A Man And His Ideas

Response to the VA Inspector General Report of 8/6/2019 --General, Do You Know the Definition of a Veteran's Benefit? Update February 2020 Original August 2019 General do you know the definition of a veteran's benefit. Don't be embarrassed, nobody in the DVA doses either. There are volumes and volumes of examples but no definition. At the end of this post is the correct definition.  The VA Office of Inspector General on August 6, 2019, released a report "The VA Office of Inspector General on August 6, 2019, released a report " Non-VA Emergency Care Claims Inappropriately Denied and Rejected ".  While thorough and the recommendations are valid, it's incomplete because the recommendations avoid fixing the main source of the problems.  Claims Inappropriately Denied and Rejected ".  While the recommendations are valid, it's incomplete because the recommendations avoid fixing the main source of the problems. Sir, you should be embarrassed.

Behind the Mission Act and non-VA provider care is a regulation lie regarding payout at a non-VA facility. for emergency treatment. Statute 38 USC 1725 (c) (4) (D) states “The Secretary may not reimburse a veteran under this section for any copayment or similar payment that the veteran owes the third party or for which the veteran is responsible under a health-plan contract." The statute means:   When the veteran’s insurance company pays a provider the insurance’s share of copayment, the VA will not pay back a veteran for the money insurance paid to a provider. That is all it means, that is all it can mean. The VA created CFR 17.1005 (5) "VA will not reimburse a veteran under this section for any copayment, deductible, coinsurance, or similar payment that the veteran owes the third party or is obligated to pay under a health-plan contract.” The statute is correct, the regulation is a lie. A follow-the-money analysis reveals the truth.  With any insur

Veterans Administration Breaking the Law Bureaucratic Negligence: The Veterans’ Health Administration denies benefits for veterans who, under adverse conditions, receive emergency room treatment at a non-VA facility, usually a community hospital. If the veteran has no private insurance, the VA pays the maximum allowable amount for the medical expenses. If the veteran has private insurance, the VA denies payment of the private insurance deductible and copay. VA Policy: There are limitations on VA’s ability to provide coverage when a Veteran has other health insurance (OHI). If OHI does not fully cover the costs of treatment, VA can pay certain costs for which the Veteran is personally liable. By law, VA cannot pay: • Copayments • Coinsurance • Deductibles  • Similar payments a Veteran may owe to the provider as required by their OHI VA is also legally prohibited from providing coverage for individuals covered under a health-plan contract because of a failure by th

Do soldiers obey orders because they must or because they want to?  One of the earliest expression of rational thought begins when the person is a child. If ever seen a child refuse to eat, that refusal is rational thought.  An adult may not consider the child's choice as rational, but from the child's perspective, the child uses free will to choose. Usually, something occurs to change need and the child will want to eat. The need/want paradigm is built into the mind and its the same for all people of all ages. Life skill changes the paradigm by the accumulation of permission-constraint conditions reflected as behavior. By necessity, military training implants the permission-constraint conditions into specific choices for must-do-will-do behavior.  While leadership determines the needs of the command, the want-to follows orders is the soldier's will-do choice. Grip expressions like, "If I must, I will do it if I have to." are concessions for want-to. A sold

The Interloper P henomena This is a computer folklore story I heard many years ago. The story illustrated the essence of technology security. I do not know how the actual story’s facts, however, the story can be told with different facts; however, the essence and outcome would be the same.  In the mid-1970s, Wang was a company in Massachusetts who fostered a computer-based word processing system. Boston legal companies hired armies of legal secretaries. The secretaries would type pages and pages of legal documents flawlessly without errors. Most legal contracts required multiple original documents for signatures. The effort required to constantly key typewriters quickly and accurately could take years to be highly skilled. A typical large law firm could have dozens of legal secretaries.  Wang’s marketing to the law firm was a simple business proposal. A Wang word processing system can replace many legal secretaries. The cost and the return made eliminating legal secreta

MS: Social Impact The Society Box Inside the Box

MS's Trauma Evolution The clinical diagnostic terms replace-remitting and progressive are eccentric progressions but with different impacts and consequences. Speach is an eccentric event. Every sound utterance is a different energy wave event. Every utterance heard filters into collective modals eventually to be words. Each ocean wave and wake is a unique eccentric event yet we recognize the rising and the falling. MS is a multi-dimensional eccentric disease. Every event is a new event. The experience dimensions from a trauma attack event are: wound - the MS injury relapse and remission attack, broken connections emotional - the psychological experiences social - the change in relationships disability - the connections remodeling  The thrive dimensions consequences from the trauma event are: Ability to thrive - the merge of resources enabling life to prosper Quality of life - the perception of the value of resources Quantity of life - the capacity of resourc

The Fatigue Elements