1
00:00:00,433 --> 00:00:01,673
The President: Good morning.
2
00:00:01,668 --> 00:00:04,738
I'd like to begin by thanking
Secretary David Shulkin
3
00:00:04,738 --> 00:00:06,238
for the incredible progress
4
00:00:06,239 --> 00:00:08,679
that he's making
at the VA --
5
00:00:08,675 --> 00:00:09,975
tremendous strides.
6
00:00:09,976 --> 00:00:12,046
Thank you very much,
David. We appreciate it.
7
00:00:12,045 --> 00:00:13,515
The veterans
appreciate it,
8
00:00:13,513 --> 00:00:15,283
I can tell you that.
9
00:00:15,281 --> 00:00:17,551
Today, I'm pleased to
announce another historic
10
00:00:17,550 --> 00:00:21,490
breakthrough that
will expand VA services
11
00:00:21,488 --> 00:00:23,828
to many more patients
and veterans.
12
00:00:24,791 --> 00:00:28,791
We will do this through
telehealth services.
13
00:00:28,795 --> 00:00:31,865
It's what it's called --
telehealth services.
14
00:00:31,865 --> 00:00:34,565
We're expanding
the ability of veterans
15
00:00:34,567 --> 00:00:37,667
to connect with their
VA healthcare team
16
00:00:37,670 --> 00:00:40,540
from anywhere
using mobile application
17
00:00:40,540 --> 00:00:43,080
on the veteran's
own phone
18
00:00:43,076 --> 00:00:45,646
or the veteran's
own computer.
19
00:00:46,246 --> 00:00:48,686
This will significantly
expand access
20
00:00:48,681 --> 00:00:50,481
to care for our veterans,
21
00:00:50,483 --> 00:00:53,053
especially for those
who need help
22
00:00:53,052 --> 00:00:54,752
in the area
of mental health,
23
00:00:54,754 --> 00:00:58,494
which is a bigger
and bigger request --
24
00:00:58,491 --> 00:01:00,861
and also in suicide
prevention.
25
00:01:01,461 --> 00:01:04,031
It will make
a tremendous difference
26
00:01:04,030 --> 00:01:08,100
for the veterans in rural
locations in particular.
27
00:01:09,002 --> 00:01:11,442
We're launching
the mobile app
28
00:01:11,438 --> 00:01:13,778
that will allow VA
patients to schedule
29
00:01:13,773 --> 00:01:15,273
and change
their appointments
30
00:01:15,275 --> 00:01:18,815
at VA facilities using
their smartphones.
31
00:01:18,812 --> 00:01:20,852
So, this is something
they were
32
00:01:20,847 --> 00:01:22,287
never able to do.
33
00:01:23,116 --> 00:01:25,456
Technology has given us
this advantage,
34
00:01:25,452 --> 00:01:26,822
but, unfortunately,
we have not
35
00:01:26,820 --> 00:01:29,390
taken advantage
of that until now.
36
00:01:30,223 --> 00:01:32,693
We're working tirelessly
to keep our promises
37
00:01:32,692 --> 00:01:35,192
to our great veterans.
Very important.
38
00:01:35,195 --> 00:01:38,165
And in my campaign and on
the campaign trail,
39
00:01:38,164 --> 00:01:39,904
the veterans mean
so much to me
40
00:01:39,899 --> 00:01:41,069
and this administration.
41
00:01:41,067 --> 00:01:43,237
In the past six months,
I have signed historic
42
00:01:43,736 --> 00:01:47,036
VA accountability
legislation.
43
00:01:47,040 --> 00:01:49,110
I have signed
legislation to extend
44
00:01:49,108 --> 00:01:51,348
and improve the Veterans
Choice Program.
45
00:01:52,078 --> 00:01:54,918
We're starting to really
get that to a point
46
00:01:54,914 --> 00:01:57,184
where choice is
just becoming something
47
00:01:57,183 --> 00:01:59,353
that they are
extremely happy about,
48
00:01:59,352 --> 00:02:02,252
and they've wanted it
for many, many years.
49
00:02:02,822 --> 00:02:04,662
We're working to enable
seamless care
50
00:02:04,657 --> 00:02:06,497
between the Departments
of Defense
51
00:02:06,493 --> 00:02:08,593
and Veteran Affairs.
52
00:02:08,595 --> 00:02:10,595
We have launched
a groundbreaking
53
00:02:10,597 --> 00:02:12,027
new website
54
00:02:12,031 --> 00:02:14,931
that allows veterans
to compare wait times
55
00:02:14,934 --> 00:02:16,034
and quality of care
56
00:02:16,035 --> 00:02:18,805
at VA facilities
and other hospitals.
57
00:02:18,805 --> 00:02:22,005
So, we're actually able
to compete our facilities
58
00:02:22,008 --> 00:02:24,978
with other hospitals
and other VA facilities.
59
00:02:24,978 --> 00:02:27,078
So, we'll really strike
60
00:02:27,080 --> 00:02:28,520
a little
competitive advantage
61
00:02:28,515 --> 00:02:30,585
and I think get people
moving even better.
62
00:02:31,084 --> 00:02:33,554
And we have dramatically
increased the number
63
00:02:33,553 --> 00:02:35,423
of approvals
64
00:02:35,421 --> 00:02:37,321
for veterans
to see the doctors.
65
00:02:37,323 --> 00:02:39,123
So, they are
going to have
66
00:02:39,125 --> 00:02:41,825
many more doctors
of their choice.
67
00:02:41,828 --> 00:02:43,898
These accomplishments
are only the beginning.
68
00:02:43,897 --> 00:02:46,897
We will not rest
until all of America's
69
00:02:46,900 --> 00:02:48,170
great veterans
70
00:02:48,167 --> 00:02:50,837
can receive the care
they so richly deserve.
71
00:02:50,837 --> 00:02:52,337
Tremendous progress
has been
72
00:02:52,338 --> 00:02:53,778
made in a short period
of time.
73
00:02:53,773 --> 00:02:55,573
We've only been
here six months,
74
00:02:55,575 --> 00:02:57,715
but tremendous progress
has been made.
75
00:02:58,211 --> 00:03:01,711
And I want to ask
Dr. Shulkin, perhaps,
76
00:03:01,714 --> 00:03:02,954
to give us
a little preview
77
00:03:02,949 --> 00:03:04,589
of what's to come.
Thank you.
78
00:03:07,654 --> 00:03:09,754
Secretary Shulkin: Mr.
President, thank you so much.
79
00:03:10,323 --> 00:03:11,393
What we're
announcing today
80
00:03:11,391 --> 00:03:13,291
is a big deal
for veterans.
81
00:03:13,293 --> 00:03:15,093
It's really going
to expand access
82
00:03:15,094 --> 00:03:17,564
for veterans in a way
we haven't done before.
83
00:03:17,564 --> 00:03:19,734
And, as you may know,
84
00:03:19,732 --> 00:03:22,272
VA already
has the largest
85
00:03:22,268 --> 00:03:25,068
telehealth program
in the country.
86
00:03:25,071 --> 00:03:28,171
Last year we had
700,000 veterans
87
00:03:28,174 --> 00:03:31,744
who got telehealth
services through the VA,
88
00:03:31,744 --> 00:03:33,514
and we actually
can do this
89
00:03:33,513 --> 00:03:35,513
for 50 different
specialties.
90
00:03:35,515 --> 00:03:37,185
In fact, Mr. President,
if you take a look
91
00:03:37,183 --> 00:03:39,583
at all those specialties
on this chart,
92
00:03:39,586 --> 00:03:41,756
we can provide
telehealth services
93
00:03:41,754 --> 00:03:43,994
from tele-dermatology,
94
00:03:43,990 --> 00:03:47,260
to tele-intensive care,
to tele-dentistry.
95
00:03:48,061 --> 00:03:49,701
And this is
the type of thing
96
00:03:49,696 --> 00:03:51,266
that is available
now to our veterans.
97
00:03:51,264 --> 00:03:53,134
But what we're
announcing today
98
00:03:53,132 --> 00:03:56,632
dramatically expands
our current capabilities.
99
00:03:56,636 --> 00:03:58,076
Mr. President, by working
100
00:03:58,071 --> 00:04:00,771
with the Office
of American Innovation
101
00:04:00,773 --> 00:04:03,073
and the Department
of Justice,
102
00:04:03,076 --> 00:04:05,516
we're going to be
issuing a regulation
103
00:04:05,511 --> 00:04:07,981
that allows
our VA providers
104
00:04:07,981 --> 00:04:10,951
to provide telehealth
services from anywhere
105
00:04:10,950 --> 00:04:13,550
in the country
to veterans
106
00:04:13,553 --> 00:04:14,993
anywhere in the country,
107
00:04:14,988 --> 00:04:17,628
whether it's in their
homes or any location.
108
00:04:17,624 --> 00:04:21,224
We call it "anywhere to
anywhere" VA healthcare.
109
00:04:21,794 --> 00:04:23,794
That's a big deal.
110
00:04:24,364 --> 00:04:25,434
Now, just think
about this.
111
00:04:25,431 --> 00:04:28,101
That means we're going
to be able to use
112
00:04:28,101 --> 00:04:30,141
VA providers in cities
113
00:04:30,136 --> 00:04:31,506
where there are
a lot of doctors,
114
00:04:31,504 --> 00:04:33,304
and be able to use
those doctors
115
00:04:33,306 --> 00:04:35,776
to help our veterans
in rural areas
116
00:04:35,775 --> 00:04:37,615
where there aren't many
healthcare professionals.
117
00:04:37,610 --> 00:04:39,110
And you talked about
mental health
118
00:04:39,112 --> 00:04:40,712
and suicide prevention;
119
00:04:40,713 --> 00:04:42,213
this is one
of those areas
120
00:04:42,215 --> 00:04:44,655
that we can really use
that expertise.
121
00:04:44,651 --> 00:04:46,051
And today's announcement
122
00:04:46,052 --> 00:04:47,352
is going to allow us
to do that.
123
00:04:48,321 --> 00:04:50,521
What we're going to be
rolling out nationally
124
00:04:50,523 --> 00:04:52,823
with a rollout
across the country
125
00:04:52,825 --> 00:04:55,265
is what's called
VA Video Connect.
126
00:04:55,261 --> 00:04:59,431
VA Video Connect allows
VA providers
127
00:04:59,432 --> 00:05:01,372
to use mobile devices
128
00:05:01,367 --> 00:05:03,367
to connect with veterans
129
00:05:03,369 --> 00:05:07,309
on their mobile devices
or their home computers.
130
00:05:07,306 --> 00:05:08,676
That's a big deal.
131
00:05:08,675 --> 00:05:11,445
Currently, we use
VA Video Connect
132
00:05:11,444 --> 00:05:14,014
with over 300
VA providers
133
00:05:14,013 --> 00:05:15,713
at 67 of our hospitals
134
00:05:15,715 --> 00:05:17,655
or clinics
across the country.
135
00:05:17,650 --> 00:05:19,850
But that's beginning
to roll out nationally.
136
00:05:20,620 --> 00:05:22,420
And there's one more
thing, Mr. President.
137
00:05:22,422 --> 00:05:24,762
We're going to be
announcing
138
00:05:24,757 --> 00:05:26,327
a new technology
139
00:05:26,325 --> 00:05:28,295
called the Veterans
Appointment Request.
140
00:05:28,294 --> 00:05:31,334
And what that is, is it's
allowing the veteran,
141
00:05:31,330 --> 00:05:32,930
on their smartphone,
142
00:05:32,932 --> 00:05:35,472
to be able to schedule
their appointments
143
00:05:35,468 --> 00:05:38,208
directly
with VA providers,
144
00:05:38,204 --> 00:05:39,874
or to change
their appointments,
145
00:05:39,872 --> 00:05:41,042
or cancel
their appointments
146
00:05:41,040 --> 00:05:42,440
with VA providers.
147
00:05:42,442 --> 00:05:44,682
Now, today,
this is available
148
00:05:44,677 --> 00:05:47,747
in all 18 of our regions
across the country.
149
00:05:47,747 --> 00:05:49,217
And we've already
booked more
150
00:05:49,215 --> 00:05:51,655
than 4,000 appointments
from veterans
151
00:05:51,651 --> 00:05:54,291
directly
from their smartphones
152
00:05:54,287 --> 00:05:56,287
so that they can schedule
their own appointments.
153
00:05:56,289 --> 00:05:57,619
But now we're announcing
154
00:05:57,623 --> 00:05:59,623
the national rollout
of this.
155
00:05:59,625 --> 00:06:01,965
And if veterans
want to see
156
00:06:01,961 --> 00:06:04,761
and get the Veterans
Appointment Request,
157
00:06:05,298 --> 00:06:07,038
you can see
on our website --
158
00:06:07,033 --> 00:06:10,133
mobile.va.gov/appstore.
159
00:06:10,136 --> 00:06:14,106
The VA app store has this
available for download.
160
00:06:14,107 --> 00:06:16,847
So, Mr. President, what
we're really doing is,
161
00:06:16,843 --> 00:06:18,913
we're
removing regulations
162
00:06:18,911 --> 00:06:20,551
that have prevented us
from doing this.
163
00:06:20,546 --> 00:06:23,316
We're removing geography
as a barrier
164
00:06:23,316 --> 00:06:26,886
so that we can speed up
access to veterans
165
00:06:26,886 --> 00:06:28,826
and really honor
our commitment to them.
166
00:06:29,388 --> 00:06:31,528
Now, let me show you
how this works,
167
00:06:31,524 --> 00:06:32,894
Mr. President.
168
00:06:32,892 --> 00:06:34,892
If we come over here --
169
00:06:37,063 --> 00:06:40,233
we use technology
in a way
170
00:06:40,233 --> 00:06:41,533
that's pretty incredible.
171
00:06:41,534 --> 00:06:43,834
In fact, Mr. President,
I'm one of those doctors.
172
00:06:43,836 --> 00:06:46,576
I practice right here
in Washington
173
00:06:46,572 --> 00:06:48,812
to my clinic
in Grants Pass, Oregon.
174
00:06:49,375 --> 00:06:52,845
And I want to say hello
to our veteran today.
175
00:06:52,845 --> 00:06:55,715
Mr. Amescua, how are you?
176
00:06:57,517 --> 00:07:00,457
Mr. Amescua is a veteran.
177
00:07:00,453 --> 00:07:02,953
He served in the Coast
Guard for 26 years.
178
00:07:02,955 --> 00:07:05,995
He was a helicopter
rescue swimmer
179
00:07:06,659 --> 00:07:07,529
and served the country.
180
00:07:07,527 --> 00:07:09,127
And here
we are in Oregon.
181
00:07:09,128 --> 00:07:11,728
And this is
our great team
182
00:07:11,731 --> 00:07:14,801
-- Peggy and Denise
and Terry.
183
00:07:14,801 --> 00:07:18,001
And, Peggy,
would you mind --
184
00:07:18,004 --> 00:07:20,504
I understand there might
be some area of concern
185
00:07:20,506 --> 00:07:22,576
on Mr. Amescua's skin.
186
00:07:22,575 --> 00:07:24,645
Can we take a look
at that, please?
187
00:07:24,644 --> 00:07:25,944
Team Member: Yes, sir.
188
00:07:25,945 --> 00:07:28,145
Dr. Shulkin,
this is the area
189
00:07:28,147 --> 00:07:29,747
that is of concern.
190
00:07:30,750 --> 00:07:31,780
Secretary Shulkin: Okay.
191
00:07:31,784 --> 00:07:34,324
So, as we focus
in on that,
192
00:07:34,320 --> 00:07:36,060
you can see,
Mr. President,
193
00:07:36,055 --> 00:07:38,255
I can take a look
at that area
194
00:07:38,257 --> 00:07:40,627
and if I have
any concern about it
195
00:07:40,626 --> 00:07:42,566
we can send this
to a specialist
196
00:07:42,562 --> 00:07:44,132
or we can take
a look at it.
197
00:07:44,130 --> 00:07:45,260
But thank you.
198
00:07:45,264 --> 00:07:47,634
Mr. Amescua, we'll be
right back with you soon.
199
00:07:47,633 --> 00:07:49,633
I just want to show
the President
200
00:07:49,635 --> 00:07:50,465
a few other things,
201
00:07:50,469 --> 00:07:52,409
but we'll be
right back with you.
202
00:07:52,405 --> 00:07:55,075
Mr. President,
if you walk over here,
203
00:07:55,074 --> 00:07:58,444
this is actually
the new doctor's bag --
204
00:07:58,444 --> 00:08:00,014
the doctor's bag
of the future.
205
00:08:00,680 --> 00:08:02,420
And you may actually
recognize this
206
00:08:02,415 --> 00:08:04,715
because this is
the doctor's bag
207
00:08:04,717 --> 00:08:05,917
that travels with you
208
00:08:05,918 --> 00:08:07,888
when you go
on Air Force One.
209
00:08:07,887 --> 00:08:09,487
And so we have Dr.
210
00:08:09,488 --> 00:08:11,428
Ronny Jackson,
your doctor here
211
00:08:11,424 --> 00:08:14,494
that usually takes
care of you, Dr. Jackson.
212
00:08:14,493 --> 00:08:17,663
And we now are able
to bring this doctor's
213
00:08:17,663 --> 00:08:19,603
bag into the home
of our veterans.
214
00:08:19,599 --> 00:08:23,139
Our nurse practitioners,
our technicians
215
00:08:23,135 --> 00:08:25,405
are able to use this type
of technology now
216
00:08:25,404 --> 00:08:27,744
-- the same technology
available
217
00:08:27,740 --> 00:08:29,880
to the President
of the United States.
218
00:08:29,876 --> 00:08:31,006
And that's the way
it should be,
219
00:08:31,010 --> 00:08:31,880
because our veterans
220
00:08:31,878 --> 00:08:33,848
deserve that
type of technology.
221
00:08:33,846 --> 00:08:34,776
The President:
That's great.
222
00:08:34,780 --> 00:08:35,650
Secretary Shulkin: Now,
I'm going to show you
223
00:08:35,648 --> 00:08:36,988
just one or two
other things.
224
00:08:36,983 --> 00:08:39,023
Dr. Neil Evans over here,
225
00:08:39,018 --> 00:08:41,318
one of our doctors,
is going to show you
226
00:08:41,320 --> 00:08:44,090
VA Video Connect
that I talked about.
227
00:08:44,090 --> 00:08:47,630
So here we are
in Grants Pass, Oregon.
228
00:08:48,160 --> 00:08:49,900
Hi, Mr. Amescua,
how are you?
229
00:08:51,664 --> 00:08:53,064
Can you raise your hand?
230
00:08:53,065 --> 00:08:54,205
Good.
231
00:08:54,200 --> 00:08:56,140
So, here we are
in Grants Pass, Oregon
232
00:08:56,135 --> 00:08:57,235
on
our mobile device,
233
00:08:57,236 --> 00:08:59,806
and this is how we
can use VA Video Connect.
234
00:08:59,805 --> 00:09:01,245
But watch this,
Mr. President.
235
00:09:01,240 --> 00:09:04,210
If we need to bring in a
specialist from anywhere
236
00:09:04,210 --> 00:09:07,180
in the country
into Grants Pass, Oregon,
237
00:09:07,179 --> 00:09:07,949
we can.
238
00:09:07,947 --> 00:09:09,217
So, Dr. Brook Watts.
239
00:09:09,215 --> 00:09:12,485
Do you want to say hello,
Dr. Watts?
240
00:09:12,485 --> 00:09:13,755
Dr. Watts: Good Morning,
Dr. Shulkin.
241
00:09:13,753 --> 00:09:15,393
Good morning,
Mr. President.
242
00:09:15,388 --> 00:09:17,288
And good morning,
Mr. Amescua.
243
00:09:17,290 --> 00:09:19,130
Thank you so much
for your service.
244
00:09:19,125 --> 00:09:20,895
Secretary Shulkin: Dr.
Watts is a specialist --
245
00:09:20,893 --> 00:09:22,533
an internal
medicine specialist
246
00:09:22,528 --> 00:09:24,468
in Cleveland, Oregon,
247
00:09:24,463 --> 00:09:27,833
and she is now
connected in with Mr. Amescua
248
00:09:27,833 --> 00:09:29,273
in Grants Pass, Oregon.
249
00:09:29,268 --> 00:09:31,738
So, we can get the
expertise from anywhere
250
00:09:31,737 --> 00:09:33,577
in the country
immediately.
251
00:09:33,572 --> 00:09:35,672
The VA is able
to do this right now.
252
00:09:35,675 --> 00:09:38,115
So, thank you very much.
253
00:09:39,445 --> 00:09:41,615
And so, Mr. President,
254
00:09:41,614 --> 00:09:45,314
this is how we're
expanding access.
255
00:09:45,318 --> 00:09:46,958
This is how we're
bringing the very best
256
00:09:46,953 --> 00:09:48,793
technology available
in the country.
257
00:09:49,455 --> 00:09:51,595
And really thanks
to your help
258
00:09:51,590 --> 00:09:53,390
in cutting through
the regulation,
259
00:09:53,392 --> 00:09:55,992
the Office of
American Innovation,
260
00:09:55,995 --> 00:09:57,795
we're able to expand
that success
261
00:09:57,797 --> 00:09:59,797
dramatically today
and to roll this out.
262
00:09:59,799 --> 00:10:02,739
And as you said, with
our accountability bill,
263
00:10:02,735 --> 00:10:04,305
our replacing
our electronic
264
00:10:04,303 --> 00:10:06,273
medical record, the
progress we're making --
265
00:10:06,272 --> 00:10:07,942
in six months
266
00:10:07,940 --> 00:10:09,540
we have been able
to do tremendous things.
267
00:10:09,542 --> 00:10:10,982
But it's just
the beginning of what
268
00:10:10,977 --> 00:10:12,747
we're going to do
for our veterans.
269
00:10:12,745 --> 00:10:14,415
So, thank you very much.
270
00:10:14,413 --> 00:10:21,953
(Applause.)
271
00:10:21,954 --> 00:10:22,754
The President:
Thank you, Doctor.
272
00:10:22,755 --> 00:10:24,025
And I just want
to thank him,
273
00:10:24,023 --> 00:10:24,893
and your skin --
274
00:10:24,890 --> 00:10:26,030
I hope you skin
is going to be improved.
275
00:10:26,025 --> 00:10:27,895
(Laughter.)
276
00:10:27,893 --> 00:10:29,663
You look pretty good to me,
but what do I know?
277
00:10:29,662 --> 00:10:30,762
(Laughter.)
278
00:10:30,763 --> 00:10:31,563
Secretary Shulkin:
Mr. Amescua,
279
00:10:31,564 --> 00:10:33,434
why don't you say
something
280
00:10:33,432 --> 00:10:36,302
if you want to say hello
to the President.
281
00:10:39,472 --> 00:10:40,602
Mr. Amescua: Good
morning, Mr. President,
282
00:10:40,606 --> 00:10:42,276
how are you?
283
00:10:42,274 --> 00:10:43,144
The President: Very
good.
284
00:10:43,142 --> 00:10:44,112
You look very
healthy to me,
285
00:10:44,110 --> 00:10:45,040
I will tell you that.
286
00:10:45,044 --> 00:10:46,074
(Laughter.)
287
00:10:46,078 --> 00:10:47,818
Please make sure
your skin is perfect.
288
00:10:47,813 --> 00:10:50,753
(Laughter.)
289
00:10:50,750 --> 00:10:51,820
Thank you very much.
290
00:10:51,817 --> 00:10:54,157
Great technology,
great to be here.
291
00:10:54,153 --> 00:10:55,393
Thank you.
292
00:10:55,388 --> 00:11:00,928
(Applause.)
293
00:11:00,926 --> 00:11:03,166
We're going to West Virginia
tonight, by the way.
294
00:11:03,162 --> 00:11:04,802
We're going to have
a very big announcement,
295
00:11:04,797 --> 00:11:06,397
which will be
very exciting I think
296
00:11:06,399 --> 00:11:08,399
for the media
and everyone else.
297
00:11:08,401 --> 00:11:10,101
But we have a very big
announcement tonight.
298
00:11:10,603 --> 00:11:13,173
I believe I'll be making
it in West Virginia,
299
00:11:13,172 --> 00:11:14,412
so that will
very exciting.
300
00:11:14,407 --> 00:11:15,707
Thank you very much.