The Centers for Medicare and Medicaid Services has backed off a controversial plan that would have changed the way it determines Medicare coverage for advanced prosthetics – a plan critics said would have affected tens of thousands of veterans nationwide. CMS had issued a draft proposal, known as a Local Coverage Determination for Lower Limb Prostheses, that critics feared would limit access to prosthetics for amputees, including veterans. Following a public comment period that ended in August and a review of those comments, CMS on Monday announced it would not finalize the draft policy. “Both CMS and its contractors have heard concerns about access to prostheses for Medicare beneficiaries,” according to a statement provided by CMS spokeswoman Helen Mulligan. CMS said it would convene a work group in 2016 to examine the lower limb prostheses issue.
Taking certain prescription painkillers or anxiety medications for long periods of time may increase patients’ risk of death, according to a recent Yale School of Medicine study of veterans. Researchers who examined the medical records of about 64,000 veterans found that patients who took opioids or benzodiazepines long-term, for 90 days or more, had a higher risk of death – from any cause – than those who did not. The risk of death was even greater for patients who took both types of medication at the same time. More than a quarter of the veterans studied were HIV-positive, and they had a higher risk of death than those without the virus. Opioids are painkillers that include Vicodin and Oxycontin while benzodiazepines, such as Valium, typically are prescribed to treat anxiety and insomnia.
It has taken more than 40 years, but Connecticut veteran Conley Monk has won his battle to have his military discharge status upgraded and can now receive federal benefits. Monk, 66, and four other Vietnam War veterans with Post Traumatic Stress Disorder (PTSD) were granted upgrades by the Pentagon after filing a federal lawsuit in March 2014 against the Armed Forces. The veterans had received Other Than Honorable (OTH) discharges, which they contend were based on behaviors later attributed to PTSD. PTSD was not designated as a medical condition until 1980. The five veterans were given General Under Honorable Conditions discharges.
Veterans’ exposure to toxic chemicals may harm their families’ health for generations, causing cancer, birth defects and other medical problems, according to U.S. Sen. Richard Blumenthal. He is co-sponsoring legislation to require that veterans be informed of their exposure to toxic substances and to establish a research center focusing on the illnesses of exposed veterans’ descendants. Blumenthal, the ranking Democrat on the Senate Veterans Affairs Committee, said that “the dimensions of the problem are unknown at this point” because no one has collected data on it. But, he added, “we know the toxic exposure is there. Science indicates it can cause genetic effects.” He cited brain and blood cancers as potential repercussions.