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.
President Donald Trump takes the stage after speaking at Joint Systems Manufacturing Center in Lima, Ohio, Wednesday, March 20, 2019. (AP PhotoMichael Conroy)
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 Obama.
President Donald Trump make two fists while making his entrance to the Joint Systems Manufacturing Center to address employee's. (Craig J. Orosz The Lima News via AP)
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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PARIS (AP) —
Reuters photographer Mohammed Salem captured this year’s prestigious World Press Photo of the Year award Thursday with a depiction of loss and sorrow in Gaza, a heartrending photo of a Palestinian woman cradling the body of her young niece. The photograph, taken in Khan Younis just days after Salem’s own child was born, shows 36-year-old Inas Abu Maamar holding five-year-old Saly, who was killed along with her mother and sister when an Israeli missile struck their home.
Salem, who is Palestinian, described this photo filed Nov. 2 last year, as a “powerful and sad moment that sums up the broader sense of what was happening in the Gaza Strip.”
The image ”truly encapsulates this sense of impact,” said global jury chair Fiona Shields, The Guardian newspaper's head of photography. “It is incredibly moving to view and at the same time an argument for peace, which is extremely powerful when peace can sometimes feel like an unlikely fantasy,” she added.
The World Press Photo jury praised the shot’s sense of care and respect and its offering of a “metaphorical and literal glimpse into unimaginable loss.”
This is not the first time Salem has been recognized for his work on the Israeli-Palestinian conflict; he received a World Press Photo award more than a decade ago for another depiction of the human toll of conflict in the Gaza strip.
In the three other global categories announced Thursday, South Africa’s Lee-Ann Olwage won Photo Story of the Year for her touching series “Valim-babena,” featured in GEO magazine. The project focused on the stigmatization of dementia in Madagascar, a topic she explored through intimate portraits of “Dada Paul” and his family. Lack of public awareness surrounding dementia means that people displaying symptoms of memory loss are often stigmatized.
In the series, “Dada Paul,” who has lived with dementia for 11 years, is tenderly cared for by his daughter Fara. One of the standout images in the series shows him preparing for church with his granddaughter Odliatemix, capturing moments of normalcy and warmth amidst the challenges of dementia.
Photographer Alejandro Cegarra, a Venezuelan native who migrated to Mexico in 2017, won the Long-Term Project award for “The Two Walls,” published by The New York Times and Bloomberg. Cegarra’s project, initiated in 2018, examines a shift in Mexico’s immigration policies, which have moved from being historically open to enforcing strict regulations at its southern border. The jury said the photographer's perspective as a migrant gave it a “sensitive," human-centered perspective, according to a press release.
Julia Kochetova of Ukraine won the Open Format award for “War Is Personal.” The project stood out from coverage of the ongoing conflict by offering a personal look at the harsh realities of war. On a dedicated website, she merged traditional photojournalism with a diary-like documentary style, incorporating photography, poetry, audio clips and music.
The Associated Press won the Open Format award in the regional Africa category with the multimedia story “Adrift,” created by journalists Renata Brito and Felipe Dana. The story investigates the fate of West African migrants who attempted to reach Europe via a treacherous Atlantic route but ended up on a ghost ship discovered off Tobago. The team’s compelling use of photography, cinematography and detailed narrative, enhanced by expert design and multimedia elements, highlights the perils faced by migrants and the human stories behind global migration issues.
The Associated Press' Ebrahim Noroozi won the Asia Stories award for his series “Afghanistan on the Edge,” which documents the country since the Taliban took over in August 2021.
World Press Photo is an independent, nonprofit organization based in the Netherlands, founded in 1955.
This image provided by World Press Photo is part of a series titled Afghanistan on the Edge by Ebrahim Noroozi, Associated Press, which won the World Press Photo Asia Series category and showsAn Afghan refugee rests in the desert next to a camp near the Torkham Pakistan-Afghanistan border, in Torkham, Afghanistan, Friday, Nov. 17, 2023. A huge number of Afghans refugees entered the Torkham border to return home hours before the expiration of a Pakistani government deadline for those who are in the country illegally to leave or face deportation. (AP Photo/Ebrahim Noroozi)
This image provided by World Press Photo is part of a series titled Afghanistan on the Edge by Ebrahim Noroozi, Associated Press, which won the World Press Photo Asia Series category and shows : Since the chaotic Taliban takeover of Kabul on Aug. 15, 2021, an already war-devastated economy once kept alive by international donations alone is now on the verge of collapse. There isn't enough money for hospitals. The World Health Organization is warning of millions of children suffering malnutrition, and the U.N. says 97% of Afghans will soon be living below the poverty line. Three Afghan internally displaced children look with surprise at an apple that their mother brought home after begging, in a camp on the outskirts of Kabul, Afghanistan, Thursday, Feb 2, 2023. (AP Photo/Ebrahim Noroozi)
This image provided by World Press Photo is part of a multimedia project by Associated Press' Renata Brito and Felipe Dana titled Adrift, won the World Press Photo Africa Regional Winner Open Format category and shows a mortuary technician opening the door of a refrigerator used to store the remains of migrants recovered from inside the Mauritania boat that appeared drifting near the island of Tobago, in Scarborough, Trinidad and Tobago, Tuesday, Jan. 25, 2022. In May 2021 a boat from Mauritania full of dead men was found off the coast of the Caribbean Island of Tobago. Who were these men and why were they on the other side of the Atlantic Ocean? Two visual journalists sought answers, uncovering a story about migrants from West Africa who seek opportunity in Europe via an increasingly popular but treacherous Atlantic route. (AP Photo/Felipe Dana)
This image provided by World Press Photo is part of a multimedia project by Associated Press' Renata Brito and Felipe Dana titled Adrift, won the World Press Photo Africa Regional Winner Open Format category and shows young fishermen walk into the ocean to board an artisanal fishing boat in Nouakchott, Mauritania, Friday, Dec. 10, 2021. In May 2021 a boat from Mauritania full of dead men was found off the coast of the Caribbean Island of Tobago. Who were these men and why were they on the other side of the Atlantic Ocean? Two visual journalists sought answers, uncovering a story about migrants from West Africa who seek opportunity in Europe via an increasingly popular but treacherous Atlantic route. (AP Photo/Felipe Dana)
This image provided by World Press Photo is part of a multimedia project by Associated Press' Renata Brito and Felipe Dana titled Adrift, won the World Press Photo Africa Regional Winner Open Format category and shows Moussa Sako, an asylum-seeker from Mali, who survived 22 days aboard a Mauritanian boat drifting in the Atlantic Ocean covers his face during an interview with the Associated Press in Guadalajara, Spain, Sunday, Nov. 14, 2021. In May 2021 a boat from Mauritania full of dead men was found off the coast of the Caribbean Island of Tobago. Who were these men and why were they on the other side of the Atlantic Ocean? Two visual journalists sought answers, uncovering a story about migrants from West Africa who seek opportunity in Europe via an increasingly popular but treacherous Atlantic route. (AP Photo/Felipe Dana)
This image provided by World Press Photo and taken by Julia Kochetova is part of a series titled War is Personal which won the World Press Photo Open Format Award. Amidst tens of thousands of civilian and military casualties and an effective stalemate that has lasted for months, there are no signs of peace on the horizon for Russia's war in Ukraine. While news media updates its audience with statistics and maps, and international attention drifts elsewhere, the photographer has created a personal website that brings together photojournalism with the personal documentary style of a diary to show the world what it is like to live with war as an everyday reality. (Julia Kochetova/World Press Photo via AP)
This image provided by World Press Photo and taken by Julia Kochetova is part of a series titled War is Personal which won the World Press Photo Open Format Award and shows a stabilization point near Bakhmut, Ukraine, of the 5th assault brigade and 77th brigade. Hospitalliers battalion - volunteer battalion of combat medics are helping here. Amidst tens of thousands of civilian and military casualties and an effective stalemate that has lasted for months, there are no signs of peace on the horizon for Russia's war in Ukraine. While news media updates its audience with statistics and maps, and international attention drifts elsewhere, the photographer has created a personal website that brings together photojournalism with the personal documentary style of a diary to show the world what it is like to live with war as an everyday reality. (Julia Kochetova/Der Spiegel/World Press Photo via AP)
This image provided by World Press Photo and taken by Julia Kochetova is part of a series titled War is Personal which won the World Press Photo Open Format Award and shows the training of mobilized conscripts of 68th brigade in Donetsk region, not far from frontline. 68th brigade recently liberated Blagodatne village during the Ukrainian counter-offensive. The instructors came from US, working for NGO "Saber".Amidst tens of thousands of civilian and military casualties and an effective stalemate that has lasted for months, there are no signs of peace on the horizon for Russia's war in Ukraine. While news media updates its audience with statistics and maps, and international attention drifts elsewhere, the photographer has created a personal website that brings together photojournalism with the personal documentary style of a diary to show the world what it is like to live with war as an everyday reality. (Julia Kochetova/Der Spiegel/World Press Photo via AP)
This image provided by World Press Photo and taken by Alejandro Cegarra for The New Times/Bloomberg is part of a series titled The Two Walls which won the World Press Photo Long-Term Project Award and shows Carlos Mendoza, a Venezuelan migrant, crossing the Rio Grande river to seek asylum in the United States. Piedras Negras, Mexico, 7 October 2023. (Alejandro Cegarra/The New York Times/Bloomberg/World Press Photo via AP)
This image provided by World Press Photo and taken by Alejandro Cegarra for The New Times/Bloomberg is part of a series titled The Two Walls which won the World Press Photo Long-Term Project Award and shows a migrant walking atop a freight train known as "The Beast." Migrants and asylum seekers lacking the financial resources to pay a smuggler often resort to using cargo trains to reach the United States border. This mode of transportation is very dangerous; over the years, hundreds have fallen onto the tracks and have been killed or maimed. Piedras Negras, Mexico, 8 October 2023. (Alejandro Cegarra/The New York Times/Bloomberg/World Press Photo via AP)
This image provided by World Press Photo and taken by Lee-Ann Olwage for GEO is part of a series titled Valim-babena which won the World Press Photo Story of the Year Award and shows Dada Paul Rakotazandriny (91), who is living with dementia, and his granddaughter, Odliatemix Rafaraniriana (5), get ready for church on Sunday morning at his home in Antananarivo, Madagascar. 12 March 2023. (Lee-Ann Olwage/Geo/World Press Photo via AP)
This image provided by World Press Photo and taken by Lee-Ann Olwage for GEO is part of a series titled Valim-babena which won the World Press Photo Story of the Year Award and shows Joeline (Fara) Rafaraniriana (41) watches her father, Dada Paul Rakotazandriny (91) clean fish at home on Sunday afternoon. A typical Sunday consists of the family attending church in the morning and spending time together in the afternoon. Fara works during the week and as the sole provider and carer for her daughter and father struggles to manage all her responsibilities in the absence of assistance by her siblings who live close by. Mandrosoa Ivato, Antananarivo, Madagascar. 12 March 2023. (Lee-Ann Olwage/Geo/World Press Photo via AP)
This image provided by World Press Photo and taken by Mohammed Salem of the Reuters news agency won the World Press Photo Award of the Year and shows Palestinian woman Inas Abu Maamar, 36, embracing the body of her 5-year-old niece Saly, who was killed in an Israeli strike, at Nasser hospital in Khan Younis in the southern Gaza Strip, October 17, 2023. (Mohammed Salem/Reuters/World Press Photo via AP)
