American Elephants


The Indian Health Service is Just as Bad, or Worse, than the VA by The Elephant's Child

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As long as I’m beating up the Obama Administration for their unbelievably dreadful performance on health care — at the Veterans Administration we have found needless patient suffering, fatal delays in medical treatment, and retaliation against whistleblowers — they are as well the shameful traits of the Indian Health Service.

Part of the Department of Health and Human Services, the Indian Health Service is required by treaty to deliver health care to Native Americans around the country, with more than two million depending on this federal agency. Unfortunately, it appears to be failing. Tribal members have told the Senate Committee on Indian Affairs about alarming conditions at hospitals run by the IHS. During the committee’s investigation, which began last summer, we have heard accounts of nurses unable to administer basic drugs, broken emergency-resuscitation equipment, unsanitary medical facilities, and seriously ill children being misdiagnosed. …

The situation has gotten so bad that inspectors from the Centers for Medicare and Medicaid Services have issued multiple Statements of Deficiencies over the past few years identifying four IHS hospitals in the Great Plains that are putting patients in “immediate jeopardy.” Our investigators have found evidence that the IHS, like the VA, maintains a culture of cronyism and corruption. Many staff members collect government paychecks without fear of accountability.

Tribal Leaders have contacted the Department of Health and Human Services specifically identifying underperforming supervisors and upper-level management who deserve to be fired. There is no sign that these people have been terminated. Instead employees who perform poorly are transferred to other facilities and in some cases even get raises and  promotions with work files that show no records of bad performance. Nice work if you can get it.

According to HHS, Indian Health Service funding has expanded by 43% since 2008, so more money is not a solution. What’s required seems to be a culture change at the agency from leadership in D.C. down to local hospitals. Some hospitals in the Great Plains area actually had money left over at the end of the fiscal year — but made the choice not to spend it on patient care.

When an administration consistently shows that politics and the next election trump duty and responsibility, and the Constitution is just an old tired document, those attitudes seep through the whole administration, and you get a Navy Commander surrendering boats to the Iranians because he believed that Obama’s Iran Deal was so important to the President, you get sexually-confused bathrooms, a military open to transsexuals, women in combat roles, and an administration unable to say “Islamic terrorism” because the words might offend, though it might also kill a lot of Americans.

Contrary to the hard Left who believe all things are better done and controlled  by the best and brightest in the federal government, there are few things that the federal government actually does well. There are a lot of things that must be done by a federal government, but most are better left to the states which are more directly responsible to their citizens. Health care is just one of them.

ObamaCare is slowly falling apart, Medicaid is a disaster, we have read of way too many failings of the Veterans Administration health care, and now the Indian Health Service, required by treaty to deliver health care to Native Americans around the country has more than two million depending on that service.

Free Markets, Free People and lots of competition — works every time. Presented with challenges and the opportunity to be free of meddling bureaucrats, ideas for better care pop up and little miracles happen all over.


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