WEBVTT

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All across America and around the world, this

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is Veterans Radio. This is Veterans Radio. And

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now, your host for today's program, Dale Throneberry.

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Welcome to Veterans Radio. My name is Dale Throneberry,

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and we're really excited to have you here today.

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We're going to be talking about a number of different

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things. It is our benefits program, and we've

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got kind of a... mishmash of little stories that

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we're going to be talking about. We're going

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to be starting off talking about a fundraiser

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here on our local area. Then we're going to be

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talking about some VA healthcare issues that

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are going on out there. And then we're going

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to be bringing on our experts on the benefits

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side, the veteran healthcare programs out there.

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So stick around, make sure that you pay attention.

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And we've got a lot of things going, as I said,

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mentioning for you today to talk about. And before

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we can get started with the actual program, we

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have to thank our sponsors, because without our

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800 -693 -4800 or go to their website LegalHelpForVeterans

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.com. The National Veterans Business Development

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Arbor Health Care. And finally, the Irwin Prescor

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in America. and Legion Post 46, and the Vietnam

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Veterans of America, the Charles S. Kettles,

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Chapter 310, both of Ann Arbor, Michigan. Hey,

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if you'd like to support Veterans Radio, here's

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your chance. Please go to our website, veteransradio

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.org and click on the donate button. Just a reminder

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that Veterans Radio is produced by Veterans Radio

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America, a 501c3 non -profit corporation. So

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your donations would be tax deductible. Yay,

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right? All right, so thank you very much for

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your support. Moving right along. All right,

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there's an event coming up locally this coming

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Thursday, and it's all about a local resident.

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His name is Bob Arvin, and Bob was a West Point

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graduate. went to Vietnam, earned a Silver Star

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and unfortunately was killed over there. So we're

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doing a fundraiser this week and I've got two

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people from the organization. Let me make sure

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I get this right. Number one is Rebecca Euford.

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She is the past president of the West Point Parents

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Club of Michigan. And there was a documentary

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made about Bob Arvin. It's called Where the Brave

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Dare to Tread. And the producer is joining us

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also, and that's Brian Krueger. So Rebecca, I'm

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going to start off with you. Welcome to Veterans

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Radio. Thank you. Thank you very much for the

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invitation to be here. OK, so tell me what's

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coming up. Yes, on Thursday at 6 o 'clock, we

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have a reception and then a screening of the

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documentary that Brian's going to get to tell

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you about. Bob Arvin who was an Ypsilanti hometown

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hero, grew up in Ypsilanti and valedictorian

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of his high school class and headed off to West

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Point where he had a very distinguished career,

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earned a lot of awards while he was there including

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being the first captain which is sort of the

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highest ranking cadet at West Point. He graduated

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in 1965 and had a very distinguished career,

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albeit short, in the United States Army. In the

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short amount of time that he served, he made

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such an impression that West Point has built

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and named its Cadet Physical Development Center,

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which is the largest building on post 500 ,000

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square feet. It's named after Bob Arvin. So this

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guy is a real hero to our nation as well as here

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in Michigan. And this is the 60th anniversary

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of his graduation from West Point. And although

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I never knew Bob Arvin, it has been my honor

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to get to know some of his remarkable classmates

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from West Point. And I just wanted to do what

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we could at the West Point Parent Club of Michigan

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to make sure this story is told again for another

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generation. Well, it's an amazing story. And

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the documentary was made by Brian Krueger. Brian,

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welcome to Veterans Radio. Thanks, Dale. Thanks

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for having me on the show. Thank you for being

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here. This guy is really a unique. Was a really

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unique young man In addition to being you know,

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a local hometown boy makes good kind of story

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As even as a result of his his dying the legacy

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has continued on and that's where you come in

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because can you tell me a little bit about What

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you know of Bob and also your documentary? Yeah,

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so I also grew up in Ypsilanti and lived in Ypsilanti

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up until 1977 when my family moved to Chelsea.

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So I went to the same high school as Bob, and

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10 years later, after coming back from Chelsea,

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going to Eastern Michigan and becoming a teacher,

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I taught at Ypsilanti High School as well. So

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I have that in common with Bob. And over the

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years, when I started my company in Buddy Morehouse

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and I, my writer, we started to make documentaries.

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We were approached by Kirk Prophet and Roy Wilbanks

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and some others who, and Roy Wilbanks knew and

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wrestled with Bob Arvin at Ypsilanti High School

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and Tino Lambros and some of Bob's friends. And

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they approached me, they were part of the Bob

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Arvin Foundation, which for years had raised

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money for Bob Arvin, for the Bob Arvin Foundation

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to give scholarship money to deserving high school

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students in the area. It was really successful.

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Over 100 kids received scholarship money in Bob's

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honor. Anyway, Kurt approached me and Roy Wilbanks,

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Tino Lambrose said, hey, you've been making a

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lot of documentaries, some about Ypsilanti and

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a lot about Michigan. Why don't you make something

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about Bob? And at the time, I was involved in

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a film about Art Daris, Pinky Daris, out in Hamtramck.

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And I thought, well, let me revisit this when

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I'm done with this. And I revisited it. And I

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almost didn't start it until I started thinking

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about the fact that you start losing these guys.

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over the years. And these guys are starting to

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get on and age a little bit. And I started to

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look more and more into Bob's story. And if you

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peel back the onion in Ipsy, it doesn't take

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too many layers to find Bob's story. So I started

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in on that project. And I'm so glad I did. Because

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it was about, I think it was 2015 I started on

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the project. And when you make a documentary

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like this, you get really involved in the community.

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and the people of whoever the subject is you're

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doing the movie on. And it has been an absolute

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honor to be involved with the people from West

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Point, starting with Walter Orline, who's been

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a huge part of making all of this go forward.

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So we made this film and I made it. That's the

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most unique movie I've ever made. It's a lot

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of the documentaries I made. I've had I've had

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them on PBS before and I major league baseball

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network. This one was a little different. I crafted

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this film for two audiences specifically. The

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one audience was for all of my friends in Ypsilanti

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and all of Bob's friends in Ypsilanti who knew

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him as the class president, the nicest guy in

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class, the head of the debate team in drama club,

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quarterback of the football team, all around

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kid and valedictorian. They knew that story and

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they knew that Bob. Then they went off to West

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Point. And the guys in Ypsilanti didn't really

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know much about Bob and West Point and Vietnam

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until unfortunately he was killed in 1967. So

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I made it for the group of Ypsilanti people to

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know Bob, to appreciate Bob. But I also made

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it for the West Point guys. So when Bob gets

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to West Point, they knew that he came from this

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goofy town that some of them couldn't pronounce.

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So it says, what's Ypsilanti? So I sort of made

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it for the West Point guys to understand Bob's

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Ypsilanti years. And I made it for the Ypsilanti

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crowd to understand his West Point years. And

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it's worked really well on that level. However,

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we started showing it around to high schools

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and to some communities outside of Ypsilanti

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and the story resonated. So when the movie came

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out, we donated a DVD to every library in the

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state of Michigan, to every public library in

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the state of Michigan through generous foundations

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that were all spearheaded by Walter Orline. But

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over the years, and really in the past, unfortunately,

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five years or so. I always audit where my movies

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end up. The libraries had either lost the DVDs

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or they had been destroyed. Just DVDs, they can

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disappear, they can be wrecked and all. So I'm

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going back through to all 397 library organizations,

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and there's over 600 libraries, but a lot of

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them are parts of organizations. I want to go

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through and make it available for streaming to

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all libraries in perpetuity. So this will be

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something that won't go bad, and they can always

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use it. And whoever goes into whatever library

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in the state of Michigan, they too can learn

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the story of Captain C. Robert Arvin, Captain

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Bob Arvin. So that's what this fundraiser is

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for on Thursday, is to try to create awareness

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for folks who want to donate to that, to get

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this film in all of the public libraries in the

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state of Michigan. And it's not just the streaming

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of the film, but it's also ancillary products

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from the film, telegrams, images, letters that

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didn't make the film cut, but are also part of

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that package. And it's really just to try to

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get Bob Arvin's name always solidified in the

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minds and the hearts of people of not only Ypsilanti,

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but the state of Michigan. And unfortunately,

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I think if I stopped 100 people in Ypsilanti

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right now and asked them who Bob Arvin was, maybe

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if I got five people, to know who he was, I would

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be amazed. And I want to change that. So that's

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what this is about. Well, that's a great worthwhile

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thing. And for those of us that live in the area,

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there was a VFW over there. It was a Bob Arvin

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VFW. But unfortunately, like many other veterans

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organizations, we're starting to lose our members

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really rapidly. And it was forced to close. But

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the film itself is beautiful. Brian, I just want

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to make sure that I got that out. He uses drones

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like you wouldn't believe. These things are so

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cool. I mean, wherever you are in the country,

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this is the point I'm trying to make here, is

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that Bob Arvin is the classic, you know, kid

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from high school that's successful and you know

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is the valedictorian the coat you know the quarterback

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all these other things goes off to west point

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does exactly the same thing he's the you know

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the head guy of his class now he's got a building

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them you get a building named after you at west

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point that means you did something really special

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yeah when all the other buildings are named after

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guys like purging and eisenhower and grant things

00:12:49.240 --> 00:12:51.799
like that and then you've got the the arvin building

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which is the largest building on campus that

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turns your head a bit, and that makes you say,

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who was this guy? And that's why I think it's

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important for people of Ypsilanti to know that

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as well. But you're right. I got to tell you

00:13:05.840 --> 00:13:10.000
though, as astonished I was about Bob and everywhere

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I turned, and those guys would be about 80 years

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old now. And like a lot of West Point, Grads

00:13:17.659 --> 00:13:19.720
over the years. They end up being captains of

00:13:19.720 --> 00:13:21.539
industry, you know So I found a lot of them in

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fortune 500 companies in the c -suites and all

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and to a man and a woman they would say that

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had Bob lived it They are just completely convinced

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that he would have been president of the United

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States. He was that guy he had he not only Drew

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the respect of everyone but he respected everyone

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and and that's that's sometimes a really really

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hard combination to get But I'll tell you one

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more thing. As astonished as I was with Bob,

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when I got to West Point and I got to meet all

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the cadets, not all the cadets, but a lot of

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the cadets at West Point, my wife and I were

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honored to be able to watch some of the parades.

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We sat in the superintendent's suite and watched

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it in the morning and watched all these cadets.

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When I met all of the cadets that I met, they're

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like Bob. So while Bob was very, very exceptional,

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the cadets at West Point are amazingly amazingly

00:14:16.339 --> 00:14:18.299
exceptional. And if you don't walk out of there

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more patriotic than when you walked in, there's

00:14:20.360 --> 00:14:22.960
something wrong with you. Well, that's a point.

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So now we want everybody to walk into the theater

00:14:26.100 --> 00:14:29.639
on Thursday night, which is the 8th. And where

00:14:29.639 --> 00:14:31.440
is it going to be, Rebecca? Where is this being

00:14:31.440 --> 00:14:35.980
held? At the Canton Imagine Theater on Ford Road.

00:14:37.299 --> 00:14:42.139
Yeah, it's easy to find. Imagine with an E. Imagine

00:14:42.139 --> 00:14:48.250
theater. Yeah, and I want to say that that Arvin's

00:14:48.250 --> 00:14:51.389
inspiration, you know, I got connected to this

00:14:51.389 --> 00:14:53.610
also through Walter Orline a couple of years

00:14:53.610 --> 00:14:57.750
ago. I was working an event and Walter stepped

00:14:57.750 --> 00:15:02.649
in and was very, very supportive there. And really

00:15:02.649 --> 00:15:06.610
it was through getting to know some of Bob Arvin's

00:15:06.610 --> 00:15:08.409
remarkable classmates that I've been motivated

00:15:08.409 --> 00:15:11.860
to you know, try to get this going. But one thing

00:15:11.860 --> 00:15:14.159
that has never been seen before that we're going

00:15:14.159 --> 00:15:17.320
to show at the very end of this is the connection

00:15:17.320 --> 00:15:22.620
to the Long Gray Line. If you have any experience

00:15:22.620 --> 00:15:26.960
with West Point, you know that once a cadet graduates,

00:15:27.039 --> 00:15:30.120
they enter the Long Gray Line. So I have a son

00:15:30.120 --> 00:15:33.460
who graduated in 2022. He's now a member of the

00:15:33.460 --> 00:15:39.809
Long Gray Line. And the current Michigan cadets

00:15:39.809 --> 00:15:44.070
have a message for everyone that will be attending

00:15:44.070 --> 00:15:48.509
on Thursday. So I think it's just a great sort

00:15:48.509 --> 00:15:52.029
of connection and shows really that Bob Arvin's

00:15:52.029 --> 00:15:56.389
spirit is still with us today and inspiring.

00:15:56.769 --> 00:16:00.870
Yeah. Okay. Well, I think that we couldn't promote

00:16:00.870 --> 00:16:03.029
it any more than that. So we encourage people

00:16:03.029 --> 00:16:05.549
from all over Southeast Michigan, Northern Ohio,

00:16:05.730 --> 00:16:07.889
wherever you are, to come on over to Canton,

00:16:07.889 --> 00:16:11.350
Michigan to the Imagine Theater at six o 'clock

00:16:11.350 --> 00:16:17.389
on Thursday, the eighth of May to see the documentary

00:16:17.389 --> 00:16:19.929
called Where the Brave Dare to Tread, the Bob

00:16:19.929 --> 00:16:22.289
Arvin story. And I want to thank you both very

00:16:22.289 --> 00:16:24.610
much for coming. And maybe I'll see you there

00:16:24.610 --> 00:16:27.259
Thursday night. Thank you, Dale. And also, if

00:16:27.259 --> 00:16:29.799
I could mention one more thing. If you can't

00:16:29.799 --> 00:16:32.409
make the film... or the screening, but you'd

00:16:32.409 --> 00:16:35.269
like to donate to this cause, you can go to bobarvin

00:16:35.269 --> 00:16:39.610
.org. It's a website and you can learn all about

00:16:39.610 --> 00:16:42.629
Bob there. The images, the story, when he was

00:16:42.629 --> 00:16:46.330
at Vietnam, before he was at Vietnam. It's an

00:16:46.330 --> 00:16:48.570
interesting website and you can also donate to

00:16:48.570 --> 00:16:51.450
the cause. There's a donate to libraries button

00:16:51.450 --> 00:16:53.669
on every page. Just scroll down and you'll find

00:16:53.669 --> 00:16:56.389
it and you can make a donation to this cause

00:16:56.389 --> 00:17:00.200
as well and that's bobarvin .org. Okay. Thank

00:17:00.200 --> 00:17:03.159
you both very much. Thank you. Thanks for having

00:17:03.159 --> 00:17:06.740
us. All right. We're going to take a real quick

00:17:06.740 --> 00:17:10.680
break right now and play our Medal of Honor segment.

00:17:10.779 --> 00:17:13.299
And then when we come back, we are going to be

00:17:13.299 --> 00:17:19.180
talking with Russell Lemuel or Suzanne Gordon.

00:17:19.240 --> 00:17:20.599
And they're going to be talking about what's

00:17:20.599 --> 00:17:24.019
going on between the VA and private health care.

00:17:24.299 --> 00:17:26.480
So that's our message next. So stick around.

00:17:26.559 --> 00:17:29.759
You're listening to Veterans Radio. The Medal

00:17:29.759 --> 00:17:31.859
of Honor is the highest award for valor in combat

00:17:31.859 --> 00:17:33.680
given a member of the Armed Forces of the United

00:17:33.680 --> 00:17:36.640
States. There had been over 3 ,400 recipients

00:17:36.640 --> 00:17:39.859
of the nation's highest award. This is one of

00:17:39.859 --> 00:17:42.819
them. Chaplain Joseph O 'Callaghan administered

00:17:42.819 --> 00:17:46.160
to the wounded and dying, led firefighting crews,

00:17:46.500 --> 00:17:48.559
and directed the jettisoning of live ammunition

00:17:48.559 --> 00:17:53.390
from his stricken ship. Details after this. If

00:17:53.390 --> 00:17:55.710
you have a VA claim denied by the Board of Veterans'

00:17:55.910 --> 00:17:58.049
Appeals, contact Legal Help for Veterans at 1

00:17:58.049 --> 00:18:02.369
-800 -693 -4800. They're experts in handling

00:18:02.369 --> 00:18:04.670
cases before the U .S. Court of Appeals for Veterans'

00:18:04.910 --> 00:18:08.849
claims. Their number again, 1 -800 -693 -4800.

00:18:09.450 --> 00:18:11.950
Why do I serve in the U .S. Navy? For freedom.

00:18:12.309 --> 00:18:14.849
Freedom of religion. What America stands for.

00:18:15.049 --> 00:18:17.470
Why do I serve in the U .S. Navy? For honor.

00:18:17.809 --> 00:18:20.099
Everybody. and watch out for everybody. Freedom

00:18:20.099 --> 00:18:23.619
to vote. Democracy. Freedom to go outside and

00:18:23.619 --> 00:18:25.980
play with my kids. I joined the Navy to serve

00:18:25.980 --> 00:18:28.599
my country. Every freedom that we have. The right

00:18:28.599 --> 00:18:31.079
to raise our kids in peace. My little brother.

00:18:31.319 --> 00:18:34.220
My wife. My kids. Our children's children. The

00:18:34.220 --> 00:18:36.859
United States Navy. It's not for ourselves alone

00:18:36.859 --> 00:18:39.779
that we serve. O 'Callaghan was serving as chaplain

00:18:39.779 --> 00:18:42.599
on board the USS Franklin when that vessel was

00:18:42.599 --> 00:18:44.720
fiercely attacked by enemy Japanese aircraft.

00:18:45.539 --> 00:18:47.779
Calmly braving the barriers of fire and twisted

00:18:47.779 --> 00:18:50.859
metal to aid his men and his ship, O 'Callaghan

00:18:50.859 --> 00:18:52.680
groped his way through smoke -filled quarters

00:18:52.680 --> 00:18:55.279
to the open flight deck and into the midst of

00:18:55.279 --> 00:18:57.839
violently exploding bombs, shells, rockets and

00:18:57.839 --> 00:19:01.059
other armament. With the ship rocked by incessant

00:19:01.059 --> 00:19:03.400
explosions, with debris and fragments raining

00:19:03.400 --> 00:19:05.900
down and fires raging in ever -increasing fury,

00:19:06.460 --> 00:19:08.839
he ministered to the wounded and dying, comforting

00:19:08.839 --> 00:19:11.819
and encouraging men of all faiths. He organized

00:19:11.819 --> 00:19:14.279
and led firefighting crews into the blazing inferno

00:19:14.279 --> 00:19:16.940
on the flight deck. He directed the jettisoning

00:19:16.940 --> 00:19:19.599
of live ammunition and the flooding of the magazine.

00:19:20.480 --> 00:19:23.279
He manned a hose to cool hot armed bombs rolling

00:19:23.279 --> 00:19:25.880
dangerously on the listing deck, continuing his

00:19:25.880 --> 00:19:28.339
efforts despite searing, suffocating smoke which

00:19:28.339 --> 00:19:31.440
forced men to fall back gasping. O 'Callaghan

00:19:31.440 --> 00:19:33.299
inspired the officers and men of the Franklin

00:19:33.299 --> 00:19:36.059
to fight heroically and with profound faith in

00:19:36.059 --> 00:19:38.500
the face of almost certain death and to return

00:19:38.500 --> 00:19:41.119
their stricken ship to port. The Medal of Honor

00:19:41.119 --> 00:19:44.720
series is a production of Veterans Radio. Military

00:19:44.720 --> 00:19:47.019
veterans touch everyone's life. I'm guessing

00:19:47.019 --> 00:19:49.619
right now you're thinking of a veteran, a close

00:19:49.619 --> 00:19:53.519
friend, relative. Maybe it's you. Even the toughest

00:19:53.519 --> 00:19:56.099
of us sometimes need help but don't know where

00:19:56.099 --> 00:19:58.660
to turn for support. You don't need special training

00:19:58.660 --> 00:20:00.960
to help a veteran in your life. We can all help

00:20:00.960 --> 00:20:03.180
someone going through a difficult time. Learn

00:20:03.180 --> 00:20:06.720
how you can be there for veterans. Visit veteranscrisisline

00:20:06.720 --> 00:20:10.839
.net. Veteranscrisisline .net. a message from

00:20:10.839 --> 00:20:17.140
the U .S. Department of Veterans Affairs. And

00:20:17.140 --> 00:20:20.220
we're back here on Veterans Radio. I don't know

00:20:20.220 --> 00:20:23.240
where all of you get your information about what's

00:20:23.240 --> 00:20:25.519
going on in the military or what's going on in

00:20:25.519 --> 00:20:30.140
the VA, but I get this feed every day, it seems

00:20:30.140 --> 00:20:33.460
like, from an organization called military .com.

00:20:33.940 --> 00:20:37.779
And there was an article in there just this last

00:20:37.779 --> 00:20:41.519
week that was talking about some of the problems

00:20:41.519 --> 00:20:45.059
that the VA is having, of course, with what's

00:20:45.059 --> 00:20:47.619
going on out there, because people don't really

00:20:47.619 --> 00:20:49.579
know exactly what is going to happen with the

00:20:49.579 --> 00:20:54.380
VA in the near future. But anyway, the issue

00:20:54.380 --> 00:20:57.920
was with the community health plan, where the

00:20:57.920 --> 00:21:02.220
director of the VA wants to, I don't know what

00:21:02.220 --> 00:21:04.960
you want to call it, shift more of the care for

00:21:04.960 --> 00:21:08.220
veterans into private networks. And so we brought

00:21:08.319 --> 00:21:11.220
two people on that wrote an article about this,

00:21:11.380 --> 00:21:14.460
and they are from the Veterans Healthcare Policy

00:21:14.460 --> 00:21:17.119
Institute, which is a nonpartisan think tank.

00:21:17.259 --> 00:21:20.099
We've got Suzanne Gordon, who is a senior policy

00:21:20.099 --> 00:21:23.559
analyst, and Russell, can you pronounce your

00:21:23.559 --> 00:21:27.559
last name, Russell? Happy to, it's Lemley. Lemley,

00:21:27.799 --> 00:21:30.279
okay, Russell Lemley, he's also a senior policy

00:21:30.279 --> 00:21:33.700
analyst. I want to welcome you both to the program,

00:21:33.859 --> 00:21:37.279
Suzanne and Russell. Well, we're delighted to

00:21:37.279 --> 00:21:41.380
be here. Thanks so much for the invite Okay So

00:21:41.380 --> 00:21:45.119
Suzanne, I wanted to ask you the about the article

00:21:45.119 --> 00:21:48.660
about what you feel like is happening at the

00:21:48.660 --> 00:21:53.779
VA now with their possible shift in care Well,

00:21:53.880 --> 00:21:56.380
I'm gonna I'm gonna bat that over to Russell

00:21:56.380 --> 00:21:59.119
and and then I'll I'll talk afterwards because

00:21:59.119 --> 00:22:03.559
I think he has led this project I'm looking at

00:22:03.529 --> 00:22:07.809
the argument that the VA Secretary Doug Collins

00:22:07.809 --> 00:22:11.609
is starting to make that the Veterans Community

00:22:11.609 --> 00:22:15.230
Care Program that was started by the VA Mission

00:22:15.230 --> 00:22:18.170
Act to outsource care to the private sector is

00:22:18.170 --> 00:22:21.930
now more cost -effective and often, and he would

00:22:21.930 --> 00:22:25.170
say, maybe even quality -effective than the VA.

00:22:25.630 --> 00:22:29.329
And I sort of think Russell should begin the

00:22:29.329 --> 00:22:32.779
conversation. I'll be glad to chime in. Even

00:22:32.779 --> 00:22:37.779
though my name is easier to pronounce. Yes, it

00:22:37.779 --> 00:22:40.220
is. Thank you. All right, Russell, let me tell

00:22:40.220 --> 00:22:43.140
the audience. Yeah, I think there's a couple

00:22:43.140 --> 00:22:45.720
ways to kind of dive into your question because

00:22:45.720 --> 00:22:50.079
one has to do with out of the attempt to create

00:22:50.079 --> 00:22:53.539
what are quote unquote more efficiencies at the

00:22:53.539 --> 00:22:59.079
VA. There's a plan. underway to cut 80 ,000 positions

00:22:59.079 --> 00:23:02.579
from the entire department, and we can assume

00:23:02.579 --> 00:23:05.299
tens of thousands of those in the Veterans Health

00:23:05.299 --> 00:23:08.220
Administration. The exact number of those hasn't

00:23:08.220 --> 00:23:12.500
been revealed yet, but 80 ,000 positions overall.

00:23:14.099 --> 00:23:16.519
So part of it is we can think what happens to

00:23:16.519 --> 00:23:20.319
care that's delivered after those cuts happen,

00:23:20.740 --> 00:23:23.339
and that's part of your question. And then there's

00:23:23.339 --> 00:23:26.359
other ways of thinking about the same issue,

00:23:26.640 --> 00:23:31.079
which is kind of the deliberate attempt to shift

00:23:31.079 --> 00:23:34.940
more of healthcare out of the VA and into the

00:23:34.940 --> 00:23:38.140
private sector, which is even independent of

00:23:38.140 --> 00:23:40.240
whether or not there is 80 ,000 positions cut

00:23:40.240 --> 00:23:42.960
or not, because Suzanne and I have been documenting

00:23:42.960 --> 00:23:47.640
this actually for going on nine years where we've

00:23:47.640 --> 00:23:52.119
seen a 15 to 20 percent increase in the private

00:23:52.119 --> 00:23:56.799
sector budget of handling kind of healthcare

00:23:56.799 --> 00:23:59.819
for veterans. And that increase has continued

00:23:59.819 --> 00:24:03.119
unabated really for many years. So this is just

00:24:03.119 --> 00:24:05.059
continuing a trend that's already been well underway.

00:24:07.000 --> 00:24:10.700
Well, the issue I guess that I got from your

00:24:10.700 --> 00:24:14.759
article in military .com was that the... you

00:24:14.759 --> 00:24:17.799
know, the Community Access Act is, you know,

00:24:17.799 --> 00:24:20.339
it's not a bad idea. It's for the veterans who

00:24:20.339 --> 00:24:24.220
cannot get to their local VA hospital, you know,

00:24:24.279 --> 00:24:26.299
all the time, because, you know, there aren't

00:24:26.299 --> 00:24:28.619
hundreds and hundreds of VA hospitals out there.

00:24:29.000 --> 00:24:31.000
But the thing that looks like what you're pointing

00:24:31.000 --> 00:24:34.019
out is that it actually is going to cost more.

00:24:34.500 --> 00:24:37.519
Right. Yeah. So they go to private physicians.

00:24:38.380 --> 00:24:40.680
Yeah, I totally agree with both parts of what

00:24:40.680 --> 00:24:44.269
you're saying. So we start acknowledging that

00:24:44.269 --> 00:24:47.250
community care is a necessary supplement to what

00:24:47.250 --> 00:24:50.289
the VA offers. What many people don't realize

00:24:50.289 --> 00:24:54.410
is that's been true for almost the entire history

00:24:54.410 --> 00:24:58.089
of the VA. It used to be called P -Basis before

00:24:58.089 --> 00:25:02.349
2014 and it morphed into being called Choice

00:25:02.349 --> 00:25:05.170
and then into what it's called now in terms of

00:25:05.170 --> 00:25:09.019
community care. So there's always been that option

00:25:09.019 --> 00:25:12.819
for veterans that live too far away or it would,

00:25:14.119 --> 00:25:17.079
a service that they need is not available, either

00:25:17.079 --> 00:25:20.059
at all or in a very timely way. What's happened

00:25:20.059 --> 00:25:26.180
instead is something in terms of the outsourcing

00:25:26.180 --> 00:25:30.000
and referral to the community, which is necessary,

00:25:30.359 --> 00:25:35.509
is beginning to... increase at such a rapid rate

00:25:35.509 --> 00:25:39.549
is that it essentially threatens the future of

00:25:39.549 --> 00:25:42.650
the VA as it now exists. And your second point,

00:25:42.730 --> 00:25:45.329
which is that it's been well documented that

00:25:45.329 --> 00:25:48.049
the quality of care that's offered in the VA

00:25:48.049 --> 00:25:51.029
is as good or better than what's offered in the

00:25:51.029 --> 00:25:53.529
community for the vast majority of conditions

00:25:53.529 --> 00:25:57.069
in which veterans are referred. If we look at

00:25:57.069 --> 00:26:00.609
the serious outcomes around 30 -day mortality,

00:26:01.599 --> 00:26:07.180
for veterans who are treated in community facilities

00:26:07.180 --> 00:26:10.140
versus VA is that the VA has come out better

00:26:10.140 --> 00:26:12.880
and that's well documented in the piece that

00:26:12.880 --> 00:26:17.460
you just cited. So the quality metrics is that

00:26:17.460 --> 00:26:20.059
the VA just as consistently as good or better

00:26:20.059 --> 00:26:24.839
and then if you look at cost is that over half

00:26:24.839 --> 00:26:29.059
a dozen different conditions from cardiac conditions

00:26:29.059 --> 00:26:33.920
and surgeries to insomnia and many other medical

00:26:33.920 --> 00:26:36.539
conditions is that when you do a head -to -head

00:26:36.539 --> 00:26:39.119
comparison, is that the cost in the community

00:26:39.119 --> 00:26:42.359
tends to be higher in part because there are

00:26:42.359 --> 00:26:48.039
more procedures and more appointments and more

00:26:48.039 --> 00:26:50.900
hospitalizations and so forth that are questionable

00:26:50.900 --> 00:26:53.140
in terms of whether they're needed. But since

00:26:53.140 --> 00:26:55.450
they are reimbursed, there's an incentive in

00:26:55.450 --> 00:26:58.309
the community to offer kind of more care that

00:26:58.309 --> 00:27:03.210
costs more. And can I ask, when they are reimbursed,

00:27:03.329 --> 00:27:05.769
I'm not familiar because I'm fortunate enough

00:27:05.769 --> 00:27:08.950
that I don't need to, you know, go outside the

00:27:08.950 --> 00:27:13.869
VA health care system at all. But is there anything

00:27:13.869 --> 00:27:17.990
that that limits what an outside physician can

00:27:17.990 --> 00:27:23.450
charge for whatever it is? Versus or is it or

00:27:23.450 --> 00:27:26.269
do they just submit their bill and there's no

00:27:26.269 --> 00:27:29.930
negotiation back and forth? You know the short

00:27:29.930 --> 00:27:32.509
answer for that and Suzanne obviously pick up

00:27:32.509 --> 00:27:37.230
to augment is that yes, there is definitely a

00:27:37.230 --> 00:27:42.890
a Cost that is already determined for a certain

00:27:42.890 --> 00:27:46.769
procedure what there is not a limit on though

00:27:46.769 --> 00:27:50.890
is what it is that you bill for, how many times

00:27:50.890 --> 00:27:53.490
you bill. In other words, that kind of utilization

00:27:53.490 --> 00:27:56.690
review is not contained, even though an individual

00:27:56.690 --> 00:27:59.769
procedure has a known reimbursement attached

00:27:59.769 --> 00:28:01.230
to it, which is, I think, what your question

00:28:01.230 --> 00:28:04.250
was. Yeah, it's sort of like, you know, if you

00:28:04.250 --> 00:28:07.890
go to the doctor and you have Blue Cross, Blue

00:28:07.890 --> 00:28:10.990
Cross will only pay the doctor X amount for whatever

00:28:10.990 --> 00:28:14.170
it is, that treatment. And I was wondering if

00:28:14.170 --> 00:28:18.019
the VA does the same thing. Yes, Suzanne, is

00:28:18.019 --> 00:28:20.359
there anything you want to add to that? Can you

00:28:20.359 --> 00:28:24.400
hear me? Yeah, we can. You're a little bit low.

00:28:25.920 --> 00:28:31.279
Yeah, I think there's a couple issues here that

00:28:31.279 --> 00:28:34.819
Russell was trying to articulate. So let me give

00:28:34.819 --> 00:28:40.359
you an example. Although there are limits to

00:28:40.359 --> 00:28:42.859
the rates that these private sector providers

00:28:42.859 --> 00:28:46.700
are paid, which is essentially Medicare rates,

00:28:46.970 --> 00:28:50.430
There's no real utilization review, as there

00:28:50.430 --> 00:28:54.309
are in other systems, of what they can recommend

00:28:54.309 --> 00:29:00.549
or what procedures they deliver. So, for example,

00:29:01.890 --> 00:29:05.109
you know, veterans, the biggest form of cancer

00:29:05.109 --> 00:29:09.009
that veterans have is prostate cancer. The standard

00:29:09.009 --> 00:29:13.029
of care for what is called clinically insignificant

00:29:13.029 --> 00:29:16.589
prostate cancer which is, you know, essentially

00:29:16.589 --> 00:29:18.569
prostate cancer that's not going to kill you.

00:29:18.630 --> 00:29:21.089
You're more likely to get hit by a bus or die

00:29:21.089 --> 00:29:24.329
of pneumonia than prostate cancer. The standard

00:29:24.329 --> 00:29:27.490
recommended treatment of care is what we call

00:29:27.490 --> 00:29:30.910
watchful waiting. That means you just monitor,

00:29:30.910 --> 00:29:36.309
you know, PSA levels and so forth. In the VA,

00:29:36.829 --> 00:29:39.509
studies have documented it's actually the only

00:29:39.509 --> 00:29:43.279
healthcare system in America that uses standard

00:29:43.279 --> 00:29:45.940
of care and if you are Joe Smith and you have

00:29:45.940 --> 00:29:50.099
prostate cancer because of Agent Orange or whatever,

00:29:51.480 --> 00:29:54.019
you know, and you go to the VA and it's clinically

00:29:54.019 --> 00:29:56.900
insignificant, they will monitor it. If you go

00:29:56.900 --> 00:29:59.500
to the private sector through the Veterans Community

00:29:59.500 --> 00:30:04.619
Care Program, they are much more likely to give

00:30:04.619 --> 00:30:08.680
you invasive radiation treatment or even surgery.

00:30:08.960 --> 00:30:12.779
Now, and that's not because it's better for you,

00:30:12.900 --> 00:30:15.640
it's because it's better for their bottom line.

00:30:16.059 --> 00:30:20.700
That is actually unethical and really a patient

00:30:20.700 --> 00:30:24.000
safety violation, but that is standard in the

00:30:24.000 --> 00:30:28.359
private sector because it's more lucrative. Ditto,

00:30:28.539 --> 00:30:35.880
if you go with a shoulder, knee, hip pain issue,

00:30:36.200 --> 00:30:40.519
you're much more likely to get expensive surgery

00:30:40.519 --> 00:30:43.900
than you are at the VA where you're more likely

00:30:43.900 --> 00:30:49.619
to get PT. And this is in part because there's

00:30:49.619 --> 00:30:53.819
no utilization review and because the financial

00:30:53.819 --> 00:30:57.700
incentives in the private sector are profit -driven,

00:30:57.920 --> 00:31:00.619
not mission -driven, and the financial incentives

00:31:00.619 --> 00:31:04.460
in the VA are mission driven, not profit driven.

00:31:04.740 --> 00:31:07.759
There's absolutely no reason for a surgeon in

00:31:07.759 --> 00:31:14.319
the VA, you know, who is paid by salary to recommend

00:31:14.319 --> 00:31:18.359
an unnecessary operation. It does not go, it

00:31:18.359 --> 00:31:22.480
does not enhance his income whatsoever. And I

00:31:22.480 --> 00:31:25.240
think veterans need to understand this, you know,

00:31:25.599 --> 00:31:28.720
because it's, you know, we have a tendency, I

00:31:28.720 --> 00:31:31.710
think, all of us to think the grass is greener

00:31:31.710 --> 00:31:37.329
somewhere else. And it's not, and very often,

00:31:37.809 --> 00:31:40.670
and while not every private sector provider does

00:31:40.670 --> 00:31:43.650
this, but there's just a financial incentive

00:31:43.650 --> 00:31:48.349
in the private sector to do more. You know, give

00:31:48.349 --> 00:31:51.250
you unnecessary treatments, unnecessary medication.

00:31:52.269 --> 00:31:56.609
Private sector cancer doctors mark up their chemotherapy

00:31:56.609 --> 00:32:00.190
drugs. They're allowed to. So if they have a

00:32:00.190 --> 00:32:03.089
financial incentive to give you that extra round

00:32:03.089 --> 00:32:06.410
of futile chemotherapy, because they make money

00:32:06.410 --> 00:32:09.009
not only for administering the drug, but from

00:32:09.009 --> 00:32:14.009
a markup for the drug. Well, you know, that's

00:32:14.009 --> 00:32:15.930
that's kind of discouraging when you when you

00:32:15.930 --> 00:32:18.549
think about that. But as you were talking to

00:32:18.549 --> 00:32:21.910
us, you know, at our particular VA, we have an

00:32:21.910 --> 00:32:25.470
agreement with the University of Michigan. You

00:32:25.470 --> 00:32:28.119
know, they they come and they they handle a lot

00:32:28.119 --> 00:32:31.140
of the specialties. And I know many VA hospitals

00:32:31.140 --> 00:32:39.359
work that way. So we don't get experimented on,

00:32:39.859 --> 00:32:42.900
I don't think. I never felt that way. The one

00:32:42.900 --> 00:32:46.460
thing about the VA healthcare system that I found

00:32:46.460 --> 00:32:50.619
is that it is so specific to the veteran community.

00:32:51.000 --> 00:32:54.200
you know, they know our tendencies, they know

00:32:54.200 --> 00:32:58.900
that many of us have very similar issues, whether

00:32:58.900 --> 00:33:02.079
they're results of injuries, you know, during

00:33:02.079 --> 00:33:05.319
combat or if they're post -traumatic stress disorders

00:33:05.319 --> 00:33:10.039
and so on and so forth, that maybe the outside

00:33:10.039 --> 00:33:13.519
world cannot, doesn't treat quite as effectively.

00:33:13.779 --> 00:33:18.200
Does that make sense? He's the one of you. Yeah,

00:33:18.259 --> 00:33:21.019
I mean, Russell can speak to this in mental health

00:33:21.019 --> 00:33:25.259
very adequate. I mean, effectively, I mean, if

00:33:25.259 --> 00:33:28.640
100 % of your patient population is veterans,

00:33:29.480 --> 00:33:32.000
then you're going to find out a lot about veterans

00:33:32.000 --> 00:33:35.240
in order to care for them. In the private sector,

00:33:35.240 --> 00:33:39.339
under the VCCP or any other plan, veterans would

00:33:39.339 --> 00:33:43.599
represent something like 3 % of the patient population

00:33:43.599 --> 00:33:47.630
of a one to actually probably one to 5 % of the

00:33:47.630 --> 00:33:50.390
patient population of an average like, you know,

00:33:50.690 --> 00:33:52.849
primary care doctor specialist. So that means

00:33:52.849 --> 00:33:57.150
that that oncologist or part doctor or primary

00:33:57.150 --> 00:33:59.509
care doctor might have five veteran patients

00:33:59.509 --> 00:34:04.029
or maybe 100 veteran patients out of 2100. And

00:34:04.029 --> 00:34:06.910
it's just, it doesn't make sense. They're very

00:34:06.910 --> 00:34:10.289
overburdened the way they are. And it just doesn't

00:34:10.289 --> 00:34:13.510
make sense for them to dedicate the hour after

00:34:13.510 --> 00:34:16.550
hour after hour that someone like Russell who

00:34:16.550 --> 00:34:19.389
worked in the VA taking care of veterans dedicated.

00:34:19.809 --> 00:34:23.429
I mean, for five patients or 100 patients, I

00:34:23.429 --> 00:34:26.889
mean, and I mean, I think Russell can talk really

00:34:26.889 --> 00:34:30.210
effectively about, you know, the mental health

00:34:30.210 --> 00:34:33.829
conditions that I think it's over 50 % of veterans

00:34:33.829 --> 00:34:39.710
have, and there's absolutely no requirement that.

00:34:39.840 --> 00:34:43.219
you know, non -VA mental health providers paid

00:34:43.219 --> 00:34:46.400
for by our tax dollars to take care of veterans.

00:34:46.800 --> 00:34:49.139
There's no requirement that they learn anything

00:34:49.139 --> 00:34:51.840
about, you know, veterans' mental health conditions,

00:34:51.860 --> 00:34:55.320
which, you know, Russell spent 37 years or 38

00:34:55.320 --> 00:34:59.000
years learning how to deal with. Well, that is

00:34:59.000 --> 00:35:01.039
true, because, Russell, I didn't get a chance

00:35:01.039 --> 00:35:03.179
to mention that you worked for the San Francisco

00:35:03.179 --> 00:35:06.699
VA health care system as a chief psychologist.

00:35:07.119 --> 00:35:10.090
So I guess you know a little bit about treating

00:35:10.090 --> 00:35:15.630
mental health issues for veterans. I guess I

00:35:15.630 --> 00:35:18.710
guess my question for the for the two of you

00:35:18.710 --> 00:35:21.289
could kind of wrap it up is that, you know, we

00:35:21.289 --> 00:35:24.630
really want to encourage our veterans to utilize

00:35:24.630 --> 00:35:27.869
the VA health system. Otherwise, they will find

00:35:27.869 --> 00:35:32.250
the powers that be will find ways of transforming

00:35:32.250 --> 00:35:42.190
it. Would you would you not agree to that? It's

00:35:42.190 --> 00:35:47.269
a qualified yes, of course, because for almost

00:35:47.269 --> 00:35:49.809
any condition, the VA is going to be as good

00:35:49.809 --> 00:35:51.409
or better. And the ones that you mentioned a

00:35:51.409 --> 00:35:53.489
few minutes ago that are very veteran -specific,

00:35:53.650 --> 00:35:56.349
the VA is unquestionably going to give you better

00:35:56.349 --> 00:36:00.090
care. It's going to be more evidence -based.

00:36:00.710 --> 00:36:05.170
It's a requirement in the VA system that every

00:36:05.170 --> 00:36:09.650
single VA medical center in large CBAC have staff

00:36:09.650 --> 00:36:14.389
who have had very sophisticated training in things

00:36:14.389 --> 00:36:16.409
like what you were saying in terms of PTSD that

00:36:16.409 --> 00:36:19.769
just doesn't exist elsewhere. So for many conditions,

00:36:20.969 --> 00:36:24.690
it's easy to say that it is worth waiting if

00:36:24.690 --> 00:36:28.329
you want the best care, but that's not always

00:36:28.329 --> 00:36:30.329
what is the most important to somebody. They

00:36:30.329 --> 00:36:32.429
may not want the best care or they may not want

00:36:32.429 --> 00:36:37.670
to wait. I think the... First part of your comment

00:36:37.670 --> 00:36:41.030
is in terms of if there's interest in saving

00:36:41.030 --> 00:36:44.449
The VA as a system and we should be thinking

00:36:44.449 --> 00:36:47.070
about that because it is in jeopardy There's

00:36:47.070 --> 00:36:49.630
a lot more than just going to get your care there.

00:36:49.630 --> 00:36:52.130
I mean there's ways in which you can have your

00:36:52.130 --> 00:36:59.530
voices heard in many respects to indicate that

00:37:00.510 --> 00:37:03.809
for you as an individual veteran that you already

00:37:03.809 --> 00:37:08.230
do rely on the VA and you don't want to see developments

00:37:08.230 --> 00:37:15.210
that are continuing really as we speak that could

00:37:15.210 --> 00:37:18.429
wind up with many inpatient and emergency room

00:37:18.429 --> 00:37:22.710
facilities defunded and that care really transferred

00:37:22.710 --> 00:37:25.969
automatically to the community because that becomes

00:37:25.969 --> 00:37:31.349
policy. This is a subject that I think I would

00:37:31.349 --> 00:37:33.150
really like to have you folks back on to talk

00:37:33.150 --> 00:37:37.050
about more again in the future. And I know that

00:37:37.050 --> 00:37:39.090
Russell, you have talked to my partner for a

00:37:39.090 --> 00:37:41.670
podcast coming up later on in the month. I'm

00:37:41.670 --> 00:37:45.550
not sure what your topic is, but because I think

00:37:45.550 --> 00:37:48.369
it's important. I don't see the VA actually eliminating

00:37:48.369 --> 00:37:52.429
80 ,000 jobs. I mean, they probably could find

00:37:52.429 --> 00:37:55.889
some waste in there. But, you know, sometimes

00:37:55.889 --> 00:37:58.110
these people just throw out numbers just to scare

00:37:58.110 --> 00:38:00.949
us, I think. but I don't think they're gonna

00:38:00.949 --> 00:38:03.989
get rid of that. Maybe I'm being very naive,

00:38:04.670 --> 00:38:07.909
but I think that... I think we've got to figure

00:38:07.909 --> 00:38:12.289
out how to support what is going on. Secretary

00:38:12.289 --> 00:38:14.650
Collins was in Michigan just last week and had

00:38:14.650 --> 00:38:17.829
brave reviews for all of the VA hospitals in

00:38:17.829 --> 00:38:20.409
Michigan and what we do and, you know, that we've

00:38:20.409 --> 00:38:22.869
got to, you know, maintain the strength of our

00:38:22.869 --> 00:38:26.710
VA healthcare system. So I don't know what exactly

00:38:26.710 --> 00:38:29.329
is going on out there, but I really do want to

00:38:29.329 --> 00:38:32.369
thank both of you, Suzanne Gordon and Russell

00:38:32.369 --> 00:38:37.369
Lemley, for being on Veterans Radio today. You

00:38:37.369 --> 00:38:39.429
know, keep up the good work. I mean, these are

00:38:39.429 --> 00:38:43.409
great articles and you guys are answering questions

00:38:43.409 --> 00:38:46.090
that I think many of us have. You both write

00:38:46.090 --> 00:38:49.130
for the Veterans Health Care Policy Institute.

00:38:49.329 --> 00:38:51.909
That's where I, there's some really great information

00:38:51.909 --> 00:38:55.869
on that website. I'm very delighted that you

00:38:55.869 --> 00:38:58.650
go to it and can recommend it. So thank you,

00:38:58.690 --> 00:39:01.989
Dale. Okay. Well, thank you both very much. Thank

00:39:01.989 --> 00:39:03.989
you, Susan. Thank you, Russell, for being on

00:39:03.989 --> 00:39:09.250
Veterans Radio. Thank you. Bye Okay, bye. Bye

00:39:09.250 --> 00:39:12.849
All right. Well, I know we didn't solve the world's

00:39:12.849 --> 00:39:14.949
problems there as far as the VA is concerned

00:39:14.949 --> 00:39:17.909
But I wanted to get that information out to you

00:39:17.909 --> 00:39:20.289
just to start thinking about it a little bit

00:39:20.289 --> 00:39:23.389
So we're gonna bring in our best our benefits

00:39:23.389 --> 00:39:26.670
expert here for the last 15 minutes of the program

00:39:27.739 --> 00:39:31.559
Carol Anne Falzone, retired Air Force Brigadier

00:39:31.559 --> 00:39:34.119
General. She also works with Legal Help for Veterans.

00:39:34.300 --> 00:39:36.119
I guess I got to throw that little disclaimer

00:39:36.119 --> 00:39:42.539
in there. But I find it interesting that we're

00:39:42.539 --> 00:39:44.519
talking about these issues. And I guess that's

00:39:44.519 --> 00:39:46.360
the thing is we got to talk about these issues.

00:39:46.840 --> 00:39:50.079
We can't just let people run roughshod over everything.

00:39:51.720 --> 00:39:55.440
No, I agree with you and that was extremely interesting

00:39:55.440 --> 00:39:58.219
and and Dale, you know me It was really hard

00:39:58.219 --> 00:40:01.280
for me to sit back and listen to this. So I have

00:40:01.280 --> 00:40:05.400
a few comments Number one. I'm glad that the

00:40:05.400 --> 00:40:08.920
VA is looking at and I think you're well aware

00:40:08.920 --> 00:40:14.030
of this when the VA contracts say with a company

00:40:14.030 --> 00:40:16.929
outside to get whether it's a blood pressure

00:40:16.929 --> 00:40:22.070
done or another check or a colonoscopy or something

00:40:22.070 --> 00:40:28.050
done on the outside as an exam to make it more

00:40:28.050 --> 00:40:32.230
efficient because they're so backed up in a community

00:40:32.230 --> 00:40:37.119
okay so they contract out for a procedure But

00:40:37.119 --> 00:40:39.719
we've also been saying our veterans have been

00:40:39.719 --> 00:40:43.039
calling us Which I'm very thankful for and we

00:40:43.039 --> 00:40:47.019
do report it back if they feel like the veteran

00:40:47.019 --> 00:40:52.320
got a poor exam We are asking them to notify

00:40:52.320 --> 00:40:56.980
us because that's a contracted facility that

00:40:56.980 --> 00:41:02.000
the VA is paying them money and so to the point

00:41:02.000 --> 00:41:07.199
to the previous guests if the VA has this contract

00:41:07.199 --> 00:41:11.119
and now you're doing the test over and over three

00:41:11.119 --> 00:41:15.400
times to get a poor exam, that's a waste of money.

00:41:15.780 --> 00:41:21.079
So that isn't very efficient at all. So when

00:41:21.079 --> 00:41:23.719
you brought up the University of Michigan, who

00:41:23.719 --> 00:41:29.920
is with U of M, I'd love the contracting out.

00:41:30.039 --> 00:41:34.440
for specialties that maybe the VA doesn't have

00:41:34.440 --> 00:41:39.599
the expertise. When I go see a physician, I want

00:41:39.599 --> 00:41:43.239
to know if I'm having a procedure that that physician

00:41:43.239 --> 00:41:47.219
who is caring for me has done it a thousand times

00:41:47.219 --> 00:41:50.159
versus you're exploring on me and you're doing

00:41:50.159 --> 00:41:54.239
it the second or third time. I understand students

00:41:54.239 --> 00:41:58.619
and residents need to gain knowledge and experience,

00:41:58.679 --> 00:42:03.210
but then do it with the expert, kind of do the

00:42:03.210 --> 00:42:06.789
teaching role. So there's several issues out

00:42:06.789 --> 00:42:10.190
there that I think it needs to be more efficient.

00:42:11.690 --> 00:42:16.369
But the main issue for me is to take care of

00:42:16.369 --> 00:42:19.949
our patients, our veterans, and to give quality

00:42:19.949 --> 00:42:25.449
care, to render quality care. And if you're having

00:42:25.449 --> 00:42:29.719
an emergency situation and where you live, I

00:42:29.719 --> 00:42:32.760
think the VA has done a great thing and we've

00:42:32.760 --> 00:42:35.079
talked about it. If you think you're having a

00:42:35.079 --> 00:42:40.179
heart attack and your nearest VA is an hour down

00:42:40.179 --> 00:42:43.099
the road, then you need to go the nearest facility

00:42:43.099 --> 00:42:46.280
to take care of you when you're having an emergency.

00:42:46.639 --> 00:42:50.599
So there's several issues we got to look at when

00:42:50.599 --> 00:42:55.119
we're going into the community. I like the community

00:42:55.119 --> 00:43:00.260
-based for the specialty. Services i'd like it

00:43:00.260 --> 00:43:04.840
for when you've got a veteran who is rural and

00:43:04.840 --> 00:43:09.000
you know you you can't get in as easily to the

00:43:09.000 --> 00:43:13.320
VA. So you know there's the pros and cons of

00:43:13.320 --> 00:43:16.119
this whole thing and i hope we don't throw the

00:43:16.119 --> 00:43:19.820
baby at with the bath water and we look at some

00:43:19.820 --> 00:43:23.820
of these issues and really see that we're delivering

00:43:23.820 --> 00:43:27.460
quality of care. Well, I agree with you, Carol

00:43:27.460 --> 00:43:30.380
Anne, on that. It's not that I disagree with

00:43:30.380 --> 00:43:34.360
it. I think the mission of the VA is to take

00:43:34.360 --> 00:43:37.780
care of the veteran community. And I don't want

00:43:37.780 --> 00:43:42.300
that to get lost in all of this budget cutting

00:43:42.300 --> 00:43:45.800
and everything else that's out there. And as

00:43:45.800 --> 00:43:50.820
I said, Secretary Collins was out. He was in

00:43:50.820 --> 00:43:54.460
Ann Arbor and Detroit. Battle Creek or something,

00:43:54.639 --> 00:43:56.800
you know just last week and you know, he was

00:43:56.800 --> 00:44:01.380
really touting what these facilities can do and

00:44:01.380 --> 00:44:05.300
you know, you know the Cardiacs enough that's

00:44:05.300 --> 00:44:08.440
going out there mental health, especially Yes,

00:44:08.719 --> 00:44:11.619
and you know and and also that I agree with you

00:44:11.619 --> 00:44:16.420
that We both have known Veterans who have been

00:44:16.420 --> 00:44:21.059
sent by the VA to an outside facility to the

00:44:21.059 --> 00:44:23.500
Cleveland Clinic, to the Mayo Clinic, to the

00:44:23.500 --> 00:44:26.420
University of Michigan, to the University of

00:44:26.420 --> 00:44:29.019
Texas, wherever, you know, wherever they can

00:44:29.019 --> 00:44:32.420
get the superior care. Right. And that's, you

00:44:32.420 --> 00:44:35.239
know, and that is I don't think that's going

00:44:35.239 --> 00:44:38.539
to go away. No, and I hope it doesn't, because

00:44:38.539 --> 00:44:41.280
you know what, Dale, the real critical thing

00:44:41.280 --> 00:44:45.880
is the VA is the leader in all the research that's

00:44:45.880 --> 00:44:49.800
going on. And when they send it to, you know,

00:44:50.380 --> 00:44:54.559
MD Anderson in Texas, say, for a certain cancer,

00:44:54.679 --> 00:45:00.159
or U of M, or another great facility, Cincinnati,

00:45:00.239 --> 00:45:04.059
a burn unit. We don't have a burn unit at the

00:45:04.059 --> 00:45:06.699
VA in Ann Arbor, but there's one at University

00:45:06.699 --> 00:45:10.320
of Michigan. There's one in Cincinnati renowned.

00:45:10.619 --> 00:45:14.960
So if those services could be given to our veterans,

00:45:15.400 --> 00:45:19.380
I think that is wonderful because in most of

00:45:19.380 --> 00:45:24.269
those, teaching facilities, they are doing research

00:45:24.269 --> 00:45:29.050
hand in hand with the VA. And I think your guests

00:45:29.050 --> 00:45:32.269
brought up something that I'm really firm on,

00:45:32.469 --> 00:45:36.750
and that is consistency. I want to see the same

00:45:36.750 --> 00:45:41.889
physician, I want to be able to them to monitor

00:45:41.889 --> 00:45:46.809
my care. And then follow up if you know, with

00:45:46.809 --> 00:45:50.579
my team at the VA, if I'm sent out, I think that

00:45:50.579 --> 00:45:54.619
communication is critical for a veteran's care.

00:45:55.599 --> 00:45:57.780
I think that's important for anybody's care,

00:45:58.099 --> 00:45:59.880
you know, is that you have a dependable, you

00:45:59.880 --> 00:46:02.139
don't see a different person every time you go

00:46:02.139 --> 00:46:06.659
in to see your primary care. Absolutely. Doctor,

00:46:06.900 --> 00:46:11.400
because you know, excuse me, you know, as much

00:46:11.400 --> 00:46:15.179
as we don't like to admit it, we feel much safer

00:46:15.179 --> 00:46:18.730
if it's the same person. Yes. you know, once

00:46:18.730 --> 00:46:22.070
we get that relationship going a little bit more,

00:46:22.889 --> 00:46:25.250
then when we go in and we not only do we tell

00:46:25.250 --> 00:46:27.570
him what our condition is, we can say, Oh, how

00:46:27.570 --> 00:46:31.309
are you doing? And, you know, it kind of brings

00:46:31.309 --> 00:46:34.369
it more into that whole community, which I think

00:46:34.369 --> 00:46:38.500
is so important. Well, you know it that one thing

00:46:38.500 --> 00:46:42.420
I saw earlier this week Dale Yeah, I've I've

00:46:42.420 --> 00:46:45.940
seen the number 80 ,000 thrown out now some have

00:46:45.940 --> 00:46:49.780
already left on taking the retirement But they've

00:46:49.780 --> 00:46:53.579
also seen the beautiful lift list of all those

00:46:53.579 --> 00:46:56.980
exempt and a lot of those are in the health care

00:46:56.980 --> 00:47:00.980
system Which I'm very thankful for your nurses

00:47:00.980 --> 00:47:04.659
your doctors your social workers your chaplains

00:47:04.659 --> 00:47:08.840
pivotal essential positions. And then the article

00:47:08.840 --> 00:47:13.000
alluded to, it's not going to take this 80 ,000

00:47:13.000 --> 00:47:16.980
from VHA, which is health care, 80 ,000 from

00:47:16.980 --> 00:47:20.400
VBA, which is benefits. And then they even brought

00:47:20.400 --> 00:47:24.340
up there is some trimming that has to go on,

00:47:24.380 --> 00:47:27.360
which I was surprised, in the other tower, which

00:47:27.360 --> 00:47:32.820
is the cemeteries in that area, because I think

00:47:32.820 --> 00:47:38.559
that tower runs so unbelievably. But there might

00:47:38.559 --> 00:47:42.599
be some more efficiencies or waste that needs

00:47:42.599 --> 00:47:45.480
to be eliminated. That's what this article alluded

00:47:45.480 --> 00:47:49.519
to. They're looking at all three towers and seeing

00:47:50.859 --> 00:47:56.159
where there might be some reductions so that

00:47:56.159 --> 00:47:59.559
they could have better efficiencies. I really

00:47:59.559 --> 00:48:05.539
don't think that they want to destroy the VA

00:48:05.539 --> 00:48:09.699
health system. And so everybody isn't gonna be

00:48:09.699 --> 00:48:12.599
referred out. You know, we've got too many great

00:48:12.599 --> 00:48:17.260
people in the VA system in the hospital side.

00:48:17.340 --> 00:48:21.019
the health care side that I don't think c -box

00:48:21.019 --> 00:48:24.480
are going to go away or outpatient. You know

00:48:24.480 --> 00:48:26.579
we just what did we do here in our local area

00:48:26.579 --> 00:48:29.380
we just opened four or five c -bots in the last

00:48:29.380 --> 00:48:33.420
five ten years right that would be a huge waste

00:48:33.420 --> 00:48:37.420
of energy and efficiency. Absolutely. Think about

00:48:37.420 --> 00:48:40.500
the resources. I mean, the goal is to have a

00:48:40.500 --> 00:48:43.320
facility you could go to within, I believe, 25

00:48:43.320 --> 00:48:46.239
miles. I mean, here in Michigan, they've just

00:48:46.239 --> 00:48:51.460
opened up Powell, Adrian, I think Chelsea. They've

00:48:51.460 --> 00:48:54.579
got one in Selfridge. They've just opened up

00:48:54.579 --> 00:48:57.760
the brand new one outside of Toledo, I think,

00:48:58.059 --> 00:49:04.719
in Finley. Those are great services in this echelon

00:49:04.719 --> 00:49:07.940
system of health care. Well, I thought I wanted

00:49:07.940 --> 00:49:10.079
to touch back. I know we've only got a couple

00:49:10.079 --> 00:49:13.300
of minutes left, but just to touch back on what

00:49:13.300 --> 00:49:15.679
you were talking about, these outside contractors,

00:49:15.920 --> 00:49:18.260
I think that that is something that does need

00:49:18.260 --> 00:49:21.199
to be looked at, because through our both of

00:49:21.199 --> 00:49:24.480
our experiences, some of them were just terrible.

00:49:25.460 --> 00:49:29.460
And maybe, you know, if you get it, I'd rather

00:49:29.460 --> 00:49:32.340
go for quality than for cost. You know, if you

00:49:32.340 --> 00:49:34.639
if you're going to if you, you know, it's like,

00:49:34.639 --> 00:49:37.010
you know, if you buy the cheapest thing out there,

00:49:37.010 --> 00:49:40.489
sometimes it's not the best. And that's I mean,

00:49:40.690 --> 00:49:43.349
I don't know. Yeah. And I don't know. I don't

00:49:43.349 --> 00:49:46.210
know who decides who gets these contracts. But

00:49:46.210 --> 00:49:50.130
it'd be nice if we could know that we're getting

00:49:50.130 --> 00:49:54.949
the best of the best and at a good price. So

00:49:54.949 --> 00:49:58.139
that's. we tell our veterans, if you go for an

00:49:58.139 --> 00:50:02.199
exam and you feel like, and then we see the results.

00:50:02.500 --> 00:50:07.679
If it was not a good exam, you know, the practitioner

00:50:07.679 --> 00:50:11.139
or the provider maybe didn't answer your questions,

00:50:11.559 --> 00:50:14.139
didn't, you know, you walk in and you take one

00:50:14.139 --> 00:50:16.880
blood pressure and you're out the door and you've

00:50:16.880 --> 00:50:22.300
now driven an hour. That's not efficient. And

00:50:22.300 --> 00:50:25.039
then if we report that and you got to go again,

00:50:25.159 --> 00:50:28.639
It's like, wait a minute, that's a double cost.

00:50:28.940 --> 00:50:31.599
And we didn't get the results, good results.

00:50:31.960 --> 00:50:35.500
So that's where I wish they take a look at some

00:50:35.500 --> 00:50:39.519
of the contracted services. In the last couple

00:50:39.519 --> 00:50:42.539
of seconds here, is there anything that you've

00:50:42.539 --> 00:50:44.639
heard in the benefits side that we need to be

00:50:44.639 --> 00:50:47.960
aware of? Are there any new conditions or hoops

00:50:47.960 --> 00:50:51.340
that we need to jump through for anything? Well,

00:50:51.340 --> 00:50:54.219
I would just tell you, I haven't seen anything

00:50:54.219 --> 00:50:59.340
new we've talked about, but I see the processes

00:50:59.340 --> 00:51:04.460
maybe trying to shore up that our claims and

00:51:04.460 --> 00:51:08.059
things do not bounce around like to a couple

00:51:08.059 --> 00:51:11.780
different ROs, which is regional offices, DROC,

00:51:11.900 --> 00:51:16.710
a decision review center that only one area touches

00:51:16.710 --> 00:51:19.590
your file and let's make a decision and let's

00:51:19.590 --> 00:51:24.130
get this done quickly. I see too many times recently

00:51:24.130 --> 00:51:26.349
that if you can't make a decision you send it

00:51:26.349 --> 00:51:29.590
up to the board and it might sit up at the board

00:51:29.590 --> 00:51:33.050
for you know a good lengthy period because they've

00:51:33.050 --> 00:51:38.329
got all these increases. So I just think there's

00:51:38.329 --> 00:51:43.070
some efficiencies on the VA side that could make

00:51:43.070 --> 00:51:46.469
it a little better. Well, you know as usual we

00:51:46.469 --> 00:51:48.769
want to make sure that we encourage anybody any

00:51:48.769 --> 00:51:51.789
veteran that's out there Not only to register

00:51:51.789 --> 00:51:54.530
at your local VA wherever that happens to be

00:51:54.530 --> 00:51:57.269
get into this system because you can't do anything

00:51:57.269 --> 00:52:01.269
until you're in the system and You know if you

00:52:01.269 --> 00:52:04.710
do have any health conditions that you you feel

00:52:04.710 --> 00:52:07.750
maybe could are You know related to your time

00:52:07.750 --> 00:52:11.099
in the service that you should contact an organization

00:52:11.099 --> 00:52:13.260
such as Legal Health for Veterans or your local

00:52:13.260 --> 00:52:17.239
VSO. I know walking in probably into every VA

00:52:17.239 --> 00:52:21.119
hospital in the country, as you go in the door,

00:52:21.500 --> 00:52:25.460
VSOs are right there. to answer any questions.

00:52:26.260 --> 00:52:28.440
And, you know, if you have any questions for

00:52:28.440 --> 00:52:31.599
us, please contact us next time. You know, we

00:52:31.599 --> 00:52:35.219
do this program every month on the first Sunday

00:52:35.219 --> 00:52:37.119
of the month, and we would love to be able to

00:52:37.119 --> 00:52:39.880
answer your questions. So you can send me an

00:52:39.880 --> 00:52:42.980
email. That's dale at veterans radio dot org.

00:52:43.239 --> 00:52:45.880
And we will bring up your story with our experts,

00:52:45.900 --> 00:52:48.519
with Carol Ann and David, who didn't want wasn't

00:52:48.519 --> 00:52:51.179
available today to talk about these things. This

00:52:51.179 --> 00:52:53.880
is why we're here. uh you know dedicating this

00:52:53.880 --> 00:52:57.280
time to helping you all out well you know dale

00:52:57.280 --> 00:53:00.480
but the quickie is you know the other person

00:53:00.480 --> 00:53:03.179
to con the county councilors out there we've

00:53:03.179 --> 00:53:06.360
got 83 counties in michigan and there's county

00:53:06.360 --> 00:53:09.260
councils whether called parishes or whatever

00:53:09.260 --> 00:53:12.739
in your state but they're awesome resource to

00:53:12.739 --> 00:53:15.360
go to and yes our colleague my colleague David

00:53:15.360 --> 00:53:19.059
wasn't on today but he is a great help to reach

00:53:19.059 --> 00:53:22.360
out into the community and the other thing is

00:53:22.360 --> 00:53:25.579
you know a lot of veterans won't apply but if

00:53:25.579 --> 00:53:28.420
your veteran dies and you're a spouse I've been

00:53:28.420 --> 00:53:33.110
seeing a huge increase with DIC. the deaf indemnity.

00:53:33.550 --> 00:53:36.110
And so sometimes you don't even know what you're

00:53:36.110 --> 00:53:40.329
available for. So those widows out there, we've

00:53:40.329 --> 00:53:43.150
seen an increase in that lately. And that's sorry,

00:53:43.210 --> 00:53:46.369
because they still could have had that and their

00:53:46.369 --> 00:53:49.269
veteran could have had a disability rating, but

00:53:49.269 --> 00:53:53.070
chose never to apply for it. You don't apply,

00:53:53.090 --> 00:53:56.670
you never know. There are other benefits we haven't

00:53:56.670 --> 00:53:59.489
even talked about. Educational benefits for children

00:53:59.489 --> 00:54:03.630
and so forth. Section 35 or something like that.

00:54:04.449 --> 00:54:06.949
Maybe we could take a look at that next month

00:54:06.949 --> 00:54:10.289
because I had a student in my own class this

00:54:10.289 --> 00:54:14.610
year, this last semester, whose father is in

00:54:14.610 --> 00:54:17.710
the military and there are benefits to go to

00:54:17.710 --> 00:54:19.389
college, trade school and all kinds of things.

00:54:22.000 --> 00:54:25.320
put that all together. So coming up here, we're

00:54:25.320 --> 00:54:28.039
coming up on the end of the hour today. I want

00:54:28.039 --> 00:54:31.239
to thank everybody for listening. Make sure that

00:54:31.239 --> 00:54:35.539
you know that we've got you are our stories because

00:54:35.539 --> 00:54:39.019
every veteran out there has a story. And that's

00:54:39.019 --> 00:54:41.699
what our goal is, is to tell you as many stories

00:54:41.699 --> 00:54:44.679
as we can. So, you know, you can listen to Veterans

00:54:44.679 --> 00:54:48.380
Radio on our local broadcast stations, WAAM,

00:54:48.820 --> 00:54:52.920
WDTK, WKMET out in California. You can listen

00:54:52.920 --> 00:54:55.599
to us on podcasts. You can listen to us on Reets

00:54:55.599 --> 00:54:59.719
Across America radio. So we're everywhere. We

00:54:59.719 --> 00:55:03.559
drop two podcasts a week on Mondays and Tuesdays.

00:55:04.079 --> 00:55:06.760
If you got a story you want to tell, let us know

00:55:06.760 --> 00:55:09.260
about that, because we want to tell the story.

00:55:09.699 --> 00:55:14.159
Just as they were talking about the Bob Arvin,

00:55:14.880 --> 00:55:17.300
if we don't tell the stories, these people disappear.

00:55:17.840 --> 00:55:19.800
And so we want to make sure that we keep telling

00:55:19.800 --> 00:55:22.159
these stories, folks. That's up to you. So until

00:55:22.159 --> 00:55:24.039
next week, this is Dale Thromery for all of us

00:55:24.039 --> 00:55:26.219
here at Veterans Radio for Carol Anne Falzone.

00:55:26.920 --> 00:55:38.349
Until then, you are dismissed. America, land

00:55:38.349 --> 00:55:48.730
that I love. Stand beside her and guide her through

00:55:48.730 --> 00:55:55.429
the night with the light from above. From the

00:55:55.429 --> 00:56:10.480
mountains, through the prairies, to the God bless

00:56:10.480 --> 00:56:12.619
America.
