Quil Lawrence

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STEVE INSKEEP, HOST:

There's sort of a designated driver in Jason Stavely's circle of Iraq buddies, but he doesn't take away people's car keys. He takes the guns.

"Come toward September-October, if I get the feeling, I'm more than happy to give my guns back to my buddy again," said Stavely.

Stavely has bad memories from the war that get triggered every autumn. And last year, one of his Marine Corps friends died by suicide in October. So Stavely's therapist at the Veterans Affairs clinic suggested getting his guns out of the house.

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DAVID GREENE, HOST:

Before they get to work on reforming the U.S. Department of Veterans Affairs, Congress and the White House might want to take a closer look at the last time they tried it — a $16 billion fix called the Veterans Choice and Accountability Act of 2014, designed to get veterans medical care more quickly.

As promised, President Trump has moved to dismantle the Affordable Care Act. It's a concern for those who might be left without health insurance — and especially for the Department of Veterans Affairs, which may have to pick up some of the slack.

Carrie Farmer, a health policy researcher at the Rand Corp., says 3 million vets who are enrolled in the VA usually get their health care elsewhere — from their employer, or maybe from Obamacare exchanges. If those options go away, she has no idea just how many of those 3 million veterans will move over to the VA.

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ARI SHAPIRO, HOST:

Thirteen years ago, just as the United States began what was to become its longest war, a futuristic wheelchair hit the market.

The iBOT allowed paralyzed people, including many veterans of Iraq and Afghanistan, to stand up by rising to eye level. It also did something no wheelchair ever had: climb stairs.

Four years ago, Jason Brezler sent an urgent message to a fellow Marine in Afghanistan, warning him about a threat. The warning wasn't heeded, and two weeks later, three U.S. troops were dead.

Now the Marine Corps is trying to kick out Maj. Brezler because the warning used classified information.

Solving a problem

Jason Brezler never thought he'd make a career out of the Marine Corps — his family history was FDNY.

"My grandfather was a firefighter, my father was a firefighter and fire chief," he says.

Stephen Coning, a 26-year-old former Marine, took his own life this summer, leaving behind a wife and a 2-year-old son.

By chance, it was the same week the Department of Veterans Affairs released conclusive data showing that the rate of suicide for those who served is now much higher than for civilians.

Despite that connection, the VA does not presume all suicides to be "service connected."

Mark Wilson/Getty Images

Donald Trump picked a military town — Virginia Beach, Va. — to give a speech Monday on how he would go about overhauling the Department of Veterans Affairs if elected.

He blamed the Obama administration for a string of scandals at the VA during the past two years, and claimed that his rival, Hillary Clinton, has downplayed the problems and won't fix them.

Trump outlined 10 ways he would change the department. In addition to creating a direct hotline to the White House for veterans having trouble with the VA — and promising not to select "a political hack" as head of the agency — he listed several ideas that have been pushed by Republicans recently: increasing the secretary's ability to quickly fire any incompetent or corrupt staff, stopping bonuses for poor performance, and — the big one — allowing veterans to choose a doctor outside the VA system.

Is Trump proposing privatization of the VA?

Donald Trump picked a military town — Virginia Beach, Va. — to give a speech Monday on how he would go about overhauling the Department of Veterans Affairs if elected.

He blamed the Obama administration for a string of scandals at the VA during the past two years, and claimed that his rival, Hillary Clinton, has downplayed the problems and won't fix them.

Copyright 2017 NPR. To see more, visit http://www.npr.org/.

DAVID GREENE, HOST:

When clinical psychiatrist Cher Morrow-Bradley and other health care providers call the Veterans Choice program, they are greeted with a recorded, 90-second "thank you" from Veterans Affairs Secretary Bob McDonald.

It's not having the intended effect.

"Why don't you make this easier? The process is so cumbersome, and I have to listen to you thanking me for spending all this time and then I get put on hold," says Morrow-Bradley, adding that she hasn't figured out how to skip the message.

In 2009, Emily Vorland went to Iraq with the Army for a year, hoping it would lead to a career in special operations. That dream was derailed not by the enemy, but by a superior officer, who started sexually harassing her.

"I said no and then reported it. And my direct chain of command relieved him of his position. However, it was three months later when the retaliation started," she says.

NPR — together with member stations from across the country — has been reporting on troubles with the Veterans Choice program, a $10 billion plan created by Congress two years ago to squash long wait times veterans were encountering when going to see a doctor. But as we reported in March, this fix needs a fix.

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