从医疗保健到招聘:美国社会和公共政策对残疾退伍军人的影响。

Journal of law and health Pub Date : 2022-01-01
Benjamin Michael Stoflet
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引用次数: 0

摘要

本文第一部分考察了美国退伍军人残疾和就业立法的历史基础、动机和演变。第二部分以残疾和就业为框架,定义、描述和批评了联邦就业保护领域的当代残疾退伍军人政策,以及在退伍军人残疾决策审查过程中使用替代性争议解决机制(ADR)。第三部分讨论了残疾退伍军人和联邦政府在政策改革中所扮演的角色,发现双方都是立法变革的催化剂和障碍。本文在第四部分结束,建议立法将残疾护理的要素(目前由VA主持)纳入医疗保险。通过这个新创建的保险组成部分,本文将其称为“医疗保险第五部分”,残疾退伍军人将有资格进入目前接受医疗保险的所有医院和诊所。预计这将增加在当地设施获得护理的机会。其次,联邦政府必须投入足够的资源进行更多的纵向数据收集研究,以便更全面地评估残疾退伍军人在一段时间内的过渡和就业资源需求。更好地了解这些需求可能会提高退伍军人在劳动力中的参与率,对雇主和退伍军人都有利。最后,本文呼吁通过为上诉创建一个安全的在线替代争议解决方法来现代化和优化退伍军人事务部的索赔上诉流程,特别是在残疾和赔偿请求的高级审查(HLR)中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From Healthcare to Hiring: Impacts of Social and Public Policy on Disabled Veterans in the United States.

Part I of this paper considers the historical foundations, motivations, and evolution of veterans' disability and employment legislation in the United States. Utilizing disability and employment as its framework, Part II then defines, describes, and critiques contemporary policies for disabled veterans in the areas of federal employment protections and uses of Alternative Dispute Resolution (ADR) within the VA's disability decision review process. Part III discusses the roles played by disabled veterans and the federal government in policy reform, finding that both sides act as catalysts and barriers to legislative change. This paper concludes in Part IV, recommending legislation that integrates elements of disability care--currently under the auspices of the VA--into Medicare. Through this newly created insurance component, which this paper will call "Medicare Part V," disabled veterans will be eligible to access all hospitals and clinics currently accepting Medicare. This is anticipated to increase access to care in local facilities. Second, it is essential that the federal government devotes sufficient resources to conduct more longitudinal data collection studies, enabling a more comprehensive assessment of the transitional and employment resource needs of disabled veterans over time. Achieving a greater understanding of these needs may induce greater veteran participation rates in the labor force, benefiting employers and veterans alike. Finally, this paper calls for modernizing and optimizing the VA's claim appeals process by creating a secure online method of Alternative Dispute Resolution for appeals, specifically in Higher-Level Reviews (HLR's) of disability and compensation requests.

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