The Social Security Administration and the Veterans Benefit Administration share many core processes and both are associated with determination regarding disability benefits. These processes are costly in terms of 1) staff levels, 2) personnel training, 3) administrative staff, and 4) oversight to insure compliance to congressional mandates. Both of these agencies make determinations regarding the level of disability and compensation, and both overlap with 1) basic claim processing, 2) reviews of medical information, 3) quality assurance, 4) appeal processes, and 5) administrative law proceedings. It seems prudent to reduce the general overlap of duties, streamline conceptualizations of disabilities, and provide veterans with the same level of response time as generally provided to U.S. Citizens (see VBA response time data). In addition, as we move to a veteran driven health care focus within the Veterans Health Administration, this will allow the Veterans Administration to become more focused on hospital and procedure care, outpatient and community based care, home and telehealth care, and respite and palliative care. The U.S.A. at present does not have sufficient nursing home care facilities or home agencies to provide ongoing health care to individuals from the Boomer Generation who are entering late adulthood; thus, the V.A. also needs to begin focusing on strategies to enhance care; rather, than expend considerable clinical and administrative resources duplicating an establish agency (SSA).
Idea No. 6988