Category Archives: Veterans Affairs

The VA Continues to Fail

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…as it continues to exist.  This time, its failure is in not reporting “90% of potentially dangerous medical providers.”

Based on a sampling of 148 providers at five unidentified VA hospitals who required review, officials had only reported nine health care workers since 2014, and none had been reported to state licensing boards.

Never mind that

the VA is required to report providers to a national database designed to prevent them from crossing state lines and endangering other patients.

The GAO says in its report on this failure that much of the failure stems from “confusion” about VA responsibilities and reporting requirements.

Does any reader want to look at some beachfront property north of Santa Fe that I might know about?

VA management wasn’t confused.  They just don’t care.

 

Veteranos Administratio delende est.

The VA Still Fails

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The Veterans Administration is still creating waitlists and secret waitlists, even after all this time of reporting on and calling the VA out for its dishonesty and its disservice to our veterans.  Now a Colorado VA facility is—still—doing secret waitlists.

Investigators with the VA Office of Inspector General confirmed whistleblower and former VA employee Brian Smother’s claim that staff kept unauthorized lists instead of using the department’s official wait list system.

That made it impossible to know if veterans who needed referrals for group therapy and other mental health care were getting timely assistance, according to the report. The internal investigation also criticized record-keeping in PTSD cases at the VA’s facility in Colorado Springs.

Senator Cory Gardener (R, CO):

It [the secret waitlists] highlights even more VA mismanagement and lack of accountability in Colorado. This cannot happen again, and it’s time for the VA to finally wake up and ensure our men and women are getting the best care possible.

No.  The VA is not going to clean itself up.  Outside agencies cannot clean this sewage pit.  The VA must be disbanded and its budget and nominal future budgets passed to our veterans as vouchers so they can get the medical help they deserve—and in too many cases, desperately need—from the doctors of their choice and the medical facilities of their choice.

Veteranos Administratio delende est.

The VA Strikes Again, Again

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After two bills enacted into law that require the Veterans Administration to let our veterans get appointments outside the VA rather than wait interminable time periods to see a VA doctor, the problem has gotten worse.  Now there’s a wait period at the VA to get those outside appointments—because the VA must give permission for the outside appointment rather than standing and delivering.  It’s especially bad at the Shreveport, LA, VA hospital, but it’s not unique to that place.

The VA requires a referral to see an outside doctor and the process is cumbersome—a request goes back and forth several times between the VA and Tri-West, the program administrator. Part of the chain requires someone to send Tri-West the veteran’s medical history and no one is assigned to that job at [Overton Brooks VA Medical Center, the Shreveport place]….

Why there needs to be the back-and-forth between the VA and Tri-West is as much a mystery as is the requirement for VA permission to go elsewhere to get the health care the VA will not or cannot provide.

Naturally, the VA ain’t talkin’ about this.  It is being cynically evasive, though.

The VA declined several requests by Fox News to comment on why Overton Brooks had this latest wait-list and why the VA requires numerous layers of approval to create each appointment. Instead, spokeswoman Jessica Jacobsen stated, “Improving patient access to care is a priority for the Department of Veterans Affairs (VA). And while there are pending Care in the Community appointments for some Shreveport-area Veterans, Veterans requiring urgent care receive priority appointments.”

Weasel words.  And: on what basis, given VA failures, failure rate, and continued lack of transparency, should anyone conclude that “priority appointments” mean anything other than being bumped to first in line to be delayed?

Veteranos Administratio delende est.

The VA Fails Again

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This time it’s the Marion, IL, Veterans Administration clinic.

In 1971 Kirby Williams went to Vietnam as a US Army draftee and worked as a finance clerk. In 2010 he went to a Veterans Affairs clinic in southern Illinois where a radiologist took a scan of his kidneys.

Unfortunately, the radiologist missed a 2- to 3-centimeter mass in one of his kidneys, and by last December that mass had grown to between 7 and 8 centimeters. Now the 66-year-old has, at most, two to five years to live.

Williams isn’t the only victim.

Within weeks…of starting at the VA [in March of 2016!], he [Dr L Anthony Leskosky, a board-certified radiologist] noticed patients previously diagnosed as healthy had radiology scans from years prior documenting grave conditions. These conditions, such as cancers, aortic aneurysms, bleeding ulcers and obstructions in their small bowel and colon—if left untreated—could cause patients tremendous pain or even premature death.

“In radiology, we compare current scans to old studies, so I was pulling up the last two years of the scans. That’s when I noticed the radiologists had called their previous exams ‘normal,’ but I would see a mass on the older scans, and then on my scan, I would see the mass had enlarged, and in some cases become a spreading cancer. Usually that is not survivable,” Leskosky said.

As many as four to five times a day, Leskosky said, he found serious errors in prior readings….

Leskosky whistleblew on this and too many other such incompetencies, and the VA’s answer was to fire him rather than correct the problem.

That’s damning enough, but read the whole article.

President Donald Trump touts improvements in the VA, and there have been some.  However, they’re too little, too small, and too late, and the VA’s destructiveness continues.  The Veterans Administration must be disbanded and its budget sent to our veterans as vouchers with which they can seek medical care with doctors of their choosing at medical facilities of their choosing.  And get actual treatment.

Veteranos Administratio delende est.

It Just Keeps Getting Better and Better

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…or worse and worse, depending on your perspective.  Not only is the Veterans Administration continuing to make bad/false/improper payments, they seem to be getting acceleratingly worse about it.  The Veterans Affairs Office of Inspector General reported that the VA made $5 billion in “improper” payments in 2015, and then while that drew attention, the VA increased their improper payouts to $5.5 billion in 2016.

To show how terrible the rates can be, here are some data from James Clark at the above link:

  • the VA Community Care had 75% of their payments as “improper” payments in 2016
  • the Purchased Long Term Services and Support 69% of their payments as “improper” in 2016

You read that right: three out of four of the Community Care’s payouts were wrong, and over two-thirds of PLTS&S’ payouts were…erroneous, and they’re getting worse.  The prior year, those payout rates were “only” 54.77% and 59.14%, respectively.

Since the VA empirically no interest in cleaning up its act, since it insists on wasting money our veterans need for their care, it’s time to disband this miserable excuse for an institution and commit its budget to vouchers for our vets.

No more delay by Congress.

Veteranos Administratio delende est.