PUBLIC ADMINISTRATION IN THE SPHERE OF SOCIAL AND MEDICAL SECURITY OF US WAR VETERANS: EXPERIENCE FOR UKRAINE
DOI:
https://doi.org/10.31470/2786-6246-2025-12-148-156Keywords:
public administration, combatant, war veteran, social protection, social security, medical careAbstract
The article reveals the features of the implementation of public US in the field of social and medical care for war veterans. The article also gives reasons for taking into account the experience of the US for possible adaptation to the sphere of public administration of Ukraine. The author analyzed the competence and structure of the US Department of Veterans Affairs, the features of public administration at the regional level. The article reveals the American system of pension provision for military personnel. The positive experience of the US in taking into account such a criterion as gender, according to which men have higher rates of overweight, as well as heart disease, stroke, skin cancer and diabetes, as well as lower rates of other types of cancer, COPD, arthritis, mental health problems and kidney diseases. The positive experience of the US in involving private medicine in the sphere of medical and social care for war veterans is determined. The results of the study indicate that, taken together, the above risks and development prospects may encourage the US Department of Veterans Affairs to develop more effective measures in the field of health care aimed at improving the general health of veterans. Taking into account the materials provided and the analysis carried out, it can be concluded that the US experience is useful for Ukraine in the following areas: selection of criteria for assessing the state of social protection of war veterans; effective structure of public administration, in particular at the level of the Ministry of Veterans Affairs, regarding the subjects of veteran policy implementation and their competencies; consideration of criteria of mental and medical condition of veterans, number of involvement in hostilities, geographical factor, health status, etc. in planning veteran policy; development of the system of social protection of veterans in accordance with the existing general social system with effective distribution of available resources; increasing the efficiency of public administration in the field of veteran policy with increasing hostilities and reducing trained personnel; effective system of returning war veterans to civilian life, starting from the first day of service.
References
(n.d.). Chyselnist ta pryrodnyi rukh naselennia [Population size and natural population movement]. Ofitsiinyi veb-portal Derazhstat – Official web portal Derazhstat. stat.gov.ua. Retrieved from https://stat.gov.ua/index.php/uk/datasets/chyselnist-ta-pryrodnyy-rukh-naselennya-1 [in Ukrainian].
Shcherbak, D. (n.d.). 2024 roku naselennia Ukrainy rekordno skorotylosia: v chomu prychyna [In 2024, the population of Ukraine decreased by a record: what is the reason]. tsn.ua. Retrieved from https://tsn.ua/ukrayina/u-2024-roci-naselennya-ukrayini-rekordno-skorotilosya-v-chomu-prichina-2764839.html [in Ukrainian].
Karpa, M. etc. (2020). Effectiveness vs Efficiency for Organisational Development: A Study. Journal of Talent Development and Excellence, 12 (3s), 2478–2486 [in English].
Karpa, M., Akimov, O., & Kitsak, T. (2022). Problems of stabilization of the system of public administration under the conditions of decentralizational changes and martial law in Ukraine. Public Administration and Law Review, 3, 24–31. https://doi.org/10.36690/2674-5216-2022-3-24 [in English].
(2014). Ukrainska Spilka veteraniv Afhanistanu (voiniv-internatsionalistiv) – Shchodo Ministerstva u spravakh veteraniv viiskovoi sluzhby SShA [Ukrainian Union of Veterans of Afghanistan (Internationalist Soldiers) – Regarding the Department of Veterans Affairs of the United States]. www.usva.org.ua. Retrieved from http://www.usva.org.ua/ [in Ukrainian].
(2014). Pensiine zabezpechennia viiskovosluzhbovtsiv SShA [Pensions for US military personnel]. www.usva.org.ua. Retrieved from http://www.usva.org.ua/ [in Ukrainian].
Jose, A., etc. (2021). Exploring Health Outcomes for U.S. Veterans Compared to Non-Veterans from 2003 to 2019. Healthcare, 9(5), 604. https://doi.org/10.3390/healthcare9050604 [in English].
Pietsko, Yu. (n.d.). Veteranam tut ne mistse? Yakoiu maie buty veteranska polityka v Ukraini [Veterans have no place here? What should be the veterans’ policy in Ukraine]. centreua.org. Retrieved from https://centreua.org/. https://centreua.org/analityka/veteranam-tut-ne-mistse-yakoyu-maye-buty-veteranska-polityka-v-ukrayini/ [in Ukrainian].
Cesur, R., Sabia, J.J., & Tekin, E. (2013). The psychological costs of war: Military combat and mental health. J. Health Econ, 32, 51–65. doi: 10.1016/j.jhealeco.2012.09.001 [in English].
Masheb, R.M., etc. (2019). “Making weight” during military service is related to binge eating and eating pathology for veterans later in life. Eat. Weight Disord, 24, 1063–1070. doi: 10.1007/s40519-019-00766-w [in English].
Doubleday, J. (2014). Review may examine increased deployments: Pentagon advisers to study logic behind use of reserve components. Inside Army, 26, 1–6. [in English]
Masheb, R.M., etc. (2019). “Making weight” during military service is related to binge eating and eating pathology for veterans later in life. Eat. Weight Disord, 24, 1063–1070. doi: 10.1007/s40519-019-00766-w [in English].
Sotsialne zabezpechennia SShA [Social Security USA]. Ofitsiinyi sait uriadu Spoluchenykh Shtativ Ameryky – Official website of the United States government. Retrieved from https://www.ssa.gov/ [in Ukrainian].
Povey, О. (n.d.). Do veterans get extra money from Social Security? en.as.com. Retrieved from https://en.as.com/en/2021/11/24/latest_news/1637769005_704264.html [in English].
Interian, A., Kline, A., Janal, M., Glynn, S., & Losonczy, M. (2014). Multiple deployments and combat trauma: Do homefront stressors increase the risk for posttraumatic stress symptoms? J. Trauma Stress, 27, 90–97. doi: 10.1002/jts.21885 [in English].
Doubleday, J. (2014). Review may examine increased deployments: Pentagon advisers to study logic behind use of reserve components. Inside Army, 26, 1–6 [in English].
Betancourt, J.A., etc. (2020). Obesity and Morbidity Risk in the U.S. Veteran. Healthcare, 8, 191. doi: 10.3390/healthcare8030191 [in English].
Connolly, S.L., etc. (2020). Rapid Increase in Telemental Health within the Department of Veterans Affairs During the COVID-19 Pandemic. Telemed. J. e Health. doi: 10.1089/tmj.2020.0233 [in English].
Williams, R.G. (2015). Increased Survival of Congenital Heart Disease: How Did We Get Here and Now What? J. Am. Coll. Cardiol, 66, 45–46. doi: 10.1016/j.jacc.2015.05.021 [in English].
Walker, L.E., Poltavskiy, E., Janak, J.C., Beyer, C.A., Stewart, I.J., & Howard, J.T. (2019). US Military Service and Racial/Ethnic Differences in Cardiovascular Disease: An Analysis of the 2011–2016 Behavioral Risk Factor Surveillance System. Ethn. Dis, 29, 451–462. doi: 10.18865/ed.29.3.451 [in English].
VA MISSION. Text: S. 2372 — 115th Congress (2017-2018). www.congress.gov. Retrieved from https://www.congress.gov/bill/115th-congress/senate-bill/2372/text [in English].
