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VA Nominee's Vow: Fix Care

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By HOPE YEN, The Associated Press

Published: December 6, 2007

WASHINGTON - Pledging to "do the right thing," Veterans Affairs nominee James Peake said Wednesday he will be an independent advocate for thousands of injured veterans and will fight for the needed funding for their care.

In a 2 1/2 -hour confirmation hearing, the retired Army lieutenant general also vowed to work on making significant headway in fixing gaps in care and reducing delays in disability pay.

However, Peake hedged on offering specific solutions, deferring to detailed briefings he will receive later if confirmed. He indicated his greatest mark on the agency in the waning months of the Bush administration might be improved communications with the Defense Department.

"I'm not much of a legacy guy," Peake said.

No major veterans organization is opposing Peake, a former Army surgeon general who has spent 40 years in military medicine. The full Senate is expected to confirm his nomination as early as this month.

Still, members from both parties on the Senate Veterans Affairs Committee questioned Peake closely about his independence and how he would set himself apart from former VA Secretary Jim Nicholson, who soon after taking office in 2005 was forced to admit to a $1.3 billion agency shortfall that put veterans' health care at risk.

Nicholson stepped down in October amid charges of shoddy outpatient treatment at the Pentagon-run Walter Reed Army Medical Center as well as VA facilities.

If confirmed, Peake would appear before the committee again early next year to discuss the VA's annual budget.

"I will work closely with this committee to do the right thing," he said.

Peake, 63, said as an Army surgeon general he on occasion clashed with an administration unwilling to provide adequate funding. Stressing that he believes in "working within the system," Peake said he eventually got the money by explaining "what we couldn't do."

"I understand I'm part of the administration," he said. "But I also have a responsibility to the administration and this committee to lay out the situation openly and honestly and to fight for the resources to do my job, which is to take care of veterans."

Peake said he will consider a proposal - it's generally opposed by the VA - to guarantee a minimum level of annual funding. Veterans groups say that would shield the VA budget process from politics and eliminate future shortfall risks.

During the hearing, Peake also:

•Said he hoped to foster better VA-Pentagon cooperation to provide better mental health care for problems such as post-traumatic stress disorder and traumatic brain injury.

•Cited the sharing of medical records between the two departments as a "very high" priority. "I do believe we can make substantial progress" in 2008, he said.

•Said delays in disability pay, which average 177 days, could be reduced by "simplifying" the system, but did not offer specifics.

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