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, he, want to highlight brought the Indian Health care improvement act up and the need services. S we have been coming to the federal government since before i was born, long before, many years and we have asked for increased amount of dollars to protect and help our families become well. Listen to the tribes in the state of washington, the amount of money we received for patient was 1111 per person per year. 1111, that was a horrific reality and that has been a concern for us for a very long time. I wanted to ask you, what does that look like . What does Health Care Improvement look like . Wh...

Insurers. It cost 75 a year for medical and dental coverage. I can now afford to see a doctor, paper my medicine, and get my required lab work and tests at 1 5 of what i would pain the United States. While they are not up to u. S. Standards of care, something is better than nothing and right now, it is keeping me alive. In america, we have access to Health Insurance but not access to health care. I believe it is a broken system it cannot between. It is broken because of our inability to pay. It is broken because when you marry across an insurance system with health care, you get a system based...

Call this meeting to order. Welcome, everybody. Hope yall had a great thanksgiving and hope everybody has a wonderful Holiday Season coming up. This is a very important hearing for the United States senate. On november 4th, if my memory is correct, we had a meeting at the va. Sloane gibson, dr. Schulkin and some others were in the room. In terms of Va Health Service delivery to our veterans, veterans choice, consolidating programs, reimbursement rates so there wasnt any preference over another. A reality in our lifetime and in their lifetime. With that will come a number of decisions. This wil...

We have a lot seeking service and the arts program has been very popular. I understand that the veterans access choice and accountability act allows for continuation of that, but could you address for me how that will happen . Its important for our rural veterans. They like it and it works for them and i just wanted to get clarification in terms of how its impacted by the choice card. So the legislation extended the arts program. We have extended the contract temporarily while we are renewing the arch program so it will remain in place essentially as it has existed in the past Going Forward. O...

Have been occurring on a regular basis since Early September so i would like to thank you and i appreciate the time that you have invested in openly communicating with the staff on the house and the senate side of the committee on the implementation issues in the progress that you have been making on this implementation issues. In the va i hope it is a precedent for improving relationships as we go forward. The law provided Additional Resources and authorities to provide for the key improvements for veterans. Timely access to health care, expansion of the internal capacity and the indication o...