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Veterans die after being placed on VA Hospital’s secret waiting list

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  • #16
    Two more VA offices falsifying records to hide long wait times, whistleblowers allege
    posted at 10:41 am on May 7, 2014 by Ed Morrissey

    The scandal at the Department of Veterans Affairs widened this morning to include two more offices, both in Texas, accused of falsifying records to hide horrendous wait times for medical treatment. Jeremy Schwartz at the Austin American-Statesman reports that a whistleblower within the VA told investigators that he and other employees were verbally ordered to falsely register patient requests so that it appeared that they had to wait very little time for treatment. In fact, the wait times for veterans went to three months in Austin and San Antonio:

    A Department of Veterans Affairs scheduling clerk has accused VA officials in Austin and San Antonio of manipulating medical appointment data in an attempt to hide long wait times to see doctors and psychiatrists, the American-Statesman has learned.

    In communications with the U.S. Office of Special Counsel, a federal investigative body that protects government whistleblowers, the 40-year-old VA employee said he and others were “verbally directed by lead clerks, supervisors, and during training” to ensure that wait times at the Austin VA Outpatient Clinic and the North Central Federal Clinic in San Antonio were “as close to zero days as possible.”

    The medical support assistant, who is seeking whistleblower protection and has been advised to remain anonymous by federal investigators, said he and other clerks achieved that by falsely logging patients’ desired appointment dates to sync with appointment openings. That made it appear there was little to no wait time, and ideally less than the department’s goal of 14 days. In reality, the clerk said, wait times for appointments could be as long as three months.

    The claims echo recent allegations that VA officials in Arizona and Colorado similarly manipulated wait time data or maintained secret lists to obscure lengthy wait times for medical care. Three top administrators at the VA medical center in Phoenix have since been put on leave and the VA’s inspector general is conducting an investigation into an alleged secret wait list at the facility. A retired doctor at the Phoenix facility told CNN that more than 40 veterans there died while waiting for an appointment.

    That brings the total number of offices to four — so far. Given the geographic dispersal of these locations, it’s almost a sure bet that these aren’t the only VA offices that have been told to falsify records. It’s also almost a sure bet given the distribution of incidents that the direction for this practice isn’t just coincidentally happening on a local level, but is coming from up above the office level, and above the regional control level.

    Two Republican Senators had already demanded the resignation of CA Secretary Eric Shinseki over the first revelation about the Phoenix office:

    Two Senate Republicans have called on Veterans Affairs Secretary Eric Shinseki to resign in the wake of reports that at least 40 veterans died while waiting for care at the Phoenix Veterans Affairs Health Care system , which worked to cover up the long wait times by creating a secret waiting list an later destroying the evidence.

    The two senators, Republicans John Cornyn of Texas and Jerry Moran of Kansas, echoed the call from two major veterans groups. The American Legion, which is the nation’s largest veterans group, and Concerned Veterans for America, have both said Shinseki should step down.

    “The president needs to find a new leader to lead this organization out of the wilderness, and back to providing the service that our veterans deserve,” Cornyn told reporters Tuesday. He also called on Senate Majority Leader Harry Reid, D-Nev., to investigate the issue with emergency committee hearings.

    Harry Reid made the blunder of getting ahead of the story by defending Shinseki:

    Reid Defends Veterans Affairs Secretary Amid Calls for...

    Majority Leader Harry Reid deflected Senate Republican calls on...

    Shinseki wasn’t “fired” for his advice on the Iraq War; his retirement had already been announced prior to that, although he was pointedly not asked to stick around. Reid talks about the burden that Congress imposed on Shinseki by demanding better record-keeping at the VA, but he’s been VA Secretary since January 2009, more than five years ago. Shinseki is responsible for the issues of access and wait times, and now it appears that multiple offices have been told to falsify records to comply with Congress’ mandate on wait times. If Shinseki’s not responsible for the VA’s performance and lack thereof after 5-plus years, exactly who is?

    So far, Shinseki isn’t going away:

    The head of the Department of Veterans Affairs said Tuesday he won’t resign, but will work to rebuild confidence after the nation’s largest veterans organization called for him to step down Monday amid allegations of inadequate treatment of patients at some VA facilities.

    In an interview with The Wall Street Journal Tuesday, Eric Shinseki said his department will strive to improve its communication and collaborate with veterans-advocacy groups. The retired Army general who took over the agency in 2009, also highlighted what he said were positive changes during his tenure.

    “I serve at the pleasure of the president,” he said when asked if he would be resigning. “I signed on to make some changes, I have work to do.”

    We’ll see. It might have been easier to hold out when the corruption involved just one field office. With a pattern emerging and with Shinseki’s long tenure, though, his position will become more and more untenable. Reid and Barack Obama had better start thinking about a replacement soon, preferably before more whistleblowers emerge to make both look like even bigger fools.

    Update: Investors Business Daily predicts we’ll see much the same kind of corruption with ObamaCare:

    ObamaCare simply builds on this failed model — expanding access to “free” or “low cost” care while rationing access. Most blatantly, it does this by expanding Medicaid. But patients in many private ObamaCare plans have found that a multitude of doctors and hospitals are now off limits.

    The so-called “Accountable Care Organizations” ObamaCare forces into existence are little more than newfangled HMOs, which long ago developed a reputation for rewarding doctors who denied patient care.

    Then there’s the new Independent Payment Advisory Board for Medicare. While officially banned from rationing care, the board can achieve the same end by setting payment rates so low that seniors will have trouble finding doctors who’ll see them.

    As ObamaCare’s tentacles reach further into the nation’s health care system, so too will come schemes to ration care, along with the inevitable political pressure to cover it all up.

    HotAir is the leading conservative blog for breaking news and commentary covering the Biden administration, politics, media, culture, and current elections.
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    • #17
      Why what is the point. Why wouldnt they just give them the care. They funded by the government so what do they care? Usually government run places like to blow money
      WH

      Comment


      • #18
        Originally posted by Gasser64 View Post
        Why what is the point. Why wouldnt they just give them the care. They funded by the government so what do they care? Usually government run places like to blow money
        Government agencies like to sit around and BS, take long lunches and sham. The VA was commanded to cut the backlog and actually see the veterans to get them care. As that would cut down on free time (they're already being paid overtime to cut the backlog), the head office hid the vets to make it look like they were making progress so they'd get their bonuses.
        I wear a Fez. Fez-es are cool

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        • #19
          im saying this a lot lately but

          HANGING IN THE TOWN SQUARE

          We dont have nearly enough hangings. Its really a fad Id like to see brought back.
          WH

          Comment


          • #20
            Of course they want the vets to die.. Is that not a commonly known thing? We are the enemy.
            ازدهار رأسه برعشيت

            Comment


            • #21
              San Antonio is now on the radar. An admin who was in charge of scheduling is speaking out. He is saying he was instructed to fudge the timeline from call to appointment.
              Fuck you. We're going to Costco.

              Comment


              • #22
                Originally posted by matts5.0 View Post
                Of course they want the vets to die.. Is that not a commonly known thing? We are the enemy.
                Unless youre active service, then your lives are expendable. Its no wonder pretty much all vets hate the government
                WH

                Comment


                • #23
                  Originally posted by Gasser64 View Post
                  Unless youre active service, then your lives are expendable. Its no wonder pretty much all vets hate the government
                  we have first hand experience of how fucked up it is, not just hear say, and fox news.
                  ازدهار رأسه برعشيت

                  Comment


                  • #24
                    Senseki said he's not resigning and will 'get to the bottom of this' and 'move swiftly to hold those guilty accountable.' This is me holding my breath. These morons forget that the military veterans outnumber all the police in the country, all the active duty soldiers and have millions spent in their training. It's best just to keep your word lest the Bonus Army arise again.
                    I wear a Fez. Fez-es are cool

                    Comment


                    • #25
                      How does a retired 4 star working for a goverment that uses money for toilet paper not fight for enough funding and resources to take care of his soldiers?
                      How the hell does this happen. We buy $500 hammers and waste all kinds of stupid money on stupid shit and these patriots get shit on? This is the shit that just burns my saddle.

                      Comment


                      • #26
                        Originally posted by dcs13 View Post
                        How does a retired 4 star working for a goverment that uses money for toilet paper not fight for enough funding and resources to take care of his soldiers?
                        How the hell does this happen. We buy $500 hammers and waste all kinds of stupid money on stupid shit and these patriots get shit on? This is the shit that just burns my saddle.
                        My opinion is he was a puppet general.
                        Originally posted by MR EDD
                        U defend him who use's racial slurs like hes drinking water.

                        Comment


                        • #27


                          St. Louis VA doctor: I was demoted for trying to improve productivity

                          The Associated Press
                          Published: May 13, 2014

                          shinseki
                          Veterans Affairs Secretary Eric. K. Shinseki speaks at a conference in Washington on Nov. 19, 2009. Shinseki on Friday, May 9, 2014, placed a VA nurse on leave for an email that contained directions on how to game the system.
                          Michael J. Carden/U.S. Army
                          Related

                          [The VA clinic in Harlingen, Texas, is visited by a U.S. Honor Flag crew in July of 2010. VA/Facebook]
                          VA hospital wait time concerns spread to South Texas

                          A former top official at a Veterans Affairs hospital in Harlingen told investigators that unreliable tests were substituted for colonoscopies, according to documents obtained by the Austin American-Statesman.
                          [The VA Montana Health Care System at Fort Harrison in this undated photo. VA]
                          Iraq veteran accuses VA of downgrading injuries

                          An Iraq war veteran has filed a complaint with the state and is asking federal lawmakers to investigate whether the VA Medical Center at Fort Harrison is downgrading diagnoses to cut treatment costs.
                          [The Pittsburgh VA’s University Drive campus. VA]
                          Another vet sues VA over Legionella outbreak

                          A Pine man who is part of a family with a decorated history of military service sued the federal government Friday over his two and a half years of suffering following the Legionella outbreak at the Veterans Administration's Oakland facility.
                          [Veterans Affairs Secretary Eric. K. Shinseki speaks at a conference in Washington on Nov. 19, 2009. Shinseki on Friday, May 9, 2014, placed a VA nurse on leave for an email that contained directions on how to game the system. Michael J. Carden/U.S. Army]
                          VA nurse on leave over email on how to 'game' treatment delays

                          VA Secretary Eric Shinseki on Friday placed on administrative leave a nurse in a Wyoming medical center after seeing an e-mail containing explicit directions on how to "game" the system and hide long delays in treating veterans for medical and mental health issues.
                          [Phoenix VA Health Care System main campus Phoenix VA]
                          VA suspends 3 officials amid Phoenix VA probe

                          The Phoenix facility has been under fire in recent weeks over allegations that up to 40 patients may have died because of delays in care and that the hospital kept a secret list of patients waiting for appointments to hide the treatment delays.
                          [The VA Medical Center in Durham, N.C., in July of 2008. Wikipedia commons]
                          2 more VA health care workers put on leave

                          Two more Department of Veterans Affairs workers at a hospital in Durham, N.C., were sent home on administrative leave this week amid allegations linked to delay of health care in another part of a spreading pattern of investigations.

                          ST. LOUIS — The VA hospital in St. Louis is investigating claims by the former chief of psychiatry that veterans often wait a month or more for mental health treatment because psychiatrists and other staff members are so lax in their work.

                          Dr. Jose Mathews claims in a federal whistleblower complaint filed last year and in an interview with The Associated Press on Monday that he was demoted because of a staff "mutiny" that followed his efforts to make employees work harder and more efficiently.

                          The concerns prompted a joint letter Monday from Missouri's U.S. senators, Republican Roy Blunt and Democrat Claire McCaskill, to Veterans Affairs Secretary Eric Shinseki. The letter seeks information on the number of mental health providers at the St. Louis VA, their workload, and in how timely a manner patients are being seen.

                          "If true, these claims would demonstrate an unacceptable lack of leadership at the VA in St. Louis that is putting the health and safety of veterans at risk," the senators wrote.

                          Marcena Gunter, a spokeswoman for the hospital, said the complaints are under investigation.

                          "We take these allegations seriously," Gunter wrote in an email. "The St. Louis VA Medical Center leadership is aware of and is addressing the alleged issues."

                          Mathews took over as chief of psychiatry in November 2012. He said he was astonished to learn of the limited workload of psychiatrists — typically about six patients per day. He said they should be seeing at least twice that many.

                          "I could account for only a four-hour workday," Mathews told The Associated Press.

                          The amount of time spent with each patient varies but the vast majority of visits are 30 minutes, Mathews said.

                          Meanwhile, the average wait time for those who are seeking help for mental illness is almost 30 days, Mathews said.

                          "There is no conceivable reason a full-time psychiatrist should be seeing just six patients in a day," Mathews said. "It was causing this huge delay in access to care."

                          Mathews said he implemented several changes aimed at providing more timely treatment, but his efforts were met with opposition by staff. He was able to increase the average number of patients per psychiatrist to around nine per day by July. But in September, he was reassigned to a compensation and pension evaluation team.

                          "I was called in by the chief of staff," Mathews said. "The words he used were, 'There was a mutiny.'"

                          Mathews raised other concerns in his whistleblower complaint and in a letter to McCaskill last month. He cited data that "puts our facility well above the national average for productivity. This misleading data provided for budgetary funding appropriations does not correspond with the reality," Mathews wrote to McCaskill.

                          He also questioned:

                          — Why bonuses are paid to virtually all staffers, regardless of their productivity.

                          — Why his requests for investigations into the deaths of two veterans were turned down.

                          — Whether staff intentionally failed to report a psychiatric patient's suicide attempt that occurred while an accreditation commission was visiting the hospital last year.

                          The VA hospital in St. Louis has been under scrutiny before. In 2010, faulty sterilization at the center's dental clinic raised concerns that 1,812 veterans were potentially exposed to hepatitis and HIV. Testing eventually found no link to either disease in any of the patients.

                          Another cleanliness concern arose in February 2011 when the hospital shut down its operating rooms because rust stains were found on surgical equipment. Surgeries resumed several months later after the faulty equipment was cleaned or replaced. The VA revised polices and opened a new $7 million sterile processing lab in May 2012.

                          The complaint by Mathews comes amid reports that as many as 40 veterans died while awaiting medical care from the VA hospital in Phoenix.

                          "The underlying principle is what is corrupt," he said. "You have an obsessive desire to look good on paper with no regard to whether care is good or not."
                          I wear a Fez. Fez-es are cool

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                          • #28
                            New wait-list fraud alleged in Illinois VA
                            posted at 9:21 am on May 14, 2014 by Ed Morrissey

                            That would put the list to seven facilities now where whistleblowers and/or media probes have discovered allegations and evidence of wait-list fraud at VA facilities. This CBS News investigation into the Hines, Illinois facility adds a new twist — performance bonuses. Germaine Clarno alleges that this facility had multiple, fraudulent wait lists intended to make the facility’s performance look better, and also intended to qualify its leaders for extra cash from the VA:

                            Germaine Clarno is a VA social worker and employee representative in Chicago. She alleges there are multiple secret waiting lists of veterans kept at the Hines VA Medical Center.

                            Asked which divisions of the hospital kept the secret waiting lists, Clarno says, “Employees are coming to me from all over the hospital, from outpatient, inpatient, surgery, radiology.”

                            Clarno says veterans were put on secret waiting lists when they called for appointments, but they wouldn’t formally get an appointment booked in the computer until one came up within the VA’s goal of 14 days. The purpose of the lists, she says, was to hide how often veterans were not being seen on time.

                            Clarno says the purpose of the lists was “to make numbers look better for their own recognition and for bonuses.”

                            The VA grants bonuses to executives and doctors, partly based on short wait times. Whistleblowers — including Dr. Sam Foote, who revealed the scandal in Phoenix, where up to 40 veterans may have died — believe bonuses give an incentive to conceal delays in care.

                            Just how long has the VA known about the problem of wait-list fraud? Well over a year, NBC reported yesterday:

                            The VA is auditing all of its medical facilities after whistleblowers claimed employees were manipulating patient schedules to hide long wait times which may have contributed to patient deaths.

                            “I think every American should be outraged about how our veterans are being treated American Legion National Commander, Daniel Dellinger.

                            An internal memo from March 2013 obtained by NBC shows top VA officials learned of the problem well before the current allegations, and had been quietly trying to fix it. …

                            “The question to the Secretary is, did he know? And if not – if he did not know what was in a GAO report or Inspector General’s report, why not?” asked Senator Jerry Moran, (R) Kansas.

                            They have known about the problem for 15 months — and only now are getting around to doing audits? Sounds like a typical VA wait time, eh?

                            Shinseki is scheduled to appear tomorrow at a Congressional hearing that looks more and more like a distinctly unpleasant experience for all involved. Whether or not he knew, Shinseki’s team apparently did, and Shinseki is responsible for their work. Shinseki needs to go, as part of a larger housecleaning at the Department of Veterans Affairs.

                            HotAir is the leading conservative blog for breaking news and commentary covering the Biden administration, politics, media, culture, and current elections.
                            I wear a Fez. Fez-es are cool

                            Comment


                            • #29
                              Seventh VA office finds secret wait list — with over 200 veterans on it
                              posted at 10:01 am on May 16, 2014 by Ed Morrissey

                              Yesterday, VA Secretary Eric Shinseki declared himself “mad as hell” over the allegations of wait-list fraud in Phoenix, where 40 veterans passed away before accessing medical assistance while the office falsified records. Shinseki also pronounced himself saddened by the consequences of the VA’s failures, and pledged to get to the bottom of them — and allegations at five other offices that arose from other whistleblowers:

                              At nearly the same time as Shinseki testified yesterday, the Ocala News (Florida) reported that a seventh VA office in Gainesville had discovered a secret wait list that had 200 veterans waiting for medical care:

                              Three mental health administrators at the Malcom Randall VA Medical Center in Gainesville have been placed on administrative leave after U.S. Department of Veterans Affairs officials found a “secret” waiting list of more than 200 patients, a local union president said Thursday. …

                              News recently surfaced of alleged secret waiting lists and falsified records at VA hospitals around the country, including reports of allegations that some veterans on such a list at the Veterans Affairs Health Care system in Phoenix had died while waiting for appointments. Reports have said the secret waiting lists were meant to hide delays and could have been used so management executives could get bonuses related to shorter wait times.

                              Muriel Newman, union president for the local chapter of the American Federation of Government Employees, told The Sun that the VA administration had placed chief psychiatrist Dr. Rajiv Tandon, administrative officer Karen Chin and Peter Durand, the chief of the mental health service call line, on administrative leave after the discovery of the list at the Gainesville VA hospital.

                              Wisnieski confirmed those three employees have been placed on paid administrative leave while a review is conducted into the list and the circumstances surrounding it.

                              The union claims that this wasn’t a “waiting list,” but a list of veterans who needed callbacks for appointments. That sounds like a distinction without a difference. Appointment callbacks in most medical offices are used to confirm appointment dates. If these veterans were being listed outside the computerized appointment system, that sounds very much like an attempt to avoid entering them into the system for longer than 14 days before the first available appointment. What other purpose would a paper list containing 219 patients serve, anyway?

                              Marco Rubio sent out a statement this morning demanding everything the VA currently has on its wait-list scandal:

                              “I am troubled by new reports suggesting secret waiting lists were being kept at the Gainesville VA hospital, potentially to the detriment of our veterans’ health. This would be outrageous in its own right, but it’s even more so because of the pervasive problems emerging about the VA each day in all corners of the country.

                              “Earlier this week, I asked VA Secretary Shinseki for all information regarding secret VA waiting lists in Florida and Biloxi, MS. I don’t want to wait until everything is ready. I want to see what is available now, starting with Gainesville.

                              “It also highlights the need to bring real accountability to the VA. From problems in Phoenix to Miami and now potentially Gainesville too, we’ve seen plenty of finger-pointing and excuses, but no one actually being fired for incompetence and negligence in the performance of their duties. As an easy first step, Congress should approve the VA reform bill Congressman Jeff Miller and I have introduced.”

                              Let’s not forget that the VA first found out about wait-list fraud more than a year ago, and again last fall. Shinseki’s very late to the party to declare himself “mad as hell” about it, and especially to pledge to take responsibility for reform. Jim Geraghty calls this a familiar refrain in this administration:

                              Secretary of State Hillary Clinton’s declaration that she takes responsibility for the failure to secure our facilities and personnel in Libya — with no word on any actual consequence of this failure — is the most recent example. But the approach began from the very start of this administration. …

                              * After ObamaCare passed, the president admitted he hadn’t kept his promises on how the legislation would be handled. He told congressional Republicans that most of the debate had been aired on TV — except for some of the talks close to the Senate vote. “That was a messy process,” Obama said. “I take responsibility.” But it was too late to change anything about the law at that point, obviously.

                              * Obama said he “took responsibility” for the 2010 midterm results… but there was little or no sign that he changed his governing approach, philosophy or policies in response to the lopsided results in favor of the Republicans that year.

                              * Finally, in summer 2011, the president admitted that he’d misjudged the severity of the economic difficulties facing the country when he came into office: “Even I did not realize the magnitude, because most economists didn’t realize the magnitude of the recession until fairly far into it,” Obama said. “I think people may not have been prepared for how long this was going to take, and why we were going to have to make some very difficult decisions and choices. I take responsibility for that.” But the policies and approach we’ve seen since that declaration of responsibility are the same as what we saw before it; nothing changed.

                              The new way to avoid taking responsibility is to tell the world you’re “taking responsibility.”

                              How many people lost their jobs over Benghazi?

                              HotAir is the leading conservative blog for breaking news and commentary covering the Biden administration, politics, media, culture, and current elections.
                              I wear a Fez. Fez-es are cool

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                              • #30
                                My brother's case has been open for 6 years now, his bilateral lung transplant was 3 years ago. Since it's probably service connected it'd be nice if the VA would pick up some of the bills.

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