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More ranting about the VA...

 
Sign me up. And start with Secretary Shinseki. Because he's thoroughly a part of the problem, and isn't going to be a part of the solution. The whole farce with the "resignation" of Peltzer just shows it's going to be smoke and mirrors until the furor dies down.

The key is to not let it die down.

But I doubt the media is going to be much help on that. Until a Republican gets into the White House. Then the demands for a house-cleaning will be legion. Until it becomes apparent that a union might suffer. In which case - just fade away, you auld vets. You're just sick, dangerous parasites.

Bleah.

JR Salzman - About That Veterans Bill

4 Comments

 What is that old saying, "Deny, deny, deny, until they die!" I have dealt with the VA since 1998. To be honest, at times, I have gotten good medical care and at other times, the care was piss poor.

About the "resignation of Peltzer", he was already on the path towards retirement, no major loss.

As a Nation, we need to learn a few things from this fiasco. One of the 1st things we should learn, is this, unless this attack is the result of a surprise attack on this Nation in the form of a defensive retaliatory attack, there must be a Declaration of War as stated in the US Constitution. Every "Congress Critter" should require a recorded vote on this important issue. In the debate, we need to start looking for the budget, for the purpose of paying for this war. We need to look at the healthcare for Veterans as part of the actual cost of war as part of this conversation is is part of the conversation to go to war. Even in the event of a true surprise attack, we need to raise veterans health care funding as an act of national security.

The people who went out and wasted Veterans funding on a convention, the "Congress Critters ought to form a circular firing squad. Then, the order should be given that everyone should "Fire!" That whole fiasco was absolutely ridiculous and is not acceptable. This exercise would help in the formation of acceptable priorities for the Veterans. In many ways, I think we should look at the "RICO Act" for guidance in this rampant abuse of power.
 
I have a friend that had worked for the VA for many years until she recently took retirement. She was one of the ‘good’ ones, battling the bureaucracy to ensure her veteran’s received the care needed. She said that the ingrained problem with the VA was layered incompetency. As soon as you cleared the problem in one area, you banged your head against the incompetent bureaucrat, doctor, or medical technician at the next level.

Like a lot of things, at one time in history, the VA concept was needed – it fulfilled a need not readily available. Today, with the advances in medical and psychiatric care, specialists in every field readily available, the advances in prosthetic devices, one has to wonder if the concept is really the best most cost efficient method of providing veteran medical care.

I know one argument voiced in the media recently was that the ‘civilian medical’ specialists do not understand the complexities of PTSD. Let me assure those that think that – my wife is a Psychiatric RN, and has probably seen more PTSD cases in her 25+ years than the average VA Psychiatrist (and many were vets who either could not get treatment at the VA, or whose medications were completely wrong).

Me thinks that the whole system needs to be chucked and started from ground zero. I think that establishing a ‘Medicare Part-V’ (or a similar concept) where the veteran could use free market insurers to tailor the coverage to their need and could seek medical care from a local network of doctors, have access to local hospitals and urgent care facilities, and whose cost would be paid through the government. Surely this would work better than the current system.
 
When I retired, I could choose between TRICARE Standard, and TRICARE Prime. With a military hospital only minutes away, it was a true choice. I chose Standard and never regreted it. The only downsize, is that miltary medicine refused to see me even when they were underworked. I could choose all my doctors, manage my own care, enjoy the convenience of a doctor's office, a get my meds  at the supermarket drive through. All for the cost of a supplement that was only slightly higher than TRICARE Prime enrollment. My wife and my knees were replaced by the top guy in Kansas City while my friends hoped that the do overs would allow them to still walk.

I suspect that a VA Standard/VA Prime arrangment whould receive higher marks from patients, be cheaper, and allow the VA to clean out their personnel house.
 
Your wife was replaced by the top guy in KC? :-)