Rick Shinseki’s Bad Week

VA-veterans-affairsRick Shinseki is the ineffectual and unsatisfactory Secretary of the Department of Veterans Affairs. He’s been in Congress a lot the last couple of weeks, and he’s pretty much been a punchbag for both Senators and Congressmen, and both Democrats and Republicans, because of various mis-, mal-, and non-feasance on his watch. So last week was a pretty bad week for ol’ Rick.

It isn’t the scandals so much as the parade of VA bigs lying about them that has the pols’ noses out of joint. It’s impossible to list everything the VA has screwed up lately, but here’s a few high points.

  • The VA has a budget of $164 Billionbut can’t begin to account for where it all goes. Hang on, you’re going to see a couple of the places the money gets spent. Hint: not on veterans.
  • About $100 million a year, and increasing, goes to paying malpractice settlements and judgments from substandard VA care that leaves vets crippled or dead. This wastage is almost $1 billion over the last 10 years.
  • Rep David Scott (R-GA) has asked Shinseki to resign (he got the F U) and has asked President Obama to fire him (same reply). After a VA hospital in Scott’s Atlanta district bungled three patients to death, the VA leaked that: heads had rolled; a menu of 19 changes had been implemented; and Shinseki had taken personal charge. But it was all bullshit. No one was actually fired (we’ll see that again), the VA’s own IG found the Atlanta VA Medical Center blew off 12 of the 19 reforms, and Shinseki still has never even visited the place.
  • VA Undersecretary for Health Dr Robert Petzel last year told the House, in compelled, hostile and truculent testimony, that those responsible for patient deaths had ducked accountability for them by resigning. But Petzel lied. At least one of the doctors who denied cancer patients diagnostic treatments is still being paid his roughly $300k salary. Petzel also lied about what the IG found.

Petzel told Congress:

The IG did not link any deaths to the activity at Atlanta. There were three mental health deaths, but the IG made no comment in their report on the quality of care that was delivered to them or the course of action.

But the IG actually wrote:

We substantiated that staff’s failure to ‘watch’ patients may have contributed to the subject patient’s death … Our review also confirmed that facility managers did not provide adequate staff, training, resources, support, or guidance for effective oversight of the contracted MH program.

Which is a direct contradiction.

  • Inept planning meant a new VA hospital in North Las Vegas, completed in 2012 for over $1 Billion, had a substandard and inadequate emergency room. Tens of millions more are being spent to rebuild and enlarge the two-year-old ER. The VA knew all along it was too small, but figured they could just spend more and fix it later. That’s not the only problem with the facility, a model to the VA’s Soviet-style central planning: the dialysis center puts patients in blind spots where nurses can’t observe them, and a planned long-term-care facility never opened because it’s been co-opted for use as administrative offices by the VA’s ever-metastasizing bureaucracy. Shinseki had no answers for the lawmakers on the VA hospital.
  • Even something as simple as making a legally-mandated list of soldiers in Iraq and Afghanistan exposed to burn-pit fumes has proven to be beyond the agency — and it hasn’t bothered to explain why that is (if its leaders even know). This produced another bipartisan letter from Congress, to be binned at Shinseki’s leisure.
  • Shinseki “solved” the problems of Gulf War illnesses — which, to be sure, are often a portmanteau into which activists and veterans throw the normal bad news of the actuarial tables — by packing the Research Advisory Committee on same with yes-men and toadies. That move too has generated bipartisan Congressional backlash.
  • Congressman Jim Cooper (D-TN) is at odds with Shinseki over a Tennessee VA employee who blew his claims-review job off and didn’t even go to work while soaking up $140k in salary. Shinseki promoted the no-show Joe, one Richard Moore, and transferred him to headquarters (which probably increased the mean integrity of the VA’s offices in both TN and DC). When the story made the papers, Moore was “suspended,” but with pay — in other words, further rewarded with a paid vacation.

So, if they’re not managing their basic function of health care worth a damn, what is the VA doing? Bidding on a Department of Defense IT contract, in hopes of turning their supposed expertise into a profit center for the VA. We are not making this up.

Oh, but they want $900 million for this among other IT projects. We’re not making that up, either.

4 thoughts on “Rick Shinseki’s Bad Week

  1. Bill K

    About $100 million a year, and increasing, goes to paying malpractice settlements and judgments from substandard VA care…

    And when the required fix to Obamacare is to have all docs work for the government like VA docs do, what do you think will happen to the standard of care then, hmmm?

    1. Hognose Post author

      To put the thing in perspective, the entire intelligence community only wasted spent $70B.(Maybe if they got as much money as the VA they’d have caught at least one of the following: Flashbang and Speedbump the Marathon bombers, the Arab Spring, the Russian moves to secure Crimea. On second thought… naaah. They’d still be wiretapping Mrs Merkel and not Mr Putin).

      I keep hearing from doctors that they should have gone to law school, or gotten an MBA and gone a-banking. I have actually had three docs quit on me in the last 15 years, all of them took up another career.

      1. Bill K

        Well count me as a 4th. After giving up some 70% of my gross income to the tax bandits & lawyers (malpractice fees), I decided to go Galt and started teaching at roughly 1/8 the gross income, but now that I was no longer ‘the rich, my take home income is closer to 1/2 the previous. And furthermore, my kids start getting full ride scholarships, my family can sponge off my university-paid health insurance, and I face no call, no sleepless nights in the OR, no fear of phone calls, and work hours that are perhaps 1/3 of what I used to put in.

        Just today, I was talking with a pathologist who was living in fear of ICD10 codes and increased compliance costs, thinking of walking out. Believe me, “the natives are restless“.

        But becoming a lawyer, while remunerative if you’re in the elite, is exactly not what our country needs, what my family would respect, or what I could justify to myself as a life worth living. I’d sooner be target practice as a bad guy in your favorite CQB drill.

        It’s time to out-Alinsky the Alinskyites by holding them to their own consequences.

  2. Aesop

    An IT contract for the VA?????

    The biggest disaster ever to hit private hospitals is the adoption of the computerized medical charting software pioneered by the VA and mandated and approved under both HIPAA and Obamacare.

    It’s takes software that was cutting edge in 1980, and with numerous careful updates since then, has lovingly brought it up to the standard one could expect in 1981. When Pong was high tech.

    Don’t believe me, ask the Apollo astronauts. The 4 or 5 still living.

    I’ve seen this marvel of government-developed and approved software with my own eyes. And I have the scars on my forehead from hitting my head on the counter nightly for 3 years to prove it.

    If a foreign power inflicted the VA on our military, we’d have Arc-Lighted them to the moon by now.

    Shinseki’s best use would be to transfer him to Vandenburg AFB, and assign him to test ICBM re-entry vehicles launched towards Enewetak Atoll.

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