Tag Archives: Veterans Affairs

An Excerpt

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…from a VA Office of the Inspector General report.

We substantiated the second allegation that pending ES [Enrollment System] records included entries for individuals reported to be deceased. As of September 2014, more than 307,000 pending ES records, or about 35 percent of all pending records, were for individuals reported as deceased by the Social Security Administration. However, due to data limitations, we could not determine specifically how many pending ES records represent veterans who applied for health care benefits. These conditions occurred because the enrollment program did not effectively define, collect, and manage enrollment data. In addition, VHA lacked adequate procedures to identify date of death information and implement necessary updates to the individual’s status. Unless VHA officials establish effective procedures to identify deceased individuals and accurately update their status, ES will continue to provide unreliable information on the status of applications for veterans seeking enrollment in the VA health care system.

Not only is the VA not trying to take care of our vets—307,000 of them died waiting to get treatment—they’re not even troubling themselves to keep records.

We substantiated the third allegation that employees incorrectly marked unprocessed applications as completed and possibly deleted 10,000 or more transactions from the Workload Reporting and Productivity (WRAP) tool over the past 5 years.

They do, though, go to the effort of covering up their non-performance (I hesitate to say “failure to perform;” that would suggest they’re trying).

And there’s this insulting bit of vapidity from the Under Secretary for Health in response to the IG’s report (the whole letter is at Appendix D of the report at the link. It doesn’t get any better).

We regret the inconvenience and potential hardship place on applicants for health care and we are working hard to restore Veterans’ confidence and trust in VA’s systems and staff. We have and will continue to take timely and appropriate steps to improve our services to ensure we meet the expectations of those whom we have the honor of serving.

Yeah, dying while on the VA’s who gives a patootie wait list is such a potentially inconvenient hardship.

Since the VA doesn’t care, we should honor their lack of interest. Disband the VA, and use the budget dollars that would have gone to the VA in any particular year as vouchers for our veterans which they can find, in that year, their own quality care and decent hospitals.

Another Fine VA Mess

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And another reason to disband the thing and send its budget as health care vouchers to our veterans.

A VA employee tossed files containing the Social Security numbers and other personal information of 1,100 patients of a South Dakota VA hospital into a dumpster, where they sat for two days before they were discovered and recovered. This happened last May, but the VA chose not to tell anyone, like those patients, about it until the end of July.

Mistakes happen, even egregious things like this. What’s unacceptable is the decision by this VA hospital, condoned by the VA itself (if only through its own inaction and silence) to withhold information about this breach from the breach’s victims for so long.

That decision is part of a too-long standing pattern of VA malfeasance and VA decisions to do nothing about themselves.

Another VA Failure

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An ex-Army scout and Iraq War veteran tried at two separate Veterans Administration clinics to get treatment for his PTSD. Does he actually have PTSD? I’m spring-loaded to believe so, but I don’t know. And neither does this veteran, unless he’s been previously diagnosed. The problem is that he can’t get that treatment, or even a diagnosis and so effective treatment for what medical problem he might really have.

“The VA isn’t taking new patients.” He got that at both of the Georgia clinics he tried. If you follow the link to the video he recorded, the relevant action starts at around 6:45.

The VA isn’t taking new patients. How does that work? It doesn’t work.

VA spokesman James Hutton gave out the usual VA nonsense:

VA staff should have established a full understanding of Mr Dorsey’s medical situation and determined if an appointment was available for him at another location or if he was eligible for the Choice Program and could be seen outside of VA. The message Mr Dorsey was given, as seen on the video, is completely unacceptable and will not be tolerated.

Shoulda, woulda, coulda. Of course the message Dorsey was given is entirely acceptable and fully tolerated by the VA. It’s still going on. Years after the VA’s mistreatment of our veterans was first exposed. Dorsey has indicated that VA Chief of Staff Rob Nabors has “reached out to him and is trying to help resolve his issue.” Great. We’ll see if Nabors, or anyone at the VA delivers. But that’s small potatoes. This sort of thing is far too widespread to be effectively handled by onesies and twosies.

It’s time to disband the VA altogether and use the VA budget as vouchers to our veterans so they can go to the doctors, clinics, and hospitals of their choice—doctors, clinics, and hospitals that actually do, you know, medical work for, umm, patients.

Embarrassingly Dysfunctional

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To coin a phrase, this is embarrassing, a Department like this.

Ignored claims, manipulated records, cost overruns and even one facility infested with insects and rodents are among the latest issues uncovered by a blistering VA Inspector General’s report. The auditor’s probe found that more than 31,000 inquiries placed by veterans to the Philadelphia Regional VA office call center went ignored for more than 312 days, even though they were supposed to be answered in five. Perhaps even worse, claim dates were manipulated to hide delays, $2.2 million in improper payments were made because of duplicate records, 22,000 pieces of returned mail went ignored, and some 16,600 documents involving patient records and dating back to 2011 were never scanned into the system.

This is a year after the Veterans Administration promised, to Congress and to us, that they were cleaning up their act.

Disband the Veterans Administration; it’s an affront to our veterans and an embarrassment to our nation. Use the VA budget for vouchers for vets. No more delay. Our vets can’t wait.

Too Little, Too Late

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Responding to pressure from Congress and veterans groups, the Department of Veterans Affairs is relaxing a rule that makes it hard for some veterans in rural areas to prove they live at least 40 miles from a VA health site.

The relaxation consists of the VA using mapping facilities (vis., Google Maps) to measure actual driving miles rather than simply plotting straight line distances. Here’s Veterans Affairs Secretary Robert McDonald:

We’ve determined that changing the distance calculation will help ensure more veterans have access to care when and where they want it[.]

Well, NSS. Of course you’ve known that right along, but it’s good you’re finally acting on it.

The problem with this, though, is that what the Veterans Administration chooses to relax today it can choose to retighten tomorrow. In addition to that, this VA has in place most of the same bureaucratic leadership that’s been misbehaving right along, excepting only a couple of high profile resignations (not firings). They can’t be trusted.

Disband the VA, and use its erstwhile future budgets for vouchers with which our veterans can select their own doctors and medical facilities.

In the meantime, a suitable interim step would consist of Congress legislating the distance calculation while also legislating a shorter distance to travel—20 miles would be a better maximum. That would still be a 40-minute round trip on the open highway, and closer to 90 minutes’ time in ordinary city traffic. Most folks have other things to do with their time than sit in their cars for an hour and a half—or sit in someone else’s car if the veteran isn’t in a position to drive himself.