The National Institutes of Health has awarded the Oklahoma Medical Research Foundation $5.8 million to work toward easier diagnosis and better treatment options for Sjögren’s disease, an autoimmune condition.
In Sjögren’s, immune cells attack moisture-producing glands, causing painful dry eyes and mouth. It can result in irreversible tissue damage, neurological problems, lung disease and cancer. There is no known cure, and current treatments address only the symptoms.
OMRF scientists Joel Guthridge, Ph.D., Darise Farris, Ph.D., and Christopher Lessard, Ph.D., received a four-year grant through the Accelerating Medicines Partnership in Autoimmune and Immune-Mediated Diseases Program (AMP AIM). The team’s goal is to develop less invasive clinical tools to diagnose patients more effectively and identify new targets for future treatments.
“This disease is notoriously difficult to diagnose,” said Lessard, who’s been studying Sjögren’s at OMRF since 2007. “It shares features with many autoimmune diseases and lacks effective diagnostic markers, which makes studying it challenging. This grant provides us with technology to analyze the salivary glands of people with Sjögren’s in a way that wasn’t possible previously.”
The researchers will use blood and biopsy tissue samples donated to OMRF by people with Sjögren’s to better understand different patient sub-groups’ genetic and molecular characteristics.
“This knowledge should help clinicians diagnose the disease more easily and determine who may benefit from different potential therapies,” Guthridge said.
Most studies of Sjögren’s have focused on patients who test positive for certain autoantibodies in the blood. However, a significant percentage of people with the disease test negative for those autoantibodies. In those cases, diagnosis requires an invasive biopsy of the salivary glands.
“Of the more than 600 people seen in our research clinic who met the criteria for Sjögren’s, about 40% tested negative for these autoantibodies,” said Farris, the Alvin Chang Chair of Biomedical Research at the OMRF. “This positions us to study the molecular issues unique to that particular Sjögren’s patient group.”
AMP AIM is a nationwide public-private partnership aimed at developing more effective treatments for autoimmune diseases. The partnership involves the NIH, Foundation for the National Institutes of Health, nonprofit disease foundations, biopharmaceutical and life-science companies, and 52 research institutions. OMRF Executive Vice President & Chief Medical Officer Judith James, M.D., Ph.D., is chair of the more than $60 million program.
The AMP AIM Sjögren’s research is funded by grant No. 3UC2 AR081032-02S1 from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, part of the NIH. Farris and Guthridge received support from the Oklahoma City-based Presbyterian Health Foundation for experiments preceding the NIH grant. Additional support came to Farris from the Oklahoma Center for the Advancement of Science & Technology and to Guthridge from the Oklahoma Center for Adult Stem Cell Research.
For more information about ongoing Sjögren’s research at OMRF, visit https://omrf.org/patient-studies/sjogrens-disease/sjogrens/.
The Metropolitan Library System is pleased to announce the annual Friends of the Library Booksale, scheduled to take place on February 24-25 at the Oklahoma Expo Hall Building, located at 3213 Wichita Walk within the OKC Fairgrounds. Running from 9:00 am to 5:00 pm on both Saturday and Sunday, this free and public event will feature an extensive collection of over 500,000 books, music, DVDs, Blu-rays, audiobooks, and more.
The sale will be divided into two rooms, with a general room offering $1 paperbacks and $2 hardbacks, and children’s items at half the price. The Better Books room will showcase items in better condition, with individually priced books starting at $3. Due to limited building occupancy, attendees are encouraged to dress appropriately for the weather.
The Booksale serves as the primary fundraiser for the Metropolitan Library System’s Friends of the Library, a 501c3 organization that, in collaboration with the library system’s 19 branches, has raised $6,000,000 in gifts over the years. These funds have supported various initiatives, including scholarships for library staff, technology for homework help, games, toys, supplies, and diverse library programming.
This year, proceeds from the Booksale will be combined with funding from the Library Endowment Trust to establish a sustainable fund for early childhood literacy outreach in Oklahoma County. The focus will include supporting the popular Dolly Parton Imagination Library book gifting program for preschoolers. For more information on this program, visit https://imaginationlibrary.com.
Members of the Friends of the Library will enjoy an exclusive members-only event on Friday, February 23, from 1:00 pm to 7:00 pm. This special preview is a token of appreciation for their ongoing support. Membership sign-ups are available at – https://supportmls.org/fol/membership until 5:00 pm on February 21. No memberships or tickets will be sold at the event.
Becoming a Friends member is not only a commitment to fostering literacy but also a meaningful way to give back to the community. Volunteers are invited to register or find more information at https://supportmls.org/fol/volunteering. To express gratitude to our volunteers, they will receive an early shopping opportunity on February 22 from 5:00 pm to 7:00 pm. Their assistance in setting up, customer service, book stocking, and more is invaluable to the success of the event.
Teachers and nonprofits interested in claiming leftover items at the end of the sale on February 25 from 6:00 pm to 7:30 pm can register at https://metrolibrary.wufoo.com/forms/w1hn7kl51k5zgiq.
How many daily steps do we really need for optimum health? Ten thousand steps seems to be the gold standard in most of what we read to keep diabetes and high blood pressure (as well as several other conditions) at bay. And how do we keep track of all our steps?
Before you decide on a target number of steps per day, call your medical provider and ask how many you should be doing. You might learn that with an otherwise active, healthy life, several thousand steps per day might be enough, rather than the whole 10,000.
How to count those steps is the tricky part. I have several of those little clip-on step counters, and unfortunately, they all come up with different results. I have no way of knowing which are accurate.
There is a popular tracker called Fitbit, a fancy step counter that looks like a watch. Each model has pros and cons, per thousands of online reviews. Some do more than just count steps; they also keep tabs on your location with GPS, your pace and how far you’ve walked, your sleep profile, your heart rate and your stress level. They can be pricey, especially if you want to unlock all the features and sign up for Fitbit Premium to see all your data on the dashboard.
Your best bet is to Google “best step counters for seniors” and wade through a few dozen choices. You’ll find Apple Watch, 3DTriSport Walking 3D Pedometer, Garmin Vivofit 4 activity tracker and so many more. If you have a subscription to Consumer Reports, check their reviews on activity trackers for seniors.
Before you opt for an expensive tracker, visit a store where they are sold and try them out. A watch font might be too tiny to read, or a clip-on might not stay clipped on.
Bonus: Several Medicare Advantage plans provide either free or reduced-cost Fitbit devices.
Dear Savvy Senior, Does Medicare cover any weight-loss treatments for overweight retirees? I just turned 65 and need to lose about 100 pounds and would like to know if Medicare can help. Overweight Owen
Dear Owen,
Yes, traditional Medicare does indeed cover some weight-loss treatments like counseling and certain types of surgery for overweight beneficiaries, but unfortunately it doesn’t cover weight-loss programs or medications. Here’s what you should know. Who’s Eligible
For beneficiaries to receive available Medicare-covered weight-loss treatments your body mass index (BMI), which is an estimate of your body fat based on your height and weight, must be 30 or higher.
A BMI of 30 or above is considered obese and increases your risk for many health conditions, such as some cancers, coronary heart disease, type 2 diabetes, stroke and sleep apnea. To find out your BMI, the National Institutes of Health has a free calculator that you can access online at nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm. What’s Covered
If you find that your BMI is 30 or higher, Medicare Part B will cover up to 12 months of weight-loss counseling conducted by a medical professional in a primary care setting (like a doctor’s office).
Most counseling sessions entail an initial obesity screening, a dietary assessment and behavioral therapy designed to help you lose weight by focusing on diet and exercise.
Medicare also covers certain types of bariatric and metabolic surgery for morbidly obese beneficiaries who have a BMI of 35 or above and have at least one underlying obesity-related health condition, such as diabetes or heart disease. You must also show that you’ve tried to lose weight in the past through dieting or exercise and have been unsuccessful.
These procedures make changes to your digestive system to help you lose weight and improve the health of your metabolism.
Some common bariatric surgical procedures covered include Roux-en-Y gastric bypass surgery, which reduces the stomach to a small pouch that makes you feel full even following small meals. And laparoscopic adjustable gastric banding, which inserts an inflatable band that creates a gastric pouch encircling the top of the stomach. What’s Not Covered
Unfortunately, original Medicare does not cover weight-loss programs such as fitness or gym memberships, meal delivery services, or popular weight-loss programs such as Jenny Craig, Noom and WW (formerly Weight Watchers).
Medicare also does not cover any weight-loss drugs, but it does cover FDA approved diabetes drugs that have unintentionally become very popular for weight loss.
Medicare Part D plans cover Ozempic and Mounjaro for diabetes only, not for weight loss! So, your doctor will need to prescribe these medications for diabetes in order to get them covered.
Medicare also does not cover Wegovy or Zepbound because they’re approved only for weight loss.
The reason behind the weight-loss drug omission is the Medicare Modernization Act, which specifically excluded them back when the law was written 20 years ago. They also excluded drugs used for cosmetic purposes, fertility, hair growth and erectile dysfunction. Medicare Advantage
If you happen to be enrolled in a private Medicare Advantage plan, you may have coverage for gym memberships and some weight loss and healthy food delivery programs. These are considered expanded supplemental benefits and have gradually been added to some plans to provide coverage for nutrition, health and wellness. Contact your plan to see what it provides.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit https://savvysenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
Last year began as I was sworn into my second and last term as your Oklahoma Insurance Commissioner. I am always grateful for your continued trust and the unique opportunity it is to serve my fellow Oklahomans. Last year was also an eventful year from an insurance standpoint. From severe weather to changes in the insurance market, the Oklahoma Insurance Department (OID) was here with you through all of it. I want to highlight some of our work from 2023 and discuss what’s in store for this year. We were here to help.
As we state in our vision, OID’s top priority is to protect Oklahoma consumers. Last year, our Consumer Assistance division assisted with 13,157 phone calls and 2,784 complaints, resulting in 327 external reviews and $8,295,011 recovered for consumers. Our Anti-Fraud division also assisted with 1,414 complaints. With the Life Insurance Policy Locator, we matched Oklahoma beneficiaries with $49 million in life insurance benefits…that they didn’t know they had! Additionally, through all the winter weather, wildfires, hail and tornadoes, we were ready to provide assistance and answer your insurance questions. We help Oklahomans in their time of need, and I want to reiterate that if you need assistance or would like to file a complaint, please contact us at 800-522-0071 or visit oid.ok.gov. We met with those we serve.
My team and I love getting out in the communities we serve and meeting consumers and insurance industry professionals. We arranged Coffee with the Commissioner and attended Mix and Mingle events across the state, where we met with chambers of commerce, licensed agents, Rotary Club chapters and other organizations to learn ways we can better serve the community. In September, we set up a booth at the Oklahoma State Fair to inform thousands of consumers about our services while having fun in the process. In addition to these events, our Medicare Assistance Program (MAP) was active, giving 303 community presentations and engaging in 19,254 one-on-one client contacts, leading to 27,164 people reached. If you’d like to host an event with us, visit http://www.oid.ok.gov/speaker or call our office at 800-522-0071. We informed and advocated for Oklahomans.
In 2023, we looked for new ways to reach consumers and licensed producers. We launched campaigns like Here to Help, Ask OID and Winter Weather to give guidance on what Oklahomans should know about insurance. We brought you 13 new episodes of the Mulready Minutes podcast, where we featured informative guests to share perspectives and information on topics such as Medicare Open Enrollment, captive insurance and the different divisions at OID. Our team also produced six episodes of the Medicare Monday webinar, and we hosted our first Insurance Day, where we connected with 125 industry professionals on issues affecting the insurance industry in Oklahoma and across the country. As a reminder, you can keep up with the latest news and events with us by following us on social media and subscribing to email news updates at https://oid.ok.gov/subscribe. We’re looking forward to 2024.
Before looking ahead, I’d like to thank the OID team, who are dedicated state employees who make all of this possible. We expect 2024 to come with unique challenges and opportunities, but our commitment to serving Oklahomans will not change. We will keep you informed by bringing you new podcast episodes, webinars, campaigns and events in your own community. Check out our 2023 Annual Report for more information on all the work we do at OID. Here’s to a successful 2024!
PONCA CITY, Okla. — On Wednesday, February 14, the Pioneer Woman Museum and Statue will open its doors for a Valentine’s Day couples night from 7-9 p.m.
This date night experience will allow couples to tour the museum’s galleries while listening to romantic music and partaking in drinks, hor d’oeuvres and sweet Valentine’s treats. After viewing the galleries, guests can shop with a 10% discount on all items in the gift shop, excluding consignment items.
The event costs $15 per person, and reservations are required. This is restricted to couples only.
The Pioneer Woman Museum is located at 701 Monument Rd. in Ponca City. For more information, please call 580-765-6108 or visit their website, https://www.pioneerwomanmuseum.com/.
The Pioneer Woman Museum and Statue is a division of the Oklahoma Historical Society. The mission of the Oklahoma Historical Society is to collect, preserve and share the history and culture of the state of Oklahoma and its people. Founded in 1893 by members of the Territorial Press Association, the OHS maintains museums, historic sites and affiliates across the state. Through its research archives, exhibits, educational programs and publications the OHS chronicles the rich history of Oklahoma. For more information about the OHS, please visit https://www.okhistory.org/.
Mess Attendant 1st Class Ralph Boudreaux, born in New Orleans, Louisiana September 14th, 1941, who died during the Dec. 7 attack on Pearl Harbor, will be buried on Jan. 29 at 11:30 a.m., in the Southeast Louisiana Veterans Cemetery, Slidell, LA.
Mess Attendant 1st Class (Matt1c) Ralph Boudreaux’s duties included responsibility for the feeding and serving of officers. The Messman Branch was a racially segregated part of the U.S. Navy. The branch was composed almost exclusively of African-Americans recruited in the U.S., as well as Filipino, Chinese and other foreign nationals recruited overseas. This attracted criticism from civil rights leaders, and some steps were taken throughout the war.
Promotions include Mess Attendant 3rd Class upon enlistment, Mess Attendant 2nd Class 02/16/1941 and Mess Attendant 1st Class.
Awards and Decorations include the Purple Heart Medal, Combat Action Ribbon, American Defense Service Medal (Fleet Clasp), Asiatic-Pacific Campaign Medal (Bronze Star) and World War II Victory Medal.
Duty Stations: USS Oklahoma (BB 37): 02/17/1940, Naval Training Station Norfolk, VA: 11/27/1939.
The Oklahoma Historical Society and State Historic Preservation Office (SHPO) are pleased to announce the National Register of Historic Places (NRHP) designation for the Abe Lincoln Trading Company was the main office of the Lincoln Townsite Company.
Abe Lincoln Trading Company Added to the National Register of Historic Places
North side of Main St. and 175 feet west of Clearview Rd., Clearview
Constructed c. 1903, the Abe Lincoln Trading Company was the main office of the Lincoln Townsite Company, which planned and developed the All-Black community of Clearview. The company sold groceries and building materials to townspeople and surrounding farm families. The building was pivotal for the establishment of the town; for several decades thereafter, various owners and tenants conducted business from the property to the benefit of Clearview. The Abe Lincoln Trading Company retains several character-defining features associated with early 20th-century commercial buildings, including a rectangular form, stone exterior walls with no ornamentation and a modest storefront with original fenestration. Such integrity enables the Abe Lincoln Trading Company to convey significance as a rare, surviving example of a commercial building associated with the All-Black towns movement in Oklahoma.
Funding for the Abe Lincoln Trading Company nomination was provided by an Underrepresented Communities Grant from the Historic Preservation Fund, administered by the National Park Service. This program works to diversify the National Register of Historic Places by funding surveys and National Register nominations of properties associated with communities underrepresented in the National Register.
Listing in the National Register of Historic Places is an honorific designation that provides recognition, limited protection and, in some cases, financial incentives for these important properties. The SHPO identifies, evaluates and nominates properties for this special designation.
The State Historic Preservation Office is a division of the Oklahoma Historical Society. The mission of the Oklahoma Historical Society is to collect, preserve and share the history and culture of the state of Oklahoma and its people. Founded in 1893 by members of the Territorial Press Association, the OHS maintains museums, historic sites and affiliates across the state. Through its research archives, exhibits, educational programs and publications the OHS chronicles the rich history of Oklahoma. For more information about the OHS, please visit https://www.okhistory.org/.
Left to right: Amy Shirola, Britni Bergman, Herb Magley and Gary Banz
VillagesOKC has exciting member and staff news as the New Year begins. On the staff side, there are two promotions to announce. On the member side, one member has accepted the position of VillagesOKC Director of Veteran Initiatives, and another will lead a monthly Alzheimer Support Group at the Bethany Library.
Amy Shirola, previously operations manager, assumes a new role as director of administration and finance. Britni Bergman, previously office assistant, becomes office manager. On the member side, Gary Banz is the new Director of Veteran Initiatives. Herb Magley will lead the Alzheimer Support Group.
Shirola will oversee all accounting functions, including analyzing financial data and managing budgeting and planning processes. She started working with VillagesOKC in March 2022 after 15 years in corporate accounting. Her entrepreneurial experiences include two food-based businesses – Pie Prerogative OKC and 2 Women and a Whisk Catering Company.
Bergman will oversee all office functions and vendor relations, as well as managing the robust VillagesOKC calendar. She has been the office assistant since November 2022. Her past experience includes six years in a variety of roles with Red Rock Behavioral and Mental Health Services in Yukon and Oklahoma City. Before coming to VillagesOKC, she was office manager for Sarah Libby Photography.
“The promotion of these two professionals highlights their exemplary performance,” said VillagesOKC Executive Director Marilyn Olson. “Ms Shirola and Ms Bergman are part of the organization’s long-term plan for sustainability. Having an intergenerational workforce brings energy and wisdom. And, with this organization there is great work flexibility which is so important to young parents. VillagesOKC is making great strides due to the talent and heart from these leaders, and we honor their success.”
Banz is a former Oklahoma state representative and high school social studies and American Government teacher. He was honored by the Oklahoma Military Hall of Fame for organizing and serving as flight commander on 24 Oklahoma Honor Flights which took 2,055 Oklahoma World War II, Korean War and Vietnam War veterans to Washington, DC, for an all-expenses paid day trip to visit war memorials. He has written and produced two documentaries honoring service members and is working on a third.
Magley is a retired geologist who spent 43 years working in the oil industry. Tragedy struck late in his career when after 35 years of marriage, his wife, Gail, developed Alzheimer’s disease at the age of 54. Magley retired from the oil industry to care for her. The couple went on an 11-year journey with the disease. After his wife died, Magley decided to dedicate his life to those who were on their journeys with Alzheimer’s. The VillagesOKC sponsored Alzheimer’s Support Group will meet monthly beginning January 16 at the Bethany Library. Meetings will be on successive third Tuesdays of the month from 6-7 p.m. in Meeting Room B.
To learn more about VillagesOKC, call or text (405) 990-6637 or email [email protected].
OKC Veterans Administrator Healthcare System director.
Story by Van Mitchell, Staff Writer
The Oklahoma City Veterans Affairs Oklahoma City Healthcare System has become the fastest-growing VA in the nation, according to Fiscal Year 2023 statistics.
Wade Vlosich, OKC VA HCS director, attributes the rapid growth to community engagement and outreach efforts, particularly to isolated Veterans.
“Many Veterans are not sure if they are eligible for VA healthcare,” Vlosich said. “We have traveled to remote locations to personally reach out to our Veteran population and provide answers to their questions through our PACT Act resource fairs.”
In August and September of this year, Vlosich said OKC VA averaged about 22 new registrations a day.
“Overall, this fiscal year, we saw 13,994 first-time users, which was 18 percent of our overall users within the Oklahoma City VA,” he said. “That is about a 20 percent increase over the last four years, when most other VA facilities average between 1-3 percent annual growth.
Vlosich said keeping up with established patients with so many new patients coming in presents a challenge, but the facility is also expanding and growing to meet all satisfaction and clinical care needs.
With new equipment arriving and construction constantly happening, Vlosich is often seen in scrubs instead of a suit as he inspects new specialty and construction areas throughout the downtown facility.
Expansion is the primary focus for this health care system which includes Community-Based Outpatient Clinics (CBOC). The VA now has two clinics in North OKC, including one that provides dental care.
VHA implemented these clinics to make access to health care easier. These clinics provide the most common outpatient services, including health and wellness visits, without the hassle of visiting a larger medical center. VHA continues to expand their network of CBOCs to include more rural locations, making access to care closer to home. One of its newest rural clinics is in Shawnee, OK.
The OKC Veterans Affairs Health Care System leadership and Shawnee VA Clinic Staff cut the ribbon during the Grand Reopening of the Shawnee VA Clinic on Sept. 18th.
“Oklahoma City (VA) has grown by 22 percent total since 2019,” Vlosich said. “We’re growing so rapidly, and we’re trying to build all these new clinics. For instance, new clinics are pending approval to be built in Woodward and we’re expanding our Stillwater and Yukon clinics.”
Another area of growth is occurring among this facility’s female Veteran population. Expanded services for women now include a mammography clinic and plans to build a new women’s only stand-alone clinic.
Other plans include securing facilities for inpatient services, substance abuse treatment and long-term care as well as opening a Fisher House for Veterans’ families.
Vlosich said the VA has acquired the former Norman Specialty Hospital near the corner of Robinson Street and Berry Road to convert into a new VA hospital, and is redesigning the facility to meet both the inpatient substance abuse and skilled nursing facility building requirements.
The new hospital will have 53 beds — 26 for skilled nursing, and 26 for inpatient substance abuse treatment — and serve up to 78,000 veterans who live in the Oklahoma City area.
The 26 substance abuse beds will be used for the highest level of rehabilitation services for patients who are diagnosed with alcohol or drug addictions or substance use disorder.
“One of the things that some of our younger and older veterans face is substance abuse treatment issues,” Vlosich said. “We’re building a substance abuse treatment facility in Norman to help with that. There are none in the state of Oklahoma right now.”
Vlosich said homelessness with Veterans is a growing problem in Oklahoma.
OKC VA HCS previously launched a mobile medical unit to treat the homeless population and even established their own ambulance service.
“We’ve got a great homeless program here in Oklahoma City,” he said. “We are the second VA in the nation to get a mobile homeless van. We call it MMU, Mobile Medical Unit, and they travel around different areas providing healthcare to homeless veterans at their homeless camps or the homeless shelters because a lot of them don’t want to come in, they have mental health issues or other things. We’ll drive out there and provide medical care to our homeless veterans and bring the van back in.”
Vlosich said the OKC VA HCS continues to work with the Housing and Urban Development (HUD) and Veterans Affairs Supportive Housing (VASH) Programs to expand their capabilities.
The goal of OKC VA HCS leadership is to eliminate Veteran homelessness by providing shelter, transitional and permanent housing to Veterans to those who need it the most. Some examples are providing employment and different legal services through the Veterans Justice Outreach program.
Throughout 2022, VA staff helped Veterans find permanent housing such as apartments or houses that Veterans could rent or own, often with a subsidy to help make the housing affordable. VA staff also helped some Veterans end their homelessness by reuniting them with family and friends.
Vlosich said Veterans have another tool with the VA Health Chat which allows Veterans to immediately connect with VA health care clinicians over text-messaging.
The VA Health Chat App provides easy, online access to chat with VA staff when you have minor health questions, want to schedule an appointment, have a non-life-threatening health concern, and more.
“We’ve instituted an app now that if you need to talk to somebody in our community care office, you can go online and chat with them through the app as opposed to spending 30, 40 minutes on the phone. It’s easier,” he said.
Vlosich said the Promise to Address Comprehensive Toxics (PACT) Act is one of the largest VA Health Care expansion programs and extends eligibility for Veterans who have been exposed or possibly exposed to toxic environments while serving in Vietnam, Gulf War, and post-9/11 eras.
The Kiowa Black Leggings Warrior Society Honor Guard – North Oklahoma City VA Outpatient Clinic.
Over the last year, Indian Health Service (IHS) and The Department of Veteran Affairs have partnered together, holding PACT Act outreach events across Oklahoma. This joint effort has assisted Tribal, non-Tribal Veterans, and Veterans in rural areas to receive healthcare services, education, and other benefits they deserve.
Vlosich said hiring fairs and recruitment incentives have helped bring new employees on board.
“On average, we’re bringing on about 30 to 40 staff members every two weeks just to meet demand,” Vlosich said. “We’ve added new primary care teams for most of our community-based outpatient clinics.”
Vlosich also acknowledged the efforts of current employees during this season of growth. He said OKC VA employees have stepped up to meet Veterans’ needs.
“They’ve worked overtime,” he said. “During COVID, we had employees spending the night in the hospital just to take care of our Veterans. We appreciate their dedication because, without them, many could go without healthcare, and our Veterans are our most precious resource.” For more information on the PACT Act see the press release on page 11.