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An Open Letter to America’s Veterans 


At the Department of Veterans Affairs (VA), we have one of the most noble and inspiring missions in Government.  I accepted this job and joined this mission to better serve you—our Veterans—and improve the delivery of the care and benefits you have earned.  It is our privilege to serve you, and I have made clear that as we move forward as a Department, we will judge the success of all our efforts against a single metric—the outcomes we provide for Veterans.


The Veterans Access, Choice, and Accountability Act of 2014 (VACAA), enacted less than 3-months ago, goes a long way toward enabling VA to meet the demand for Veterans health care in the short-term.  VA has put considerable focus and attention on ensuring the law is implemented seamlessly, without confusion, and without creating hardships for Veterans.  This legislation provides authorities, funding, and other tools to better serve Veterans in the short-term.  We are appreciative of this temporary measure to improve access while we build capacity within the VA system to better serve those who rely on us for health care.


From June 1 to September 30, 2014, VA completed more than 19 million Veteran appointments in our facilities and made nearly 1.1 million authorizations for Veterans to receive care in the private sector and other non-VA health facilities—a 46.6-percent increase over the same period in 2013.  This was all done under existing programs prior to the passage of VACAA, and sets the stage for strengthening existing partnerships between VA and the private sector.  We have much we can share with one another to the benefit of Veterans.


VA has signed contracts with two private health care companies to help VA administer the Veterans Choice Program (Choice Program) under VACAA.  The Choice Program is a new, temporary benefit allowing some Veterans to receive health care in their communities rather than waiting for a VA appointment or traveling to a VA facility.  It does not impact your existing VA health care or any other VA benefit you may be receiving.  We will begin implementing this benefit on November 5, as required by law.  A call center is now operational to answer your questions and verify your eligibility for this program. 


As part of this new program, we are issuing a Veterans Choice Card to every Veteran who is potentially eligible for the new, temporary health benefit.  The Choice Card allows Veterans to elect to receive care outside of VA when they qualify for the new program based on the distance of their residence from a VA care facility, or when wait times for VA health care exceed the standards established in law.  The Choice Card does not replace the identification card you already use to access other VA benefits; please do not throw away that identification card.


The Choice Card will be issued in three phases.  The first group of Choice Cards along with a letter explaining eligibility for this program is currently being sent to Veterans who may live more than 40 miles from a VA facility.  The next group of Choice Cards and letters will be sent shortly thereafter to those Veterans who are currently waiting for an appointment longer than 30-days from their preferred date or the date determined to be medically necessary by their physician.


The final group of Choice Cards and letters will be sent between December 2014 and January 2015 to the remainder of all Veterans enrolled for VA health care who may be eligible for the Choice Program in the future.


We are continuing to work with our partners—Congress, Veterans Service Organizations, and others—to get the information about this health program out to Veterans in as many ways as possible.  Please visit our Web site at where we have provided helpful information on Choice Program eligibility.  We will work with our partners to keep you informed as we improve our delivery of high-quality, timely care.


Thank you for your service and sacrifice 



Robert A. McDonald


The term “Combined arms” is a military term often associated with assaults, ambushes and other dramatic actions, but for the families and friends of the 837th Engineers Company out of Lorain, Ohio, not so much.  The hometown definition is quit different.  “Combined arms” simply means that we will combine all our efforts to ensure that ALL of our sons and daughters, husbands and wives, friends and family have all that is needed to return home safe and sound, and to that end the Family Readiness Group for the 837th Engineers had a benefit party and dance at the Stadium Bar and Grill at 8330 Tyler Rd. Blvd, Mentor, Ohio 44060 (440.205.4745). 

All proceeds from this benefit were used to furnish personal care items of the deployed troops.  For more information contact the SERV program at 216.481.8486.  



This is a reprint of an article from the Journal of Rehabilitation.

Crowder et al (2010) presented results of a study conducted by the national VA Supported Education Standards Work-group to identify and describe pilot supported education projects being implemented by local VA medical centers in coordination with colleges and universities, and directly by VA Compensated Work Therapy programs.  Project SERV (Supportive Education for the Returning Veterans) has worked with local VA clinicians to develop a non-residential learning community of full-time, general education (for credit), self-contained cohort classes for the first semester, followed by phased-in mainstreamed classes thereafter.  This model is analogous to “freshman interest group” learning communities that are becoming increasingly common for traditional college students on 4-year and university campuses (Golde & Pribbenow, 2000),  Project SERV, which started at Cleveland University, Ohio has now expanded to Youngstown State College, Ohio, and the University of Arizona, and involves VA clinicians as adjunct co-instructors with regular college faculty (Cleveland University, n.d.).  They report increased retention in college and increased grade point averages among participants (Crowder, 2010).


In addition to these enhancements of supportive services for student veterans, some programs are explicily building on the evidence base in supported education.  They have been initiated within a few VA programs and by universities.