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Hearing on Nomination of James B. Peake to Be Secretary of the Department of Veterans Affairs

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Hearing on Nomination of James B. Peake to Be Secretary of the Department of Veterans Affairs S. HRG. 110–536 HEARING ON NOMINATION OF JAMES B. PEAKE TO BE SECRETARY OF THE DEPARTMENT OF VETERANS AFFAIRS HEARING BEFORE THE COMMITTEE ON VETERANS’ AFFAIRS UNITED STATES SENATE ONE HUNDRED TENTH CONGRESS FIRST SESSION DECEMBER 5, 2007 Printed for the use of the Committee on Veterans’ Affairs ( Available via the World Wide Web: http://www.access.gpo.gov/congress/senate U.S. GOVERNMENT PRINTING OFFICE 40–524 PDF WASHINGTON : 2008 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Aug 31 2005 11:48 Nov 13, 2008 Jkt 000000 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 H:\PS41451\DOCS\40524N.TXT SVETS PsN: PAULIN COMMITTEE ON VETERANS’ AFFAIRS DANIEL K. AKAKA, Hawaii, Chairman JOHN D. ROCKEFELLER IV, West Virginia RICHARD BURR, North Carolina, Ranking PATTY MURRAY, Washington Member BARACK OBAMA, Illinois ARLEN SPECTER, Pennsylvania BERNARD SANDERS, (I) Vermont LARRY E. CRAIG, Idaho SHERROD BROWN, Ohio KAY BAILEY HUTCHISON, Texas JIM WEBB, Virginia JOHN ENSIGN, Nevada JON TESTER, Montana LINDSEY O. GRAHAM, South Carolina JOHNNY ISAKSON, Georgia WILLIAM E. BREW, Staff Director LUPE WISSEL, Republican Staff Director (II) VerDate Aug 31 2005 11:48 Nov 13, 2008 Jkt 000000 PO 00000 Frm 00002 Fmt 5904 Sfmt 5904 H:\PS41451\DOCS\40524N.TXT SVETS PsN: PAULIN CONTENTS DECEMBER 5, 2007 SENATORS Page Akaka, Hon. Daniel K., Chairman, U.S. Senator from Hawaii ........................... 1 Prepared statement .......................................................................................... 3 Burr, Hon. Richard, Ranking Member, U.S. Senator from North Carolina ....... 4 Murray, Hon. Patty, U.S. Senator from Washington ........................................... 5 Brown, Hon. Sherrod, U.S. Senator from Ohio ..................................................... 7 Tester, Hon. Jon, U.S. Senator from Montana ...................................................... 9 Hutchison, Hon. Kay Bailey, U.S. Senator from Texas ........................................ 9 Webb, Hon. Jim, U.S. Senator from Virginia ........................................................ 11 Craig, Hon. Larry E., U.S. Senator from Idaho .................................................... 17 Specter, Hon. Arlen, U.S. Senator from Pennsylvania ......................................... 74 WITNESSES Inouye, Hon. Daniel, U.S. Senator from Hawaii ................................................... 13 Dole, Hon. Bob, Former U.S. Senator from Kansas .............................................. 15 Peake, James B., Lieutenant General U.S. Army (Ret.), M.D., Nominee to be Secretary, Department of Veterans Affairs ................................................... 18 Prepared statement .......................................................................................... 21 Response to pre-hearing questions submitted by Hon. Daniel K. Akaka .... 22 Response to written questions submitted by: Hon. Daniel K. Akaka .................................................................................. 39 Hon. Christopher S. Bond, U.S. Senator from Missouri ............................ 42 Physicians for Human Rights ...................................................................... 42 Hon. Richard Burr ........................................................................................ 43 Hon. John D. Rockefeller IV, U.S. Senator from West Virginia ............... 44 Hon. Patty Murray ........................................................................................ 48 Hon. Barak Obama, U.S. Senator from Illinois .......................................... 50 Hon. Jon Tester ............................................................................................. 52 Hon. Arlen Specter ........................................................................................ 53 Hon. John Ensign, U.S. Senator from Nevada ........................................... 54 Response to additional written questions submitted by: Hon. Daniel K. Akaka .................................................................................. 55 Hon. Jon Tester ............................................................................................. 56 Questionnaire for Presidential nominee ......................................................... 57 APPENDIX Rodriguez, Ciro D.; Gonzalez, Charles A.; Smith, Lamar; Cuellar, Henry, U.S. Members of Congress; letter to Hon. Daniel K. Akaka, Chairman ......... 85 Melia, John, Executive Director, Wounded Warrior Project; letter to Hon. Daniel K. Akaka, Chairman, and Hon. Richard Burr, Ranking Member ....... 86 Mitchell, Harry E., U.S. Member of Congress, 5th District, Arizona; letter to Hon. Daniel K. Akaka, Chairman .................................................................. 86 (III) VerDate Aug 31 2005 11:48 Nov 13, 2008 Jkt 000000 PO 00000 Frm 00003 Fmt 5904 Sfmt 5904 H:\PS41451\DOCS\40524N.TXT SVETS PsN: PAULIN VerDate Aug 31 2005 11:48 Nov 13, 2008 Jkt 000000 PO 00000 Frm 00004 Fmt 5904 Sfmt 5904 H:\PS41451\DOCS\40524N.TXT SVETS PsN: PAULIN HEARING ON NOMINATION OF JAMES B. PEAKE TO BE SECRETARY OF THE DEPART- MENT OF VETERANS AFFAIRS WEDNESDAY, DECEMBER 5, 2007 U.S. SENATE, COMMITTEE ON VETERANS’ AFFAIRS, Washington, D.C. The Committee met, pursuant to notice, at 9:39 a.m., in Room SD–G50, Dirksen Senate Office Building, Hon. Daniel K. Akaka, Chairman of the Committee, presiding. Present: Senators Akaka, Murray, Brown, Webb, Tester, Burr, Specter, Craig, and Hutchison. OPENING STATEMENT OF HON. DANIEL K. AKAKA, CHAIRMAN, U.S. SENATOR FROM HAWAII Senator AKAKA. Aloha. The hearing will come to order. Today’s hearing is to consider the nomination of James B. Peake to be Secretary of Veterans Affairs. Dr. Peake has a long and distinguished career, which our col- leagues, Senator Inouye and Senator Dole, will describe in detail when they introduce the nominee. For now, I just note the unusual combination of combat service as an infantry officer in Vietnam after his graduation from West Point, followed by medical school and a highly successful career as an Army physician, culminating in his service as the Army Sur- geon General. Dr. Peake, you have a tremendous challenge facing you, and I know you know that. Heading VA is never easy. Indeed, it may be one of the most daunting tasks in or out of government. Doing so in a time of war is dramatically more difficult. And taking over, as you will, assuming your confirmation, when there is only a little more than a year left in the current administration only com- pounds a demanding situation. Your ability to articulate clearly your priorities will be critical to your success. I recognize that you come to this nomination with a wealth of ex- perience, even though little of that experience has come from work- ing directly with VA. I am confident, however, that you have a strong sense of empathy for those served by VA and a deep com- mitment to VA’s missions, and that these traits will serve you well. As you suggested in your answers to my pre-hearing questions— and I want to tell you I really appreciate your responses—VA has a strong and dedicated workforce. Things are not perfect within VA; few human endeavors are. But I am satisfied that VA is (1) VerDate Aug 31 2005 11:48 Nov 13, 2008 Jkt 000000 PO 00000 Frm 00005 Fmt 6633 Sfmt 6633 H:\PS41451\DOCS\40524N.TXT SVETS PsN: PAULIN 2 staffed by people who seek to do what is right by veterans. What the Secretary must do, with the backing of the Congress, is give those employees the leadership and the tools—especially the re- sources—they need to carry out their jobs. If confirmed, you will appear before this Committee early next year in connection with VA’s 2009 budget. It will be vital that you be prepared at that time to inform us whether the proposed budget is truly sufficient for the coming fiscal year. A time of war puts tremendous strain on VA. Not only must the Department strive to continue to meet the needs of those from prior conflicts who already depend on VA, but it must quickly adapt so as to address the needs of those injured or disabled in the current conflicts. Each war brings different challenges, as you know—different demands, as well. In the current conflicts, VA is having to respond to relatively new challenges, such as the signifi- cant number of veterans suffering from Traumatic Brain Injury, alone or in combination with other debilitating injuries, in addition to wresting with conditions that followed prior wars, as well, such as Post Traumatic Stress Disorder. One area that needs special and immediate attention is the proc- ess by which an injured servicemember moves from DOD to VA. A great deal of work has been done on that front—especially over this year—and much is being done now. I am hopeful that, if you are confirmed, your long experience in the Army will enable you to con- tinue to improve on those efforts. Returning servicemembers, espe- cially those who are seriously injured, must not be made to strug- gle as they work with both DOD and VA. We must strive for, and we must achieve, a truly seamless transition. Another area that is demanding attention and a focused effort is the systems—both DOD’s and VA’s—for compensating service- members and veterans for in-service injury. It is no exaggeration to say that VA’s current compensation system is broken. The frus- trating lack of timeliness; the need for fundamental rethinking of the overall
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