The Veterans Administration

…won’t clean up after itself.  In this instance, literally.  This is the VA “hospital” room a veteran was placed in when he went to that…facility…for treatment that involved 18 injections.  Injections to be done in a room as filthy as this.

Dr Karen Gribbin, the chief of staff at the George E Wahlen Department of Veteran Affairs Medical Center, on Saturday reportedly said that Wilson should not have been in the room. She said the rooms should be cleaned prior to each patient and called on an investigation.

Wahlen is the imitation hospital at which this failure occurred.  The vetaran’s father, who posted the tweet, also tweeted

Fired or Resigned?

Ex-Veterans Affairs Secretary is making his case that he didn’t resign, he was fired.

Shulkin said he had not submitted a resignation letter, or planned to, and was only told of Trump’s decision shortly before the Twitter announcement.

Of course, the format of a resignation is immaterial to the act; in particular, letters are the polite, professional way to quit, but they’re not required, not at all.  Too, learning that your boss wants you to leave “shortly before the Twitter announcement” might be impolite, even impolitic, but again, learning the boss’ desire is not required for resigning.  Nor is desiring one to leave the same as firing that one.

Quid Pro Quo?

Recall that the Veterans Administration’s Inspector General had written a damning report of its investigation into the fraudulent behavior of the VA Secretary and of the Secretary’s Chief of Staff.  The IG even had referred the matter to the Justice Department for criminal prosecution.  DoJ then declined to prosecute.

Now that chief of staff, Vivieca Wright Simpson, has announced her retirement, and the VA has opened its own investigation into her actions, an investigation that might lead to civil action, but it’s not a criminal investigation.  I have to ask, then: was this a quid pro quo?  Did DoJ agree not to prosecute if Simpson agreed to leave?

The Veterans Administration Is Not Getting Better

VA Secretary David Shulkin, according to an IG report, has been misappropriating VA funds for his and his family’s personal benefit, and he’s been abusing his authority to require a subordinate to act as his “personal travel concierge.”  He

improperly accepted a gift of Wimbledon tennis tickets….

And his Chief of Staff, Vivieca Wright Simpson, apparently tampered with evidence:

made false claims to a VA ethics official by altering an email to get official approval for Dr Shulkin’s wife to take part in the trip as an “invitational traveler,” a status that meant the VA would cover her expenses. Her airfare cost taxpayers $4,312.

The Veteran’s Choice Program

This is a program that would give veterans the option of going to a private sector doctor in lieu of playing the delay wait game at a Veterans Administration facility, after the veteran has jumped through the requisite VA hoops.  After a political tussle in Congress over increasing/renewing its funding, some additional money was provided.  That additional funding was necessitated because

its popularity depleted the allocated funds more quickly than anticipated. Patient visits through the program increased more than 30% in the first quarter of fiscal year 2017, according to the VA.

The VA Continues to Fail

…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.

The VA Still Fails

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.

The VA Strikes Again, Again

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 Fails Again

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.

It Just Keeps Getting Better and Better

…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