Page images
PDF

No. 586. VETERANS ADMINISTRATION HEALTH CARE SUMMARY: 1975 TO 1983

[For years ending June 30 except, beginning 1980, ending Sept. 30)

[blocks in formation]
[merged small][merged small][merged small][merged small][merged small][ocr errors][ocr errors][merged small][ocr errors][merged small][merged small][merged small][ocr errors][ocr errors]

Facilities operating:
Hospitals ..........

Number .......
Domiciliaries.........

Number ......
Outpatient clinics ....

Number .......
Nursing home units....... Number...
Employment
Obligations 2 ............

Mil. dol...
Medical care........

Mil. dol. Research in health care ..... Mil. dol.... Prescriptions dispensed... Million.......... Laboratory procedures.......... Million. Radiology examinations ......... Million.

[ocr errors]

1,000.

Inpatients treated ...

VA facilities.

Other facilities ....
Average daily inpatients 5......

VA facilities .......

Other facilities ...
Outpatient medical visits........

VA staff ..

Fee-basis......
Outpatient dental care:

VA staff-exams........
VA cases completed.
Fee-basis authorized

14.6

18.0 15.8 2.2

18.5 16.6

12.6

2.0

1

[ocr errors]
[ocr errors]

95 28.0 147

[merged small][ocr errors][merged small][merged small]
[ocr errors]

NA Not Available. Net full-time equivalent. 2 Through 1980, cost-basis; thereafter, obligation-basis. Includes other obligations not shown separately. Estimated. Based on the number of discharges and deaths during the fiscal year, plus the number on the rolls (bed occupants and patients on authorized leave of absence) at the end of the fiscal year. Excludes interhospital transfers. Patients receiving hospital care, or nursing bed care.

Source: U.S. Veterans Administration, Annual Report of Administrator of Veterans Affairs.

No. 587. VETERANS ASSISTANCE TO PERSONS IN EDUCATION AND TRAINING PROGRAMS:

1975 TO 1983 [In thousands. For years ending June 30, except, beginning 1977, as of Sept. 30. Represents persons in training during year)

[graphic][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][ocr errors][ocr errors][ocr errors][subsumed][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][subsumed][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][ocr errors][ocr errors][subsumed][subsumed][subsumed][subsumed][ocr errors][ocr errors][ocr errors][ocr errors][subsumed][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][subsumed][subsumed][ocr errors][ocr errors][subsumed][ocr errors][subsumed][subsumed][subsumed][subsumed][merged small]

- Represents zero. Z Fewer than 50. Includes some Post-Vietnam veterans.
* Estimated. - Total includes 1,200 with type of training unknown.
Source: U.S. Veterans Administration, Annual Report of Administrator of Veterans Affairs.

No. 588. VETERANS GUARANTEED AND INSURED LOANS: 1965 TO 1983

For years ending June 30 except, beginning 1977, ending Sept. 30. Includes mobile home loans. See section 28 for VA loan

characteristics)

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small]

Amount of loans.....

Home....

Mil. dol. 2.765 3,683 8,091 9,951 13,136 14,608 16,043 14.815 10,008 5,542 14,670
Mil. dol........ 2,763 3,682 8,072 9,930 13,099 14,548 16,926 14,653 9,822 5,332 14.389
Mil. dol........ 1,247 1,971 3,702 4,878 5,951 6,116 7,342 6,370 4,248 2,292 5,736
Mil. dol......... 1,246 1,971 3,096 4,872 5,933 6,086 7.284 6,289 4,155 2,187 5,596

Guaranty and insurance

Home.............

Source: U.S. Veterans Administration, Annual Report of Administrator of Veterans Affairs.

[graphic][merged small]

This section presents data related to governmental expenditures on social welfare; governmental programs for old-age, survivors, disability, and health insurance (OASDHI); governmental and railroad employee retirement; Individual Retirement Account, Keogh account, and private pension plans; government unemployment and temporary disability insurance; Federal supplemental security income payments and aid to the needy; and child and other welfare services. Also included here are selected data on workers' compensation, including black lung benefits; vocational rehabilitation; the American Red Cross; United Way campaign; and philanthropic trusts and foundations.

The principal source for these data is the Department of Health and Human Services' (HHS) monthly Social Security Bulletin which presents current data on many of the programs and summary data in annual statistical supplements. Current data on employment security are published monthly in the Department of Labor's Unemployment Insurance Statistics. Data on the Medicare and Medicaid programs appear periodically in the Health Care Financing Administration's Health Care Financing Review (quarterly), Health Care Financing Notes, and Health Care Financing Program Statistics. Statistics on aid to families with dependent children (AFDC) are presented in the U.S. Social Security Administration's monthly publication, Public Assistance Statistics.

Social insurance under the Social Security Act.—Programs established by the Social Security Act provide protection against wage loss resulting from retirement, prolonged disability, death, or unemployment, and protection against the cost of medical care during old age and disability. The Federal OASDHI program provides monthly cash benefits to retired or disabled insured workers and their dependents and to survivors of insured workers. To be eligible, a worker must have had a specified period of employment in which OASDHI taxes were paid. A worker becomes eligible for full benefits at age 65, although reduced benefits may be obtained up to 3 years earlier; the worker's spouse is under the same limitations. Survivor benefits are payable to dependents of deceased insured workers. Disability benefits are payable to an insured worker under age 65 with a prolonged disability and to the disabled worker's dependents on the same basis as dependents of retired workers. Also, disability benefits are provided at age 50 to the disabled widow or widower of a deceased worker who was fully insured at the time of death. A lump sum benefit is generally payable on the death of an insured worker to a spouse or minor children.

Since July 1966, the Federal "Medicare" program has provided two coordinated plans for nearly all people age 65 and over: (1) A hospital insurance plan which covers hospital and related services and (2) a voluntary supplementary medical insurance plan, financed partially by monthly premiums paid by participants, which partly covers physicians' and related medical services. Since July 1973, such insurance also applies to disabled beneficiaries of any age after 24 months of eligibility and to persons with chronic kidney disease.

Retirement, survivors, disability, and hospital insurance benefits are funded by a payroll tax on annual earnings (up to a maximum of earnings set by law) of workers, employers, and the selfemployed. The maximum taxable earnings are adjusted periodically through Federal legislation to reflect increasing income levels (see table 604). Tax receipts and benefit payments are administered through Federal trust funds. Special benefits for uninsured persons; hospital benefits for persons 65 and over with specified amounts of Social Security coverage less than that required for cash benefit eligibility; and that part of the cost of supplementary medical insurance not financed by contributions from participants are financed from Federal general revenues.

Unemployment insurance is presently administered by the U.S. Employment and Training Administration and each State's employment security agency. By agreement with the U.S. Secretary of Labor, State agencies also administer unemployment compensation for eligible ex-servicemembers and Federal employees, unemployment assistance under the Disaster Relief Act of 1970, workers assistance and relocation allowances under the Trade Act, and, until 1975, direct aid (training and related cash allowances) under Federal manpower acts.

Under State unemployment insurance laws, benefits related to the individual's past earnings are paid to unemployed eligible workers. State laws vary concerning the length of time benefits are paid and their amount. In most States, benefits are payable for 26 weeks and, during periods of high unemployment, extended benefits are payable under a Federal-State program to those who have exhausted their regular State benefits. The basic benefit can vary among States by over 100 percent. Some States also supplement the basic benefit with allowances for dependents.

Unemployment insurance is funded by a Federal unemployment tax levied on the taxable payrolls of most employers. Taxable payroll under the Federal Act and most State laws is the first $7,000 in wages paid each worker during a year. Employers are allowed a credit of 2.7 percent of taxable payroll for contributions paid to States under State unemployment insurance laws. The remaining percent of the Federal tax finances administrative costs, the Federal share of extended benefits, and advances to States. About 97 percent of wage and salary workers are covered by unemployment insurance.

Social insurance for Government employees.—The civil service retirement program is the major system providing age and service, disability, and survivor annuities for Federal civilian employees. The employee contribution rate is 7 percent of total base pay; the Federal Government contributes the remainder of the cost. In addition, there are separate retirement systems for the uniformed services (supplementing OASDHI) and for a few special groups of Federal civilian employees. All Federal employees hired after January 1, 1984 are also covered under the OASDHI program.

State and local government employees are covered for the most part by State and local retirement systems similar to the Federal civil service retirement system. In many jurisdictions these benefits supplement OASDHI coverage.

Workers' compensation.—All States provide protection against work-connected injuries and deaths, although some States exclude certain workers (e.g., domestic help). Federal laws cover Federal employees, private employees in the District of Columbia, and longshoremen and harbor workers, in addition, the Social Security Administration and the Department of Labor administer a "black lung" benefits program for coal miners disabled by pneumoconiosis and for specified dependents and survivors. Specified occupational diseases are compensable to some extent. In most States, benefits are related to the worker's salary. The benefits may or may not be augmented by dependents' allowances or automatically adjusted to prevailing wage levels.

Public aid.—State-administered public assistance programs (Aid to Families with Dependent Children (AFDC), emergency assistance and general assistance) and the Federal Supplemental Security Income (SSI) program administered by the Social Security Administration provide benefits to persons who qualify. AFDC and emergency assistance are in part federally funded while the costs of general assistance are met entirely with State and local funds.

The SSI program replaced Federal grants for aid to the aged, blind and disabled in the 50 States and the District of Columbia in 1974. Residents of the Northern Mariana Islands became eligible in 1978. Federal grants continue for aid to the aged, blind and disabled in Guam, Puerto Rico and the Virgin Islands. The SSI program provides a minimum income for the aged, blind and disabled and establishes uniform national basic eligibility requirements and payment standards. Most States supplement the basic SSI payment.

Health and welfare services.—Programs providing health and welfare services are aided through Federal grants to States for child welfare services, vocational rehabilitation, activities for the aged, maternal and child health services, maternity and infant care projects, comprehensive health services, and a variety of public health activities.

Under Medicaid, all States (except Arizona) offer basic health services to eligible low-income persons. The cost of providing these services is shared by the Federal Government, but each State determines its own eligibility criteria and may set benefits above the minimum established by Federal law. Almost all recipients of cash welfare programs are automatically eligible. In addition, 29 States extend Medicaid to families that satisfy all but the income requirements for welfare and that either have incomes which meet State definitions of "medically needy" or incur medical expenses which lower their incomes to medically needy levels.

Noncash benefits.—The Bureau of the Census annually collects data on the characteristics of recipients of noncash (in-kind) benefits to supplement the collection of annual money income data in the Current Population Survey (see text, pp. 1 and 2 and Section 15). As for money income, the data for noncash benefits are for the calendar year prior to the date of the interview and are reported in the Current Population Reports, series P-60. The two major categories of noncash benefits covered are public transfers and employer or union-provided benefits to employees.

Statistical reliability.—For discussion of statistical collection, estimation, and sampling procedures and measures of statistical reliability applicable to HHS and Census Bureau data, see Appendix III.

Historical statistics.—Tabular headnotes provide cross-references, where applicable, to Historical Statistics of the United States, Colonial Times to 1970. See Appendix I.

[merged small][ocr errors]

Figure 13.1

Social Security — Average Monthly Benefit Payments to Retired Workers:

1970 to 1983

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][graphic][merged small][merged small][merged small][merged small][merged small][ocr errors][ocr errors][ocr errors][merged small]

Figure 13.2

Social Welfare Expenditures Under Public Programs: 1970 to 1982

[merged small][merged small][merged small][merged small][merged small][merged small][graphic][ocr errors][merged small]

No. 589. Social Welfare Expenditures Under Public Programs: 1960 To 1982

[In minions of dollars, except percent. For fiscal years ending m year shown. Fiscal years for Federal Government (through 1976), most States, and some localities, ended June 30. Beginning 1977. Federal Government fiscal year ended Sept 30 Represents outlays from trust funds (mostly social insurance funds built up by earmarked contributions from insured persons. their employers, or both) and budgetary outlays from general revenues. Includes administrative expenditures, capital outlay and some expenditures and payments outside U.S. See table 592 for program detail. For explanation of average annual percent change, see Guide to Tabular Presentation See Historical Statistics, Colonal Times to 1970, series H 1-47. for related but no* comparable data]

[graphic][table]

X Not applicable. 'Excludes program pans of social insurance, public aid, ■ Combines Health and medical programs" with medical services included In social insurance, pubec aid. veterans, vocation* rehabilitation, and anopoverry programs 'Change from 1955 Source: US Social Security Administration. Social Security SuKehn. August 1963. and earlier and lorthcormig aauas

« PreviousContinue »