The proposed strategy focuses on 400,000 high-risk Veterans who already possess a documented history of falls and bone-loss conditions. By shifting the clinical focus from purely preventing falls to mitigating impact through wearable airbag systems, the authors estimate the VHA could prevent up to 12,100 fractures annually. Such a shift carries significant economic weight, potentially avoiding $826 million in gross medical costs for the department each year.

Shulkin, who served as the ninth U.S. Secretary of Veterans Affairs, argues that preserving independence is a vital component of veteran care. The white paper advocates for a five-year, phased rollout across all 18 Veterans Integrated Service Networks. Rather than creating new administrative silos, the plan suggests folding these injury-mitigation measures into the established SAFE STEPS for Veterans Act of 2025 and the National Falls Prevention Committee's ongoing work. The strategy relies on existing risk-stratification tools, meaning the clinical data required to identify the most vulnerable patients is already at the VHA's fingertips.