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Veterans Administration Tag

A report from an independent federal agency on Monday sharply criticized the Department of Veterans Affairs for failing to adequately respond to information from whistleblowers to “address systemic concerns that impact patient care” at VA facilities. The report from the U.S. Office of Special Counsel blasted the VA for downplaying the severity of various identified problems at some of its facilities. It also outlined a number of examples of what it called “part of a troubling pattern of deficient patient care at VA facilities nationwide.” From CNN:
Two veterans in a Veterans Affairs psychiatric facility languished for years without proper treatment, according to a scathing letter and report sent Monday to the White House by the U.S. Office of Special Counsel, or OSC. In one case, a veteran with a service-connected psychiatric condition was in the facility for eight years before he received a comprehensive psychiatric evaluation; in another case, a veteran only had one psychiatric note in his medical chart in seven years as an inpatient at the Brockton, Massachusetts, facility. Examples such as those are the core of the report released Monday by the OSC, an independent government agency that protects whistleblowers.
The OSC letter/report references issues at a number of VA facilities, including several previously reported problems at the Veterans Affairs Medical Center in Jackson, Mississippi that were noted in a September 17, 2013 letter. The OSC concluded in that earlier letter that “[T]he Department of Veterans Affairs (VA) has consistently failed to take responsibility for identified problems. Even in cases of substantiated misconduct, including acknowledged violations of state and federal law, the VA routinely suggests that the problems do not affect patient care.” The report also goes on to note that OSC currently has over 50 pending cases of whistleblower disclosures from VA employees that “allege threats to patient health or safety,” 29 of which have been referred to the VA for investigation.

Lack of funding is not the problem at the Veterans Administration.  It's the government healthcare system, stupid. In a story published today, Dennis Wagner of Arizona Central reported new details about the Phoenix VA:
Phoenix VA officials knew of false data for 2 years Department of Veterans Affairs administrators knew two years ago that employees throughout the Southwest were manipulating data on doctor appointments and failed to stop the practice despite a national directive, according to records obtained by The Arizona Republic through a Freedom of Information Act request. A 2012 audit by the VA's Southwest Health Care Network found that facilities in Arizona, New Mexico and western Texas chronically violated department policy and created inaccurate data on patient wait times via a host of tactics. The practice allowed VA employees to reap bonus pay that was based in part on inaccurate data showing goals had been met to reduce delays in patient care, according to the VA Office of Inspector General. At the Phoenix medical center alone, reward checks totaled $10 million over the past three years.
Clearly, there are problems in the VA system which need to be addressed but is more spending the best solution? Congress seems to think so. Chris Edwards writes at the CATO Institute:

House lawmakers passed a bill Tuesday aimed at addressing some of the now high profile problems at Veterans Affairs facilities. From the Associated Press:
United and eager to respond to a national uproar, the House overwhelmingly approved legislation Tuesday to make it easier for patients enduring long waits for care at Veterans Affairs facilities to get VA-paid treatment from local doctors. The 421-0 vote was Congress' strongest response yet to the outcry over backlogs and falsified data at the beleaguered agency. Senate leaders plan debate soon on a similar, broader package that has also drawn bipartisan support, underscoring how politically toxic it could be for lawmakers to be seen as ignoring the problem. […] The House bill would let veterans facing long delays for appointments or living more than 40 miles from a VA facility to choose to get care from non-agency providers for the next two years. A relative few vets already have that option for outside care, and this would expand the offer. The bill also would ban bonuses for all VA employees through 2016 and require an independent audit of agency health care. An earlier House-passed bill would make it easier to fire top VA officials. [House Veterans Affairs Committee Chairman] Miller said VA would save $400 million annually by eliminating bonuses, money the agency could use for expanded care at its centers.
The legislation comes after weeks of reports of various issues surrounding the Department of Veterans affairs. The latest details to emerge came from an audit released Monday which revealed, among other things, that 57,000 veterans have been waiting 90 days or longer for their first VA appointment, and another 64,000 never even got appointments. Some have urged for prosecution of some of the wrong-doing at the VA. At a House Veterans' Affairs Committee hearing Monday evening, this again became a topic of discussion. From the National Journal: