VA, IG warn against rush of veterans into private care

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Republican Representative Jeff Miller of Florida.

A report by the Department of Veterans Affairs’ inspector general and a separate “access audit” of appointment scheduling practices across VA healthcare facilities confirm system-wide abuses to distort wait times for care, which have put patients at risk and shaken confidence in how VA hospitals and clinics are staffed, managed and resourced.

Yet even as the acting IG and another senior VA official confirmed the depth of the patient wait-time scandal at a hearing Monday of the House veterans affairs committee, as well as possible criminal activity by some administrators, they cautioned irate lawmakers against sending thousands more VA patients into the private sector for healthcare needs.

The caution flags haven’t slowed Congress. On Tuesday, the House unanimously passed the Veterans Access to Care Act (HR 4810/PDF) from Rep. Jeff Miller (R-Fla.), VA committee chairman. It would require VA to offer non-VA care to enrolled veterans who cannot get an appointment within VA wait time goals or who live more than 40 miles from a VA medical facility.

Read more at Stars And Stripes

Veteran hospital in Phoenix highlighted as an example of leaving veterans to die.


Photo Phoenix Business Journal

Photo Phoenix Business Journal

PHOENIX – According to a CNN report, the Carl T. Hayden VA Hospital in Phoenix had two waiting lists which left as many as 40 veterans waiting for care dead. A doctor alleges that the records that a waiting list even existed were shredded. The accusations by CNN reporting have recently prompted a Senate hearing on the matter.

The Phoenix VA Health Care web site states:

“Honoring America’s Veterans with quality health care services, part of the largest integrated health care system in the U.S.”

dr-foote-right-01CNN interviewed Dr. Sam Foote who retired from the VA Center in Phoenix after 24 years. Dr. Foote alleges that the VA kept two list of appointments. One he called a sham list that showed veterans were being seen in 14-days while the other secretive list were those veterans awaiting appointments.

CNN reported that records that would indicate that such a list existed were shredded in an apparent cover-up.

“The scheme was deliberately put in place to avoid the VA’s own internal rules,” said Foote in Phoenix. “They developed the secret waiting list,” said Foote, a respected local physician.

The CNN report covers the plight of U.S. Navy veteran Thomas Breen who died waiting for simple tests that could have saved his life.

Republican Senators John McCain and Jeff Flake and Democratic Representatives Raul Grijalva and Kyrsten Sinema have called for hearings. Senator McCain sent a letter to VA Secretary Eric Shinseki asking about the alleged waiting lists and if at least 40 veterans died as a result of the waiting lists, among other things.

According to CBS 5 in Phoenix, Sinema said:

“I am deeply disturbed by the allegations that delays in care and false record-keeping at the Phoenix VA Medical Center may have caused the deaths of Arizona veterans. We need a thorough investigation that holds those responsible for veteran deaths accountable.”

The report from Phoenix led KSDK in St. Louis to do a report on Albert Boyd—one of their local decorated Vietnam veterans.

When Boyd learned of the CNN report that the Phoenix VA had a secret set of records that hid its backlog of disability claims, he said it reminded him of his own struggles with the VA. Two years ago he hired a lawyer to fight his benefits battle with the Department of Veterans Affairs. He doesn’t expect a quick resolution.

“Delay, deny, until you die. That’s what the veterans are saying now,” said Boyd.

Delays in the VA Health Care system are, unfortunately, nothing new. The delay until you die concept was developed around illnesses Vietnam veterans complained about concerning the use of Agent Orange.

Agent Orange was a defoliant manufactured for the U.S. Department of Defense primarily by Monsanto Corporation and Dow Chemical. The chemical was sprayed without restrictions between 1961 to 1971.

One Williams veteran told me that they would have to cover up in their jackets with their hoods in an effort to keep the chemical off of their bodies.

Like the Agent Orange issue, returning veterans began reporting symptoms of what has come to be known as Gulf War syndrome. The VA at first denied the existence of any disease only looking into the issue a few years later after media publicity led to documentaries and a 1998 television dramatization, Thanks of a Grateful Nation.

Screenshot of Phoenix VA web site.

Screenshot of Phoenix VA web site.

Veterans dying because of health care delays


(CNN) — U.S. veterans are dying because of delays in diagnosis and treatment at VA hospitals.

At least 19 veterans have died because of delays in simple medical screenings like colonoscopies or endoscopies, at various VA hospitals or clinics, CNN has learned.

That’s according to an internal document from the U.S. Department of Veterans Affairs, obtained exclusively by CNN, that deals with patients diagnosed with cancer in 2010 and 2011.

The veterans were part of 82 vets who have died or are dying or have suffered serious injuries as a result of delayed diagnosis or treatment for colonoscopies or endoscopies.

Read more and see more video at CNN

VA Health care roll out problem: The ID.

ABC Action News in Florida reported November 6th that the new Veteran identification cards have a bar code that can be read by bar code scanner aps on “smart phones” revealing social security numbers. Use of these aps can lead to identity theft of veterans.

Although the the web site for the Department of Veteran’s Affairs has a warning about the problem, veterans were not told when receiving their card about the anomaly.

VA says that the problem will be fixed in the next generation of cards expected to be issued this year.

VA wait times mean some die before getting care

“The bottom line is it is unclear how long veterans are waiting to receive care in VA’s medical facilities because the reported data are unreliable,” Draper told the panel.

By Patricia Kime – Staff writer

Internal Veterans Affairs Department documents show that at least two veterans died last year waiting to see a doctor while others couldn’t get primary care appointments for up to eight months, members of a House oversight and investigations panel said Thursday.

Addressing the ongoing problem of vets who suffer through long waits for appointments at VA hospitals and clinics, House lawmakers joined federal investigators and veterans service organizations in castigating VA on an issue that has endured for more than a decade.

“Evidence shows that many VA facilities, when faced with a backlog of thousands of outstanding or unresolved consultations, decided to administratively close out these requests. Some reasons given included that the request was years old, too much time had elapsed, or the veteran had died,” said Rep. Mike Coffman, R-Colo., chairman of the House Veterans Oversight and Investigations panel.

“This is unacceptable,” said Rep. Ann Kirkpatrick, D-Ariz., the panel’s ranking Democrat. “Veterans deserve timely, accessible health care.”

According to VA, about 49 percent of new patients and 90 percent of established patients are able to see a primary care doctor or specialist within VA’s goal of 14 days, a metric established in 2011.

But the first-time patients who weren’t seen within 14 days waited an average 50 days to schedule initial appointments.

Read more at Army Times