Feds probing roughly 5k pilots suspected of withholding major health issues
businessinsider.com
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This is just my anecdotal observations, but I've seen that military veterans are extremely adept at gaming the system to their benefit. They are able to maximize disability benefits as well as GI Bill benefits. I've known and worked with multiple veterans and each one of them gamed these systems to maximum benefit. It also appeared that they coached each other on how to obtain maximum benefit.
With that said, I wouldn't be surprised if the health issues in this article were largely exaggerated specifically for the purpose of maximizing benefits.
Simple formula ( greed + opportunity ). Everyone from politicians to doctors to lowly grunts game the system if they can. Just because you are elected, are educated or wear a uniform doesn't change your innate human nature. You just hide it better. If you can get disability and work too, why wouldn't you. It's like eating your cake and having it too.
> I think a lot of people could convince themselves that if they don’t take advantage of something, someone else will.
Not themselves. Others. They will try to convince you with that rationalization.
Any politician (or bureaucrat) who says "you know, maybe we should be denying disability to 20% of these veterans" is going to be strung up and quartered. So, nobody tries.
Not saying grift is excusable, but there's a lot of checks and balances on this system – not the least of which if a veteran is caught lying, he loses his benefits and may even have to pay them back.
If you claim PTSD, trauma, or back/knee/joint pain without fabricating the material circumstances of your injury (lying about where you were stationed or what you were doing), there is a 0% chance you will be accused, much less convicted, of lying.
Look for a single vet disability fraud case (and there aren't many, period) where the conviction was for anything other than outright fabrication of service record.
But that's just a specific issue relevant to my time in the service. The bottom line is that unless you report every little thing that _might_ cause an issue later, you're going to be up shit creek when you get out and find out that something you were exposed to during your service is causing an expensive medical issue that you have to deal with. There are all kinds of fucked up things people had to do while they were in, that they struggle to get compensation for now that the consequences are catching up, because the issues aren't straightforwardly attributable to some event during your service, like with combat injuries. Burn pits are the most notorious one - you have advocates like Jon Stewart fighting in Congress to pass laws to support vets who were forced to work those pits and are now battling all kinds of complications. If anyone should be an obvious beneficiary of the disability system, beyond those with combat injuries, it should be those folks - but they are largely left hanging in the wind. In the case of burn pits especially, the military _knew_ there were consequences to having soldiers work them, but chalked it up as the cost of war.
Frankly, from what I've observed, once vets are out of the service, our country largely gives them the middle finger when they struggle with mental or physical health issues. I say "them" here, because I'm not a combat veteran, and I'm lucky that I had it pretty easy during my tenure (2009-2015), but for many, that is very much not the case. Yeah, nobody in Congress is going to stand up in front of everyone and say "let's make disability benefits harder to obtain" - but I have no doubt they'd have few, if any, qualms about doing it behind closed doors.
The games the VA plays to deny benefits are just as cynical and brazen as many other things the government writ large has done to conceal dangers to veterans – dangers that can have far, far-reaching health consequences. I welcome you to look up the development and deployment of Agent Orange for an example that is still killing people today.
Edit: https://www.publichealth.va.gov/exposures/publications/agent...
I'm not saying that Agent Orange wasn't a problem and, of course, it caused health issues for many people. What I am saying is that a 80 year old man, that is 100 pounds overweight, who develops diabetes didn't necessarily get diabetes from Agent Orange exposure.
Looks like you have a bright future in claims adjustment! ;-)
Edit: There's plenty of evidence connecting Agent Orange exposure to a whole host of illnesses that only manifest later in life – including Diabetes. It's even on the VA's own site: https://www.publichealth.va.gov/exposures/publications/agent...
We are real bad at connecting dots that take more than a few years to happen. So many other things happen to us every day. Even if some bad action doubles your odds of a certain outcome.. that means it is still 50/50 if the original thing "caused" your bad outcome.
The VA also claimed he was never exposed because he wasn't in one of the units they claim were exposed, that's the other game they play. He was in a mobile unit that was sent to various places in theater, so the government doesn't have the documentation of where they actually were, but claims they know he wasn't exposed. He told me first hand he woke up one morning and the jungle outside the base was completely gone.
We don't know what agent orange did to people. Agent orange wasn't even the only defoliant used. How much of it was stored improperly? How much of it was contaminated during manufacturing with other compounds?
Fortunately, we still use 2,4-D, half the mix of agent orange, so we all get to find out first hand.
https://www.publichealth.va.gov/exposures/publications/agent...
Of course, I haven't even broached the moral obligation the American public has to men they send to war...
It looks like the veterans being targeted have various concerns like PTSD, which the FAA finds that as soon as you even think you're depressed, they want to revoke your pilots license because they think you'll immediately pull Some Shit in the air.
The average person has no clue how bad mental health is in the aviation sector and how hard it has to be hidden so they can actually keep doing what they love -- to fly.
See also: https://www.cbsnews.com/colorado/news/pilots-crying-out-help...
> the FAA has subjected him to costly frequent drug tests, and doctor's visits with FAA-approved experts who don't accept insurance
> the FAA wouldn't accept other doctor's notes saying that he was perfectly fine to fly a plane
The FAA throws up some massive gates as soon as you get flagged like this and forces you to go to a battery of doctors and psychs that only they can apparently decide your fate.
The overwhelming majority of people experiencing mental health issues are only a danger to themselves (worst case).
The differences in suicide rates compared to murder-suicide rates back this up but per usual extremely rare cases or murder-suicide grab headlines while the 125 suicides per day on average in the US are completely unknown to anyone other than the people personally impacted by them.
Not only are murder-suicides sensational, the “murder” component bypasses the otherwise standard media practice of not reporting on suicides because of the data on upticks in additional suicides due to reporting.
The discussion isn't really about whether suicidal pilots should be allowed to fly - it's whether the system should allow for pilots with mental health concerns (which would be a large majority of them over the course of an entire career) to seek treatment for it without losing their job.
It's outright irresponsible to not take into account the chilling effect this is going to have on seeking treatment for mental health problems.
When I have students go in for a medical, even if they're just gonna be run of the mill private pilots, I tell them "Answer every question with as few words as possible. If the AME (medical examiner) asks you if you've ever been sad, say "No". 'What about when your dad died?' Say no. When you got that diagnosis for cancer five years ago? Wasn't sad. Puppy died as a child? Wasn't sad. Never sad. Never anxious. Never depressed. Never anything. Just cool like Steve McQueen. If it's not in your medical records then it never happened.
then I get asked who the hell is Steve McQueen.
There are depressed people in every single aspect of human society, including the scary critical ones people like you fear.
Unfortunately, people like you who think this is an actual talking point make it impossible for the people who need help in critical positions to get that help by stigmatizing the existence of the issue in the first place.
People like you who cherry pick the negative outcomes of mental health disorders while ignoring that most suffer in silence for the "safety" of others like you are the problem.
I'm not in the USA but really to me that's just seems like they are getting what they should. Any citizen of any country should get medical care free of charge. Military veterans whether their issue is from combat or not I think should get all the care they can. If the system is working against you and you can find ways to fight back and help others that is OK with me.
The VA has a disability rating system that goes from 0% to 100%. Obtaining a 100% disability rating guarantees a certain amount of monthly income for life. The step increase in pay from 80% disability to 100% disability is large. There’s also a logarithmic function that makes it increasingly difficult to raise your disability rating after each disability claim. Hypothetically, losing your left leg might qualify for 50% disability, losing a second leg might qualify for 75%, and then losing an arm might qualify for 87.5%. Pretty horrendous.
That being said, many service members aim to hack the system by making disability claims for everything under the sun. Service members often collect disabilities such as arthritis, lumbar disc degradation, knee injuries, sleep apnea, and depression. Like Pokémon - gotta catch ‘em all.
That’s not hacking the system - they can’t get examined for something unless they first make a claim. The VA doesn’t perform preemptive exams to see what a veteran may or may not be afflicted with and informing the veteran so they can make the most conservative subset of possible claims.
2. Salary is provided to the person who is in the service. Unfortunately, the areas that military bases are in are generally not economically productive areas. This especially hurts the spouses who'd otherwise have jobs because they're living in a career desert, and there's not a lot of households today that can survive on a single income. In fact, it was only just this year that the Biden admin finally recognized this: https://www.whitehouse.gov/briefing-room/statements-releases...
3. Substinence (I'm going to put healthcare in this category) – so let's say I'm a soldier who gets injured on the job. Not only is military healthcare awful (https://www.fiercehealthcare.com/healthcare/military-hospita...) but often times they won't even properly care for you to the point you could die: https://news.bloomberglaw.com/us-law-week/pentagon-denies-cl... and so you seek second opinions in severe cases, which you have to pay out-of-pocket. Combine this with the fact that the VA will deny real claims for literal decades: https://en.wikipedia.org/wiki/Honoring_our_PACT_Act_of_2022 and you're so far up shit creek in a job you can't quit...
The 2020 salary for E-1 was 1,732.94/month or 20,795.28.
This doesn't take into account any housing or other additional allowances.
Sorry, I don't see how a veteran spent their career in the military below the poverty line.
Also, consider there hasn't been a draft for 50 years. No one has forced anyone to take military pay.
So exactly like private employees & companies?
I'm not sure we should be expecting humans not to game systems to their own benefit. Isn't that basic human nature?
Why not design a system that isn’t susceptible to gaming and doesn’t rely on all people acting with integrity and instead embraces that people will act in their own best interest even if it results in long term worse outcomes overall?
Things like universal health care and universal basic income provide a flat benefit to all, so gaming the system doesn’t give an unfair advantage to some.
When someone plays games with the Federal Government it hurts me directly. Doubly so because public organizations are notoriously unable for a raft of reasons to deal with abuse like that.
If the argument is that it's no less likely to happen I wouldn't disagree. If it's that I shouldn't be any more annoyed - I don't think so.
"gamed" is a very loaded term that suggests something untoward is happening as opposed to people just trying to get the benefits they're entitled to as Veterans. Do you have any evidence that the people you've observed are doing something shady or do you just think they're getting more than they deserve?
> It also appeared that they coached each other on how to obtain maximum benefit.
Is it "gaming" the system when I offer my friend advice on how to navigate the byzantine health insurance system in the US?
No, I'm not a doctor that has examined them. I have been told by these people that they want to maximize their disability payments and they can do that by claiming things are caused by agent orange. I've been told by them that they will shop around the diagnosis until they get something in writing they can use. I have been told by these people that they don't care if it is related to agent orange or not, as long as they can get a doctor to write it down.
I was diagnosed with ADHD because I (truthfully) told a doctor I had the symptoms of ADHD. Now I have a prescription for adderall. Did I commit fraud?
or put a different way, GP is describing people explicitly admitting that they went to as many doctors as it took to get specific language in a note. they admitted that they didn't care at all about any therapeutic outcomes from all those visits. assuming this isn't a tall tale, does that sound like a good faith use of the system to you?
I think the reflex to blame patients for this situation is revelatory of the real issue, which is that the entire discipline of mental health is disconnected from any physical reality or real basis upon which a "proper" diagnosis can be based.
Presumably this is a slow normalization of deviance play, and using people’s medical records against them will be commonplace soon.
Starting with vets is particularly cynical, but sadly unsurprising.
Anyway, since these records can be used to screw vets over, can vets also access the statistics they’d need to prove safety violations and other forms of negligence in the chain of command?
This whole saga frustrates me (it’s been going on for a while) because if you actually have the problems you’ve gotten the VA to acknowledge, and the FAA says they are an issue… Well you are lying and gaming the system on one side or another. I’m not a fan of that at all, and as someone who got rated without gaming the system I get to deal with the fallout of being painted with the same brush.
So for those who have that view of vets, please do remember that there are some with less visible disabilities that are honest and doing their best to adapt and not game the system.
The disability rating ensures I'm able to get treatment from the VA for my service connected condition. I still pay for my own health insurance and see private doctors as the care the VA provides is garbage, but I have it as a back stop if I ever fall on hard times.
Having a disability rating doesn't strictly mean you're disabled, that would be a 100% disability rating.
The other issues I’ve sustained (I talk about them in other comments elsewhere on here) also present challenges.
System as designed encourages concealment by ending careers and destroying livelihoods. One obviously can’t fly commercial airliners impaired or with a material medical condition, but one can’t manage that risk without data. We need a no-fault early retirement fund or some similar mechanism needs to be out there to help get psychologically distressed pilots out of the cockpit and into treatment…with a possible path back too.
Just a terrible and inhumane situation all around.
[1] https://www.cnbc.com/2023/06/29/southwest-pilots-union-lays-...
[2] https://www.reuters.com/business/aerospace-defense/united-ai...
Everything about flying has become substantially worse except safety. The only way the industry is able to maintain its safety record is by being heavily regulated and never changing anything.
Honestly, I'm surprised they haven't flexed this more.
Don’t forget that when ATCs actually followed your logic, Reagan responded by firing them all, and even though in more recent years this has been cast as the horrible beginning-of-the-end for American unions, at the time he had broad public support, because people were incensed that one profession could shut down air travel.
All this is to say that I think pilots’ unions do have a good sense of how hard to push and not push. They don’t have infinite leverage.
Pilots are one of the few professions that are covered under the Railway Labor Act, so federal mediators have lots of power to reach an agreement between airlines and pilots
It is a good job in most people's estimation, they are not victims.
Wow. These compensation amounts seem… incredibly low. Is this some upper limit under German law? I’d have assumed compensation would be in the order of €1m.
[*] https://www.keystonelaw.com/keynotes/how-is-compensation-cal...
I'm not sure how it could get any worse than this? At the end of the day you will never have a system that will protect you against a homicidal pilot. The closest you can get is requiring two pilots in the cockpit at all times, but if the bigger and stronger of the two wants to kill everyone anyway, there's little stopping them from just trying to kill the other pilot first while the door is locked.
https://admiralcloudberg.medium.com/the-madness-in-our-metho...
The same goes for the VA, though that situation seems to be improving gradually, at least on a case-by-case basis.
This story is yet another instance of an unelected federal agency using bullshit from another unelected federal agency to drum up FUD; all in order to make themselves appear to be useful.
We can all see the perverse incentives that are driving this situation. We can all see the outcome of this system. It's well past time for a change.
Low Cost is always the most important thing. Lives are cheap.
Unless there are like 2-3 crashes in a year, directly attributable to mental health, then the decision will be to let pilots suffer, it is cheaper.
From Wiki:
Aviation authorities swiftly implemented new recommendations from the European Union Aviation Safety Agency that required two authorized personnel in the cockpit at all times but, by 2017, Germanwings and other German airlines had dropped the rule.
Not making a value judgment, just a prediction.
What's not surprising is pilots who lie about their health to keep making money. Especially in this economy.
Have you ever dealt with the VA? They will lie, cheat, and steal to deny benefits at any and all opportunities. Not saying that that makes lying to them or the government right, but how many people need to draw a straight line from their work on the deck of an aircraft carrier and their permanent hearing loss, or similar very obvious conditions, only to have the VA say "Not Service Connected" and deny all claims? It's no wonder you have people go to coaching before every VA meeting to know what keywords will get their claim denied or fast-tracked.
I can't argue with why they do it. It's survival. I just know instead of working/gaming the system, we need to change it.