{"id":110751,"date":"2017-11-30T14:32:00","date_gmt":"2017-11-30T14:32:00","guid":{"rendered":""},"modified":"2023-01-08T11:03:41","modified_gmt":"2023-01-08T11:03:41","slug":"one-year-on","status":"publish","type":"post","link":"https:\/\/cvnextjob.com\/index.php\/2017\/11\/30\/one-year-on\/","title":{"rendered":"One Year On&#8230;."},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><h3 class=\"post-title entry-title\" itemprop=\"name\"><\/h3>\n<div class=\"post-header\"> <\/div>\n<p>With the one year anniversary of the Veterans Administration scandal at  hand, it&#8217;s remarkable how little attention is being paid by the  mainstream media.&nbsp; What a coincidence.<\/p>\n<p>One exception is the <i>Arizona Republic<\/i>, which has a scathing  editorial in today&#8217;s edition.&nbsp; As the editorial board reminds us,  precious little has changed at the VA, despite dismissal of the agency&#8217;s  director, numerous investigations and continuing complaints about long  waits for medical care.<\/p>\n<p>A few excerpts:<\/p>\n<p><span style=\"font-size: xx-small;\"><span class=\"-newsgate-macro-cci-drop-initial-\">The greatest fear  among reformers of the Veterans Affairs hospital system has been that  the behemoth bureaucracy simply will wait them out.<\/span><\/span><\/p>\n<p><span style=\"font-size: xx-small;\">Let the  months and years pass. Let the outrage subside. Let the reform-minded  lawmakers and the whistle-blowers move on to other things.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">It  turns out, however, that there is something else to dread \u2014 something  that may be just as much of an impediment to improving our veterans&#8217;  health-care as bureaucratic inertia.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">And that is: incompetence. In some cases, as in the VA&#8217;s vile attempt  to scuttle Sen. John McCain&#8217;s medical-voucher program, an exquisitely  malevolent form of incompetence.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">Faced with a quality-of-care  scandal, the VA is proving incapable of addressing some of its grossest  flaws, especially in urology care.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">[snip]<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">At the start of last year&#8217;s inquiries, investigators quickly discovered  that the Phoenix VA hospital&#8217;s urology department was uniquely hapless,  even compared to an administration so inept it couldn&#8217;t schedule  appointments for new patients for months and, even, years. Urology, they  concluded, was so dysfunctional, it needed its own investigation.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">As the one-year anniversary of the VA patient-care scandal passes, we  still have yet to see the urology department investigation results. We  still do not know the full extent of the delays and other incompetence  that occurred within urology prior to last year&#8217;s scandal.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\">We do know a little more, however, about what has been done to improve urological care at the Phoenix VA <i>since<\/i> the scandal broke. Next to nothing.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\"><a href=\"http:\/\/www.azcentral.com\/story\/news\/arizona\/investigations\/2015\/01\/29\/inspector-general-rips-phoenix-va-urology-care\/22532777\/\" title=\"http:\/\/www.azcentral.com\/story\/news\/arizona\/investigations\/2015\/01\/29\/inspector-general-rips-phoenix-va-urology-care\/22532777\/\">According to a memo<\/a> prepared a month ago by an assistant VA inspector general, the department remains in disarray.<\/span><\/p>\n<p><span style=\"font-size: xx-small;\"><span style=\"font-size: x-small;\">Should this come as any surprise?&nbsp; Hardly.&nbsp; Last August, we noted <a href=\"http:\/\/formerspook.blogspot.com\/2014\/08\/hair-splitting-at-its-finest.html\">the VA was already in full, bureaucratic hair-splitting mode<\/a>,  releasing a report that claimed it could find no link between excessive  appointment delays and the deaths of more than 40 veterans seeking  treatment at the Phoenix VA.&nbsp; Six months later, one of the worst clinics  at Ground Zero for the VA scandal is still riddled with problems, and  no one can find out how bad the situation really is, or the condition of  many vets referred to private doctors.<\/span><\/span><\/p>\n<p><span style=\"font-size: xx-small;\"><span style=\"font-size: x-small;\">As  with other scandals that have surfaced during the Obama Administration,  attempts at ferreting out wrong-doers&#8211;and holding them accountable&#8211;are  a secondary consideration.&nbsp; Far more important are the optics of the  situation, which were accomplished by the forced resignation of the  former VA Director, General Eric Shinseki, and his replacement with  Robert McDonald.&nbsp; <a href=\"http:\/\/www.va.gov\/opa\/bios\/bio_mcdonald.asp\">Another West Point graduate<\/a> (Class of 1975), Mr. McDonald faces a Herculean challenge in reforming  the agency.&nbsp; And he&#8217;s painfully aware that the clock on his tenure is  already ticking, and a new president will likely choose a new VA  administrator in 2017.&nbsp; Meanwhile, the legions of incompetent VA  bureaucrats can simply run out the clock, while the agency awards  hundreds of millions a year in &#8220;performance bonuses.&#8221; &nbsp; &nbsp; <\/span><\/span><\/p>\n<p><span style=\"font-size: xx-small;\"><span style=\"font-size: x-small;\">Not that it really matters to Mr. McDonald&#8217;s boss in the White House.&nbsp; <a href=\"http:\/\/thehill.com\/homenews\/administration\/228917-obama-motorcade-drives-by-scandal-plagued-phoenix-va-hospital\">As  a few media outlets reported at the time, the President&#8217;s motorcade  drove past the Phoenix VA facility during a January visit to Arizona<\/a>.&nbsp;  Predictably, Mr. Obama did not stop and Congressional Republicans  complain he has yet to offer a long-term vision for reforming the VA. &nbsp;<\/span><\/span><\/p>\n<p><span style=\"font-size: xx-small;\"><span style=\"font-size: x-small;\">Advice for Speaker Boehner and Senator McCain: don&#8217;t hold your breath. <\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>With the one year anniversary of the Veterans Administration scandal at hand, it&#8217;s remarkable how little attention is being paid by the mainstream media.&nbsp; What a coincidence. One exception is the Arizona Republic, which has a scathing editorial in today&#8217;s edition.&nbsp; As the editorial board reminds us, precious little has changed at the VA, despite [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/posts\/110751"}],"collection":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/comments?post=110751"}],"version-history":[{"count":0,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/posts\/110751\/revisions"}],"wp:attachment":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/media?parent=110751"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/categories?post=110751"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/tags?post=110751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}