health benefits

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Massive Disparities In VA Health Benefits: Better In Boston Than Cape

George Murray was able to access his VA benefits relatively easily while living in Boston; other vets have run into challenges. (Jesse Costa/WBUR)

George Murray was able to access his VA benefits relatively easily while living in Boston; other vets have run into challenges. (Jesse Costa/WBUR)

The clear takeaway of Martha Bebinger’s story today on disparities in veteran’s health benefits is this: better to be a vet in Boston than Brewster.

In the first of a series of reports on the lives of American troops at home, WBUR’s Bebinger focuses on some of the vast geographical differences in spending and access to health care and how it all plays out for Massachusetts vets. Here’s a chunk of her story:

Many of these issues play out in Massachusetts, where the VA spends four times as much on health care for veterans in Boston as it does on Cape Cod.

“This was my challenge coin when I was state commander,” says George Murray, 69, the leader at Veterans of Foreign Wars Post 1018 in Boston. “We all come up with sayings when we’re state commanders, and mine was to ‘communicate, dedicate and educate.’ ”

Murray served in Vietnam, and he says his health problems — lung cancer, heart disease, heart attacks, strokes — started after exposure to Agent Orange. He gets almost all of his care at VA hospitals and clinics and has almost no complaints.

“The service at the VA has been outstanding,” he says. “You get great care. The food isn’t bad. The coffee stinks. If they improved their coffee, I’d go up there for coffee in the morning.”

Places like Boston, with special VA services for elderly, homeless and low-income vets, tend to have sicker patients and higher VA health care spending. That may help explain why the VA spends $25,000 on medical services per veteran patient every year in Boston and just $6,500 per patient on Cape Cod.

Convenience is also a big factor. For 20 years, Murray went to one of two VA medical centers in Boston, both within 4 miles of his home.

But for Ron Percy, a Vietnam veteran on Cape Cod, access to VA services is a different story. When Percy woke at 3 a.m. one morning last July with chest pains, he was a long way from his assigned VA hospital.

“I couldn’t breathe,” he says. “There’s no way I could go the 75 miles to Providence.”

Cape Cod veterans have a clinic for checkups, but for almost everything else, they’re sent to the VA in neighboring Rhode Island. After his heart attack, Percy had bills from a Cape Cod hospital that the VA has so far refused to pay. He appealed, and the VA says it is reviewing his case. For all of his planned care, Percy makes the three-and-a-half- to four-hour round trip.

“A couple of years ago, I was diagnosed with prostate cancer, so I had 44 treatments that I had to go to Providence for every single day,” Percy says.

He got to Providence in a van run by volunteers. It would leave at 7:30 a.m. and return after all the passengers getting tests or treatment were finished. Continue reading

State Mobilizes To Restore Full Health Coverage For Legal Immigrants

Health Connector director Glen Shor says registering the legal immigrants for coverage 'is an extraordinarily important organizational priority.'

The state is ready to resume full health coverage next month for the first group of legal immigrants who won a lawsuit in January. The state’s highest court said Massachusetts must offer low income legal immigrants the same insurance options it offers full citizens.

Almost 13,000 residents who are on a limited coverage plan will be eligible for full coverage March 1st. Another 24,000 legal immigrants who have been on a waiting list for insurance can enroll in May. Lorianne Sainsbury-Wong at Health Law Advocates says the challenge now is getting people signed up.

“There’s a lot again that these immigrants will need to make sure that they understand and make sure that they are informed about so that they can make the appropriate selection and enrollment in the program for May 1,” adds Sainsbury-Wong. Continue reading