Chari Ramya, Salazar Heather Marie, Skrabala Lauren
Rand Health Q. 2024 Sep 25;11(4):4. eCollection 2024 Sep.
Exposure to environmental hazards exacerbates the risks inherent in military service, but many veterans do not experience the health consequences until many years later. The 2022 Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics (PACT) Act tasked the U.S. Department of Veterans Affairs with streamlining benefits and health care eligibility for certain veterans who have been exposed to military hazards. However, questions and concerns remain about the equitability, scientific robustness, and timeliness of the associated decisionmaking processes. There are opportunities to use structures from existing programs-specifically, the World Trade Center Health Program-as a template to improve engagement with veterans and their families, caregivers, providers, and advocates to ensure that their experiences and needs are heard, understood, and an integral part of the PACT Act's implementation.
接触环境危害会加剧军事服役中固有的风险,但许多退伍军人直到多年后才会出现健康问题。2022年的《希思·罗宾逊上士兑现承诺解决综合毒物问题(PACT)法案》责成美国退伍军人事务部简化某些接触军事危害退伍军人的福利和医疗保健资格认定程序。然而,相关决策过程的公平性、科学稳健性和及时性仍存在问题和担忧。有机会借鉴现有项目的架构——特别是世贸中心健康项目——作为模板,以加强与退伍军人及其家属、护理人员、医疗服务提供者和倡导者的互动,确保他们的经历和需求得到倾听、理解,并成为《PACT法案》实施过程中不可或缺的一部分。