Cleveland State University College of Law.
J Law Health. 2022;36(1):63-86.
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.
本文分为三个部分。第一部分探讨了美国退役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、描述和批判了联邦就业保护和退役军人事务部残疾决策审查过程中使用的替代性争议解决(ADR)的当代政策。第三部分讨论了残疾退役军人和联邦政府在政策改革中的作用,发现双方都既是立法变革的催化剂,也是障碍。本文在第四部分得出结论,建议将目前由退役军人事务部负责的残疾护理要素纳入医疗保险。通过这个新创建的保险部分,本文称之为“医疗保险第五部分”,残疾退役军人将有资格获得所有目前接受医疗保险的医院和诊所。这预计将增加在当地设施获得护理的机会。其次,至关重要的是,联邦政府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役军人随时间推移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役军人在劳动力中的参与率,使雇主和退役军人都受益。最后,本文呼吁通过创建一个安全的在线替代性争议解决方法,对上诉进行现代化和优化,特别是在残疾和补偿请求的高级别审查(HLR)中。