Nearly 5.5M Vietnam-era Veterans are at or approaching retirement agevi. With the next wave of aging Veteran population entering long-term facilities, we recommend that Congress and VA consider capital investments in State Veterans Homes to better prepare for future outbreaks and provide innovative modes of care delivery that address the social determinants of health.
There is no doubt that COVID-19 hit elderly populations particularly hard. In addition to increased health risks, COVID-19 demonstrated that State Veterans Homes were especially ill-prepared to react to a health crisis, attributed to limited oversight, public health reporting, and PPEvii. As part of budget considerations, VA could consider making capital investments geared at addressing Centers for Medicare and Medicaid Services-identified deficiencies, enabling telehealth visits, and addressing the social determinants of health.* While these homes are run by each respective state, increased oversight and investment would create conditions to better prepare for future outbreaks. Capitalizing off the blended care model VA implemented at the onset of COVID-19, VA can extend the same approach employed at VA hospitals to State VA Homes. For example, VA’s partnerships with both Verizon and AT&T to provide a 5G network to hospitals represent a benchmark for future partnerships, and harness a wealth of data that can inform improved care and reporting. Additionally, in 2020, VA facilitated more than 5.6M telehealth experiences, reaching 79% more Veterans through virtual care than in 2019 viii. If VA extended support for State VA Homes to benefit from the same technologies, telehealth visits could help reduce feelings of isolation among Veterans, addressing both medical care and mental care. Not only does this improve outcomes for Veterans by addressing the individual environmental conditions that affect health risks and outcomes, it empowers Veterans to play a more active role in their own care.
As the Administration takes steps to build back better, Veterans play a key role in contributing to the economy. emphasized through the GI Bill, entrepreneurship, and other means. Research shows that just a 1% increase in GI Bill usage yields immediate national outcomes, including a $2.82B increase in GDP and 26K people lifted out of poverty. VA has an opportunity not only to aid our country’s economic recovery from this pandemic, but to rebuild it with improved services. Through bold action, innovative ideas, and fierce advocacy, the incoming VA appointees and committee members can take steps to boost economic impact and put Veterans at the forefront of solutions – driving outcomes for Veterans and their families, and our country as a whole.