The Arizona Republic

VA cuts could imperil ambulance rides for vets, others

- Your Turn Moses Sanchez Guest columnist Moses Sanchez is a veteran of the U.S. Navy and small-business owner. He lives in Phoenix. Reach him at Moses@MosesSanch­ez.com.

Leave no service member behind. That is something I learned in the U.S. Navy, and a core principle instilled in every U.S. military member — whether soldier, sailor, airman or Marine.

It’s a lesson the Department of Veterans Affairs (VA) would do well to remember.

Because, in an attempt to cut costs, the VA is set to reduce access to lifesaving care needed by veterans in Arizona and nationwide.

In February 2024, the VA is scheduled to slash reimbursem­ent rates paid anytime a veteran requires air or ground ambulance transport during a medical emergency.

Even worse, if an ambulance crew makes the decision to take a veteran to a non-VA medical facility – as often happens during emergencie­s when every second counts – the VA will no longer provide any reimbursem­ent whatsoever.

Who will pick up the tab?

In all likelihood, it will be the veteran him or herself, socked with hundreds or even thousands of dollars in unexpected costs.

Industry experts warn enactment of the VA cuts will lead to ambulance operators closing bases and pulling out of communitie­s, especially rural areas where access to emergency medical services can already be challengin­g.

It won’t only be veterans impacted by a loss of ambulance service, though. Anyone needing ambulance service in an affected community will pay the price.

“Ambulance deserts” – areas without reliable service – are already a worsening phenomenon nationwide. An estimated 4.5 million Americans live in communitie­s where, during a medical emergency, the nearest ambulance staffed by EMTs is at least 25 minutes away.

These numbers will only grow if the VA’s cost-cutting plan takes effect and ambulance operators find it no longer feasible to operate in certain communitie­s, including rural areas where an estimated 1 in 4 veterans live.

It shouldn’t be this way.

Fortunatel­y, bipartisan federal legislatio­n known as the VA Emergency Transporta­tion Access Act would prevent the VA from cutting reimbursem­ent rates such as this unless the agency has fully reviewed the impact to veterans’ health-care access, consulted veterans service organizati­ons and industry experts, and taken into account the actual costs of the service being provided.

Veterans advocacy groups like the American Legion, VFW and Paralyzed Veterans of America have endorsed the legislatio­n, as have the Internatio­nal Associatio­n of Fire Chiefs, National Associatio­n of Emergency Medical Technician­s and more.

I was born in Panama and immigrated to this country as a child with my parents. To help repay this blessing, I immediatel­y enlisted in the U.S. Navy after graduating high school.

I’m now retired from the military but am proud to have served more than two decades with the Navy and Navy Reserves — including one deployment to Afghanista­n.

There are more than a half-million veterans in Arizona. We share a bond of service and sacrifice, as well as a simple promise made by our government to look after us during our time of need.

The VA must not be allowed to walk away from this promise in the name of budget cuts.

My message to Sens. Kyrsten Sinema and Mark Kelly and Arizona’s entire House delegation is simple: Ensure the VA keeps its word. Support the VA Emergency Transporta­tion Access Act.

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