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Behind Friendly Lines: The potential future of VA health care in Colorado

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The way forward for Veterans Affairs well being care throughout Colorado — and the nation, for that matter — is within the fingers of the unbiased Asset and Infrastructure Evaluate (AIR) Fee. It is a group of 9 presidentially appointed and congressionally authorised leaders who will conduct public hearings over the subsequent 12 months and make suggestions.

The VA launched the AIR report and the secretary’s last suggestions for the modernization or realignment of the VA’s well being care system March 14; the report is on the market at va.gov/aircommissionreport.

What does all this imply for Colorado? Permit me to interrupt it down for you with a Q&A.

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Why did market assessments happen and why is there an AIR Fee?

The VA MISSION Act of 2018 required the division to conduct a collection of market assessments to look at future demand for well being care providers among the many veteran inhabitants. As soon as full, the VA needed to submit findings and suggestions to the AIR Fee.

When will this happen?

We’re in the midst of a three-step course of. First, the VA did research of each VA space throughout the U.S. over the previous couple of years, often known as market assessments. These research analyzed the make-up of our veterans by well being care wants, demographic elements and geography.

Second, the VA used these market assessments to tell suggestions for the way forward for the VA’s well being care infrastructure. The VA secretary introduced the suggestions March 14.

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The third step includes a really particular cadence. The AIR Fee will maintain public hearings, go to VA amenities and hearken to veterans to evaluate the suggestions. The commissioners will then transmit the suggestions, with any adjustments, to the president in early 2023. President Joe Biden will then decide whether or not to submit these suggestions to Congress. If he does so, Congress can settle for these suggestions as an entire by inaction or reject them of their entirety by passing a joint decision of disapproval.

What does this imply for Colorado veterans?

Between outpatient care, strategic collaborations and referrals to neighborhood suppliers, the VA will proceed to ship entry to world-class care for each veteran, locally and in rural areas, in each nook of the Centennial State. Though there are three well being care programs working in Colorado, almost all Gazette readers reside within the VA Jap Colorado Well being Care System, which covers the Denver metro space, Colorado Springs space and far of the territory alongside the Entrance Vary.

Listed here are the key suggestions by county. Consider, these are solely suggestions; nothing will change now or within the quick future. Any proposed adjustments are a number of years away from potential implementation.

El Paso County: Present inpatient medical and surgical providers by both developing a brand new VA Medical Middle within the neighborhood of Colorado Springs or by a strategic collaboration with the Division of Protection. Present inpatient psychological well being providers within the Colorado Springs space.

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Pueblo County: Transition providers from the present Neighborhood Dwelling Middle (CLC) in Pueblo to a 48-bed CLC in Colorado Springs.

Douglas County: Set up a brand new VA Clinic within the Fort Rock space.

Arapahoe County: Relocate the Aurora VA Clinic to a brand new website in the identical space.

Denver County: Relocate to a brand new website on the Denver VAMC property; shut the quickly deactivated Denver VA Clinic.

Chaffee, Package Carson, Otero and Prowers counties: Relocate all providers on the Salida VA Clinic, Burlington VA Clinic, La Junta VA Clinic and Lamar VA Clinic. Any really helpful closure of rural clinics relocates care to neighborhood suppliers, permitting veterans to have native, handy entry to care.

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What actions ought to Colorado veterans take?

Enroll in VA well being care and use the advantages you earned. Any VA modernization efforts or infrastructure enhancements replicate the variety of veterans enrolled in VA well being care. The extra enrolled veterans there are in any county/area, the extra providers the VA will take into account providing. It will hold world-class care the place veterans reside. Alternatively, telehealth is all the time a viable choice to proceed to obtain care in any location.

Thanks for permitting me to stroll alongside you behind pleasant traces.

Victory!

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Fans roast EA Sports' 'laughable' Colorado ranking in 'College Football 25'

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Fans roast EA Sports' 'laughable' Colorado ranking in 'College Football 25'


EA Sports has released several rankings for its College Football 25 this week, teasing the July 19 release date for the much-awaited new game. When the company dropped the latest Power Rankings Friday, fans argued on social media about this team or that team’s relative ranking.

Yet fans universally seemed to agree on one ranking: Colorado is not the No. 16 team in the country.

Recall the Buffaloes started 3-0 last season under new coach Deion Sanders, and some fans had illusions of a College Football Playoff spot. But reality set in, and the Buffs dropped eight of nine to finish the season.

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That is not what anyone looks for in a potential top 20 program. The popular College Sports Only X account noted, “EA Sports really ranked Colorado the 16th best team in “College Football 25″ after going 4-8 last season & losing 8 of their last 9 games.”

EA Sports has shared details about how it wants to make the game as realistic as possible, even having CFB 25 announcers such as Chris Fowler call every conceivable scenario that might happen in game play. Fans have pointed out some slight errors in the game thus far. For example, the Texas State stadium was rendered in the game without an upper deck.

But even with Sanders coming in and energizing Colorado’s football program, rating the Buffaloes 16th is a huge stretch. And fans had plenty to say on social media.

[College Sports Only on X/Twitter]





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Nurses at Rocky Mountain VA rally for more staffing to serve Colorado veterans

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Nurses at Rocky Mountain VA rally for more staffing to serve Colorado veterans


For Colorado ICU nurse Jordan LeBlanc, working at the Rocky Mountain Regional VA Medical Center has been a rewarding experience because of his daily interaction with the veteran population.  

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“What could be greater than our veterans. They’re funny. They’re kind. They’re forgiving. They think that we know best, even when we don’t, but most of all they trust us,” said LeBlanc.

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It is that trust that nurses say they are pushing to protect, in the wake of what they say has been an ongoing hiring freeze from nationwide budget cuts to the U.S. Department of Veterans Affairs.

“We have 57 open vacancies that are frontline,” said Sharda Fornnarino, who is the director of the local National Nurses United at the Rocky Mountain Regional VA. “That basically entails the ICU, med surge, the OR, some of our surgical areas as far as the outpatient surgeries, SCI and our mental health area.”

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On Thursday, nurses from the medical center rallied across the street from the building in Aurora to raise awareness about their existing staffing shortages and the challenges they have faced being able to serve the veteran population because of this shortage.

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LeBlanc says often nurses like him now have to take on a greater patient workload and sometimes work more hours to do so.

“Our ICU specifically has been staffed at less than 85% of its functional capacity,” he said. “Right now, we’re at 18 bed ICU that only 12 of the beds are open. They’ve closed six beds because of staffing levels.”

Nurses say the staffing challenges does not just affect their morale, but it can also compromise the relationship they have with each patient.

“Any veteran or any patient within our system will get less than they deserve, less than the total dignity that each individual really deserves to be provided,” he said.

VA Press Secretary Terrence Hayes responded to nurses rallying across the country, saying there is no freeze on hiring nurses and they are continuing to hire nurses needed across the country. Hayes’s complete statement is as follows:

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VA’s top priority is providing the world-class care that Veterans deserve, and we are committed to making sure we have nursing staff we need to deliver the soonest and best care to Veterans.
There is no nationwide hiring freeze on VA nurses, and we are continuing to hire nurses, as needed, across the country to ensure that we can deliver world-class care to Veterans. Over the past 3 years, VA has aggressively hired nurses nationwide – increasing our nursing workforce by 14,000 nurses to a total of 122,000 nurses, the largest nursing workforce in the country and in the history of VA. VA is also retaining our great nurses, with turnover rates currently at 3.4% – far outperforming the private sector. There are also locations where we need to continue hiring nurses, and we are doing that – as demonstrated by the below hiring numbers.
Partly as a result of these hiring efforts and our great nurses, VA is currently delivering more care to more Veterans than ever before, outperforming non-VA care, and Veterans trust VA care at all-time record rates.

The VA’s office went on to share statistics on what they say have been all time high rates of veteran trust in VA care and decreasing wait times. However, Fornnarino says any hiring has been to fill strategic positions, where in reality all vacancies need to be filled.

“I haven’t seen more of those hires come to the bed side,” she said.

Nurses also worry the VA will become more privatized if staffing needs are not met.

“When we don’t have the staffing, we have these beds shut down,” said leBlanc. “That means that our veterans go to community care, and they’re not set up to provide veteran served ethical care.”

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Colorado invests in kids’ education to curtail adult crime | BIDLACK

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Colorado invests in kids’ education to curtail adult crime | BIDLACK







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Hal Bidlack



Well, the Colorado primary is in the rear-view mirror (as a kid, did anyone else think it was the “rear-voom mirror? I did). I know you and my editors would like me to write yet another detailed and lengthy analysis of the election results, right? (Editor: not so much.)

Ok, let’s talk about education.

As reported in Colorado Politics, with Gov. Jared Polis’s signature, Colorado has become the first state in the nation to create a “bill of rights” regarding education for students who become entangled in the legal system. I like it when we lead the nation.

As explained in Senate Bill 1216, the bill supports youth in the juvenile justice system. It establishes a bill of educational rights in a number of ways. The bill lists eight specific rights, though it also notes this list is not exhaustive and other rights may well exist.

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The goal is to get these young offenders to stay in school or return to school if they left. The new law requires students who are in the juvenile court to have alternative solutions to a general education, when appropriate, as well as providing for their prompt enrollment in educational programs and appropriate credit for course work completed while the student is, as the bill puts it, “justice-engaged,” which I assume means in custody or other judicial involvement. Currently, we see 66% of youth involved in the justice system dropping out of school before completing high school and only 1% end up getting a college degree.

Now, I can almost hear the eye-rolls of my conservative friends, who want to complain about yet another fuzzy liberal program to help criminals. But it is rather the opposite. Many studies have shown a person’s lack of education increases the likelihood the individual will become involved in crime or other antisocial behaviors. The investment made in education for, say, a first-time 16-year-old offender, will certainly be cheaper than long-term incarceration should that person, as an adult, again become engaged in criminal activity. The bill allocates $82,883 (an odd number to pick?) to kick the program off, and given it costs more than half that amount just to incarcerate a single prisoner for a year in Colorado, if successful the new program will pay for itself almost immediately.

I’m hoping the program will ultimately include trade school education, as we will always need HVAC experts, plumbers, electricians and other skilled tradespeople. I was fortunate enough to have the Air Force pay for my Ph.D., but I will readily admit a person who can fix a leaky pipe or a bad light-switch is more valuable to most Coloradans than anyone with a doctorate.

We live in an odd political era, when the GOP presidential candidate is calling for the halving of the federal Department of Education as well as other cuts to programs that, well, help people who are not rich. And if you are even a bit seduced by the MAGA message, please note it is in your personal benefit to support educational programs. More educated communities have less crime and more employment.

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The U.S. Bureau of Labor Statistics reports the unemployment rate for those without a high school diploma was 9.6%, far higher than the 3.7% we see nationally. And yet the national rate for those with a bachelor’s degree is even lower, at 2.7%. So, more education, especially to the level of high school graduate, equates to more people paying taxes and not taking federal benefits. So, supporting education for these kids will, over time, put money into the system rather than taking it out, and that’s a good thing.

No doubt the new bill will have its growing pains, and we will learn as we go along how to make the program better and more efficient. That said, the new law seems an excellent and inexpensive starting point. Heck, if it only ends up keeping two kids out of jail, it will pay for its initial costs. But more than that, a program to give kids a shot at a diploma will make our cities safer and the kids involved will have a sense of pride in their accomplishment, and they will face a much brighter future.

Once again, Colorado leads on education, and that is something we can all be proud of.

Hal Bidlack is a retired professor of political science and a retired Air Force lieutenant colonel who taught more than 17 years at the U.S. Air Force Academy in Colorado Springs.



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