President Donald Trump's posthumous slam on Sen. John McCain flips reality on its head when it comes to who gave veterans the option to see a private doctor at public expense.
"McCain didn't get the job done for our great vets," Trump said Wednesday. "I got it done."
Actually, McCain got it done.
Trump routinely takes full credit for enacting the Choice program, ignoring the fact that it was signed into law by President Barack Obama in 2014. This time, his boast came as part of a broad-brush denunciation of McCain, the senator from Arizona, Vietnam war naval aviator and tortured prisoner of war who died in August of brain cancer.
TRUMP: "The vets were on my side because I got the job done. I got Choice and I got accountability. ... For many decades, they couldn't get it done. It was never done. I got it. Five months ago, I got it done. Choice." — remarks at an Army tank factory in Lima, Ohio.
THE FACTS: What Trump got done was an expansion of the program achieved by McCain and Sen. Bernie Sanders, most prominent among the lawmakers who advanced the legislation signed by President Barack Obama.
McCain was a co-sponsor of the 2014 legislation to overhaul the Department of Veterans Affairs following the scandal at VA's medical center in Phoenix, where some veterans died while waiting months for appointments for medical care. He was a key negotiator for the legislation establishing the Veterans Choice program, working with Sanders, the co-author of the bill. Sanders was then chairman of the Senate Veterans Affairs Committee.
McCain didn't rest after the law was enacted. He fought to expand the program and achieved that, too, in his last months.
Trump signed the expansion into law in May. It's named after three veterans who served in Congress.
One of them is McCain.
It's called the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018.
TRUMP: "Instead of waiting in line for two days, two weeks, two months, people waiting on line — they're not very sick, by the time they see a doctor, they are terminally ill — we give them Choice. If you have to wait for any extended period of time, you go outside, you go to a local doctor, we pay the bill, you get yourself better, go home to your family — and we got it passed. We got it done."
THE FACTS: As he does routinely, Trump exaggerated what's been accomplished with his expansion.
Veterans still must wait for weeks before they can get private care outside the VA system.
The program currently allows veterans to see doctors outside VA if they must wait more than 30 days for an appointment or drive more than 40 miles (65 kilometers) to a VA facility. Under new rules to take effect in June, veterans are to have that option for a private doctor if their VA wait is only 20 days (28 for specialty care) or their drive is only 30 minutes.
But the expanded Choice eligibility may do little to provide immediate help. That's because veterans often must wait even longer for an appointment in the private sector. Last year, then-Secretary David Shulkin said VA care is "often 40 percent better in terms of wait times" compared with the private sector. In 2018, 34 percent of all VA appointments were with outside physicians, down from 36 percent in 2017.
The VA also must resolve long-term financing because of congressional budget caps after the White House opposed new money to pay for the program. As a result, lawmakers could be forced later this year to limit the program or slash core VA or other domestic programs.
Also key to the program's success is an overhaul of VA's electronic medical records to allow seamless sharing of medical records with private physicians, a process expected to take up to 10 years. VA Secretary Robert Wilkie has said full implementation of the expanded Choice program is "years" away.
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WASHINGTON (AP) — Israel this week briefed Biden administration officials on a plan to evacuate Palestinian civilians ahead of a potential operation in the southern Gaza city of Rafah aimed at rooting out Hamas militants, according to U.S. officials familiar with the talks.
The officials, who were not authorized to comment publicly and requested anonymity to speak about the sensitive exchange, said that the plan detailed by the Israelis did not change the U.S. administration’s view that moving forward with an operation in Rafah would put too many innocent Palestinian civilians at risk.
Israeli Prime Minister Benjamin Netanyahu has vowed to carry out a military operation in Rafah despite warnings from President Joe Biden and other western officials that doing so would result in more civilian deaths and worsen an already dire humanitarian crisis.
The Biden administration has said there could be consequences for Israel should it move forward with the operation without a credible plan to safeguard civilians.
“Absent such a plan, we can’t support a major military operation going into Rafah because the damage it would do is beyond what’s acceptable,” U.S. Secretary of State Antony Blinken said late Friday at the Sedona Forum, an event in Arizona hosted by the McCain Institute.
Some 1.5 million Palestinians have sheltered in the southern Gaza city as the territory has been ravaged by the war that began on Oct. 7 after Hamas militants attacked Israel, killing 1,200 people and taking about 250 hostages.
The United Nations humanitarian aid agency on Friday said that hundreds of thousands of people would be “at imminent risk of death” if Israel moves forward with the Rafah assault. The border city is a critical entry point for humanitarian aid and is filled with displaced Palestinians, many in densely packed tent camps.
The officials added that the evacuation plan that the Israelis briefed was not finalized and both sides agreed to keep discussing the matter.
White House press secretary Karine Jean-Pierre told reporters on Friday that no “comprehensive” plan for a potential Rafah operation has been revealed by the Israelis to the White House. The operation, however, has been discussed during recent calls between Biden and Netanyahu as well as during recent virtual talks with top Israeli and U.S. national security officials.
“We want to make sure that those conversations continue because it is important to protect those Palestinian lives — those innocent lives,” Jean-Pierre said.
The revelation of Israel's continued push to carry out a Rafah operation came as CIA director William Burns arrived Friday in Egypt, where negotiators are trying to seal a cease-fire accord between Israel and Hamas.
Hamas is considering the latest proposal for a cease-fire and hostage release put forward by U.S., Egyptian and Qatari mediators, who are looking to avert the Rafah operation.
They have publicly pressed Hamas to accept the terms of the deal that would lead to an extended cease-fire and an exchange of Israeli hostages taken captive on Oct. 7 and Palestinian prisoners in Israeli jails.
Hamas has said it will send a delegation to Cairo in the coming days for further discussions on the offer, though it has not specified when.
Israel, and its allies, have sought to increase pressure on Hamas on the hostage negotiation. Signaling that Israel continues to move forward with its planning for a Rafah operation could be a tactic to nudge the militants to finalize the deal.
Netanyahu said earlier this week that Israeli forces would enter Rafah, which Israel says is Hamas’ last stronghold, regardless of whether a truce-for-hostages deal is struck. His comments appeared to be meant to appease his nationalist governing partners, and it was not clear whether they would have any bearing on any emerging deal with Hamas.
Blinken visited the region, including Israel, this week and called the latest proposal “extraordinarily generous” and said “the time to act is now.”
In Arizona on Friday, Blinken repeated remarks he made earlier this week that "the only thing standing between the people of Gaza and a cease-fire is Hamas.”
The Chahine family prepares to bury two adults and five boys and girls under the age of 16 after an overnight Israeli strike in Rafah, southern Gaza Strip, Friday, May 3, 2024. An Israeli strike on the city of Rafah on the southern edge of the Gaza Strip killed several people, including children, hospital officials said Friday. (AP Photo/Ismael Abu Dayyah)
FILE - Palestinians line up for free food during the ongoing Israeli air and ground offensive on the Gaza Strip in Rafah, Jan. 9, 2024. A top U.N. official said Friday, May 3, 2024, that hard-hit northern Gaza was now in “full-blown famine" after more than six months of war between Israel and Hamas and severe Israeli restrictions on food deliveries to the Palestinian territory. (AP Photo/Hatem Ali, File)
Palestinians rescue a woman survived after the Israeli bombardment on a residential building of Abu Alenan family in Rafah, southern Gaza Strip, early Saturday, May 4, 2024. (AP Photo/Ismael Abu Dayyah)
President Joe Biden walks across the South Lawn of the White House as he talks with White House press secretary Karine Jean-Pierre Thursday, May 2, 2024, in Washington, after returning from a trip to North Carolina. (AP Photo/Mark Schiefelbein)
