finding their records lost, unable to get their benefits processed in a timely fashion. I can’t tell you how many stories that I heard during the course of the last several years, first as a United States senator and then as a candidate, about veterans who were finding it almost impossible to get the benefits that they had earned despite the fact that their disabilities or their needs were evident for all to see.

Now, this would represent a huge step towards modernizing the way health care is delivered and benefits are administered for our nation’s veterans. It would cut through red tape and reduce the number of administrative mistakes. It would allow all VA sites access to a veteran’s complete military medical record, giving them the information they need to deliver high-quality care. And it would do all this with the strictest and most rigorous standards of privacy and security, so that our veterans can have confidence that their medical records can only be shared at their direction.

Now, the care that our veterans receive should never be hindered by budget delays. I’ve shared this concern with Secretary Shinseki, and we have worked together to support advanced funding for veterans’ medical care. What that means is a timely and predictable flow of funding from year to year, but more importantly, that means better care for our veterans. And I was pleased to see that the budget resolution passed by the Senate supports this concept in a bipartisan manner.

I’m also pleased that the budget resolutions adopted by both houses of Congress preserve priorities that I outlined in my budget -- priorities that will go a long way towards building that 21st-century VA that we’re looking for. The 2010 budget includes the largest single-year increase in VA funding in three decades. And all told, we will increase funding by $25 billion over the next five years.

This budget doesn’t just signify increased funding for the VA health care program; it significantly expands coverage so that 500,000 more veterans who have previously been denied it will receive it, and it strengthens care and services across a broad range of areas.

Because the nightmares of war don’t always end when our loved ones return home, this budget also meets the mental health needs of our wounded warriors. Untold thousands of servicemen and women returning from Iraq and Afghanistan suffer from Post-Traumatic Stress Disorder or other serious psychological injury. The growing incidence of suicide among active military returning veterans is disturbing. Sometimes the deadliest wounds are the ones you cannot see, and we cannot afford to let the unseen wounds go untreated. And that’s why this budget dramatically increases funding for mental health screening and treatment at all levels. It increases the number of vet centers and mobile health clinics, expanding access to this needed care in rural areas. And it helps reduce the stigma of seeking care by adding mental health professionals to educate veterans and their families about their injuries and their options.

And because thousands of Iraq and Afghanistan veterans have suffered from Traumatic Brain Injury, one of the signature injuries of these wars, this budget improves services for cognitive injuries. And many with TBI have never been evaluated by a physician. And because such injuries can often have long-term impacts that only show up down the road, this funding will help ensure they receive the ongoing care they need.

Because we all share the shame of 154,000 veterans going homeless on any given night, this budget also funds a pilot program with not-for-profit organizations to make sure that veterans at risk of losing their homes have a roof over their heads. And we will not rest until we reach a day when not one single veteran falls into homelessness. (Applause.)

Finally, this budget recognizes that our veterans deserve something more -- an equal chance to reach for the very dream they defend. It’s the chance America gave to my grandfather, who enlisted after Pearl Harbor and went on to march in Patton’s Army. When he came home, he went to college on the GI Bill, which made it possible for him and so many veterans like him to live out their own version of the American Dream. And now it’s our turn to help guarantee this generation the same opportunity that the greatest generation enjoyed by providing every returning service member with a real chance to afford a college education. And by providing the resources to effectively implement the Post-9/11 GI Bill, that is what this budget does.

And even as we care for veterans who’ve served this country, Bob Gates has helped us design a budget that does more for our soldiers, more for their families, and more for our military. It fully protects and properly funds the increase to our Army and Marine force strength and halts reductions in the Air Force and Navy, allowing fewer deployments and more time between each. It builds on care for our wounded warriors and on our investments in medical research and development. It deepens our commitment to improve the quality of life for military families -- military child care, spousal support, and education -- because they’re deployed when their loved one gets deployed.

On my visit to Baghdad this week, I was inspired all over again by the men and women in our armed services. They’re proud of the work they’re doing. And we are all deeply proud of them. And through their service, they are living out the ideals that stir something deep within the American character -- honor, sacrifice, and commitment to a higher purpose and to one another.

That, after all, is what led them to wear the uniform in the first place -- their unwavering belief in America. And now we must serve them as well as they’ve served us. And as long as we are fortunate to have leaders like Secretary Gates and Secretary Shinseki, and as long as I am Commander-in-Chief, I promise that we will work tirelessly to meet that mission and make sure that all those who wear this nation’s uniform know this: When you come home to America, America will be there for you.

Thank you very much, everybody. (Applause.) END 12:06 P.M. EDT

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