Dear Classmates, Class Leaders, and Graduates:The
Class of 58 has a serious issue to raise. We are searching for the proper way to influence
the unacceptable course of military health care. We intend, as a class, to take this issue
on, both publically and inside the Department of Defense. We earnestly solicit your
class's support. Several or many classes will have much greater impact than one class.
Please read the text below which was presented to our entire class and approved by them,
with no objection, for action. If you and your class agree that this issue is important to
your members and that we, as classes, may be able to bring pressure to bear on decision
makers, please join us by expressing your support. If you will respond to me or to our
class representative, Pete Brintnall (brintnal@erols.com),
we will take it from there.
Please read on.
Summary
'58 is fast approaching age 65. This means most will soon be deprived of military
health benefits. The broken promise of life-time health care affects all of us, because it
is adversely impacting on recruitment and retention. It is an impediment to ensuring the
strong and highly motivated military that we need to defend our country. Tests are
underway to extend TRICARE to Medicare-eligible retirees, but this would help only 30% to
40%.
We also need access to the Federal Employee Health Benefit Plan (FEHBP) that covers all
Federal employees except the military. Our senior military leadership is doing nothing to
solve the problem, and unless we take action now, it will only get worse. We can
make a difference by involving other classes, the AOG and by taking our case to the
highest civilian and military authorities.
The Problem
1.3 million Medicare-eligible military retirees over 65 today rising to 1.6 million by
2005. Retirees over 65 represent more than 50 percent of Military Health System
beneficiaries.
Federal statues prohibit staffing military hospitals to treat patients 65 and older.
Medicare-eligible retirees 65 and older may receive care on a "space available"
basis solely on the determination of the hospital or clinic commander.
Space-available care is shrinking due to base closures and reduced clinic and hospital
capacity.
Our Government Broke its Promise
* Beginning in 1956 recruiting and retention literature promised superb health care
"for the rest of your life". Such advertisements continued until 1993
* In 1966 congress declined to extend CHAMPUS eligibility beyond 65, asserting that the
abundance of space available medical care in military facilities plus Medicare offered
uniformed services retirees a viable "two-track" health care system.
* In 1991 the Congressional Research Service concluded that "free health care for
life" promise was functionally true and had been used to good advantage for
recruiting and retention.
Two Programs Can Fix This
TRICARE Senior Prime: Medicare subvention for making seniors eligible for
TRICARE. (If implemented, it will benefit 30-40% of Medicare-eligible retirees.)
Federal Employees Health Benefits Program (FEHBP) The health care program covering
non-uniformed Federal retirees, to include letter carriers, Civil Service, Congressional
staffs. The Federal Government pays 72% of the FEHBP premiums. It is not cut off at 65 as
is TRICARE.
Current Situation
DoD and other federal agencies budget more than $3 billion per year for retired civil
annuitants 65 and older to pay for the government's share of the FEHBP premium.
Comparatively, DoD budgets and receives about $1.3 billion per year to provide "space
available" care to a limited number of older retirees who live near a military
treatment facility. Why should the President and every congressman have the benefit of
FEHBP for just a few years of Federal service when career military do not? Our senior
Armed Forces leaders do not appear at all concerned over this problem, and Congress won't
solve it unless they ask for it in their budget requests. If we are going to solve this
problem we need to both work on Congress and to put pressure on our senior military
leaders. Someone has to tell them in no uncertain terms that they are shirking their
responsibilities, that they are letting us down. Let them know that they are perpetuating
the broken promise that retirees and their spouses would receive health care. Let them
know that in all good conscience, we can no longer recommend that bright young men and
women make military service a career because the Services are not keeping their promises.
Let them known that this is an issue affecting recruiting and retention.
A Call to Action
What should we do? We suggest parallel approaches, one conventional and one
non-conventional. First, become a member of TROA and support in their efforts so secure
passage of legislation for both to expand TRICARE Senior Prime and to open FEHBP to
Medicare-eligible retirees You may contact TROA at www.troa.org. You can find the names of your Senators and
Representatives at the TROA link. Second, subscribe to TROA's weekly legislative update
and contact elected officials. You can do this by sending your name, address,
service and TROA member number (if you have one) via e-mail to legis@troa.org. You may receive the
weekly update even if you are not a dues paying member of TROA. Third, take this to our
senior military and civilian leaders. To that end, we ask you to support the
following resolution:
WHEREAS, the USMA Class of 1958 is profoundly concerned over the broken promise of
lifetime health care for those military personal who have honorably served their country
and retired from its armed forces, and WHEREAS, this has become a readiness issue
affecting both retention and recruitment, and WHEREAS, the broken promise of lifetime
health care is preventing the members of this class from recommending, without
reservation, that young men and women make a career of the US Army or any other military
service, to include recommending candidates for admission to USMA and WHEREAS, the senior
Armed Forces leadership is not attempting to ensure health care for retirees over 65 year
old, NOW, THEREFORE, BE IT RESOLVED that the members of the Class of 1958 direct their
class leaders to communicate these concerns to the highest military and civilian
authorities, and BE IT FURTHER RESOLVED that the class leaders shall promulgate our views
to other USMA classes, and seek their support to make this a priority issue within the
Association of Graduates.