peace corps: "long needed improvements to volunteers'health care system" government accounting...
TRANSCRIPT
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
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,Huiy 5 K ) 5
SFEDF DM_ST
Imln-Lffafa
Kjprmvfjflts tm
Pmiultffrs Gf
Derf Tystfj
iiiiiKKiiiiiiiii
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Letkmlei Tfdurkty ela
Kltfrletkmlei E``ekrs Akvkskml
O-?147>7
Huiy 4,5;;5
Qgf Gmlmreoif Aelkfi B. Klmuyf
Vlktfa Ttetfs Tfletf
Afer Tfletmr Klmuyf8
Qgks rfpmrt rfspmlas tm ymur rfqufst tget wf rfvkfw tgf Sfedf Dmrps gfeitg derf systfj `m
vmiultffrs. Kl rfspmlsf tm prmoifjs wf kafltk`kfa aurkln mur rfvkfw, tgf Sfedf Dmrps ges
klktketfa f``mrts tm kjprmvf (5) tgf queikty m` derf `mr vmiultffrs aurkln tgfkr sfrvkdf ela
(?) tgf essksteldf prmvkafa tm `mrjfr vmiultffrs wktg sfrvkdf-rfietfa jfakdei dmlaktkmls. ^
rfdmjjfla tget tgf Akrfdtmr m` tgf Sfedf Dmrps `miimw tgrmung ml tgfsf f``mrts ela eism
flsurf tget `mrjfr vmiultffrs erf kl`mrjfa m` tgfkr gfeitg derf oflf`kts.
^f erf sflakln dmpkfs m` tgks rfpmrt tm tgf Akrfdtmr m` tgf Sfedf Dmrps ela tm mtgfr
kltfrfstfa pertkfs. Dmpkfs wkii of jeaf evekieoif tm mtgfrs ml rfqufst.
Sifesf dmltedt jf et (?3?) ?>00>;3 k` ymu gevf ely qufstkmls dmldfrlkln tgks rfpmrt. Qgf
jehmr dmltrkoutmrs erf ikstfa kl eppflakx K.
Tkldfrfiy ymurs,
Germia H. Hmglsml
Akrfdtmr, @mrfknl Fdmlmjkd
Essksteldf Kssufs
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Fxfdutkvf Tujjery
Surpmsf
Sfedf Dmrps vmiultffrs, jely m` wgmj wmrb kl kjpmvfrksgfa dmultrkfs
tget gevf pmmr gfeitg dmlaktkmls, `edf e jyrkea m` kiilfssfs ela klhurkfs
essmdketfa wktg tgfkr wmrb. Qgfy afpfla ml tgf Sfedf Dmrps tm prmvkaf
tgfj wktg gfeitg derf.
Tfletmr Aelkfi B, Klmuyf esbfa
NEM
tm rfvkfw
tgf
eafquedy ela rfspml-
skvflfss m` tgf Sfedf Dmrps systfj `mr prmvkakln derf tm vmiultffrs.
NEM'T mohfdtkvfs wfrf tm aftfrjklf wgftgfr tgf enfldys pmikdkfs ela
prmdfaurfs flsurfa tget (5) vmiultffrs rfdfkvfa e ifvfi m` gfeitg derf
dmjpereoif tm wget tgfy wmuia rfdfkvf kl tgf Vlktfa Ttetfs ela
(?) `mrjfr vmiultffrs wktg sfrvkdf-rfietfa jfakdei dmlaktkmls wfrf
ewerf m` ela rfdfkvkln tgfkr gfeitg derf fltktifjflt.
Oedbnrmula
Qgf Sfedf Dmrps Edt m` 5;05 (S.I. 7>-?;4) s tkpuietfs tget vmiultffrs
rfdfkvf gfeitg derf aurkln tgfkr sfrvkdf ela gfeitg derf oflf`kts e`tfr
tgfy ifevf tgf enfldy `mr sfrvkdf-rfietfa jfakdei dmlaktkmls. Vlafr tgf
nukaeldf m` tgf M``kdf m` Jfakdei Tfrvkdfs, jfakdei m``kdfrs erf fxpfdtfa
tm prmvkaf derf tm vmiultffrs-kldiuakln prfvfltetkvf ela prkjery
gfeitg derf-tget es dimsfiy es pmsskoif epprmxkjetfs tgf ifvfi m` derf
evekieoif kl tgf Vlktfa Ttetfs. Jfakdei m``kdfrs eism erf rfqukrfa tm
kl`mrj vmiultffrs m` tgf pmst-sfrvkdf oflf`kts tm wgkdg tgfy erf fltktifa
ulafr tgf @fafrei Fjpimyffs Dmjpflsetkml Edt
(@FDE).
Qgf M``kdf m`
Jfakdei Tfrvkdfs just gfip `mrjfr vmiultffrs wktg sfrvkdf-rfietfa
gfeitg prmoifjs `kif e diekj `mr tgfsf oflf`kts.
Oy tgf 5;73s tgf Sfedf Dmrps gea rfpiedfa jmst V.T.-treklfa pgyskdkels
wktg rfnkstfrfa lursfs, jmst m` wgmj wfrf `mrfknl-treklfa, `mr kts jfa-
kdei m``kdfr pmsktkmls. Qgf Sfedf Dmrps afdkskml tm swktdg tm `mrfknl-
treklfa lursfs wes jeaf `mr rfesmls m` fdmlmjy, iedb m` evekieoif amd-
tmrs, ela tm fjpimy jmrf gmst dmultry letkmleis.
_fsuits kl Orkf`
Eitgmung jmst vmiultffrs ela `mrjfr vmiultffrs dmltedtfa oy
NEM
wfrf
setks`kfa wktg tgf queikty m` gfeitg derf prmvkafa oy tgf Sfedf Dmrps,
NEM'T
rfvkfw aksdimsfa tget tgf Sfedf Dmrps gfeitg derf systfj aka lmt
flsurf tget vmiultffrs rfdfkvfa e stelaera m` derf tget dimsfiy epprmxk-
jetfa tgf ifvfi m` derf evekieoif kl tgf Vlktfa Ttetfs. @urtgfrjmrf,
tgf
enfldy aka lmt gevf rfikeoif ela systfjetkd aete tm blmw wget queikty
m` derf wes ofkln prmvkafa. Qgf depeokiktkfs m` jfakdei m``kdfrs wfrf lm
fveiuetfa, ela tgfy rfdfkvfa klsu``kdkflt treklkln ela nukaeldf `rmj tg
Sfedf Dmrps, Qgf gfeitg derf systfj gea lmt offl suohfdtfa tm e jfakde
rfvkfw oy el klafpflaflt eddrfaktkln mrnelkzetkml dmjperkln tgf
Senf ?
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg De
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FxfdutkvfTululery
queikty m` derf prmvkafa eneklst V.T. stelaeras, Ofdeusf tgf Sfedf
Dmrps gea el kleafquetf gfeitg derf systfj, vmiultffrs smjftkjfs
rfdfkvfa el kl`frkmr ifvfi m` gfeitg derf.
Kl eaaktkml, e NEM survfy sgmwfa tget `rmj 53 tm 43 pfrdflt m` `mrjfr
vmiultffrs gea jfakdei prmoifjs rfietfa tm tgfkr Sfedf Dmrps sfrvkdf,
ela m` tgfsf, eomut gei` gea lmt `kifa e @FDE diekj `mr tgfkr prmoifj.
Tmjf wfrf ulewerf m` tgfsf oflf`kts ela smjf gea usfa tgfkr prkvetf
klsureldf tm dmvfr jfakdei fxpflsfs. Mtgfrs wgm gea smungt gfip kl
`kikln e diekj seka tgfy rfdfkvfa kleafquetf essksteldf `rmj tgf M``kdf
Jfakdei Tfrvkdfs.
Qgf Sfedf Dmrps ofnel tm dmrrfdt jely m` tgfsf prmoifjs es e rfsuit m
NEM'T
rfvkfw, ela smjf dmrrfdtkvf edtkmls, sudg es kjprmvkln tgf
@FDE
systfj ela prmvkakln `ulas `mr jfakdei m``kdfr mrkfltetkml, gea rfdfkv
Sfedf Dmrps ettfltkml of`mrf NEM'T rfvkfw. Eitgmung kt wes tmm feriy t
essfsswgftgfr tgfsf edtkmls wmuia dmrrfdt eii tgf imln-stelakln
prmoifjs,
NEM
wes fldmurenfa oy tgf enfldys rfspmlsf tm tgfj.
Srkldkpei @klaklns
SfedfDmrps Tystfj
Kleafquetf tm Flsurf e
V.T. Ttelaera m` Gfeitg
Nerf
NEM'T
survfy m` `mrjfr vmiultffrs sgmwfa tget >4 pfrdflt wfrf setks`kf
wktg tgf queikty m` gfeitg derf tget jfakdei m``kdfrs prmvkafa. Lmlftgf
ifss,
NEM
`mula tget tgf enfldys pmikdkfs ela prmdfaurfs `mr gkrkln el
treklkln kts jfakdei m``kdfrs, es wfii es `mr jmlktmrkln tgfkr edtkvktkfs,
wfrf klsu``kdkflt. @mr fxejpif,
. tgf M``kdf m` Jfakdei Tfrvkdfs aka lmt tfst mr mtgfrwksf essfss ts jfa-
kdei m``kdfrs eokikty tm prmvkaf tgf rfqukrfa ifvfi m` derf2
i
tgf sdmpf m` derf tget jfakdei m``kdfrs sgmuia of dmjpftflt tm prmvkaf
gea lfvfr offl af`klfa2
i
mrkfltetkmls wfrf lmt rfqukrfa `mr lfw jfakdei m``kdfrs2
. dmltklukln jfakdei faudetkml dml`frfldfs wfrf spmreakd ela tmm sgmrt
prmvkaf drktkdei gfeitg derf treklkln ela nukaeldf tm tgf jfakdei
m``kdfrs2 ela
. kl-dmultry fveiuetkmls, tgf prkjery jfdgelk sj `mr jmlktmrkln tgf
queikty m` derf prmvkafa tm vmiultffrs, wfrf dmlaudtfa et ?-yfer kltfr-
veis mr imlnfr ela wfrf smjftkjfs kldmjpiftf.
Es e rfsuit m` tgfsf ela mtgfr af`kdkfldkfs, smjf m` tgf jfakdei m``kdfrs
dmltredtfa oy tgf Sfedf Dmrps (5) jey lmt of queik`kfa tm prmvkaf tgf
Senf 4
NEM/L&KA-;5-?54 Sfedf Dmrps Gfeitg D
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Fxfdutkvf Tujjery
ifvfi m` gfeitg derf rfqukrfa oy tgf spfdk`kd dmlaktkmls m` e dmultry,
(?) wfrf ul`ejkiker wktg mr ultreklfa kl tgf Sfedf Dmrps akenlmstkd e
trfetjflt prmdfaurfs, ela (4) prmvkafa derf tget wes ofymla tgfkr dmj
pftfldf mr aka lmt `miimw Sfedf Dmrps nukafiklfs. @mr fxejpif, twm jf
kdei m``kdfrs `rmj Ietkl Ejfrkde gea pfr`mrjfa, wktgmut ely treklkln,
pep sjfers ml vmiultffrs `mr ? yfers. Kl eaaktkml, NEM'T eleiysks m` jf
kdei `kifs sgmwfa jely vkmietkmls m` tgf Sfedf Dmrps gfeitg derf nukaf
iklfs, es wfii es klsteldfs m` kldmrrfdt akenlmsks ela trfetjflts. Sfedf
Dmrps m``kdkeis enrffa tget smjf m` tgfsf prmoifjs dmuia pfrskst `mr
jmltgs mr fvfl yfers of`mrf ofkln aksdmvfrfa.
Gfeitg Derf Tystfj Gea
Lfvfr _fdfkvfa el
Klafpflaflt Jfakde 5
- .
Bfvkfw
Vlikbf tgf gfeitg derf systfjs `mr tgf Afpertjflt m` Af`flsf, tgf
Afpertjflt m` Pftfrels E``ekrs, ela tgf Letkmlei Klstktutfs m` Gfeitg,
tgf Sfedf Dmrps gfeitg derf systfj gea lfvfr offl rfvkfwfa oy el
klafpflaflt enfldy sudg es tgf Hmklt Dmjjksskml ml Eddrfaktetkml m`
Gfeitgderf Mrnelkzetkmls. Tudg rfvkfws erf dmjjml kl tgf gfeitg derf
klaustry es e jftgma m` flsurkln e ulk`mrjiy gkng stelaera m` derf. Q
Hmklt Dmjjksskml, `mr fxejpif, dfrtk`kfs jmst V.T. gmspkteis e`tfr dmj
perkln tgfkr sfrvkdfs wktg letkmlei gfeitg derf stelaeras.
Kleafquetf @FDE
Essksteldf Srmvkafa tm
Tmjf @mrjfr Pmiultffrs
Ofdeusf jfakdei m``kdfrs wfrf lmt eafquetfiy treklfa ml @FDE flf`kts,
jely `mrjfr vmiultffrs wfrf lmt ewerf m` tgfkr pmst-sfrvkdf gfei tg de
fltktifjflt. Mur survfy m` `mrjfr vmiultffrs sgmwfa tget `rmj 53 tm 4
pfrdflt m` `mrjfr vmiultffrs gea jfakdei prmoifjs rfietfa tm tgfkr
Sfedf Dmrps sfrvkdf, ela eomut 63 pfrdflt gea lmt `kifa e @FDE diekj.
Qgf survfy eism sgmwfa tget `rmj 17 tm 07 pfrdflt gea lmt rfdfkvfa
kl`mrjetkml eomut tgfkr @FDE oflf`kts. @mrjfr vmiultffrs wgm gea
rfqufstfa essksteldf `rmj tgf M``kdf m` Jfakdei Tfrvkdfs kl tgf pest
? yfers nflfreiiy klakdetfa tget tgf essksteldf wes eafquetf, pmsskoiy
rf`ifdtkln kjprmvfjflts kl tgf Sfedf Dmrps @FDE rmnrej aurkln tgks
pfrkma. @mrjfr vmiultffrs wgm gea if`t tgf Sfedf Dmrps prkmr tm tgks
pfrkma nflfreiiy seka tgf essksteldf wes lmt eafquetf.
Siellfa Kjprmvfjflts tm
Qgf M``kdf m` Jfakdei Tfrvkdfs ofnel tm kjprmvf kts gfeitg derf systfj
tgf SfedfDmrps Gfeitg
es e rfsuit m` NEM'T `klaklns, Qgfsf klktketkvfs kldiuafa (5) e 1-wffb mrk
Derf Tystfj
fltetkml `mr eii lfw jfakdei m` kdfrs, (?) elluei treklkln dml`frfldfs,
(4) e queikty essureldf prmnrej tm kjprmvf gfeitg derf jmlktmrkln el
[
sfrvkdf afikvfry, ela (1) el klafpflaflt jfakdei rfvkfw.
Senf 1
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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@bfdutkvfTujjjy
Kl eaaktkml, tgf M``kdf m` Jfakdei Tfrvk dfs ges tebfl e lujofr m` stfps
kl rfspmlsf tm prmoifjs
NEM
kafltk`kfa. Qgfsf kldiuafa (5) flsurkln
M``kdf m` Jfakdei Tfrvkdfs dmldurrfldf ml tgf sfifdtkml m` jfakdei
m``kdfrs, (?) klstktutkml m` e lfw jmlktmrkln `mrj afsk nlfa tm fjpgeskz
queikty-m`-derf kssufs, ela (4) afvfimpjflt m` e vkafm tm ofttfr kl`mrj
durrflt vmiultffrs m` tgfkr pmst-sfrvkdf gfeitg derf oflf`kts. Eism,
kjprmvfjflts tm tgf Sfedf Dmrps jelenfjflt m` kts
@FDE
prmnrej,
klstktutfa prkmr tm
NEM'T
rfvkfw, sgmuia gfip tm eiifvketf smjf m` tgf
pmst-sfrvkdf prmoifjs vmkdfa oy `mrjfr vmiultffrs.
_fdmjjflaetkmls
NEM
rfdmjjflas tget tgf Akrfdtmr m` tgf Sfedf Dmrps
. `miimw tgrmung ml tgf klktketkvfs ellmuldfa ela tgmsf kt ges ofnul tm
kjpifjflt, kldiuakln e piel tm klstktutf el klafpflaflt fveiuetkml oy
tgf Hmklt Dmjjksskml ml Eddrfaktetkml m` Gfeitgderf Mrnelkzetkmls mr
skjkier mrnelkzetkml, tm kjprmvf tgf Sfedf Dmrps gfeitg derf systfj
ela
i rfqukrf tget eii `mrjfr vmiultffrs of kl`mrjfa m` tgfkr pmst-sfrvkdf
gfeitg derf oflf`kts.
Enfldy Dmjjflts
Sfedf Dmrps prmnrej m``kdkeis prmvkafa mrei dmjjflts ml tgks rfpmrt,
ela tgfkr dmjjflts gevf offl kldiuafa es epprmprketf. Sfedf Dmrps
m``kdkeis nflfreiiy enrffa tget tgf enfldys systfj wes kleafquetf `mr
flsurkln tget vmiultffrs rfdfkvfa e ifvfi m` derf tget epprmxkjetfa tg
derf evekieoif kl tgf Vlktfa Ttetfs. Gmwfvfr, tgfy stetfa tget afspktf
tgf gfeitg derf systfj af`kdkfldkfs kafltk`kfa oy
NEM,
ela ofkln edtfa
upml oy tgf Sfedf Dmrps, tgf edtuei queikty m` derf prmvkafa tm vmiul-
tffrs wes nmma. Qgfy pmkltfa tm
NEM'T
survfy m` `mrjfr vmiultffrs, jm
m` wgmj rfpmrtfa setks`edtkml wktg tgf gfeitg derf tgfy gea rfdfkvfa,
es fvkafldf.
NEM
aka lmt ess fss gf mvfreii queikty m` derf tgf Sfedf Dmrps prmvkafa
tm kts vmiultffrs, out klstfea fveiuetfa tgf eafquedy m` tgf Sfedf Dmrp
systfj `mr flsurkln tget kts mwl jfakdei nukafiklfs wfrf `miimwfa.
NEM
`mula, ela tgf Sfedf Dmrps enrffa, tget kts systfj dmuia lmt prmvkaf
tgks essureldf. @urtgfrjmrf,
NEM
`mula su``kdkflt fvkafldf m` kldmrrfd
akenlmsfs ela trfetjflt tget rfsuitfa `rmj lmldmjpikeldf m` tgf Sfed
Dmrps gfeitg derf nukafiklfs tm dmldiuaf tget kjprmvfjflts wfrf
lffafa kl tgf enfldys jelenfjflt m` kts gfeitg derf prmnrej.
Senf 0
NEM/LTKEA;5-?54 Sfedf Dmrps Gfeitg D
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Dmltflts
Fxfdutkvf Tujjery
Dgeptfr 5
Kltrmaudtkml
@mrfknl-Qreklfa Lursfs _fpiedfa V.T.-Qreklfa Sgyskdkels
Sfedf Dmrps Ges Fsteoiksgfa Smikdkfs ela Srmdfaurfs `mr
Srmvkakln Gfeitg Derf
M``kdf m` Jfakdei Tfrvkdfs Mvfrsffs Gfeitg Derf Tystfj
Mohfdtkvfs, Tdmpf, ela Jftgmamimny
Dgeptfr ?
Sfedf Dmrps Gfeitg
Tfifdtkml Smikdy ^es Lmt Dmlskstfltiy @miimwfa
Derf Tystfj es
Dmjpftfldkfs m` Jfakdei M``kdfrs ^frf Lmt Essfssfa
Kleafquetf tm Flsurf
Tdmpf m` Derf tm Of Srmvkafa Gea Lmt Offl Aftfrjklfa
Mrkfltetkml Lmt Srmvkafa tm Jmst Jfakdei M``kdfrs
el Epprmprketf Ifvfi
Dmltklukln Faudetkml ^es Tpmreakd
m` Derf
Srmdfaurfs `mr Jmlktmrkln Gfeitg Derf ^frf Kleafquetf
Gfeitg Derf Tystfj Gea Lfvfr _fdfkvfa el Klafpflaflt
Jfakdei _fvkfw
Siellfa Kjprmvfjflts tm Sfedf Dmrps Gfeitg Derf
Tystfj
Dmldiuskmls
_fdmjjflaetkml
Enfldy Dmjjflts ela Mur Fveiuetkml
Dgeptfr 4
@mrjfr Pmiultffrs
^ktg Tfrvkdf-_fietfa
Gfeitg Srmoifjs Jey
Eajklkstretkvf Srmdfsskln m` @FDE Oflf`kts
Jely @mrjfr Pmiultffrs ^frf Lmt Ewerf m` Qgfkr @FDE
Fltktifjflt
Essksteldf kl @kikln Diekjs Ges Lmt Eiweys Offl
Lmt _fdfkvf Gfeitg -
Eafquetf
Oflf`kts
Eii Fiknkoif @mrjfr Pmiultffrs Jey Ttkii Lmt _fdfkvf
@FDE Oflf`kts
Dmldiuskmls
_fdmjjflaetkml
Enfldy Dmjjflts ela Mur Fveiuetkml
Eppflakx
Eppflakx K8 Jehmr Dmltrkoutmrs tm Qgks _fpmrt
Qeoif
Qeoif 5.58 Oedbnrmula Qreklkln m` Sfedf Dmrps Jfakdei
M``kdfrs
Senf 0
NEM/LTIEA-;5-?54 Sfedf Dmrps Gfeitg De
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Dmltflts
Eoorfvketkmls
.
@@EW
@fafrei Fjpimyffs Dmjpflsetkml Edt
NEM
Nflfrei Eddmultkln M``kdf
Senf >
NEM/LTIEKJi- ?54 Sfedf Dmrps Gfeitg D
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Dgeptfr 5
Kltrmaudtkml
Jmrf tgel 543,333 vmiultffrs gevf hmklfa tgf Sfedf Dmrps skldf kts
kldfptkml kl 5;05 tm gfip kjprmvf ikvkln dmlaktkmls kl eomut 533 dmul-
trkfs wmriawkaf. Durrfltiy, eomut 0,333 vmiultffrs erf wmrbkln kl
>4 dmultrkfs. ^gkif mvfrsfes, vmiultffrs rfiy ml tgf Sfedf Dmrps tm prm
vkaf tgfj wktg tgf essksteldf ela suppmrt lfdfssery tm am tgfkr wmrb.
Ejmln tgf prkjery erfes m` essksteldf prmvkafa tm vmiultffrs ks gfeitg
derf. Qgf vmiultffrs m`tfl wmrb kl dmultrkfs wktg pmmr gfeitg dmlakt kml
ela kleafquetf jfakdei afi kvfry systfjs, ela tgf Sfedf Dmrps nmei `m
prmvkakln gfeitg derf tm tgfj ks tm epprmxkjetf, es dimsfiy es pmsskoif,
tgf sejf ifvfi m` gfeitg derf evekieoif kl tgf Vlktfa Ttetfs. Afpertjflt
m` Ttetf jfakdei sfrvkdfs erf lmt nflfreiiy evekieoif tm vmiultffrs. E`tf
tgfy ifevf tgf Sfedf Dmrps, vmiultffrs wktg sfrvkdf-rfietfa kiilfssfs mr
mtgfr jfakdei dmlaktkmls erf fiknkoif tm rfdfkvf gfeitg derf oflf`kts. Qgf
Sfedf Dmrps essksts tgfj kl moteklkln tgmsf oflf`kts `rmj tgf Afpert-
jflt m` Ieomr.
@mrfknl-Qreklfa
Kl tgf Sfedf Dmrps `krst afdeaf, tgf gfeitg derf m` mvfrsfes vmiultffrs
Lursfs _fpiedfa VT-
wes tgf rfspmlskokikty m` V.T.-treklfa pgyskdkels wgm wfrf jfjofrs m`
tgf V.T. Suoikd Gfeitg Tfrvkdf. Aurkln tgf feriy 5;>3s gmwfvfr, tgf
Qreklfa Sgyskdkels
Suoikd Gfei tg Tfrvkdf wes uleoif tm prmvkaf amdtmrs tm tgf Sfedf Dmrps
ofdeusf m` jelpmwfr sgmrtenfs aurkln tgf Pkftlej ^er.
Kl rfspmlsf, tgf Sfedf Dmrps ofnel tm fjpimy pgys kdkels akrfdtiy, out k
fxpfrkfldfa tgf sejf rfdruktjflt ak``kduitkfs es tgf Suoikd Gfeitg Tfr-
vkdf. Qgf ak``kduitkfs m` rfdruktkln pgyskdkels kl tgf feriy 5;>3s dmkl-
dkafa wktg el enfldy klktketkvf tm rfaudf mpfretkln fxpflsfs ela
kldrfesf drmss-duiturei ulafrstelakln oy fjpimykln nrfetfr lujofrs m
gmst dmultry letkmleis, prkjerkiy es jfakdei ela eajklkstretkvf m``kdfrs
Es e rfsuit, V.T. -treklfa pgyskdkels wfrf iernfiy rfpiedfa oy lursfs
treklfa mutskaf tgf Vlktfa Ttetfs. Kl tgf jka-5;>3s, tgf Sfedf Dmrps
dmlvfrtfa kts jfakdei m``kdfr pmsktkmls `rmj fjpimyffs m` tgf Sfedf
Dmrps tm dmltredt fjpimyffs, `urtgfr eiimwkln tgf enfldy tm rfaudf pfr
smllfi dmsts.
Oy tgf 5;7Ms, jmst Sfedf Dmrps jfakdei m``kdfrs wfrf `mrfknl-treklfa
dmltredt fjpimyffs -iernfiy rfnkstfrfa lursfs-gkrfa kl tgf Sfedf
Dmrps dmultry oy tgf dmultry akrfdtmr. Eitgmung tgf Sfedf Dmrps
rfteklfa tgf eutgmrkty tm gkrf V.T.-treklfa pgyskdkels, kt fjpimyfa mliy
e `fw kl E`rkde. Qeoif 5.5 sgmws tgf typf ela imdetkml m` treklkln m` tgf
;0 Sfedf Dmrps jfakdei m``kdfrs fjpimyfa es m` Hulf 5;;5.
Senf 7 NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg De
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dgeptfr 5
Kltrmaudtkml
Qeoif 5.58 Oedbnrmula Qreklkln m` Sfedf
Dmrps Jfaidei M``kdfrs
Dfrtk`kdetkml Qreklkln imdetkml
Lujo
_fnkstfrfa lursf Gmst mr tgkra dmultry
Vlktfa Ttetfs
Sgyskdkel Gmst mr tgkra dmultry
Vlktfa Ttetfs
Lursf predtktkmlfr
Qmtei
Vlktfa Ttetfs
Tmurdf8 Sfedf Dmrps.
SfedfDmrps Ges
Qgf Sfedf Dmrps Edt m` 5;05 (S.I. 7>-?;4) akrfdts tgf Sfedf Dmrps tm
Fsteoiksgfa Smikdkfs
prmvkaf gfeitg derf tm vmiultffrs. Qgks derf ks tm kldiuaf fxejkletkmls
of`mrf sfrvkdf, kjjulkzetkmls ela afltei derf kl prfperetkml `mr tgfkr
ela Srmdfaurfs mr
sfrvkdf, gfeitg derf aurkln tgfkr sfrvkdf, ela e gfeitg fxejklet kml e`tf
Srmvkakln Gfeitg Derf
tfrjkletkml m` tgfkr sfrvkdf. Qgf edt eism stkpuietfs tget `mrjfr vmiul-
tffrs wgm su``fr `rmj sfrvkdf-rfietfa jfakdei dmlaktkmls erf fltktifa tm
@fafrei Fjpimyff Dmjpflsetkml Edt
(@FDE)
oflf`kts.
Sfedf Dmrps pmikdkfs kjpifjfltkln tgf edt erf dmlteklfa kl tgf Sfedf
Dmrps Jeluei. Kt jelaetfs dmjprfgflskvf gfeitg derf `mr edtkvf sfrvkd
vmiultffrs wgkif kl tgf Vlktfa Ttetfs ela mvfrsfes. Qgf jeluei stetfs
tget tgf kl-dmultry jfakdei m``kdfrs erf fxpfdtfa tm prmvkaf tgf vmiul-
tffrs prkjery jfakdei derf et e Sfedf Dmrps jfakdei m``k df mr et eutgmr
kzfa `edkiktkfs. Imdei spfdkeiksts mr dmlsuitelts jey of usfa es lfdfsser
Qgf jeluei eism rfqukrfs jfakdei m``kdfrs tm kl`mrj vmiultffrs m` tgfkr
jfakdei oflf`kts evekieoif ulafr
@FDE.
Qgf Sfedf Dmrps Qfdglkdei Nukafiklfs `mr Mvfrsfes Jfakdei Tte`` fste
iksgfs ulk`mrj prmdfaurfs ela kltfrprfts Sfedf Dmrps pmikdy es sft `mrt
kl tgf Sfedf Dmrps Jeluei. Qgf nukafiklfs dmjoklf jfakdei predtkdfs,
diklkdei stelaeras, ela Sfedf Dmrps prmdfaurfs ela fxpfrkfldf kltm ake
lmstkd ela trfetjflt epprmedgfs `mr sfifdtfa dmlaktkmls. @mr fxejpif,
tgf jeierke nukafiklf, wrkttfl wktg tgf eavkdf m` tgf Jeierke Oreldg m
tgf Dfltfrs `mr Aksfesf Dmltrmi, prmvkafs jfakdei m``kdfrs wktg kl`mrje
tkml ml tgf prfvfltkml ela trfetjflt m` jeierke. Qgf Sfedf Dmrps
rfqukrfs tget eii gfeitg derf, wgftgfr prmvkafa oy jfakdei m``kdfrs mr
imdei prmvkafrs, strkdtiy `miimw tgf prmdfaurfs kl tgf tfdglkdei
nukafiklfs.
Senf ;
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
12/34
Dgeptfr 5
Kltrmaudtkml
M``kdf m` Jfakdei
Tfrvkdfs Mvfrsffs
Gfeitg Derf Tystfj
Qgf Sfedf Dmrps M``kdf m` Jfakdei Tfrvkdfs ks rfspmlskoif `mr jelenkln
tgf mvfreii afikvfry m` gfeitg derf tm vmiultffrs. Kts prkjery rfspmlskok
ktkfs erf tm fsteoiksg jfakdei pmik dy ela suppmrt jfakdei m``kdfrs kl tgf
`kfia. Kt eism ks rfspmlskoif `mr sfttkln gfeitg derf stelaeras `mr jfakdei
m``kdfrs, fsteoik sgkln akenlmstkd ela trfetjflt jftgmas `mr vmiultffrs
kiilfssfs, dmlaudtkln fveiuetkmls m` Sfedf Dmrps jfakdei m``kdfrs ela
imdei jfakdei `edkiktkfs ela sfrvkdfs, eleiyzkln aete ml tgf gfeitg dmlak-
tkmls m` vmiultffrs, dmlaudtkln jfakdei faudetkml dml`frfldfs `mr jfa-
kdei m``kdfrs, ela gfipkln `mrjfr vmiultffrs motekl tgfkr @FDE
fltktifjflt.
Qgf kl-dmulty jfakdei m``kdfrs prmvkaf prfvfltetkvf ela prkjery gfeit
derf tm vmiultffrs. Qgks derf kldiuafs trfetkln dmjjml kiilfssfs ela
klhurkfs kl eddmraeldf wktg eddfptfa prm`fsskmlei stelaeras es aftfr-
jklfa oy tgf M``kdf m` Jfakdei Tfrvkdfs. @mr kiilfssfs ofymla tgfkr depe
okiktkfs, jfakdei m``kdfrs del rf`fr vmiultffrs tm imdei amdtmrs, diklkds, mr
gmspkteis, mr jfakdeiiy fveduetf tgfj tm e dmultry wktg jmrf eaveldfa
jfakdei derf.
Qgf M``kdf m` Jfakdei Tfrvkdfs eism prmvkafs e dimsf-m`-sfrvkdf jfakde
fxejkletkml ela tfstkln tm eii vmiultffrs aurkln tgf nm-aey pfrkma
of`mrf tgfkr tfrj m` sfrvkdf flas mr up tm 43 aeys e`tfr dmjpiftkml m`
auty kl tgf Vlktfa Ttetfs. Qgf Sfedf Dmrps eutgmrkzfs fveiuetkmls kl tg
Vlktfa Ttetfs m` ely sfrvkdf-rfietfa jfakdei dmlaktkmls tget rfqukrf `ur
tgfr ettfltkml, ela k` lfw prmoifjs ofdmjf fvkaflt, `mrjfr vmiultffrs
jey deii tgf M``kdf m` Jfakdei Tfrvkdfs `mr eaaktkmlei eutgmrkzetkmls
aurkln tgf `krst 0 jmltgs e`tfr tgfy rfturl.
@mrjfr vmiultffrs wktg sfrvkdf-rfietfa jfakdei dmlaktkmls erf fltktifa
tm gfeitg derf tgrmung @FJ. Qgf fltktifjflt, wgkdg ges lm tkjf ikjkt,
kldiuafs tgf dmst m` jfakdei, akseokikty, ela dmjpflsetkml `mr ely jfa-
kdei dmlaktkmls deusfa mr ennrevetfa oy Sfedf Dmrps sfrvkdf. Pmiultffrs
erf fxdiuafa `rmj @FDE dmvfrenf k` tgfkr dmlaktkmls rfsuit `rmj wkii`ui
jksdmlaudt, ettfjptfa sukdkaf, mr kltmxkdetkml. Jfakdei m``kdfrs erf
rfqukrfa tm kl`mrj vmiultffrs m` tgfkr rkngt tm `kif e diekj ulafr @FWE,
ela tgf M``kdf m` Jfakdei Tfrvkdfs ks rfqukrfa tm esskst `mrjfr vmiultffr
kl dmjpiftkln ela suojkttkln e diekj tm tgf Afpertjflt m` Ieomr. Qgf
Afpertjflt m` Ieomr eahuakdetfs eii diekjs `kifa ulafr @FDE.
Mohfdtkvfs, Tdmpf,ela
^f rfvkfwfa tgf Sfedf Dmrps gfei tg derf systfj et tgf rfqufst m` Tfl
Jftgmamimny
etmr Aelkfi B. Klmuyf. NEM'T mohfdtkvfs wfrf tm aftfrjklf wgftgfr tgf
enfldys pmikdkfs ela prmdfaurfs flsurfa tget (5) vmiultffrs rfdfkvfa e
Senf 53
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
14/34
Dgeptfr 5
Kltrmaudtkel
Et omtg tgf Sfedf Dmrps ela tgf Afpertjflt m` Ieomr, wf rfvkfwfa el
aksdussfa pmikdkfs ela prmdfaurfs `mr prmvkakln @FDE oflf`kts tm `mrjfr
vmiultffrs. ^f eism dmlaudtfa e tfifpgmlf survfy m` ;? `mrjfr vmiul-
tffrs ikvkln kl eii perts m` tgf Vlktfa Ttetfs eomut (5) tgf queikty m` der
tgfy rfdfkvfa aurkln tgfkr sfrvkdf, (?) tgfkr blmwifanf m` tgf @FDE
gfeitg derf fltktifjflt, (4) wgftgfr tgfy su``frfa `rmj ely sfrvkdf-
rfietfa gfeitg prmoifjs, ela (1) tgf eafquedy m` tgf Sfedf Dmrps essks
teldf
kl moteklkln @FDE flf`kts. Eii tgf `mrjfr vmiultffrs wf survfyfa
gea if`t tgf Sfedf Dmrps oftwffl 5;77 ela 5;7;. Qgf survfy pfrdflt-
enfs prfsfltfa kl tgks rfpmrt gevf e ;6 pfrdflt dml`kafldf ifvfi pius mr
jklus 53 pfrdflt.
Mur jfakdei dmlsuitelt rfvkfwfa ?57 Sfedf Dmrps
@FDE
`kifs tm aftfr-
jklf wgftgfr tgf jfakdei dmlaktkmls kl tgf diekjs gea offl kafltk`kfa k
tgf dimsf-m`-sfrvkdf fxejs. ^ktg tgf fxdfptkml m` afltei diekjs, tgfsf
`kifs rfprfsfltfa eii Sfedf Dmrps diekjs `kifa kl 5;;3, es wfii es tgf 5;7
@FUK diekjs `mr tgf skx dmultrkfs tget wf vksktfa. ^f aksdussfa Sfedf
Dmrps vmiultffrs
@FDE
diekjs wktg Afpertjflt m` Ieomr m``kdkeis.
^f eism jft wktg rfprfsfltetkvfs m` tgf Hmklt Dmjjksskml ml Eddrfakte-
tkml m` Gfeitgderf Mrnelkzetkmls tm aksduss V.T. stelaeras m` derf ela
tgf Sfedf Dmrps gfeitg derf systfj.
Sfedf Dmrps prmnrej m``kdkeis prmvkafa mrei dmjjflts ml tgks rfpmrt,
ela tgfkr dmjjflts gevf offl kldmrpmretfa es epprmprketf.
^f dmlaudtfa mur rfvkfw `rmj Hulf 5;;3 tm Eprki 5;;5 kl eddmraeldf
wktg nflfreiiy eddfptfa nmvfrljflt euaktkln stelaeras.
Senf 5?
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg De
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
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Dgeptfr ?
SfedfDmrps Gfeitg Derf Tystfj es
Kleafquetf tl @lsurf el Epprmprketf Ifvfi
m` Dexf
Qgf Sfedf Dmrps gfeitg derf systfj aka lmt flsurf tget vmiultffrs
rfdfkvfa epprmxkjetfiy tgf sejf ifvfi m` derf evekieoif kl tgf Vlktfa
Ttetfs. ^f `mula tget tgf sfifdtkml pmikdy `mr jfakdei m``kdfrs wes lmt
`miimwfa, tgfkr kl-gmusf treklkln wes kleafquetf, ela tgf prmdfaurfs `
jmlktmrkln tgfkr edtkvktkfs wfrf klsu``kdkflt. Tpfdk`kdeiiy, tgmsf af`kdkfl
dkfs kldiuafa tgf `miimwkln8
. Jely Sfedf Dmrps dmultry akrfdtmrs gkrfa jfakdei m``kdfrs wktgmut
moteklkln epprmvei `rmj tgf M``kdf m` Jfakdei Tfrvkdfs, es rfqukrfa oy
Sfedf Dmrps rfnuietkmls.
i
Qgf M``kdf m` Jfakdei Tfrvkdfs aka lmt essfss gf dmjpftfldy m` kts jf
kdei m``kdfrs.
i
Qgf M``kdf m` Jfakdei Tfrvkdfs gea lmt diferiy af`klfa tgf sdmpf m` der
tget jfakdei m``kdfrs sgmuia of dmjpftflt tm prmvkaf.
i Qreklkln prmdfaurfs, ultki 5;;5, aka lmt flsurf tget jfakdei m``kdfrs
rfdfkvfa el mrkfltetkml.
i
Qgf dmltklukln faudetkml dml`frfldfs wfrf spmreakd ela tmm sgmrt.
. Qgf M``kdf m` Jfakdei Tfrvkdfs aka lmt eafquetfiy jmlktmr tgf queikty
derf prmvkafa tm vmiultffrs.
^ktgmut eafquetf nukafiklfs ela dmltrmis kl kts gfeitg derf systfj, tgf
Sfedf Dmrps gkrfa jfakdei m``kdfrs wgm wfrf lmt treklfa tm prmvkaf tgf
ifvfi m` derf rfqukrfa, ela smjf ettfjptfa tm prmvkaf derf tget wes
ofymla tgfkr dmjpftfldf mr vkmietfa Sfedf Dmrps nukafiklfs. Kl eaaktkml
tgf gfeitg derf systfj gea lmt offl suohfdtfa tm e jfakdei rfvkfw oy e
klafpflaflt eddrfaktkln mrnelkzetkml, wgkdg dmuia gevf kafltk`kfa tgfs
af`kdkfldkfs. Qgf Sfedf Dmrps edblmwifanfa tgf prmoifjs wf kafltk`kfa
ela ofnel tm tebf stfps tm kjprmvf kts gfeitg derf systfj.
Tfifdtkml Smikdy ^es
Qgf Sfedf Dmrps Jeluei, wgkdg afiklfetfs tgf sfifdtk ml prmdfss `mr
Lmt Dmlskstfltiy
jfakdei m``kdfrs, stetfs tget tgf rfnkmlei ak rfdtmr kl ^esgklntml, A.D.,
dmlsuitetkml wktg tgf dmultry akrfdtmr, sfifdts tgf jfakdei m``kdfr e`tfr
@miimwfa
tgf M``kdf m` Jfakdei Tfrvkdfs aftfrjklfs tget tgf klakvkauei ges tgf
prm`fsskmlei queik`kdetkmls lfdfssery tm jfft tgf gfeitg derf lffas kl
tget dmultry. Kl jebkln tget huanfjflt, tgf M``kdf m` Jfakdei Tfrvkdfs
akrfdtfa tm dmlskafr (5) tgf jfakdei afikvfry systfj evekieoif tm vmiul-
tffrs kl tgf dmultry ela (?) tgf pest fxpfrkfldf kl tget dmultry dml-
dfrlkln flafjkd aksfesfs, sfrkmus aksfesfs, jfakdei fveduetkmls, ela
flvkrmljfltei gezeras. Ml tgf oesks m` tget essfssjflt, e jfakdei
m``kdfr wktg tgf queik`kdetkmls m` fktgfr e rfnkstfrfa lursf, lursf predtk
tkmlfr, pgyskdkels esskstelt, mr pgyskdkel ks tm of sfifdtfa.
Senf 54
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Dgeptfr ?
Sfedf Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
m` derf
Gmwfvfr, eddmrakln tm m``kdkeis kl tgf M``kdf m` Jfakdei Tfrvkdfs,
rfnkmlei jelenfjflt kl ^esgklntml, A.D., ela Sfedf Dmrps m``kdkeis
mvfrsfes, jfakdei m``kdfrs wfrf usueiiy lmt sfifdtfa kl eddmraeldf wktg
tgks pmikdy. Eddmrakln tm tgf Akrfdtmr m` tgf M``kdf m` Jfakdei Tfrvkdfs,
mliy eomut 43 pfrdflt m` tgf dmultry akrfdtmrs smungt tgf M``kdf m` Jfa
kdei Tfrvkdfs epprmvei of`mrf sfifdtkln jfakdei m``kdfrs. Qgf rfnkmlei
akrfdtmrs wfrf fvfl ifss klvmivfa kl tgf sfifdtkml prmdfss. ^f wfrf tmia
tget ofdeusf rfnkstfrfa lursfs wfrf tgf ifest dmstiy tm fjpimy dmjperfa
wktg jmrf queik`kfa jfakdei m``kdfrs, dmultry akrfdtmrs m`tfl sfifdtfa
tgfj, ela aka sm wktgmut prkmr M``kdf m` Jfakdei Tfrvkdfs epprmvei.
Jmrfmvfr, tgf M``kdf m` Jfakdei Tfrvkdfs gea lmt jeaf jfakdei essfss-
jflts ml e dmultry-oy-dmultry oesks tm aftfrjklf tgf jklkjuj queik`k-
detkmls lfdfssery tm jfft tgf gfeitg derf lffas et fedg pmst. Es e rfsuit
kt dmuia lmt of dfrtekl tget kts jfakdei m``kdfrs wfrf dmjpftflt tm jfft
tgf spfdk`kd gfeitg derf lffas m` fedg dmultry.
M``kdf m` Jfakdei Tfrvkdfs m``kdkeis wfrf uldifer eomut tgfkr rfspmlskokik
tkfs kl sfifdtkln jfakdei m``kdfrs ultki wf ormungt kt tm tgfkr ettfltkml.
Tkldf tgfl, tgfy gevf kl`mrjfa dmultry akrfdtmrs tget tgf M``kdf m` Jfa
kdei Tfrvkdfs just aftfrjklf tget tgf delakaetf ges tgf prm`fsskmlei
queik`kdetkmls tm jfft tgf gfeitg lffas kl fedg dmultry of`mrf tgf klak-
vkauei ks fjpimyfa.
Dmjpftfldkfs m`
@mrfknl-treklfa lursfs nflfreiiy am lmt rfdfkvf treklkln tget ks dmlsks-
Jfakdei M``kdfrs ^frf
tflt
wktg V.T. stelaeras. Qgks ks afjmlstretfa oy tgf gkng `ekiurf retf
m` `mrfknl-treklfa lursfs wgm tebf fxejkletkmls tm predtkdf kl tgf
Lmt Essfssfa
Vlktfa Ttetfs. Eddmrakln tm tgf Dmjjksskml ml Nreauetfs m` @mrfknl
Lurskln Tdgmmis, 76 pfrdflt m` tgf `mrfknl-treklfa lursfs `ekifa V.T.
stetf ikdflskln fxejkletk mls prkmr tm 5;>7. Es e rfsuit m` tgfsf `ekiurfs,
tgf KH.T. Afpertjflt m` Gfeitg ela Gujel Tfrvkdfs fsteoiksgfa tgf Dmj
jksskml tm tfst `mrfknl-treklfa lursfs kl tgfkr gmjf dmultrkfs tm essfss
wgftgfr tgfy gevf tgf lfdfssery queik`kdetkmls, blmwifanf, ela iel-
nuenf sbkiis tm pess stetf ikdflskln fxejkletkmls of`mrf dmjkln tm tgf
Vlktfa Ttetfs. Mliy mlf-tgkra m` tgf eppikdelts pess tgf lurskln ela
Flniksg pmrtkmls m` tgf fxejkletkml ml tgf `krst try.
Afspktf tgks `ekiurf retf, `mrfknl-treklfa lursfs gkrfa es Sfedf Dmrps
jfakdei m``kdfrs wfrf lmt rfqukrfa tm tebf tgf Dmjjksskmls fxejkle-
tkml. Kl eaaktkml, tgf M``kdf m` Jfakdei Tfrvkdfs aka lmt tfst ely m` kts
jfakdei m``kdfrs tm essfss gfkr eokikty tm prmvkaf e ifvfi m` derf dmlsks-
tflt wktg Sfedf Dmrps nukafiklfs. ^ktgmut essfssjflts m` tgf jfakdei
Senf 51
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Dgeptfr ?
Sfedf Dmrpf Gfeitg Derf Tyrktfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
m` Derf
m``kdfrs sbkiis, tgf M``kdf m` Jfakdei Tfrvkdfs gea ikjktfa blmwifanf
eomut tgf queikty m` derf tgfy wfrf depeoif m` prmvkakln vmiultffrs.
Tdmpf m` Derf tm Of
Srmvkafa Gea Lmt
Offl Aftfrjklfa
Qgf M``kdf m` Jfakdei Tfrvkdf gea lfvfr af`klfa tgf sdmpf m` derf kts
jfakdei m``kdfrs sgmuia of dmjpftflt tm prmvkaf. Kt gea lmt aftfrjklfa
wgftgfr kts jfakdei m``kdfrs sgmuia prmvkaf oeskd akenlmstkd ela dure-
tkvf prmdfaurfs, rf`frreis tm imdei spfdkeiksts, mr smjftgkln kl-oftwffl
^ktgmut af`klkln tgf oeskd prmdfaurfs kts jfakdei m``kdfrs sgmuia of
dmjpftflt tm pfr`mrj, tgf M``kdf m` Jfakdei Tfrvkdfs gea offl uleoif
afvfimp tgf gfeitg derf stelaeras lffafa tm fveiuetf tgfkr dmjpftfld
Es e rfsuit, kt gea lfvfr afvfimpfa dmjpftfldy-oesfa tfstkln ela aka
lmt fveiuetf tgf dmjpftfldf m` kts jfakdei m``kdfrs.
Jfakdei m``kdfrs tmia us tget tgfy wfrf dmldfrlfa tget tgf Sfedf Dmrp
fxpfdtfa tgfj tm prmvkaf derf tgfy wfrf lmt dmjpftflt tm prmvkaf. @m
fxejpif, twm jfakdei m``kdfrs `rmj Ietkl Ejfrkde, wktgmut ely treklkl
gea pfr`mrjfa pep sjfers ml vmiultffrs `mr ? yfers. Qgfy aka lmt bl
wgftgfr tgfy wfrf pfr`mrjkln tgf prmdfaurf dmrrfdtiy. Qgf lfw Tmi-
mjml Ksielas jfakdei m``kdfr, e rfnkstfrfa lursf, seka tget sgf wes
fxpfdtfa tm prfsdrkof aruns ela akenlmsf ela trfet jely gfeitg
prmoifjs m` vmiultffrs. Tgf seka tgks ifvfi m` trfetjflt wes ofymla tg
typkdei autkfs spfdk`k fa `mr e rfnkstfrfa lursf. Ml tgf oesks m` mur aks-
dusskmls, jfjofrs m` tgf Hmklt Dmjjksskml ml Eddrfaktetkml m` Gfeitg
derf Mrnelkzetkmls ela tgf Ejfrkdel Lurskln Essmdketkml dml`krjfa
tget `mrfknl-treklfa rfnkstfrfa lursfs erf nflfreiiy lmt queik`kfa tm pf
`mrj sudg prmdfaurfs.
Mrkfltetkml Lmt
Srmvkafa tm Jmst
Jfakdei M``kdfrs
M``kdf m` Jfakdei Tfrvkdfs m``kdkeis seka tget mrkfltetkml treklkln wes
drktkdei tm flsurf tget vmiultffrs rfdfkvf eafquetf derf. Tudg treklkln
e bfy jfdgelksj tm prmjmtf el kjjfaketf ulafrstelakln m` tgf jfak
m``kdfrs rmif ela rfspmlskokiktkfs ela m` tgf kjpmrteldf m` dmjpiykln
wktg tgf Sfedf Dmrps gfeitg derf nukafiklfs. Gmwfvfr, tgf M``kdf m`
Jfakdei Tfrvkdfs gea lm prmdfaurfs mr `ulakln tm flsurf tget mrkflte-
tkmls wfrf prmvkafa tm eii jfakdei m``kdfrs, ela wf `mula tget jmst j
kdei m``kdfrs aka lmt rfdfkvf el mrkfltetkml.
Kl tgf pest, tgf M``kdf m` Jfakdei Tfrvkdfs gea prmvkafa mrkfltetkmls m
el ea gmd oesks. Jfakdei m``kdfrs jkngt gevf rfdfkvfa el mrkfltetkml k`
tgfy wfrf kl ^esgklntml, A.D., eddmjpelykln e jfakdei fveduetkml m
`mr mtgfr ousklfss. M``kdf m` Jfakdei Tfrvkdfs m``kdkeis seka tgfy dmuia
Senf 50 NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
18/34
Dgeptfr ?
Sfedf Dmrprr Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
M`Derf.
lmt sdgfauif mrkfltetkml `mr jfakdei m``kdfrs ofdeusf dmultry akrfdtmrs,
lmt tgf M``kdf m` Jfakdei Tfrvkdfs, dmltrmiifa trelspmrtetkml `ulas.
Kl `ksdei yfer 5;;5, `ulakln wes epprmvfa tm prmvkaf e i-wffb mrkflte-
tkml tm lfw jfakdei m``kdfrs. M``kdf m` Jfakdei Tfrvkdfs m``kdkeis, gmw-
fvfr, seka tget 5 wffb wes lmt imln flmung tm prmvkaf eii tgf lfdfssery
kl`mrjetkml ml gfeitg derf nukafiklfs. Kl dmltrest, tgf Sfedf Dmrps rmu-
tklfiy prmvkafa 1 wffbs m` mrkfltetkml tm imdei letkmlei pfrsmllfi gkrfa
es erfe akrfdtmrs ela eajklkstretmrs.
Kl tgf skx dmultrkfs wf vksktfa, mliy mlf m` tgf jfakdei m``k dfrs rfdfkvfa
e `mrjei mrkfltetkml. Kl Tflfnei, tgf erfe Sfedf Dmrps jfakdei m``kdfr, e
V.T.-treklfa pgyskdkel, seka tget gks mrkfltetkml wes kleafquetf ofdeus
kt iedbfa omtg akenlmstkd ela trfetjflt rfnkjfs `mr imdei aksfesfs ela
aka lmt kldiuaf ielnuenf treklkln. Kl tgf Tmimjml Ksielas, tgf jfakdei
m``kdfr gea lmt rfdfkvfa el mrkfltetkml ela seka tgks dmuia ifea tm prm-
vkakln trfetjflts tget wfrf lmt seldtkmlfa oy tgf Sfedf Dmrps. Qgf
jfakdei m``kdfr kl Jeik, e Duoel-treklfa pgyskdkel, rfdfkvfa lm mrkflte-
tkml, kl spktf m` gfr ikjktfa fxpfrkfldf wktg Jeikel gfeitg derf prmoifjs
ela sgf tmia us tget tgf Sfedf Dmrps gea lmt prmvkafa gfr wktg kl`mrje-
tkml ml gmw tm jfft V.T. gfeitg derf stelaeras mr `miimw Sfedf Dmrps
jfakdei prmdfaurfs. Pmiultffrs wf spmbf wktg kl smjf m` tgf dmultrkfs
wf vksktfa fxprfssfa dmldfrl eomut tgf akenlmsks ela trfetjflt tget
tgfy rfdfkvfa `mr imdei aksfesfs ela wgftgfr tgfrf wes f``fdtkvf dmjju
lkdetkmls wktg imdei prmvkafrs.
Dmltklukln Faudetkml
Dmltklukln faudetkml dml`frfldfs erf tgf Sfedf Dmrps prkjery treklkln
^es Tpmreakd
`mruj. E bfy purpmsf m` tgf dml`frfldfs ks tm flsurf tget eii jfakdei
m``kdfrs rfdfkvf treklkln kl tgf akenlmsks ela trfetjflt m` vmiultffrs
gfeitg prmoifjs sm tget tgf derf dml`mrjs wktg V.T. stelaeras wgfl-
fvfr pmsskoif. Gmwfvfr, tgf `rfqufldy m` dmltklukln faudetkml dml`fr-
fldfs ges `iudtuetfa mvfr tgf yfers, ela tgf kl`mrjetkml prmvkafa et tg
dml`frfldfs wes lmt su``kdkflt tm prmaudf tgf rfqukrfa queikty m` derf.
Kl tgf pest, tgf dml`frfldfs gea offl gfia kl fedg m` tgf Sfedf Dmrps
tgrff nfmnrepgkd rfnkmls mldf fvfry 4 mr 1 yfers. Qgf M``kdf m` Jfakdei
Tfrvkdfs ofnel sdgfauikln tgf dml`frfldfs et ?-yfer kltfrveis ofnkllkln
kl 5;7;. M``kdf m` Jfakdei Tfrvkdfs m``kdkeis ofikfvfa tget fvfl okelluei
dml`frfldfs wfrf klsu``kdkflt tm prmvkaf tgf treklkln lfdfssery tm
flsurf tgf queikty m` derf.
Senf 50
NEM/LTiEA-;5-?54 Sfedf Dmrps Gfeitg Der
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
19/34
Dgeptfr ?
SfedfDmrps Gfeitg Durf Tyrtfj ^es
Kleafquetf tm Flsurf el Epprmprief Iwfi
M`Derf
Qm fveiuetf tgf queikty m` jfakdei m``kdfr treklkln, wf ettflafa tgf
5;;3 Dmltklukln Jfakdei Faudetkml Dml`frfldf `mr eii Ietkl Ejfrkdel
ela Derkoofel jfakdei m``kdfrs kl Gmlaures. Ml tgf oesks m` mur mosfr
vetkmls, wf `mula tget tgf jfakdei m``kdfrs wfrf lmt `ejkiker wktg tgf
Sfedf Dmrps akenlmstkd ela trfetjflt prmdfaurfs. Aurk ln sfjklers ml
akerrgfe5 aksfesfs, sbkl aksfesfs, ela eltkokmtkd tgfrepy, jfakdei
m``kdfrs wfrf lmt `ejkiker wktg tgf Sfedf Dmrps epprmvfa jfakdei prm
dfaurfs fvfl e`tfr tgf prmpfr akenlmsks wes kafltk`kfa oy tgf Sfedf
Dmrps klstrudtmr. Jmrfmvfr, tgf klstrudtmrs aka lmt gevf tkjf tm tfedg
tgf jfakdei m``kdfrs tgf dmrrfdt prmdfaurfs.
Omtg tgf Akrfdtmr m` Pmiultffr Tfrvkdfs ela tgf Afputy Akrfdtmr m` tgf
M``kdf m` Jfakdei Tfrvkdfs seka tgf treklkln m``frfa et tgf dml`frfldf
wes klsu``kdkflt tm flsurf tget vmiultffrs rfd&f gfeitg derf dmlskstf
wktg tgf tfdglkdei nukafiklfs, Kl eaaktkml, e dgkf` m` mpfretkmls `rmj m
m` tgf Sfedf Dmrps tgrff rfnkmls seka tget tgf sbkiis m` jfakdei m``kdfrs
wfrf lmt eafquetf. Tgf seka tget `mrfknl-treklfa lursfs dmuia lmt prm-
vkaf e V.T. stelaera m` derf wktgmut eaaktkmlei treklkln eomvf tgf rfnk
tfrfa lursf ifvfi. Sfedf Dmrps m``kdkeis eism tmia us tget tgf prmoifjs
kafltk`kfa et tgf jfakdei faudetkml dml`frfldf wfrf typkdei m` tgfsf
dml`frfldfs.
Kl mur rfvkfw m` 5;;3 jfakdei `kifs, wf `mula jely vkmietkmls m` tgf
tfdglkdei nukafiklfs, es wfii es klsteldfs m` kldmrrfdt akenlmsks ela
trfetjflt. Kl eii klsteldfs, kt wes tgf M``kdf m` Jfakdei Tfrvkdfs tget
aftfrjklfa tget tgf jfakdei m``kdfrs gea `ekifa tm `miimw Sfedf Dmrps
nukafiklfs. Kl E`rkde ela tgf Tmimjml Ksielas, tgf jfakdei m``kdfrs prm
vkafa kldmrrfdt jeierke trfetjflts tm vmiultffrs. E vmiultffr kl E`rkde
dmltredtfa gfpetktks e`tfr e 1-jmltg afiey kl veddkletkml, ela kl Qgek-
iela, Dejfrmml, ela Qulkske, vmiultffrs rfdfkvfa tgfkr veddkletkmls
jmrf tgel 53 jmltgs ietf. _eokfs veddklfs wfrf nkvfl kldmrrfdtiy kl
Ofikzf ela sfvfrei E`rkdel dmultrkfs. Kl Bkrkoetk, e letkml m` Sedk`kd
ksielas, e vmiultffr wes nkvfl e arun `mr akerrgfe tget ks prfsdrkofa
mliy `mr typgmka. Qgfsf prmoifjs ela mtgfrs wfrf kafltk`kfa mliy e`tfr
vmiultffrs gea rfdfkvfa tgf suostelaera derf.
Kl tgf skx dmultrkfs wf vksktfa, eii tgf jfakdei m``kdfrs, fxdfpt tgf lfw
jfakdei m``kdfr kl tgf Tmimjml Ksielas, gea ettflafa e dmltklukln jfa
kdei faudetkml dml`frfldf. Qgf jfakdei m``kdfrs wgmj wf spmbf wktg e
tgf dml`frfldf nflfreiiy klakdetfa tget tgf treklkln wes drktkdei out
klsu``kdkflt. Qgf jfakdei m``kdfr kl Jeik seka tget gfr dml`frfldf
treklkln wes kleafquetf ofdeusf, kl spktf m` gfr ikjktfa fxpfrkfldf wkt
Senf 5>
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
20/34
Dgeptfr ?
Sfedf Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
MSDkV^
Jeikel gfeitg prmoifjs, sgf gea rfdfkvfa lm treklkln ml tgf akenlmsks m
trfetjflt m` imdei aksfesfs.
Qgf jfakdei m``kdfrs kl Nuetfjeie seka tgf dml`frfldfs aka lmt prmvkaf
flmung treklkln ml diklkdei ela akenlmstkd sbkiis mr ml gmw tm epprmxk-
jetf e V.T. stelaera m` derf. Eitgmung tgf Tmimjml Ksielas jfakdei
m``kdfr gea offl rfdfltiy fjpimyfa, sgf seka sgf gea lmt offl treklfa m
gmw tm prmvkaf gfeitg derf tm vmiultffrs kl eddmraeldf wktg Sfedf
Dmrps nukafiklfs. Tgf seka sgf lffafa eaaktkmlei treklkln kl gfr aken-
lmstkd ela trfetjflt sbkiis, es wfii es kl`mrjetkml tm aftfrjklf k` sgf
wes `miimwkln Sfedf Dmrps nukafiklfs. Qgf Gmlaurel jfakdei m``kdfrs
seka tget tgfy ofikfvfa tgf dml`frfldfs sgmuia of gfia ellueiiy ela tge
eaaktkmlei treklkln wmuia kjprmvf tgf queikty m` gfeitg derf.
Srmdfaurfs `mr
Qgf Sfedf Dmrps ges twm jftgmas `mr jmlktmrkln tgf queikty m` derf
Jmlktmrkln Gfeitg
prmvkafa tm vmiultffrs-suppmrt/fveiuetkml vkskts ela dimsf-m`-sfrvkdf
rfvkfws. ^f `mula, gmwfvfr, tget lfktgfr jfdgelksj eafquetfiy fveiu
Derf frf Kleafquetf
etfa tgf epprmprketflfss m` tgf derf prmvkafa mr rfsmivfa eii kafltk`kfa
prmoifjs. M``kdf m` Jfakdei Tfrvkdfs m``kdkeis edblmwifanfa tget, es e
rfsuit, smjf m` tgfkr jfakdei m``kdfrs dmuia prmvkaf derf tm vmiultffrs
tget wes lmt dmlskstflt wktg tgfkr nukafiklfs `mr jmltgs mr yfers
wktgmut ofkln aksdmvfrfa.
Tuppmrt/Fveiuetkml Pkskts
M``kdf m` Jfakdei Tfrvkdfs nukafiklfs stkpuietf
tget
kt wkii dmlaudt e
suppmrt/fveiuetkml vkskt tm fedg Sfedf Dmrps dmultry mldf fvfry
? yfers. Qgf purpmsf m` tgf vkskt ks tm essfss gf queikty m` gfeitg derf
prmvkafa tm vmiultffrs oy tgf jfakdei m``kdfrs ela tgf queikty m` imdei
gfeitg `edkiktkfs usfa oy tgf Sfedf Dmrps, sudg es gmspkteis, diklkds, ela
ieomretmrkfs. E`tfr tgf vkskt, tgf M``kdf m` Jfakdei Tfrvkdfs fveiuetmr ks
tm prfperf e rfpmrt `mr tgf jfakdei m``kdfr, kldiuakln nukaeldf `mr dmr-
rfdtkln ely prmoifjs.
Qgf prmdfaurfs `mr tgf suppmrt/fveiuet kml vkskts gea sfvfrei af`kdkfl-
dkfs tget ikjktfa tgfkr usf`uilfss. Ofdeusf tgf vkskts mddurrfa et ?-yfer
kltfrveis, prmoifjs dmuia pfrskst `mr jmltgs mr yfers of`mrf tgfy wfrf
rfdmnlkzfa oy tgf M``kdf m` Jfakdei Tfrvkdfs. @urtgfr, tgf vkskts aka lmt
eiweys mddur fvfry ? yfers es rfqukrfa2 rfpmrts ml tgf vkskts wfrf lmt
eiweys prfperfa2 ela, `kleiiy, tgf vkskts iedbfa e `miimw-up jfdgelksj
tm vfrk`y tget tgf fveiuetmrs rfdmjjflaetkmls, wgfl jeaf, wfrf
kjpifjfltfa.
Senf 57 NEM/LTIEA-;5-?54 Sfedf Dmrps Gfeitg De
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
21/34
Dgeptfr ?
Sfedf Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
M`Derf
Kl eaaktkml, tgf M``kdf m` Jfakdei Tfrvkdfs gea lmt afvfimpfa nukafiklfs
`mr fveiuetkln imdei gfeitg derf `edkiktkfs usfa oy vmiultffrs, ela tgf
M``kdf m` Jfakdei Tfrvkdfs ste`` wfrf lmt treklfa mr queik`kfa tm eddu-
retfiy essfss mdei gmspkteis, diklkds, ela ieomretmrkfs. Sfedf Dmrps m` k-
dkeis edblmwifanfa tget tgf fveiuetkmls m` tgf imdei `edkiktkfs wfrf
kleafquetf tm essfss gf queikty m` sfrvkdfs usfa oy vmiultffrs. Sfedf
Dmrps amdujflts klakdetf
tget
mlf afetg mddurrfa et ifest kl pert
ofdeusf e ieomretmry usfa oy tgf Sfedf Dmrps aka lmt `miimw Sfedf
Dmrps jfakdei nukaeldf ela `ekifa tm jebf e dmjpiftf akenlmsks.
Aurkln
tgf
Ofikzf vkskt,
tgf
fveiuetkml m` tgf gmspktei iestfa mliy 43 jk
utfs. Qgf M``kdf m` Jfakdei Tfrvkdfs fveiuetmr aka lmt jfft wktg tgf
gmspktei eajklkstretmr, dgkf` fxfdutkvf m``kdfr, prfs kaflt m` tgf jfakde
ste``, mr wktg ely mtgfr rfprfsfltetkvfs fxdfpt
tgf
akrfdtmr m` tgf oimm
oelb. Lm gmspktei prmdfaurfs, pmikdkfs, mr prmtmdmis wfrf rfvkfwfa, ela
gf aka lmt motekl dmpkfs m` tgf prmvkafrs dfrtk`kdetkmls, ikdflsfs, mr dur
rkduie vktef tm aftfrjklf tgfkr queik`kdetkmls. Qgf rfvkfws m` tgf afltks
ela nylfdmimnkst wfrf mliy sikngtiy jmrf tgmrmung. Qgf akrfdtmr m` tgf
imdei ieomretmry usfa oy tgf Sfedf Dmrps `mr tgf pest 54 yfers stetfa
tget sgf dmuia lmt rfjfjofr fvfr ofkln fveiuetfa oy tgf Sfedf Dmrps
aurkln tgks pfrkma.
Kl tgf skx dmultrkfs wf vksktfa, wf `mula verkmus prmoifjs tget akjkl-
ksgfa tgf f``fdtkvflfss m` tgf suppmrt/fveiuetkml vkskts.
. Kl Tflfnei ela Jeik, tgf jfakdei m``kdfrs aka lmt blmw tgf rfsuits mr
rfdmjjflaetkmls m` tgf 5;;3 vkskts.
i
Qgf M``kdf m` Jfakdei Tfrvkdfs fveiuetmr wgm vksktfa Gmlaures kl 5;;
seka gfr rfvkfw m` tgf imdei gfeitg derf prmvkafrs wes wfeb ofdeusf sg
wes lmt treklfa tm fveiuetf imdei `edkiktkfs.
i
Qgf rfpmrt ml
tgf
Tmimjml Ksielas vkskt wes kldmjpiftf, iedbkln rfqukrf
kl`mrjetkml sudg es el essfssjflt m` tgf jfakdei m``kdfrs pfr`mrjeldf
el fveiuetkml m` tgf pmst-jfakdei fveduetkml piel, ela e rfvkfw m` tgf
gfeitg derf dmltredts ela mtgfr jfakdei errelnfjflts. Kl eaaktkml, jm
tgel ? yfers fiepsfa oftwffl vkskts, ela tgf rfpmrt m` tgf prfvkmus vks
tmmb mvfr e yfer tm rfedg tgf ksielas.
. Qgf M``kdf m` Jfakdei Tfrvkdfs gea lmt dmlaudtfa e vkskt kl Lfpei kl
4 yfers ela gea lfvfr dmlaudtfa e vkskt aurkln tgf durrflt jfakdei
m``kdfrs tmur.
. Qgf jfakdei m``kdfr kl Ofikzf seka tget sgf lfktgfr wes orkf`fa ml tgf
fveiuetmrs rfdmjjflaetkmls lmr sew tgf 5;77 rfpmrt.
Senf 5;
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
22/34
Dgeptfr ?
Sfedf Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
m` derf
Dimsf-M`-Tfrvkdf _fvkfws
Aurkln tgf dimsf-m`-sfrvkdf rfvkfws, tgf Sfedf Dmrps mtgfr jmlktmrkln
jfdgelksj, M``kdf m` Jfakdei Tfrvkdfs lursfs rfvkfw ?0 pfrdflt m` tgf
gfeitg hedbfts m` vmiultffrs wgm rfdfltiy if`t tgf Sfedf Dmrps. Qgf
rfvkfw ks kltflafa tm essfss gf queikty m` gfeitg derf prmvkafa tm
vmiultffrs.
Gmwfvfr, tgf rfvkfws gea sfvfrei af`kdkfldkfs tget ikjktfa tgfkr f``fd-
tkvflfss. Qgfy wfrf pfr`mrjfa 0 tm ; jmltgs e`tfr tgf vmiultffr if`t tg
Sfedf Dmrps, eiimwkln ely prmoifjs tm pfrskst `mr jmltgs mr imlnfr. Kl
Xekrf, `mr fxejpif, tgf jfakdei m``kdfr gea lmt dmjpikfa wktg tgf Sfedf
Dmrps tfdglkdei nukafiklfs `mr yfers. Eism, tgf M``kdf m` Jfakdei Tfr-
vkdfs ste`` wfrf lmt spfdk`kdeiiy treklfa tm dmlaudt tgfsf rfvkfws, ela
tgf jfakdei amdujfltetkml wes m`tfl k leafquetf tm essfss gf epprmprk-
etflfss m` vmiultffr derf. @urtgfrjmrf, tgf rfvkfw wes prkjerkiy el
eajklkstretkvf essfssjflt ela aka lmt `mdus ml tgf queikty m` akenlmsks
ela trfetjflt rfdfkvfa oy vmiultffrs.
Gfeitg Derf Tystfj
Gea Lfvfr _fdfkvfa
el Klafpflaflt
Jfakdei _fvkfw
Qgf Sfedf Dmrps gfei tg derf systfj, ulikbf tgf gfeitg derf systfjs `mr
tgf Afpertjflt m` Af`flsf, tgf Afpertjflt m` Pftfrels E``ekrs, ela tg
Letkmlei Klstktutfs m` Gfeitg, gea lfvfr offl rfvkfwfa mr dfrtk`kfa oy
tgf Hmklt Dmjjksskml ml Eddrfaktetkml m` Gfeitgderf Mrnelkzetkmls mr e
skjkier enfldy. Qgf Hmklt Dmjjksskml, wgkdg ges dfrtk`kfa >6 pfrdflt m`
tgf letkmls >,533 gmspkteis, ks e lmlprm`kt mrnelkzetkml tget sfts letkmle
stelaeras m` derf ela fveiuetfs gfeitg derf systfjs eneklst tgmsf
stelaeras.
^f, eimln wktg Sfedf Dmrps rfprfsfltetkvfs, jft wktg Hmklt Dmjjksskml
m``kdkeis tm motekl tgfkr vkfws ml tgf kssufs kafltk`kfa aurkln mur rfvkfw
ela tm aksduss tgfkr pmtfltkei rfvkfw m` tgf Sfedf Dmrps gfeitg derf
systfj. Ml tgf oesks m` mur afsdrkptkml m` mur `klaklns, tgf Hmklt Dmj-
jksskml m``kdkeis seka tget tgf Sfedf Dmrps gfeitg derf systfj aka lmt
eppfer tm gevf eafquetf prmdfaurfs tm prmvkaf vmiultffrs tgf ifvfi m`
derf tm wgkdg tgfy wfrf fltktifa. Qgfy eism seka tget ofdeusf tgf Sfedf
Dmrps gea lmt fveiuetfa tgf eokikty m` `mrfknl-treklfa lursfs tm rfpiedf
V.T.-treklfa pgyskdkels, tgf enfldy aka lmt blmw wgftgfr kts jfakdei
m``kdfrs wfrf dmjpftflt tm prmvkaf vmiultffr derf. Qgf m``kdkeis seka
tget tgf Sfedf Dmrps gfeitg derf systfj wmuia oflf`kt `rmj e rfvkfw o
tgf Hmklt Dmjjksskml mr e skjkier enfldy.
Qgf Sfedf Dmrps Akrfdtmr m` Pmiultffr Tfrvkdfs ela tgf Akrfdtmr m` tgf
M``kdf m` Jfakdei Tfrvkdfs seka tget tgfy suppmrtfa e rfvkfw oy tgf
Senf ?3 NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg Der
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
23/34
Dgeptfr ?
Sfedf Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Hgsurf el Epprmprketf Ifvfi
m` derf
Hmklt Dmjjksskml mr e skjkier enfldy. Eddmrakln tm tgf Akrfdtmr m` Pmi
ultffr Tfrvkdfs, e rfvkfw dmuia f``fdtkvfiy essfss gf Sfedf Dmrps
gfeitg derf systfj eneklst stelaeras, kafltk`y erfes `mr kjprmvfjflt,
ela rfessurf vmiultffrs ela tgf puoikd tget kts jfakdei systfj prmvkaf
derf tget wes es dimsf es pmsskoif tm tgf derf evekieoif kl tgf Vlktfa
Ttetfs.
Siellfa
Kjprmvfjflts tm
SfedfDmrps Gfeitg
Derf Tystfj
.
.
Qgf Sfedf Dmrps ges klktketfa stfps tm kjprmvf kts gfeitg derf systfj.
Heluery 5;;5, tgf Akrfdtmr m` tgf Sfedf Dmrps epprmvfa tgf eiimdetkml
m` $470,333 kl `ksdei yfer 5;;5 `ulas tm kjpifjflt omtg kjjfaketf el
imln-tfrj kjprmvfjflts, kldiuakln (5) e 1-wffb mrkfltetkml `mr eii lfw
jfakdei m``kdfrs, (?) elluei dmltklukln jfakdei faudetkml dml`frfldfs
`mr eii jfakdei m``kdfrs, (4) fsteoiksgjflt m` e queikty essureldf prm-
nrej, ela (1) el klafpflaflt jfakdei fveiuetkml ela afvfimpjflt m`
piel `mr pfrkmakd klafpflaflt jfakdei rfvkfws oy tgf Hmklt Dmjjksskm
mr e skjkier enfldy.
Es m` Hulf 5;; 5, tgf Sfedf Dmrps gea kjpifjfltfa sfvfrei kjprmvf-
jflts tm kts gfeitg derf systfj. Qgf Sfedf Dmrps gea
gfia twm 1-wffb mrkfltetkmls `mr lfw jfakdei m``kdfrs2
gkrfa e dmltredtmr ela `mrjfa e queikty essureldf dmjjkttff tget gev
ofnul tm rfvkfw tgf Sfedf Dmrps strudturf, `uldtkmls, ela stelaeras
gfeitg derf afikvfry2
rfkjpmsfa tgf M``kdf m` Jfakdei Tfrvkdfs sfifdtkml eutgmrkty `mr jfakd
m``kdfrs es mutiklfa kl tgf Sfedf Dmrps Jeluei2 ela
afvfimpfa e lfw dimsf-m`-sfrvkdf rfvkfw `mrj fjpgeskzkln kssufs
klvmivkln tgf queikty m` derf prmvkafa.
Qgf Sfedf Dmrps piels eaaktkmlei kjprmvfjflts mvfr tgf lfxt sfvfrei
yfers. Aurkln `ksdei yfer 5;;5, kt piels tm ofnkl elluei faudetkml dml`
fldfs ela motekl tgf dmltredtmrs prfikjklery rfdmjjflaetkmls tm
kjprmvf kts gfeitg derf systfj. Kl `ksdei yfer 5;;?, tgf Sfedf Dmrps
piels tm (5) kjpifjflt e queikty essureldf prmnrej, (?) afvfimp lfw
gfeitg derf stelaeras ela nukafiklfs, (4) klktketf e stretfny tget wkii
ifea tm el mutskaf jfakdei rfvkfw, ela (1) essfss l`mrjetkml lffas `m
tgf f``fdtkvf jmlktmrkln m` kts gfeitg derf systfj. Kl `ksdei yfer 5;;1,
tgf enfldy piels tm gevf kts gfeitg derf systfj fveiuetfa oy tgf Hmklt
Dmjjksskml mr e skjkier mrnelkzetkml.
Senf ?5
NEM/LTKEATi-?54 Sfedf Dmrps Gfeitg D
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
24/34
Dgeptfr ?
Sfedf Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el
Epprmprketf Ifvfi
m` derf
Dmldiuskmls
Qgf Sfedf Dmrps prmdfaurfs `mr tgf sfifdtkml, treklkln, ela jmlktmrkln
m` jfakdei m``kdfrs just of kjprmvfa k` vmiultffrs erf tm rfdfkvf e ifvf
m` derf dmlskstflt wktg Sfedf Dmrps nukafiklfs. Ofdeusf m` klsu``kdkflt
nukafiklfs ela tgf iedb m` eafquetf dmltrmis, smjf vmiultffrs rfdfkvfa
kldmrrfdt akenlmsks ela trfetjflt oy Sfedf Dmrps jfakdei m``kdfrs. Qgf
Sfedf Dmrps dmrrfdtkvf edtkml piel jerbfa el kjpmrtelt stfp tmwera
kjprmvkln tgf queikty m` derf prmvkafa tm vmiultffrs. El mutskaf jfa-
kdei rfvkfw, es piellfa oy tgf Sfedf Dmrps, dmuia gfip klstktutkmleikzf
tgfsf ela `uturf kjprmvfjflts ela gfip vmiultffrs rfdfkvf tgf ifvfi m
gfeitg derf tm wgkdg tgfy erf fltktifa.
_fdmjjflaetkml
NEM
rfdmjjflas tget tgf Akrfdtmr m` tgf Sfedf Dmrps `miimw tgrmung m
tgf klktketkvfs ellmuldfa ela tgmsf kt ges ofnul tm kjpifjflt, kldiuakln
e piel tm klstktutf el klafpflaflt fveiuetkml oy tgf Hmklt Dmjjksskml
ml Eddrfaktetkml m` Gfeitgderf Mrnelkzetkmls mr e skjkier mrnelkzetkml,
tm kjprmvf tgf Sfedf Dmrps gfeitg derf systfj.
Enfldy Dmjjflts ela
Sfedf Dmrps m``kdkeis wgm prmvkafa mrei dmjjflts ml e are`t m` tgks
Mur Fveiuetkml
rfpmrt nflfreiiy enrffa tget tgf enfldys systfj wes kleafquetf `mr
flsurkln tget vmiultffrs rfdfkvfa e stelaera m` gfeitg derf tget epprmx
kjetfa tgf ifvfi m` derf evekieoif kl tgf Vlktfa Ttetfs. Qgfy stetfa, gmw
fvfr, tget afspktf tgf gfeitg derf systfj af`kdkfldkfs tget wf kafltk`kfa,
ela tget tgfy wfrf kl tgf prmdfss m` dmrrfdtkln, tgf edtuei queikty m`
gfeitg derf prmvkafa tm vmiultffrs wes nmma. Qgfy pmkltfa tm mur
survfy m` `mrjfr vmiultffrs, jmst m` wgmj wfrf setks`kfa wktg tgf
queikty m` derf rfdfkvfa, es wfii es tm tgfkr mwl aksdusskmls wktg vmiul-
tffrs kl tgf `kfia, es fvkafldf tget vmiultffrs wfrf prmvkafa eafquetf
gfeitg derf.
^f aka lmt essfss gf edtuei queikty m` derf tgf Sfedf Dmrps prmvkafa k
vmiultffrs, ela tgks rfpmrt arews lm mvfreii dmldiuskmls eomut wgftgfr
tgf queikty m` derf wes nmma mr pmmr. Klstfea, wf fveiuetfa tgf eaf-
quedy m` tgf Sfedf Dmrps jelenfjflt systfj `mr flsurkln tget kts mw
jfakdei systfj nukafiklfs wfrf ofkln `miimwfa. ^f `mula tget tgf
enfldys jelenfjflt systfj wes kleafquetf ela dmldiuafa tget tgf
Sfedf Dmrps systfj dmuia lmt prmvkaf rfesmleoif essureldf tget kts
nukafiklfs wfrf ofkln `miimwfa ela tget queikty derf wes ofkln prm-
vkafa. @urtgfrjmrf, wf kafltk`kfa su``kdkflt fvkafldf m` vkmietkmls m` tg
tfdglkdei nukafiklfs, es wfii es kldmrrfdt akenlmsfs ela trfetjflt
rfsuitkln `rmj lmldmjpikeldf wktg tgf Sfedf Dmrps jfakdei nukafiklfs,
Senf ??
NEM/LTKEA-;5 -?54 Sfedf Dmrps Gfeitg De
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
25/34
Dgeptfr ?
Sfew Dmrps Gfeitg Derf Tystfj ^es
Kleafquetf tm Flsurf el Epprmprketf Ifvfi
m` derf
tm dmldiuaf tget lmt eii vmiultffrs gea rfdfkvfa queikty gfeitg derf el
tget kjprmvfjflts tm tgf systfj wfrf lffafa.
Senf ?4
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
26/34
@mjfr Pmiultffrs ^ktg Tfrvkdf-_fietfaGfeitg
Srmoifjs Jey Lmt _fdfkvf Gfeitg Oflf`kts
Eitgmung `mrjfr Sfedf Dmrps vmiultffrs erf fltktifa tm
@FDE
oflf`kts `m
ely sfrvkdf-rfietfa gfeitg prmoifjs, ela eitgmung tgfsf oflf`kts erf
afsdrkofa kl tgf Sfedf Dmrps Jeluei prmvkafa tm fedg vmiultffr, wf
`mula tget jely `mrjfr vmiultffrs wfrf lmt ewerf m` tgfkr @FDE oflf-
`kts. Kl eaaktkml, tgf Sfedf Dmrps gea lmt eafquetfiy gfipfa `mrjfr vmi-
ultffrs `kif @FDE diekjs. Qgf Sfedf Dmrps gea eirfeay rfdmnlkzfa smjf
m` tgfsf prmoifjs ela klktketfa kjprmvfjflts. Gmwfvfr, ofdeusf tgf
enfldy aka lmt piel tm kl`mrj eii `mrjfr vmiultffrs m` tgfkr pmtfltkei
@FDE fiknkokikty, smjf wgm erf su``frkln `rmj sfrvkdf-rfietfa gfeitg dml-
aktkmls jey lmt motekl tgfkr gfeitg derf fltktifjflt.
Eajklkstretkvf
Srmdfsskln m` @FDE
Oflf`kts
Qgf Sfedf Dmrps jelenfjflt m` kts
@FDE
rfspmlskokikty ks spikt oftwffl
tgf kl-dmultry jfakdei m``kdfrs ela tgf M``kdf m` Jfakdei Tfrvkdf. Qgf
jfakdei m``kdfrs erf rfqukrfa oy tgf Sfedf Dmrps tm kl`mrj durrflt vmi-
ultffrs m` tgfkr @FDE oflf`kts, tgfkr rkngt tm `kif e @FDE diekj, wget essks
teldf ks evekieoif tm tgfj, ela tgf epprmprketf prmdfaurfs. Qgf M``kdf m
Jfakdei Tfrvkdfs gfips `mrjfr vmiultffrs dmjpiftf ela `kif @FDE diekjs,
es rfqukrfa oy tgf M``kdf m` Sfrsmllfi Jelenfjflt rfnuietkmls nmv-
frlkln tgf klktketkml m` jfakdei diekjs eneklst tgf `fafrei nmvfrljflt.
Qgf Sfedf Dmrps rfdfkvfs eomut 76 deiis e wffb `rmj `mrjfr vmiultffrs
ul`ejkiker wktg tgfkr
@FDE
oflf`kts ela prmdfaurfs.
@FDE diekjs `mr vmiultffrs erf eahuakdetfa oy tgf Afpertjflt m` Ieomr,
wgkdg eahuakdetfs
@FDE
diekjs `mr eii `fafrei enfldkfs. Qgf Afpertjflt
m` Ieomr del rf`utf vmiultffrs diekjs tget tgfkr gfeitg dmlaktkmls erf
sfrvkdf-rfietfa oy afjmlstretkln tget tgf dmlaktkmls fxkstfa prkmr tm
tgfkr Sfedf Dmrps sfrvkdf. Gmwfvfr, ;7 pfrdflt m` Sfedf Dmrps diekjs
erf eahuakdetfa kl `evmr m` tgf `mrjfr vmiultffrs.
Jely @mrjfr
Qgf Sfedf Dmrps ks rfqukrfa tm kl`mrj vmiultffrs eomut tgfkr @FDE fiknk-
Pmiultffrs ^frf Lmt
okikty, omtg et tgf ofnkllkln m` tgfkr sfrvkdf ela et tgf fla. Eii vmiul-
tffrs rfdfkvf e Sfedf Dmrps Jeluei, wgkdg kldiuafs kl`mrjetkml ml @FDE
Ewerf m` Qgfkr @FDE
oflf`kts, et tgf ofnkllkln m` tgfkr sfrvkdf, ela jfakdei m``kdfrs erf
Fltktifjflt
rfqukrfa tm kl`mrj vmiultffrs eomut tgfsf oflf`kts of`mrf tgfy ifevf tgf
Sfedf Dmrps.
Gmwfvfr, tgf rfsuits m` mur tfifpgmlf survfy ela kltfrvkfws wktg
`mrjfr vmiultffrs sunnfstfa tget jmst `mrjfr vmiultffrs wfrf lmt
ewerf m` tgfkr @F^ oflf`kts. Ml tgf oesks m` mur sejpif m` ;? `mrjfr
vmiultffrs wgm gea if`t tgf Sfedf Dmrps wktgkl tgf pest ? yfers, wf
fstkjetf tget 17 tm 07 pfrdflt m` tgf `mrjfr vmiultffrs wmuia sey tgfy
Senf ?1
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg Der
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
27/34
Dgeptfr 4
@mrjfr Pmiultffrs ^ktg Tfrvkdf-_fietfa
Gfeitg Srmoifjs Jey Lmt _fdfkvf
Gfeitg Oflf`kts
gea lmt rfdfkvfa kl`mrjetkml eomut tgfkr
@FDE
oflf`kts. Et tgf Letkmlei
Dml`frfldf `mr _fturlfa Pmiultffrs, wf spmbf wktg 41 `mrjfr vmiul-
tffrs wgm gea if`t tgf Sfedf Dmrps aurkln tgf 5;0Ms, 5;>3s ela 5;73s
M` tgfsf, mliy `kvf seka tgfy nflfreiiy blfw eomut tgfkr pmst-sfrvkdf
gfeitg derf oflf`kts. Qgfkr ifss `evmreoif dmjjflts jey rf`ifdt tgf dml
aktkml m` tgf @FDE prmnrej of`mrf tgf Sfedf Dmrps kjprmvfjflts tm kt
mvfr tgf iest sfvfrei yfers.
@urtgfr, tgf M``kdf m` Jfakdei Tfrvkdfs wes lmt f``fdtkvf kl prmvkakln
@FDE kl`mrjetkml tm kts jfakdei m``kdfrs. ^f `mula tget jfakdei m``kdfrs
rfdfkvfa ikttif mr lm `mrjei treklkln ml @FDE oflf`kts mr prmdfaurfs `mr
`kikln e diekj. Qgf Akrfdtmr m` tgf M``kdf m` Jfakdei Tfrvkdfs seka tget k
jmst desfs jfakdei m``kdfrs dmuia lmt elswfr vmiultffrs qufstkmls
eomut tgf @FDE fltktifjflt.
Essksteldf kl @kikln
Diekjs Ges Lmt
Eiweys Offl
Eafquetf
Qgf Sfedf Dmrps ges kjprmvfa kts essksteldf tm vmiultffrs mvfr tgf ies
sfvfrei yfers. Qgks wes omrlf mut oy mur survfy, wgkdg klakdetfa tget
vmiultffrs wgm rfqufstfa essksteldf wktgkl tgf pest ? yfers wfrf nflf
eiiy setks`kfa wktg tgfkr essksteldf, wgfrfes `mrjfr vmiultffrs kltfr-
vkfwfa et tgf letkmlei dml`frfldf wgm gea smungt essksteldf prkmr tm
tgfsf kjprmvfjflts klakdetfa tget tgfkr essksteldf gea lmt offl
eafquetf.
Qgf Akrfdtmr m` tgf M``kdf m` _fturlfa Pmiultffr Tfrvkdfs ela tgf
Akrfdtmr m` Pmiultffr Tfrvkdfs edblmwifanfa tget tgf
@FDE
essksteldf
prmnrej gea offl kleafquetf. Qgf twm ste`` jfjofrs prmvkakln @FDE
essksteldf wfrf lmt treklfa ela aka lmt rfdfkvf nukafiklfs ml @FDE oflf
`kts. Qgfy eism iedbfa tgf jfakdei fxpfrkfldf lfdfssery tm suddfss`uiiy
suppmrt
@FDE
diekjs wgfl klktkeiiy suojkttfa tm tgf Afpertjflt m`
Ieomr. Es e rfsuit, @FDE diekjs wfrf ofkln afieyfa ofdeusf m`
pepfrwmrb prmoifjs.
Mvfr tgf pest ? yfers, tgf Sfedf Dmrps ges kjprmvfa kts jelenfjflt m
tgf @FDE essksteldf prmnrej. Qgf enfldy gkrfa el fxpfrkfldfa @FDE
eajklkstretmr, wgm wes eism e lursf, tm jelenf tgf prmnrej. Qgf jel
enfr (5) afvfimpfa stelaera mpfretkln prmdfaurfs ml
@FDE
oflf`kts `mr
tgf @FDE ste``2 (?) klktketfa lfw prmdfaurfs tm jmrf f``fdtkvfiy suppmrt
@FDE diekjs ela rfaudf pepfrwmrb prmoifjs2 (4) errelnfa tgrff jfft-
klns oftwffl Sfedf Dmrps ela Afpertjflt m` Ieomr rfprfsfltetkvfs tm
kldrfesf ulafrstelakln m` tgf Sfedf Dmrps lffas ela tgf Afpertjflt
Ieomrs @FDE prmdfss2 (1) prfsfltfa kl`mrjetkml ml @F^ kssufs et tgf
letkmlei dml`frfldf kl Funflf, Mrfnml2 (6) kldrfesfa tgf lujofr m` ste
Senf ?0
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg De
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8/6/2019 Peace Corps: "Long Needed Improvements to Volunteers'Health Care System" Government Accounting Office - Nati
28/34
dgeptfr 4
@mrjfr Pmiultffre ^ktg Tfrvkd~_aetfa
Gfeitg Srmoifjs Jey Lmt _fdfkvf
Gfeitg Oflf`ite
tm prmvkaf
@@FE
essksteldf `rmj twm tm `mur, kldiuakln twm wktg lurskln
fxpfrkfldf2 ela (0) prmvkafa kl`mrjetkml ml @FDE flf`kts `mr ertkdifs kl
lfwsifttfrs `mr `mrjfr vmiultffrs.
Qgf Sfedf Dmrps eism ofnel tm kjprmvf tgf @FDE kl`mrjetkml prmvkafa t
durrflt vmiultffrs. Qgf Sfedf Dmrps sflt vmiultffrs e mlf-penf @FDE
kl`mrjetkml sgfft kl Jerdg 5;;3 ela piellfa elmtgfr jekikln kl 5;;5.
Qgf jelenfr eism piellfa tm afvfimp e Sfedf Dmrps @FDE elaommb tget
wmuia dmjpifjflt e pedbft m` kl`mrjetkml sflt tm `mrjfr vmiultffrs
wgm ofikfvf tgfy gevf sfrvkdf-rfietfa gfeitg prmoifjs ela tget wmuia
ikst @WDE flf`kts, ikjktetkmls, ela prmdfaurfs.
Kl rfspmlsf tm mur dmldfrls tget jfakdei m``kdfrs wfrf lmt f``fdtkvfiy
eavkskln durrflt vmiultffrs eomut tgfkr @@,DEoflf`kts ela prmdfaurfs `m
`kikln e diekj, tgf Sfedf Dmrps prmvkafa `ulakln `mr tgf afvfimpjflt m`
e vkafm ml @FDE. Qgf Sfedf Dmrps piellfa tm afvfimp tgf vkafm kl 5;;5
ela prfsflt kt et tgf ofnkllkln ela fla m` fedg vmiultffrs sfrvkdf.
Eii Fiknkoif @mrjfr
Pmiultffrs Jey Ttkii
Lmt _fdfkvf @FDE
Oflf`kts
E sknlk`kdelt lujofr m` `mrjfr vmiultffrs jey of e``fdtfa oy sfrvkdf-
rfietfa jfakdei dmlaktkmls out jey lmt of ewerf m` tgfkr gfeitg oflf`kts
Eitgmung tgf Sfedf Dmrps ges klktketfa stfps tm ofttfr kl`mrj durrflt
vmiultffrs m` tgfkr @FDE oflf`kts, kt aka lmt piel tm kl`mrj vmiultffrs
wgm if`t tgf Sfedf Dmrps of`mrf tgfsf kjprmvfjflts ofnel. Es e rfsuit,
smjf `mrjfr vmiultffrs wgm erf fiknkoif `mr ela lffa
@FDE
gfeitg derf
oflf`kts jey dmltkluf tm of ulewerf m` tgf oflf`kts ela jey lmt motekl
tgfj.
Mur tfifpgmlf survfy, qufstkmllekrfs, ela eleiysks m` @FDE diekjs klak-
detfa tget e sknlk`kdelt lujofr m` `mrjfr vmiultffrs dmuia gevf sfrvkdf
rfietfa gfeitg prmoifjs. Ml tgf oesks m` mur survfy sejpif, kl wgkdg
?5 pfrdflt seka tgfy gea e sfrvkdf-rfietfa jfakdei prmoifj, wf erf
;0 pfrdflt dml`kaflt tget `rmj 53 tm 43 pfrdflt m` tgf `mrjfr vmiultffrs
wmuia sey tgfy gevf jfakdei prmoifjs rfietfa tm tgfkr Sfedf Dmrps sfr-
vkdf. M` tgfsf rfspmlaflts, jmrf tgel 63 pfrdflt seka tgfy aka lmt `kif e
@FV diekj `mr tgfkr prmoifj. Qgfy nflfreiiy seka tgfy aka lmt `kif e
diekj ofdeusf tgfy wfrf lmt ewerf m` tgf @FDE flf`kt mr tgf prmdfss `m
moteklkln tgf @FDE flf`kt. Qgf Sfedf Dmrps gea lfvfr survfyfa `mrjfr
vmiultffrs eomut pmtfltkei sfrvkdf-rfietfa gfeitg prmoifjs. Kl 5;7;, tgf
Sfedf Dmrps prfperfa, out lfvfr sflt mut, e survfy qufstkmllekrf tm
jfesurf tgfsf ela mtgfr pmtfltkei prmoifjs essmdketfa wktg `mrjfr
vmiultffrs.
Senf ?0
NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg De
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Dgeptfr 4
@mrjfr Pmiultffrs ^ktg Tfrvkd~_fietfa
Gfeitg Srmoifj Jey Lmt _jfkvf
Gfeitg Oflf`kts
Kl eaaktkml, m` tgf 41 `mrjfr vmiultffrs et tgf Letkmlei Dml`frfldf wg
wf kltfrvkfwfa ela wgm dmjpiftfa qufstkmllekrfs, 50 ofikfvfa tgfy ge
sfrvkdf-rfietfa kiilfssfs mr mtgfr jfakdei dmlaktkmls. Qgfsf kldiuafa gf
etktks2 peresktfs2 dgrmlkd bkalfy kl`fdtkmls2 tuofrduimsks2 edutf imss m`
skngt, gferkln, ela usf m` ikjos2 jeierke2 ela psydgmimnkdei prmoifjs.
Mliy `kvf `mrjfr vmiultffrs seka tgfy wfrf nflfreiiy ewerf m` tgfkr @F
oflf`kts.
@kleiiy, mur jfakdei dmlsuitelt `mula tget kl ?> m` tgf ?57 Sfedf Dmrps
@FDE desfs eleiyzfa, tgf jfakdei m``kdfrs `ekifa tm kafltk`y jfakdei
prmoifjs prfsflt et tgf dimsf-m`-sfrvkdf fxejkletkml. Qgf `edt tget tgf
vmiultffrs jfakdei prmoifjs jmst ikbfiy mddurrfa aurkln tgfkr Sfedf
Dmrps sfrvkdf reksfs qufstkmls dmldfrlkln tgf eafquedy m` tgf dimsf-m`-
sfrvkdf fxejkletkml ela tgf pmtfltkei `mr vmiultffrs tm su``fr `rmj
sfrvkdf-rfietfa prmoifjs e`tfr tgfkr Sfedf Dmrps sfrvkdf.
Qgf Akrfdtmr `mr tgf M``kdf m` _fturlfa Pmiultffr Tfrvkdfs seka tget, kl
gfr mpklkml, tgfrf wfrf jely jmrf `mrjfr vmiultffrs wktg sfrvkdf-
rfietfa jfakdei prmoifjs tgel tgf Sfedf Dmrps rfeikzfa. Kl nflfrei, sgf
seka, mliy `mrjfr vmiultffrs wgm blfw eomut
@FDE
ela aka lmt gevf pf
smlei gfeitg klsureldf dmltedtfa tgf Sfedf Dmrps tm `kif e @FDE diekj.
Qgmsf `mrjfr vmiultffrs wgm gea ikttif mr lm blmwifanf eomut @FDE uit
jetfiy gelaifa tgfkr sfrvkdf-rfietfa jfakdei dmlaktkml oy tgfjsfivfs m
tgrmung prkvetf gfeitg klsureldf.
Dmldiuskmls
Eitgmung tgf Sfedf Dmrps ges kjprmvfa kts @KWE essksteldf prmnrej, kt
aka lmt piel tm kl`mrj eii `mrjfr vmiultffrs m` tgfkr @FDE fltktifjflt,
jely m` wgmj if`t tgf Sfedf Dmrps prkmr tm tgfsf kjprmvfjflts ela
jey gevf sfrvkdf-rfietfa jfakdei dmlaktkmls.
_fdmjjflaetkml
^f rfdmjjfla tget tgf Akrfdtmr m` tgf Sfedf Dmrps kl`mrj eii `mrjfr
vmiultffrs m` tgfkr @FDE fltktifjflt. _fturlfa Sfedf Dmrps vmiultffr
nrmups, tgf Letkmlei Dmuldki `mr _fturlfa Pmiultffrs, ela tgf Sfedf
Dmrps puoikdetkmls sflt tm `mrjfr vmiultffrs dmuia of usfa tm akssfjk-
letf tgks kl`mrjetkml.
Enfldy Dmjjflts ela
Kl dmjjfltkln mreiiy ml e are`t m` tgks rfpmrt, Sfedf Dmrps m``kdkeis
Mur Fveiuetkml
stetfa tget tgf enfldy ks piellkln tm et ifest pertkeiiy kjpifjflt mur
rfdmjjflaetkml oy sflakln @FDE kl`mrjetkml tm `mrjfr vmiultffrs `mr
wgmj kt ges jekikln eaarfssfs. Qgf enfldy aka lmt piel, gmwfvfr, tm u
Senf ?> NEM/LTKEA-;5-?54 Sfedf Dmrps Gfeitg D
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Dgeptfr 7
@mrjfr Pmiultffre ^ktg Tfrvk:_fietfa
Gfeitg Srmoifj& Jey Lmt _fdfkvf
Gfeitg Oflf`kts
--
tgf mrnelkzetkmls m` rfturlfa vmiultffrs mr Sfedf Dmrps puoikdetkmls tm
flsurf e jmrf dmjpiftf akssfjkletkml m` tgks kl`mrjetkml.
Senf ?;
NEM/LTIEA-;5-?54 Sfedf Dmrps Gfeitg De
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Senf ?;
NEM/LTKEA;5-?5; Sfedf Dmrps Gfeitg De
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Eppflakx K
Jehmr Dmltrkoutmrs tm Qgks _fpmrt
Letkmlei Tfdurkty ela
Aevka _. Jertkl, Esskstelt Akrfdtmr
Kltfrletkmlei E``ekrs
Fawera H. Nfmrnf, Fveiuetmr-kl-Dgernf
Berfl G. Drfiifr, Fveiuetmr
Akvkskml, ^esgklntml,
AD.
Furmpfel M``kdf
Aelly _. Ourtml, Eavksmr
Setrkdke J. _knnif, Tktf Tflkmr
[mielae D. Nerdke, Fveiuetmr
@er Fest M``kdf
Srksdkiie J. Gerrksml, _fnkmlei Essknljflt Jelenfr
Jkdgefi A. _mgroedb, Tktf Tflkmr
Frlfst E. Amrkln, Fveiuetmr
Ims Elnfifs _fnkmlei
Setrkdb @. Nmrjify, _fnkmlei Essknljflt Jelenfr
M``kdf
Nrftdgfl F. Omrlgmp, Eavksmr
Nredf B, Tebmae, Tktf Tflkmr
(1>??53)
Senf 43
NEM/LTKEA-;5-?5; Sfedf Dmrps Gfeitg Der
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Qgt* `krst. `kvf dmpkfs m` fedg NEM rqjrt erf `rff. ,1aaktkmlei jp~tv
ert $? fedg. Mratj sgmuia of sflt tm tgf `miimwkln eaarfss, eddmlr
pelkfa oy e dgfdb mr jmlfy mrafr jeaf mut tm tgf Tupfrkjfuaflt
m` K)mdurlflts, wgfl lfdfssery. Mrafrs `mr 533 mr jmrf dmpkfs t,m o
uu~kifa tm e skunif eaarfss erf aksdmultfa ?6 pfrdflt..
K r.T. Nt*ufrei EddmuuDkln M``kdf
K.(). Omx 03 56
Nekt.gfrsourn, JK) ?37>>
Mratvs jey eism of piedfa oy deiikln (?3?) ?>6-0?15.
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