Overview:
Black veterans in Texas, particularly those living in rural communities, face significant barriers to accessing healthcare due to geography, race, and policy decisions. This is exacerbated by the high number of veterans suffering from long-latent conditions such as mesothelioma, which is often misdiagnosed or delayed in diagnosis. Despite the proposed reduction of the VA's workforce by nearly 30,000 employees by the end of the fiscal year, VA leadership assures the public this won't disrupt care. However, the timing raises questions about how a shrinking staff can meet the rising needs of an aging, growing veteran population, especially in underserved areas.
Honoring the Sacrifice, Failing the Care
Odessa Carter served his country with discipline and distinction. A Black veteran stationed in Texas during 1973, and was in El Paso during the 1980s, Carter faced the dual challenge of military life and navigating a racially biased system. Despite the obstacles, he rose through the ranks, earning three Meritorious Service Medals, four Army Commendation Medals, and seven Good Conduct Medals throughout his 21-year career.
But when his time in uniform ended, the support he expected from the country he served fell painfully short.
โIf you would have asked me this three or four years ago,โ Carter said, โI could have told you a lot about how bad the VA is.โ
That sentiment is echoed by thousands of veterans across Texas and the nation, many of whom face persistent barriers to the care they deserveโbarriers worsened by geography, race, and policy decisions made far from the front lines of their lives.
A Crisis of Geography and Equity
Texas is home to one of the largest veteran populations in the country, yet care is often hardest to access in its smallest communities.
On July 3, Word In Blackโs Jennifer Porter Gore highlighted how rural hospitals and communities of color are particularly at risk under the proposed federal budget cuts. For the many Black and Brown veterans living in tiny Texas townsโplaces dotting the map from east to westโaccess to reliable healthcare is already a challenge. With fewer local facilities and less investment in rural health infrastructure, these communities now face even greater risk under proposals aimed at “economic efficiency.”
That โefficiencyโ may come at a steep cost. And veteransโespecially those aging, disabled, or battling chronic illnessโare often the first to feel it.
The Invisible Battle: Mesothelioma and Misdiagnosis
The stakes are particularly high for veterans facing long-latent conditions like mesothelioma, a cancer linked to asbestos exposureโsomething disturbingly common in military settings. Between 1999 and 2017, Texas recorded over 15,000 asbestos-related deaths, including 2,688 from mesothelioma.
In Dallas County alone, 842 people lost their lives to asbestos-related illnesses. Nationally, about 3,000 Americans are diagnosed with mesothelioma annually, and 30% of them are veterans. Whatโs worse, nearly 81% of stage 1 diagnoses are misclassifiedโmeaning veterans arenโt just battling cancer, theyโre fighting misdiagnosis, delayed care, and administrative roadblocks at the same time.
A national mesothelioma registry could improve diagnostic accuracy and treatment timelines. But without consistent investment and attention, this solution remains mostly theoretical.
The Politics of Distraction
Just days after Goreโs reporting, Texas Governor Greg Abbott stood before cameras following the devastating Kerrville floodsโwhich claimed more than 100 livesโand compared rescue operations to a football game. His analogy felt out of place and out of touch. And while Texans grieved, others questioned whether political rhetoric was outpacing real solutions.
That same week, VA Secretary Doug Collins made a visit to Dallas for the 80th Blinded Veterans Association Convention. He asked how best to serve veterans in the region and toured the construction site of a new Long-Term Care Spinal Cord Injury Centerโa promising development for the local veteran community. But behind the scenes, the VA was undergoing its own transformation.
On the very day of his Dallas visit, the VA announced plans to reduce its workforce by nearly 30,000 employees by the end of the fiscal year, citing attrition and early retirements as a way to avoid a large-scale layoff.
On January 1, 2025, VA had roughly 484,000 employees
As of June 1, 2025, that number had dropped to 467,000
By September 30, an additional 12,000 workers are expected to leave
Though VA leadership assures the public this wonโt disrupt care, the timing raises questions. How can a shrinking staff meet the rising needs of an aging, growing veteran populationโespecially in underserved areas?
Personal Stories, Systemic Problems
Carter’s story illustrates both the resilience of veterans and the fractures in the very systems designed to support them.
He shared an encounter with a VA doctor that spoke volumes: โI reported the doctor… He called me at my house and told me I got him in trouble… I told him, โYou act like you donโt want to wait on me. You talk to me crazy.โโ
The result? He never saw that doctor againโbut the experience left a bitter mark.
Even his cousin, a combat veteran, was denied the full care he needed. โHe shouldโve had 100% disability. They only gave him 70%, and he had to fight like hell to get that 70%.โ
Dallas Weekly editor Sherri Yarbrough, a Marine Corps veteran who served in the early 1980s, never used VA healthcareโdespite decades of veteran status. Her reason? She simply never trusted or needed the system. “It is always in the back of my mind as an option,” she said, “but I donโt even know whatโs available nowadays.” Her story is a reminder: not all veterans avoid the system because they’re healthy. Some avoid it because they don’t believe it works.
A Nation Still in Debt
There is no denying that progress has been made. Carter admits that VA services have improved where he lives now in Tennessee. But Texas, with its massive veteran population and rural sprawl, has a long way to go.
A shrinking VA staff, underfunded hospitals, and distant policy priorities are real risksโnot just to health outcomes, but to the dignity of those who served.
As the dust settles on Capitol Hill and campaign trails heat up again, one question remains: Whatโs truly at stake for our veterans?
If we continue to measure care by cost instead of consequence, our veteransโespecially those in the smallest, quietest corners of Texasโwill keep fighting battles long after their service ends.
And thatโs a war they shouldnโt have to fight alone.
For more in the “Our Fight At Home” series, click here.
Ceara Johnson, Sherri Yarbrough and Zahiyah Carter contributed to this report.
