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With the close of the war and the expansion of the relief work through the liberalization of legislative provisions, and the consequent increase in the number seeking relief, and with the dispensing of relief charged to three separate agencies, duplication of effort and delay was unavoidable. It was out of a recognition of this condition of affairs that the United States Veterans' Bureau was created by Act of Congress dated August 9, 1921, and the dispensing of all relief centralized in one independent bureau.

3. Activities

The activities of the Veterans' Bureau as now constituted ? are as follows:

4. Death and Disability Compensation

Compensation is awarded for death and disability resulting from personal injury received or disease contracted in the Military or Naval Service on or after April 6, 1917, and before July 2, 1921, or for an aggravation or recurrence of a pre-existing disability during, or as a result of, such service. The amounts payable to disabled veterans or dependents of deceased veterans vary in accordance with the degree of the disability and the number of dependents. For temporary total disability the amount payable is $80 per month, with certain additional allowances for dependents. For a temporary disability, less than total, the monthly payment is a percentage of the above payment equal to the degree of the reduction in earning capacity resulting from the disability, but no compensation is payable for a reduction in earning capacity of less than 10 per centum, If the disability is rated as permanent and total, the rate of compensation is $100 per month: Provided, however, that the permanent loss of the use of both feet or both hands, or of both eyes, or of one foot and one hand, or of one foot and one eye, or of one hand and one eye, or of the loss of the hearing of both ears, or becoming permanently helpless or permanently bedridden, shall be deemed to be permanent total disability. It is further provided that compensation for the loss of the use of both eyes shall be $150 per month, and that compensation for the loss of the use of both eyes and one or more limbs shall be $200 per month, and for double permanent disability the rate of compensation is $200 per month. If the disability is rated as partial and permanent, the compensation, during such rating, is a percentage of the compensation for permanent total disability equal to the degree of reduction in earning capacity resulting from the disability, but no compensation is payable for a reduction in earning capacity of less than 10 per centum. Provision is made for a nurse or attendant for those so helpless as to be in need for such, and an amount not exceeding $40 per month is allowed therefor. Payment of burial expenses, not exceeding $100, for those who died in service after April 6, 1917, and those who died after discharge, and who did not leave sufficient assets to meet such expenses, is authorized.

The total number of compensation claims received to May 1, 1925, was 995,585. Of the total number adjudicated there have resulted 484,020 awards for

142 Stat. 147.

7 World War Veterans' Act June 7, 1924 (43 Stat. 607), as amended by Act March 4, 1925 (Pub. No. 628, 68th Cong.).

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death and disability, of which 205,189 disability awards and 63,118 death awards
were active on May 1, 1925. Current monthly payments for compensation ap-
proximate $10,500,000. In addition to the original adjudication, each case re-
ceiving a temporary award requires frequent additional adjudications, while cases
receiving permanent ratings are readjudicated whenever the necessity arises. Dis-
allowed claims may be reopened at any time by the submission of additional evi-
dence. The flexibility of procedure for securing readjudication of claims on
appeal, or through submission of additional evidence, has enabled many veterans
to obtain additional compensation to which they were entitled.
5. Medical and Hospital Care

In addition to compensation payments, the disabled person, with any degree of disability resulting from service, is furnished such reasonable governmental medical, surgical, and hospital service, and such supplies, including wheel chairs, artificial limbs, trusses, and similar appliances, as the Director may determine to be reasonably necessary and useful. All hospital facilities of this bureau are also available for every honorably discharged veteran of the Spanish-American War, the Philippine Insurrection, the Boxer Rebellion, or the World War suffering from neuro-psychiatric or tubercular ailments and diseases, paralysis agitans, encephalitis lethargica, or amoebic dysentery, or the loss of the sight of both eyes, regardless of whether such ailments or diseases are due to military service or otherwise. The Director of the Bureau is further authorized, so far as he shall find that existing government facilities permit, to furnish hospitalization and necessary traveling expenses to veterans of any war, military occupation, or military expedition since 1897, not dishonorably discharged, without regard to the nature or origin of their disabilities; preference being given to those unable to pay such expenses.

On May 1, 1925, there had been 292,020 admissions to hospitals, of which there were 91 under government operation, with a bed capacity of 29,689, 50 of these hospitals, with bed capacity of 19,959, being under the bureau. Other hospitals utilized in whole or part for the treatment of beneficiaries of the bureau are under the jurisdiction of the War and Navy Departments, the United States Public Health Service, and the National Home for Disabled Volunteer Soldiers. On May 1, 1925, 29,113 patients were being hospitalized at government expense. From May 1, 1924, to April 30, 1925, 1,349,091 treatments and 1,223,196 medical and dental examinations were given outside of hospitals. 6. Vocational Rehabilitation

Every veteran who served in the military or naval forces at any time from April 6, 1917, to July 2, 1921, who has resigned, or who has been discharged or furloughed therefrom, having a disability, incurred or aggravated in such seryice, not the result of his own willful misconduct, who, in the opinion of the Director, is in need of vocational rehabilitation to overcome the handicap of his disability, is furnished a suitable course of vocational training, if feasible. Every person electing to follow a course of vocational training is paid such sum as in the judgment of the Director is necessary for his maintenance and support, and the support of persons dependent upon him, while following same; but no single

person without dependents may be paid more than $80 per month, nor a man with dependents more than $100 per month, plus certain specified allowances, dependent upon the number of such dependents, except that the Director may increase the above sums not more than $20 in places, where the cost of living is above the average and comparatively high. Applications for vocational training must have been made before June 30, 1923, and no such training will be granted or continued after June 30, 1926.

On May 1, 1925, 25,762 were undergoing, and 177,823 had then entered, training of which 101,260 had been rehabilitated. The trainee's progress is closely supervised, and he is given vocational advice. Maintenance allowances for the support of trainees and of their dependents are continued for two months after the employability of the man is determined. Employment is secured through contracting firms employing specially trained men and by co-operation with service men's organizations, labor organizations, Chambers of Commerce, Rotary Clubs, etc. The bureau follows the employment to be assured that within the time limitations the veteran has been properly placed. 7. Insurance

In order to give members of the military and naval forces protection for themselves and their dependents, insurance was granted, upon application and without medical examination, against death and permanent total disability, in any multiple of $500, not less than $1,000 nor more than $10,000, upon the payment of premiums at a net peace-time rate, with no extra charge for administration or excess mortality due to the hazards of war. All insurance thus granted must be converted into some form of government life (converted) insurance not later than July 2, 1926. The permanent forms of insurance issued are ordinary life, 20-payment life, 20-year endowment, 30-year endowment, and endowment at the age of 62, and include extended insurance, paid-up insurance, cash surrender and loan values. Dividends are also paid on these policies from excess interest earnings. The total number of applications received for yearly renewable term insurance is approximately 4,600,000, and the amount of insurance applied for is approximately $40,000,000,000. Much of this insurance lapsed coincident with the demobilization of the armed forces. The number of men whose applications for converted insurance have been approved is 465,676, and the amount of insurance is $1,727,882,057. The total number carrying insurance on May 1, 1925, was 551,764; the amount of insurance being $2,870,110,851.59.

The total number of claims filed on account of yearly renewable term insur-, ance on May 1, 1925, was 216,935. Of these claims, payments were being made on 152,847, with a commuted value of $1,339,023,566.05. Premiums received on account of term insurance amount to $430,964,133.18. The total number of converted insurance claims filed to May 1, 1925, is 7,370. Of these, 5,783 have been allowed, amounting to $24,571,460.73. 8. Adjusted Compensation

The World War Compensation Act ? authorized payment of adjusted compensation to all veterars of the World War, except commissioned officers above

2

2 Act May 19, 1924 (43 Stat. 121).

the rank of captain in the Army and Marine Corps and corresponding rank in the Navy and Coast Guard.

The rate of pay for service in excess of 60 days is $1.25 per day for overseas service and $1 for home service, with the total amount to be paid to a veteran serving overseas limited to $625, and the amount paid to a veteran with no overseas service limited to $500. Veterans who are entitled to not more than $50 are paid in cash, and a veteran entitled to more than that is given an adjusted service certificate in the form of a 20-year endowment insurance policy, the face value of which is equal to the amount of 20-year endowment insurance that the amount of adjusted service credit, increased by 25 per centum, would purchase, at his age on his birthday nearest the date of the certificate, if applied as a net single premium, calculated in accordance with accepted actuarial principles, and based upon the American Experience Table of Mortality, and interest at 4 per centum per annum, compounded annually.

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