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July 2011 - Navy
By CAPT Ike Puzon, USN (Ret)

The House version of the National Defense Authorization Act (NDAA) H.R. 1540 has been recently finalized, and the Senate is set to mark-up their version of the NDAA at this writing. It appears Congress is on the way to passing an NDAA in a timely fashion. Some of the manpower provisions of the House H.R. 1540 are:

  • Navy end-strength goes down by 3,000 to 325,739.
  • Navy Reserve end-strength increases by 729 to 66,200.
  • TRICARE Prime fees increase by 13%; $5 per month for family and $2.50 per month for individual – but indexing for future fees would use retiree cost of living allowance for any increase. Also, the NDAA does recognize in writing that service members already pay a high price for health through service and sacrifice.
  • Requires an assessment of health risks for personnel exposed to openair burn pits.
  • Allows members of the Individual Ready Reserve who have been called to active duty for at least one year since 9/11/01 to purchase premiumbased TRICARE coverage on the same basis as members of the retired reserve.
  • Directs a review of the need for additional behavioral health professionals and ways to incentivize such professionals to join the Active and Reserve forces.
  • Directs the Pentagon to develop a plan to be able to call up a limited number of Guard and Reserve forces for missions short of war.
  • Requires a variety of initiatives to enhance suicide prevention efforts and improve assessment and treatment of post-traumatic stress and traumatic brain injury.
  • Establishes requirements for the management and measurement of dwell time.
  • Reforms, consolidates, and simplifies travel and transportation authorities.
  • Makes mental health assessments available for members of the Reserve Components at the location of their unit during unit training and assemblies.
  • Provides legal council to service members who are victims of sexual assault.
  • Requires the Secretary of Defense to establish a unified medical command.
  • See our Web site for a complete listing of provisions, www.ausn.org or http://armedservices.house.gov/.

Regarding military health care, I recently spent nine days at Walter Reed Army Medical Center and met many wounded warriors and their families. It is something you should do in your hometown or VA facility to understand the issues and where our priorities are. Few of us really know what it is like to have a wounded family member come back from a combat zone. And, few of us worry about health care for veterans until it happens to us!

I am convinced we have the best medical care in the world in the US military system. I am also convinced there is no reason we should not do more for our wounded, their families, and our survivors. We actually need more of us to care and get involved with the wounded members and their families.

While our wounded heal, and service members still fight the enemy, it is amazing that our leaders in the military and in the Executive Branch are starting to preach a mantra of the military health care and pay are costing too much, “eating the military budget alive.” I am not sure how a leader can say this about care for the military, combat veterans, their families and survivors – Active or Reserve. For some time, we have known that a professional non-draft force would cost the Nation. This shows how terrible we are in the US at costing and predicting in the military.

In 1972, we knew that cost would rise without a draft. We also knew we would fight wars. In national security, we are terrible at understanding unintended consequences.

We are a great nation with the best military in the world; but we are terrible at predicting the future because of the makeup of our military system and the way we rotate our leaders.

We have had more conflicts (operations other than war) and wars in the last 20 years than we did in the previous 75 years. To be a world leader and to be America requires our military to be capable, trained, agile and fully manned at all times. To lead, if that is what we want as a nation, we have to have a first-rate, well-trained, and wellcared- for military and their support groups.

We have been fighting two wars simultaneously since 2001. Civilian US health care has risen. The wounded have come home. Why wouldn’t there be an increase in military health care cost? Of course, many say, we didn’t need to fight in Iraq or Afghanistan. Those are blinded people. Where would be in the world with terrorism unchallenged by the United States Military. The US military is the only organization that can defeat the terrorists and the only military that could have found Saddam Husain and Osama Bin Laden and brought them to justice.

Yet, few, if any, in the military are complaining about anything. The only people complaining are inside the beltway in Washington, DC, generally. Service members and veterans did not create a budget deficit – Congress and the Executive Branch did.

A related leadership issue

Secretary of Defense Robert Gates has long avoided using reductions in military pay and active duty benefits to reduce costs. However, pressure from the Administration to make $400B in cuts may have forced a change. In the past, Sec. Gates has sought to squeeze some excess costs from TRICARE by asking to increase annual premiums and fees for military retirees. During wartime, recently, Secretary Gates has put the possibility of cuts in military pay and benefits on the table.

Sec. Gates launched a comprehensive review of DoD’s future needs to identify specific recommendations. (Remember how good we are at predicting.) Among the specifics he cited were:

  • Lowering military compensation in light of strong recruiting and retention numbers.
  • Eliminating the “one-size-fits-all” military retirement system in favor of a tiered and targeted retirement system that weights compensation towards the most in-demand specialties.
  • Increasing health care costsharing for working-age retirees.

These recommendations and several similar ones remind us of old arguments that led to shortsighted changes of the 1970s, ’80s, and ’90s that ultimately caused significant retention and readiness problems, and a hollow force. And, it took monumental efforts to reverse a hollow force. Our enemies took advantage of a hollow force. Any cut in military personnel system compensation would blatantly take money from people who serve a career to pay people who leave early, creating a retention and readiness time bomb.

In related action, the Senate last Wednesday unanimously rejected 97 to 0 the President’s fiscal year 2012 budget. Senators also rejected 40 to 57 the House-passed budget sponsored by Rep. Paul Ryan (R-WI), which leaves the chamber without a budget four months before 1 October start of fiscal year 2012. Once again, it’s a slow start in the Senate even though the House is moving forward.

A solution

Our DoD leaders and Congress squabble over pay for the military and their earned benefits and people are still being killed in war and being wounded. Our service members and wounded warriors need more and need our support. Visit a military treatment facility or VA hospital. Those there have paid their dues in war and in peace. Veterans have earned their benefits. Before our military pay system or benefits are cut, we should subject all of the Executive Branch and the Congress to pay cuts and health care changes. I suggest, we cut the pay and compensation for senior executives at DoD and in the Executive Branch first. There are cuts to be taken, but not to our military in these areas for service members and veterans. Yet, Congress moves forward on these issues because we allow them to take action. You can make a difference. Take action at www.ausn.org.

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