AID AND ATTENDANCE BENEFITS HELP MILITARY VETERANS WITH HEALTH AND HOMECARE COSTS

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Major issues are taking place around the world directly impacting our finances, which seem to be at the center of all things. Finances, aging, and health care. At our age what else is there?

If you’re a senior citizen then you know what I’m talking about. Creaky joints and forgetful episodes are the least of our problems. Health and homecare have become major issues to our population that continues to grow older. Where are we going to live? and who’s going to help us when tying our own shoelaces becomes a thing of the past? become big questions. How will we be able to take care of our physical and mental maladies when we can no longer afford to care for ourselves?

Many of us have to face these and similar health and home related issues head on every day, beginning as soon as we try getting up in the morning. Many aging military veterans dealing with real life home, homeless, and health issues seem to have it even tougher than the average citizen. Veterans return from distant wars having been exposed to many unhealthy toxins only to find inadequate healthcare awaits them. Many physical and mental challenges to deal with, yet our veterans have seemingly few healthy medical or homecare options available at home. If our veterans don’t end up sick and dying, they age. Like we all do. And we’re all aging at the same time in record numbers right now.

Senior veterans need to be aware that there is help available from the government and it’s called Aid and Attendance. Veterans can obtain benefits that can be applied to costs of a senior living community. But most vets and many senior living communities seem to be unaware of this benefit. Pass this information along.

If you’re a wartime veteran, or a surviving spouse of a wartime veteran, and you’re 65 years or older, you may be entitled to a tax-free benefit called Aid and Attendance provided by the Department of Veterans Affairs.

The benefit is designed to provide financial aid to help offset the cost of long-term care for those who need assistance with the daily activities of living such as bathing, dressing, eating, toileting, and transferring.

PAID IN ADDITION TO A VETERAN’S BASIC PENSION

Aid and Attendance is a benefit paid by Veterans Affairs (VA) to veterans, veteran spouses or surviving spouses, and it is paid in addition to a veteran’s basic pension. According to California Advocates for Nursing Home Reform the benefit may not be paid without eligibility to a VA basic pension.

A pension is a benefit that the VA pays to wartime veterans who have limited or no income and who are at least 65 years old or, if under 65, are permanently or completely disabled. There are also “Death Pensions,” according to California Advocates for Nursing Home Reform, which are needs based for a surviving spouse of a deceased wartime veteran who has not remarried.

Aid and Attendance is for applicants who need financial help for in-home care, to pay for an assisted living facility or nursing home. It is a non-service connected disability benefit, meaning the disability does not have to be a result of service. You cannot receive non-service and service-connected compensation at the same time.

Canhr.org also lists the service requirements for Aid and Attendance benefits. A veteran or the veteran’s surviving spouse may be eligible if the veteran: Was discharged from a branch of the United States Armed Forces under conditions that were not dishonorable AND Served 90 days of continuous military service (active duty), with at least one day during the following wartime periods (did not have to serve in combat):   World War I: April 6, 1917, through November 11, 1918; World War II: December 7, 1941, through December 31, 1946; Korean War: June 27, 1950, through January 31, 1955; Vietnam War: August 5, 1964 (February 28, 1961, for veterans who served “in country” before August 5, 1964), through May 7, 1975; Persian Gulf War: August 2, 1990, through a date to be set by Presidential Proclamation or Law.

If the veteran entered active duty after September 7, 1980, generally he or she must have served at least 24 months or the full period for which called or ordered to active duty, with certain exceptions.

MEDICAL QUALIFICATIONS FOR AID AND ATTENDANCE BENEFITS

In listing the medical qualifications for Aid and Attendance benefits, veteranaid.org says a wartime veteran or surviving spouse must need the assistance of another person to perform daily tasks, such as eating, dressing, undressing, taking care of the needs of nature, etc. Blind individuals, patients in a nursing home for mental or physical incapacity, or residents in an assisted living facility also qualify. Any application will require medical evaluation from a physician, current medical issues, net worth limitations, and net income, along with out-of-pocket expenses.

Veteranaid.org says financial qualifications must have an average of less than $80,000 in assets, excluding their home and vehicles.

A veteran can receive up to $2,846 monthly with the Aid and Attendance benefit, says americanveteransaid.com. The Website provides a Benefit Table that lists qualifying benefits as such:

Status                                                  Monthly Benefit Amount

  • Surviving Spouse                                       $1,176
  • Single Veteran                                            $1,830
  • Married Veteran                                        $2,169
  • Two Vets Married                                      $2,903

Aid and Attendance benefits are tax free.

MORE VETERAN AID IS ON THE WAY

Steven Monroe says there are other organizations helping seniors and American veterans as well. Monroe, writing for the SeniorCare Investor at senoircare.levinassociates.com, cites Luke’s Wings, which provides air travel for families to visit vets in the hospital, or in the case of seniors, when they are in hospice care.

Militaryoneclick.com – which connects caregivers of U.S. veterans with the essential resources needed to strengthen the family support foundation; American Freedom Foundation – supports veterans helping to empower and enable them to lead confident and productive lives; Fisher House Foundation – provides a “home away from home” for military families to be close to a loved one during hospitalization; Homes for Heroes Foundation – coordinates financial assistance and housing resources to the Heroes of our nation such as Military personnel, Police/Peace Officers, Firefighters and First Responders who are in need; Hope for The Warriors – helps enhance the quality of life for post-9/11 service member, their families, and the families of the fallen who have sustained physical and psychological wounds in the line of duty.

I encourage all military veterans to keep searching for available resources for your home and health needs. There are many people out there who care about what you’re going through. More help is on the way. Positive changes are being made within the Department of Veterans Affairs.

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U.S. VETERANS GETTING CLOSER TO ACCESSING MEDICAL MARIJUANA

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The U.S. Congress is making important if not snail-paced strides toward helping to make medical cannabis accessible to military veterans. First, Congressman Earl Blumenauer (D-OR) recently reintroduced the Veterans Equal Access Act, which would expand medical cannabis access to eligible veterans.

Secondly, on May 8, 2018, members of the House Veterans Affairs’ Committee approved H.R. 5520. This combined with S. 2796, a Senate companion legislation, that was introduced on May 7, 2018, and referred to the Senate Committee on Veterans’ Affairs, would work toward facilitating the necessary research regarding medical marijuana and its affects in treating multiple symptoms suffered by military veterans.

EXPAND VETERANS’ ACCESS

H.R. 1820 would expand medical cannabis access to eligible veterans. In its language The Veterans Equal Access Act authorizes physicians and other health care providers employed by the Department of Veterans Affairs to “provide recommendations and opinions” to veterans “who are residents of States with State marijuana programs” regarding the participation in said medical cannabis programs. The bill further authorizes the VA to complete any forms necessary to reflect such recommendations and opinions.

In further effort to reverse the VA’s decades long attitude against medical cannabis, Representative Blumenauer also filed an amendment that would forbade the VA from utilizing any of the funds derived from this bill for the purpose of prohibiting “VA providers from completing forms seeking recommendations or opinions regarding a Veteran’s participation in a State marijuana program.”

The two bills add up to major steps toward overcoming legal hurdles that have been used to outright prohibit VA doctors from making recommendations to veterans for medical marijuana use, even if compliant under state law.

The above-mentioned legislative attempts to change the law are important because the U.S. Veterans Affairs Department has a lengthy history of withholding support for medicinal cannabis access by military veterans. In October 2017, Tom Angell, writing at marijuanamoment.net, recorded how a new update to the VA’s Website had confirmed the longstanding agency policy of disallowing government physicians from helping veterans qualify for state medical cannabis programs.

“Veterans should know that federal law classifies marijuana – including all derivative products – as a Schedule One controlled substance,” Angell writes of the VA department Website page that can no longer be accessed. “This makes it illegal in the eyes of the federal government. The U.S. Department of Veterans Affairs is required to follow all federal laws including those regarding marijuana. As long as the Food and Drug Administration classifies marijuana as Schedule One VA health care providers may not recommend it or assist Veterans to obtain it.”

The FDA could take forever on that one. Angell wonders what if VA doctors were still allowed to recommend medical cannabis to veterans, even though it is considered illegal under federal law? Wouldn’t that still be a benefit to a veteran’s health if a VA doctor believed as much? And what about the fact that the above referred to VA Website page has been taken down? Might that be proof that the VA is changing their prohibitive stance against medical cannabis?

For many years the VA has thrown up major obstacles to American veterans’ safe access to medicinal cannabis as a treatment option for veterans suffering from PTSD, chronic pain, and other post-war ailments. Yet VA doctors have had no problem prescribing seriously addictive opioids that have been attributed to thousands of American deaths. It’s time for this treatment model to change. Our veterans deserve the opportunity to exercise their free will and have more equal treatment from their treating physicians who know them best, to wit their VA doctors.

What is important for the VA administrators and doctors to understand is that we are talking about “recommendations” or “opinions” of VA doctors for the use of medicinal cannabis. We are not talking about prescriptions. The law is very clear in states and nationally. No physician in the United States, whether paid by the U.S. government or in private practice, can prescribe pot to patients. It’s against the law because the prescription process is federally-regulated and cannabis currently falls under the Controlled Substances Act’s restrictive Schedule I. Schedule I drugs are those considered to have a high potential for abuse without any currently accepted medical value.

Even with marijuana’s Schedule I status, there is nothing in federal law that prevents VA from allowing its doctors to recommend or give their opinion on their patients’ usage of medicinal cannabis in the states where it is legal to do so. It’s now time for VA doctors to do so as well.

THE STUDIES MUST BE DONE

The medicinal cannabis studies have to be done, for the benefit of military veterans and the greater civilian public, and H.R. 5520 is a good place to start. This new legislation seeks to authorize and instruct the U.S. Department of Veterans Affairs to research medical marijuana for use in the treatment of post-traumatic stress disorder and chronic pain in American soldiers returning from war.

As ordered and reported by the House Committee on Veterans Affairs on May 8, 2018, H.R. 5520, The Veterans Affairs Medicinal Cannabis Research Act of 2018, would act to codify VA’s existing authority to conduct such research. On that basis, CBO estimates that implementing H.R. 5520 would cost less than $500,000 over the 2019-2023 period, primarily to prepare and submit the necessary reports to the Congress. That spending would be subject to the availability of appropriated funds.

FACILITATE MEDICAL MARIJUANA RESEARCH

The road to progress has not always been paved for success by the VA, which is another reason S. 2796, the Senate companion bill to H.R. 5520, was introduced in Senate on May 7, 2018, after which it was referred to the Senate Committee on Veterans’ Affairs. Regarding The VA Medicinal Cannabis Research Act of 2018, this bill (1) authorizes the VA to conduct and support research on the efficacy and safety of certain forms of cannabis and cannabis delivery for veterans enrolled in the VA health care system diagnosed with conditions such as chronic pain or post-traumatic stress disorder, and (2) Collected data shall be preserved in a manner that facilitates further research.

SOLUTIONS

The bottom line is the VA must act to change the internal prohibition of medical access for veterans to cannabis. Congress will have to continue to force the issue if the VA isn’t going to do anything to help veterans have access to medicinal cannabis.

House Committee on Veterans’ Affairs Chairman Phil Roe, M.D. calls the VA Medicinal Cannabis Research Act of 2018 a “pragmatic and bipartisan piece of legislation that would advance our understanding of the impacts of medicinal marijuana usage and could improve the lives of veterans and other Americans.” But it’s just a start. We need to push harder for federal government evolution on the issue of medicinal cannabis research and access for military veterans.

The government must permit VA medical providers to be able to discuss with U.S. veterans the use of cannabis for medicinal purposes and to be able to give recommendations and opinions in those states where medical marijuana laws exist.

We need to keep pushing for rescheduling of marijuana.

The VA needs to stop blocking federally-approved researchers from recruiting veterans for research on medical cannabis.

Studies must be performed regarding medicinal cannabis’ effects on veterans with PTSD issues. Such studies need to be performed and veterans must be given access to them.