The article argues that recent executive overreach and politicization have severely undermined established norms of U.S. civil-military relations. To restore professional standards, the incoming Congress must actively exercise its oversight powers, moving beyond mere criticism to demanding transparency in defense policy and personnel decisions. Key reforms include enforcing meritocratic promotion processes, requiring documented justification for senior officer removals, and preventing the partisan use of the military. These actions are crucial for bolstering public trust and ensuring the military remains a nonpartisan instrument of civilian control.
Health Care Access and Quality for New York Veterans Provided by the U.S. Department of Veterans Affairs and Community Care: Volume II, Methods and Supporting Data
English Summary
This RAND report provides a comprehensive data analysis of health care access and quality for New York veterans, focusing on the increasing reliance on the private sector through the Community Care program. Key evidence includes detailed analyses of geographic access (drive times) and wait times for specialized services like oncology and neurology, alongside systematic reviews of care quality. The findings argue that expanding eligibility for Community Care is a crucial policy mechanism to improve the timeliness and overall quality of care for the veteran population. Policymakers should use this data to strategically adjust VA guidelines, ensuring that the transition to private care maintains high standards of accessibility and quality.
中文摘要
這份RAND報告針對紐約的退伍軍人，提供了關於醫療照護可及性與品質的全面數據分析，特別著重於透過「社區照護計畫」（Community Care program）對私營部門日益增長的依賴。關鍵證據包括對地理可及性（車程時間）和專科服務（如腫瘤科和神經科）等待時間的詳細分析，以及對照護品質的系統性回顧。研究結果指出，擴大社區照護計畫的資格範圍，是改善退伍軍人群體醫療照護時效性與整體品質的關鍵政策機制。政策制定者應利用這些數據，策略性地調整退伍軍人事務部（VA）的指導方針，確保轉向私營照護的過程，仍能維持高標準的可及性與品質。
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