I suggest you... Eliminate the Beneficiary Travel program. This is a Secretary's discretionary benefit, not a codified one, making it easier to change. No other health provider (DOD, IHS, Tricare, Medicare) pays patients to drive to their appt. This program is inequitible and ripe for fraud/waste/abuse. New CBOCs make primary care available close to home. This is a huge cost as the agency attempts to keep pace with reimbursable mileage amounts, and also a significant cost to administer (travel clerks and cashiers). The money could be much better spent elsewhere.