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Health Fee Hikes Are out of Line |
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| Summer 2006
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THE PRESIDENT'S FY 2007 BUDGET
proposes dramatic increases in TRICARE enrollment fees and
deductibles for retirees under age 65 and steep retail pharmacy fee
increases for all beneficiaries. MOAA strongly opposes that plan.
DoD officials argue that:
- military health care costs are
crimping other military needs;
- military health care benefits
are "extremely rich" compared to civilian plans; and
- health care fees for retirees
haven't changed since 1995.
MOAA says the country owes far more
to military retirees than General Motors does to its employees.
Military retirement benefits are the only offset for the
extraordinary demands inherent in a military career. Military
retirees paid far greater premiums - in sacrifice - than any
civilian.
The Pentagon should ask for a bigger Defense budget rather than
seeking to "tax" military retirees to fund other Defense needs. The
Pentagon plan would triple retired officers' TRICARE Prime
enrollment fees over the next two years and al--most quadruple costs
for TRICARE Standard (see "Proposed Fee Growth Versus Retired Pay
Growth," below). After that, the fees would be adjusted annually at
triple the rate of retired pay growth.
The Joint Chiefs of Staff support the fee hikes because they've been
told it's the only way they'll get money for weapons needs. Making
the Joint Chiefs choose between the two is just plain wrong.
The majority of the savings comes from the assumption that the
increases would drive hundreds of thousands of retirees who are
under age 65 out of TRI-CARE. If that doesn't happen (as MOAA
believes it won't), further fee increases would be considered.
Testifying in February for fee increases, the secretary of Defense
and chairman of the Joint Chiefs of Staff drew varying res-ponses.
Sen. Lindsey Graham (R-S.C.) applauded the witnesses for thinking
"out of the box" and appeared to support at least some increases,
while Rep. John McHugh (R-N.Y.) and others on the House side
criticized the appropriateness of the fee increases and questioned
the department's savings calculations.
Much of the Pentagon's concern about increasing health care costs
involves the $10 billion annual deposit to the TRICARE For Life (TFL)
trust fund. When defense leaders first complained that this
requirement was crimping other readiness requirements, Congress put
a provision in the FY 2005 National Defense Authorization Act
(Public Law 108-375) that shifted the requirement to make that
deposit from the Defense budget to the Treasury budget. The clear
intent was that TFL funding wasn't to be taken from other readiness
needs.
The Office of Management and Bud-get, with a "wink and a nod" from
the budget committees, has flouted the law and continues to charge
the deposit against the Defense budget. That's why the
administration has wrongly forced the Joint Chiefs of Staff to
choose between retiree health funding and weapons programs. It's a
false choice. If the administration obeyed the law, the debate
wouldn't be necessary.
MOAA has worked with Reps. Chet Edwards (D-Texas) and Walter Jones
(R-N.C.) to develop legislation (H.R.
4949) that would bar the Pentagon from increasing TRICARE fees
and specify that only Congress can do that.
Matching Reserve Benefits to Service
Expectations
THE DAYS OF THE "WEEKEND WARRIOR"
are gone. Today's Guard and Reserve troops will be mobilized every
five or six years. But will reservists stay the course under the new
plan?
DoD says yes: Reenlistment rates, spurred by tax-free bonuses in
Iraq and Afghanistan, are up. DoD researchers say reserve retirement
benefits don't influence "re-up" decisions. Others, including
reservists themselves, MOAA, and the Senate, see things differently.
Reserve mission increases and smaller forces mean reservists have
far more active duty time than was envisioned in 1948, when the
age-60 reserve retirement rule was created.
Reservists shouldn't have to suffer major cuts in their civilian
retirement plans because the government demands more duty time. The
government has a reciprocal obligation, in return for imposing that
added sacrifice, to help offset reservists' civilian retirement
losses.
Last year, the Senate passed legislation to reduce the age-60
reserve retirement age by three months for each 90 days served on
active duty since Sept. 11, 2001. But Senate and House negotiators
could not agree, and the issue was tabled.
Reserve retirement reform isn't going away. The public recognizes
the new realities of reserve service commitments, and so should the
government.
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