WASHINGTON — At least tens of thousands of veterans with noncritical medical issues could suffer delayed or even denied care in coming years to enable President Bush to meet his promise of cutting the deficit in half — if the White House is serious about its proposed budget.
After an increase for next year, the Bush budget would turn current trends on their head. Even though the cost of providing medical care to veterans has been growing by leaps and bounds, White House budget documents assume a cutback in 2008 and further cuts thereafter.
In fact, the proposed cuts are so Draconian that it seems to some that the White House is simply making them up to make its long-term deficit figures look better. More realistic numbers, however, would raise doubts as to whether Bush can keep his promise to wrestle the deficit under control by the time he leaves office.
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"Either the administration is proposing gutting VA health care over the next five years or it is not serious about its own budget," said Rep. Chet Edwards of Texas, top Democrat on the panel overseeing the Department of Veterans Affairs budget. "If the proposals aren't serious, then that would undermine the administration's argument that they intend to reduce the deficit in half over the next several years."
In fact, the White House doesn't seem serious about the numbers. It says the long-term budget numbers don't represent actual administration policies. Similar cuts assumed in earlier budgets have been reversed.
"Instead, the president's subsequent budgets have increased funding for all of these programs," said Scott Milburn, the White House budget office spokesman. "The country can meet the goal of cutting the deficit in half and still invest in key programs for vulnerable Americans, and claims to the contrary aren't supported by the facts of recent budget history."
The veterans' medical-care cuts would come even though more and more people are trying to enter the system and as the number of people wounded in Iraq keeps rising. Even though Iraq war veterans represent only about 2 percent of the VA patient caseload, many are returning from battle with grievous injuries requiring costly care.
The White House budget office, however, assumes that the veterans' medical services budget — up 69 percent since Bush took office and which would rise by 11 percent next year under Bush's budget — can absorb cuts for three years in a row after that.
The cuts are outlined in a 673-page computer printout that has not been officially released by the White House Budget Office. However, it found its way into the hands of the Center of Budget and Policy Priorities, a liberal-leaning Washington think tank.
The administration insists it makes spending policies one year at a time and that the long-term veterans budget figures are subject to change.
"We don't make multiyear discretionary funding requests," said VA spokesman Scott Hogenson, who declined to speculate on whether long-term cuts were realistic. "We look at our needs and assess our needs on a year-to-year basis."
The rapidly growing budget for veterans' medical services, funded for the current year at $24.5 billion, would grow to $27.7 billion in 2007 under Bush's budget. But the medical services budget faces a 3 percent cut in 2008 and would hover below $27 billion for the next four years.
