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Accountability moral hazard national politics & policies responsibility too much government

You’re Fired!

If government were reality TV — and it is — this current administration would obviously be The Apprentice.

Who do you most want fired?

Last week, President Trump gave Veterans Administration Secretary Dr. David Shulkin the heave-​ho, after a “damning” Inspector General’s report not only charged Shulkin with misusing tax dollars but also detailed myriad problems at the VA that continue to “put patients at risk.”

In a New York Times op-​ed, the former Secretary defended his “tenure at the department,” arguing that he had “expanded access to health care by reducing wait times, increasing productivity and working more closely with the private sector.” 

Speaking of the private sector, however, Shulkin suggested his firing was orchestrated by those favoring privatization — and that “privatization leading to the dismantling of the department’s extensive health care system is a terrible idea.”

Last April, President Trump signed the Veterans Choice Improvement Act, expanding the ability of vets to access private medical care outside the confines of the VA system. Why? Because IG investigations discovered that wait times were actually killing veterans — and the VA bureaucracy was actively covering up the problem.

“Critics have questioned whether increasing veterans’ reliance on private doctors might move the VA toward privatization,” the Washington Examiner noted at the time, “while proponents of such efforts have accused the VA of resisting steps to implement the program in order to protect the status quo.”

Vets deserve a choice, not a bureaucracy. After failing veterans for decades, Status Quo, you’re fired!

This is Common Sense. I’m Paul Jacob. 


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Categories
Accountability national politics & policies

Lack of Care

Yesterday I asked the question, “Who comes first: the vets or the politicians?”

We all know who should come first. And we all know who actually does come first.

The Is/​Ought Dichotomy in full view — the fact/​value distinction.

America’s politicians have legislated themselves wonderful healthcare coverage. Meanwhile, they’ve legislated something very different for veterans: a huge, unaccountable bureaucracy.

The federal archipelago of substandard VA clinics and hospitals is so ineffective that vets have died waiting for any medical care at all.

The problem isn’t a lack of public support. Americans obviously want to help take care of veterans. The many charities are just one indicator of this.

Instead, it’s an unmistakable sign of how completely beyond citizen control Washington has wandered.

Heads haven’t rolled in the Veterans Administration bureaucracy. Fact. But why not? Because of insider values. Why should congressmen even worry their pretty, little re-​electable heads about it? None of their heads have rolled for their incompetence or indifference.

In a Congress loathed by the people, only one incumbent congressman has been defeated for re-​election this year — and he was facing a 29-​count felony indictment for racketeering, etc.

One might wonder if anything ever happens in Washington other than waste, fraud and abuse.

For decades, the lack of care for vets has been an ongoing scandal. But it’s merely a symptom of a much bigger scandal: our government is out of our control.

This is Common Sense. I’m Paul Jacob.


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government waste, VA, Veterans, V.A., congress, health, insurance

 

Categories
Accountability government transparency nannyism national politics & policies responsibility

Disneyland vs. Politicians

Last week, when asked by reporters about the arguably deadly wait times that vets have endured (or not), Veterans Affairs Secretary Bob McDonald replied, “What really counts is how does the veteran feel about their encounter with the VA. When you go to Disney, do they measure the number of hours you wait in line? … What’s important is: What’s your satisfaction with the experience?”

The national commander of the American Legion, Dale Barnett, calls the remark “an unfortunate comparison”:

“People,” after all, “don’t die while waiting to go on Space Mountain.”

The secretary also errs about Disney, as Fox News’s Neil Cavuto noted. Disney does measure the time people must wait in line. The for-​profit company goes out of its way to entertain folks while they wait.

But the clowns running the Veterans Administration shouldn’t take up entertainment.

Fix the problem. 

Democrats Hillary Clinton and Sen. Bernie Sanders both seek to throw more money at the VA. They seem most concerned in protecting the Veterans Administration, not veterans. And Sanders’s real beef turns out  to be with Disney.

Donald Trump, the presumptive Republican nominee, tweeted: “Obama’s VA Secretary just said we shouldn’t measure wait times. Hillary says VA problems are not ‘widespread.’ I will take care of our vets!”

But will he? Through the VA system?

A zillion reform efforts have failed.

Let’s demand more than a simple promise sans details.

Do congressmen wait months to get a medical appointment? No. Then why not close the VA and give veterans the same healthcare coverage as our (pardon the term) representatives?

On this Memorial Day, who comes first: the vets or the politicians?

This is Common Sense. I’m Paul Jacob.


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V.A., VA, Veterans Administration, Disneyland

 


Photo credit: Xiaojun Deng on Flickr

 

Categories
free trade & free markets national politics & policies too much government

Senator for the VA

Sen. Bernie Sanders, the Vermont socialist, has been all over the media discussing the VA scandal.

However, I can’t find Mr. Sanders reflecting on his own role in the fiasco.

Last September, Sanders argued, “The VA is making progress in reducing the disability claims backlog. I meet very often with General Shinseki, (and) with (VA Under Secretary) Allison Hickey to see the progress that they are making.”

Apparently Sanders, chairman of the Senate Committee on Veterans’ Affairs, needs new glasses.

As the public and the president were discovering the depth and breadth of the scandal, the Vermont senator moved quickly to defend the VA: “The Veterans Administration provides very high-​quality healthcare, period. It’s not perfect.”

“Not perfect” indeed.

Sanders also warned of “a rush to judgment,” noting emphatically, “We don’t know how many veterans died.”

As the scandal spread nationwide, the good senator … freaked out. “There is right now as we speak a concerted effort to undermine the VA,” he told MSNBC’s Chris Hayes.

“What are the problems?” Sanders asked himself. “The problems is … you have folks out there now — Koch brothers and others — who want to radically change the nature of society, and either make major cuts in all of these institutions, or maybe do away with them entirely.”

How possible future cuts might prevent the VA from getting the job done at present remains unclear.

On Thursday, Sanders blocked Senate consideration of HR 4031, which had passed the House by a whopping bi-​partisan 390 – 33 vote. The bill would have given the VA Secretary the power to replace managers who weren’t producing for patients.

Senator, let our vets go … let them escape the bureaucracy to seek the care they deserve.

This is Common Sense. I’m Paul Jacob.

Categories
Accountability insider corruption national politics & policies too much government

Administrative Error

It was merely an “administrative error.”

Phoenix Veterans Affairs Health Care System Director Sharon Helman was awarded an $8,500 bonus, even while her operation was under investigation for falsifying patient wait times and possibly causing the deaths of 40 veterans.

The bonus has now, after much publicity, been rescinded.Rep. Andy Harris

Sadly, the veterans who died in a fraudulently inefficient system cannot be brought back to life.

The hefty bonus money adds cruel insult on top of a much more serious injury — one we now know extends far beyond Phoenix. The investigation has spread to 26 facilities.

Major veterans organizations demand that Veterans Affairs Secretary Shinseki resign, or that the president (who once again discovered the crisis from media reports) replace him. That’d be a logical first step, signaling in deeds, not just words, that folks will be held accountable.

The personnel changes shouldn’t stop there. And those guilty of fraud should also face criminal charges.

Still, some gloss over this scandal. Montana Senator Jon Tester says Shinseki should stay and that the VA has done a “remarkable” and “a pretty darn good job.”

A Washington Post editorial played down the scandal, noting that “Delayed treatment has been an issue for decades.”

The Post is half-​right. The problem of this federal healthcare bureaucracy shortchanging vets is certainly not new.

But Rep. Andy Harris (R‑Md.) is 100 percent right. The Navy vet and doctor, with years of VA experience, wants to offer vets a choice between the VA or a voucher to pay for their private care.

It’s a solution aimed at protecting the vets who need care, rather than the VA bureaucracy.

This is Common Sense. I’m Paul Jacob.