Blood and Treasure: The Cost of War

Juneau graffiti 20NOV05

I am deeply disheartened by recent actions taken by the Department of Veterans Affairs at the national level that directly affect millions of Veterans.

On February 11, VA Secretary Douglas Collins signed a rule that took effect just six days later, on February 17, fundamentally changing how the VA evaluates disability ratings. The rule was enacted under emergency authority, bypassing the standard 60-day Congressional review period and eliminating the usual advance public comment process. The VA justified this decision by claiming that delay would cause “significant disruption” to benefits delivery.

On February 19, enforcement of the rule RIN 2900-AS49 was paused. That pause is welcome, but the damage is already done. Below, I explain why this rule is so troubling and what it means in concrete terms for Veterans nationwide.


The Foundation: Public Blindness to Military Service

Before addressing the policy itself, it is important to acknowledge a deeper problem: the lack of public understanding about military service and its long-term consequences.

Within my own family, I have heard PTSD dismissed as nonsense. I have heard federal employees labeled lazy and people living on benefits described as freeloaders. If these views exist among people who watched me grow up, serve honorably, and return changed, what must the broader public believe?

That disconnect matters. It creates political space for policies that quietly shift costs onto Veterans under the guise of efficiency.


What Creates Veterans: Blood and Treasure

At the geopolitical level, every decision to go to war rests on two costs: blood and treasure.

Blood is the human cost. Treasure is the financial one. As Abraham Lincoln described it, war is governed by “awful arithmetic.” Victory and defeat are measured in lives altered or lost and resources consumed.

The Department of War bears these costs first. The Department of Veterans Affairs bears them afterward.

The VA exists to provide lifelong care and support to those who paid that price. Its responsibilities include health care, disability compensation, education assistance, home loans, and burial services. Among these, disability compensation is central, and it is where this rule does the most harm.


Disability Compensation and What Is Changing

According to the VA, disability compensation provides tax-free monthly benefits to Veterans for disabilities caused or aggravated by military service. Ratings range from 0% to 100% in 10% increments, and disabilities are combined using a specialized formula rather than simple addition.

The VA’s 2024 Annual Benefits Report shows:

  • 5,992,967 Veterans receiving compensation
  • 41,665,572 service-connected disabilities
  • An average of 6.95 disabilities per Veteran

This is not a marginal population. This is the core of the Veteran community.


What RIN 2900-AS49 Does

Under the proposed rule, the VA would evaluate disabilities based on how a Veteran functions while medicated, rather than the severity of the underlying condition without treatment. In plain terms, if medication reduces symptoms, the disability rating can be reduced accordingly.

This applies to:

  • All Veterans
  • All disability ratings
  • Including Permanent and Total (P&T)

Most Veterans undergo Routine Future Examinations every 18 to 30 months. During these reexaminations, ratings can be reduced. A reduction does not just mean less monthly compensation. It can trigger cascading losses of federal, state, and local benefits.

Even Veterans rated Permanent and Total are not fully insulated. If a P&T Veteran files a new claim, the VA may reopen the entire file, subjecting previously protected ratings to the new evaluation standard.


How Many Veterans Are at Risk

Using 2024 data and counting only Veterans rated between 0% and 90%, there are 4,445,125 Veterans whose benefits are subject to routine review. Because there is no reliable public metric distinguishing P&T Veterans within the 100% category, I have deliberately excluded them from this calculation.

That means more than four million Veterans live with persistent uncertainty about their financial and medical future.

Ask yourself: how would you feel if, after honoring a contract of service to your country, your livelihood depended on a periodic reassessment that could quietly move the goalposts?


Why This Is Happening

The answer is simple: money.

According to the VA’s own Regulatory Impact Analysis for RIN 2900-AS49, the rule is expected to generate:

  • $1.9 billion in savings in 2026
  • $12.1 billion over five years
  • $23.2 billion over ten years

Most of those savings come from reduced compensation payments, not administrative efficiency.

This is cost-cutting achieved by shifting the financial burden onto disabled Veterans.


Why This Matters

The overwhelming majority of service members are enlisted, and the overwhelming majority of Veterans are former enlisted personnel. These are not abstract numbers. This is the backbone of the military.

I am apolitical. My disappointment is not aimed at one party or administration. It is aimed at a system that allows those who bore the cost of war to quietly shoulder even more of it in peacetime.


What You Can Do

Public comments are now open.

I urge every Veteran, family member, and concerned citizen to:

  • Contact your Congressional delegation
  • Submit public comments demanding that the VA abolish or fundamentally revise this rule

Comments must be submitted by April 20, 2026, via regulations.gov under RIN 2900-AS49.

You can submit comments directly through the Federal Register by selecting “Submit a Comment” at the official rule page. (https://www.federalregister.gov/documents/2026/02/17/2026-03068/evaluative-rating-impact-of-medication#)

Veterans paid in blood and sacrifice. They should not be asked to pay again through bureaucratic arithmetic.

Colonel (Retired) Joel T. Gilbert

Responses to “Blood and Treasure: The Cost of War”

  1. I hate this for you and for all of the veterans who sacrificed so much. Physically, emotionally, mentally. You serve this country with pride, strength, and bravery. Have seen things and had to do things no one should every have to experience. How can you not have every one of your needs addressed, quickly and efficiently? No one can,nor has the right, to dismiss anything any one of you is going through. Especially if they have never been through your experiences. Veterans should be treated like royalty. Period. I cannot thank you, all of you,enough for your service. And I will be commenting on that link. Love you my friend ❤️

    1. It’s distressing to talk with fellow Vets and hear what their ratings are and see the concerns in their faces as they look upon an uncertain future.
      Sadly, the quicker Vets die off than the more money would be saved.
      The overall efforts made at the National level regarding Veteran suicide is ridiculous.

      Based on the latest VA National Veteran Suicide Prevention Annual Report (2025), an average of 17.5 veterans died by suicide per day in 2023. While this number slightly decreased from 17.6 in 2022, the overall rate remains significantly higher than the civilian population, with over 6,300 veteran suicides reported that year.

      Healthcare Access: 61% of veterans who died by suicide in 2023 were not receiving VA care in their last year!

      1. First, thank you for your service. Thank you for your proactive education about things some of us veterans might otherwise not know. I knew that someday us veterans might find ourselves being discredited, forgotten or otherwise sacrificed for some kind of BS. I hope your words can find their way to those who will fight against this travesty to support us veterns against the machine that is attacking the patriots in our country. Thank God the majority of Americans support us veterans. It may be time for those Americans to join us in a fight to ensure those who have sacrificed, ensuring freedom, liberty and the defense of our great nation are not sacrificed, dishonored or something far worse-for a dollar.

      2. Thank you, Melody! Thank you for being a Sister in arms and for your service!
        We need to keep pushing to get the word out and inform our Brothers and Sisters. Too many think this just went away.

  2. Antonio Sandoval, Chief Petty Officer, Retired Avatar
    Antonio Sandoval, Chief Petty Officer, Retired

    The medication itself adds health risks, Statins damage the kidneys, Beta blockers and blood presure medications reduce blood circulation to the legs and heart, so the patient Veteran is losing muscular size and strength and further reducing stamina and mobility. The medications that reduce blood pressure, eventually cause Arythmia and uneven heart-beat and Fibrillation. The medications make you dependent on them, so you’re addicted for whatever life you have left, fighting the symptoms and the new disabilities the medications produce. VA is intent on forcing medications upon Veterans that produce their own problems and health risks, further reducing the Veterans health and taking away more of his mobility, stamina and endurance. The Death Sentence has already been imposed, its just a matter of time, much less time than we would’ve had and for many of us, took our lives away already.

    1. I understand firsthand the benefits and side effects of medications.
      I know that I’m a better person on the meds than off, both mentally and physically.
      I wouldn’t be here if it weren’t for meds and seeking alternatives as well, such as yoga, mindfulness, counseling, and whatever exercise my body allows me for the day.
      The VA has an online Pain Management program, and I was thankfully one of the first to join it after being denied admission to the resident program. The online team comes with a doctor, a psychiatrist, a pharmacist who works with you, a mindfulness coach, and an outstanding physical therapist.
      I also can’t say enough about Matt Kirkland, P.H.D., in pharmacy, who runs the Anchorage VA’s substance abuse program. He got me sober, and that got me into the online program.
      Are meds involved, yes. Am I overall better than what I was? Yes.

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