Defense Media Network

TRICARE: Today and Tomorrow

Meanwhile, the debate about the future of TRICARE and the military’s growing medical costs continues.

 

A “Rebalanced” Approach

At the Center for Strategic and Budgetary Assessments (CSBA), Senior Fellow for Defense Budget Studies Todd Harrison has been arguing for several years that the Pentagon’s unsustainable personnel costs, by consuming an ever-increasing share of the defense budget, are crowding out other important parts of the budget such as readiness, research and development, and procurement – an imbalance that is all the more obvious and painful in recent budgets.

“We have a problem,” Harrison said, “because personnel costs are growing at a rate where eventually they will take over the entire defense budget if we don’t do something about it. What we do about it? My point [is] not that we should just go in and look for things to cut … let’s take the money we’re spending and get better value out of it, by putting it towards things that the troops value.”

In the spring, a few weeks after the 2013 budget was released, Harrison launched an online survey of currently active-duty service members, asking them to weigh in with their preferences for how the Pentagon might handle pay and benefits in future budgets.

About 2,655 people took the survey, but Harrison limited his analysis to those who were on active duty – more than 1,300 respondents. “This is not a random sample,” he warned. “You can’t take these results and draw conclusions from them and go out and make changes. This is just a proof of concept: If you look at the active-duty service members we surveyed, they were more heavily weighted towards senior officers and older personnel than the actual military is. We did not get enough junior enlisted people in particular. So for that reason we never aggregate all the results. We keep the results divided or segmented by rank, years of service, things like that.”

The results were reported in July 2012, in a compendium titled, “Rebalancing Military Compensation: An Evidence-Based Approach.” They indicated, in general, that service members place a higher value on basic pay than on deferred benefits such as health insurance or retirement pay, particularly early in their careers. More than 80 percent of servicemen and women in each age group, for example, would prefer a 1 percent increase in basic pay in exchange for raising the retirement collection age to 50.

It’s probably not surprising that younger service members value the present over the future, and at least one organization – the Military Officers Association of America (MOAA), one of the nation’s most influential advocates for retired and active-duty service personnel – publicly questioned the exclusion of retirees’ responses from the findings in a July 13 statement, “Pay Study: Garbage In, Garbage Out.” MOAA’s objections were wholesale, from the phrasing of the questions to the narrowing of the sample. The study, MOAA claimed, “offered a series of forced choices that effectively challenged participants to choose between something that benefited them or cut someone else.”

In its reported findings, CSBA does not advocate any specific actions. “Our only recommendation, really, is that DoD use this type of methodology to inform its future decisions,” said Harrison. “That’s all.” More thorough findings could help the military devise an evidence-based approach to making tough budget decisions about compensation and benefits.

In some ways, CSBA and MOAA appear to be talking past each other: In limiting its findings to the responses of active-duty service members, CSBA defined the value of military compensation and benefits in terms of attracting and retaining people to military service. It’s fair to ask, as MOAA pointedly does, whether cutting retirement benefits could reduce people’s incentive to stay in the military – but Harrison argues that the people to ask about that are the active-duty military members, not retirees. “If you’re making compensation systems, you have to focus on the preferences of people currently in the military,” he said. “With any changes you make, obviously you have to keep in mind fairness and what you’ve already promised people. To suddenly reduce retirement pay for people who retired 20 years ago – that’s not fair, obviously. But you may want to change the retirement system for new people joining the military.”

 

Reducing Inefficiencies

Since the release of the budget in 2013, military advocacy organizations such as MOAA have questioned the validity of comparing civilian and military retirement, and particularly of adjustments that require higher-ranking retirees to pay more – a “means-testing” approach that, they argue, punishes those who serve longer by requiring them to pay more. Such an approach could also, they argue, provide a disincentive to staying in the military longer – though supporters of the adjustments compare this to the idea that progressive taxation motivates people to stop earning more: As in the private sector, they point out, military promotions come with pay raises that more than outweigh the disadvantages of moving up.

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Craig Collins is a veteran freelance writer and a regular Faircount Media Group contributor who...

    li class="comment even thread-even depth-1" id="comment-89114">

    When I first entered the Air Force in 1974 I was told by personnel at CBPO, my bosses and other Air Force senior leaders that my family would receive free medical care for life if I chose to spend an entire career in the military. Well, I did just that, retiring after 30 years, 17 assignments and 15 “pack up” moves.

    I was away from family, extended family for extended periods of time. I missed scores of birthdays, holidays and time that most civilians do not have to sacrifice. I’ve been in war zones where my life and the life of my wife was threatened. I endured months of living in a tent, in the hottest and coldest of climates.

    I was unable to buy a house due to frequent PCS moves and I was not making “big money” until far into my career and far later after my civilian peers with the same experience levels and education. So, while I’m just getting underway in starting to pay off my 30-year fixed loan, the vast majority of my civilian friends have either paid off their homes are within a few years of doing so. Some have considerable equity while all of them are now able to take the money they were paying for a mortgage and invest it elsewhere. And don’t forget that their spouses may have chosen a career, too, something which my wife was unable to do because of our frequent and short-notice moves. So, we don’ t that 30 years of extra salary and another retirement fund to lean on.

    But now I’m being told that my Tricare rates are going up because they haven’t done so since the late 90’s? That my costs need to be more on par with my civilian counterpart. Are you kidding me?

    li class="comment odd alt thread-odd thread-alt depth-1" id="comment-89366">

    My experience is similar to that expressed by WOB, except that my 20+ year career, which began in 1960, was with the Navy. I remember being told on countless occasions by senior personnel, both enlisted and officer alike, that by choosing to make the Navy my career for at least 20 years, my family and I would receive free (i.e., earned) medical and dental care for life. As far as I was concerned they were employees of the United States Navy with authority to make such offers. As a matter of fact, I remember one of them telling me that the reason my pay was so low was because some of it was being withheld to help pay for my future retirement benefits. Like WOB, I, along with my wife and two young sons, packed up and moved seven times, four of which were trans-Atlantic moves. Less than a year after I retired the “Free Lifetime Dental” went down the drain. What happened to that promise? Now our Earned Medical Benefits are being threatened to go the same way. If I were a young officer or enlisted man or woman in the United States military service at this time, the last thing I would do is make a career of it.

    li class="comment even thread-even depth-1" id="comment-89733">
    YEP, USN (ret)

    All I can say is that the fabric of the nation is rapidly changing. I believe it is changing for the worse. What was valued years ago, does not carry the same value to many Americans today. All it takes to wipe away military retiree benefits, is signing a new budget with damaging provisions into law. That’s it. There is no such thing as a promise from Governement. Once the value of a military career decreases, the benefits are quick to follow no matter where you are in the cycle of using them. Just retired a couple years ago myself after 26. How could I recommend to my kids to take a similar path?

    li class="comment odd alt thread-odd thread-alt depth-1" id="comment-89925">

    Ditto on previous comments of many moves (18 in 25 yrs Navy) negating home buying and causing wife to work odd jobs disadvantageous to a career, suffering from low pay……how can you make that up to a GI and family, poor health care overseas (lost a child), inadequate housing, living in war zone, etc….. We have too many civilians in all aspects of govt that have no idea what hardship is like other than to work overtime…. Even in Pentagon….. And to suffer health problems the rest of your life after risking your own life… For whom, for what….
    Memories of past proposals easily forgotten today……everything for the budget…. Hogwash