Filed under: Bureaucracy, Capitalism, Domestic Policy, Health Care, Politics, Regulation, The United States | Tags: Bureaucracy, Single Payer Health Care, The Veterans' Administration
There are very few things that are better done by a large central bureaucracy, that is why folks on the right speak about “draining the swamp.” Bureaucrats don’t like to give up power, and, convinced of their own wisdom, usually fight any effort for reform. In particular, the federal bureaucracy cannot do health care, The case of the Veterans Administration is only the most visible failure.The Indian Health Service is reportedly a disaster. Medicaid promises much but few physicians are willing to see Medicaid patients. Medicare has always been a Ponzi scheme, and as the Baby Boomers are rapidly reaching retirement age, there are not enough members of the Baby Bust to support them. Medicare is due to go broke in short order.
Filed under: Bureaucracy, Domestic Policy, Economics, Free Markets, Freedom, Health Care, History, Military, Politics, Progressives, Regulation, Technology, The United States | Tags: Medicaid and Medicare, The Indian Health Service, The Veterans' Administration
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.
Filed under: Intelligence, Law, Military, National Security, Politics, The United States | Tags: Pvt. Bradley Manning, The Defense Department, The Veterans' Administration
The Veterans Administration scandal is heating up. General Eric Shinseki appeared before the Senate Veterans Affairs Committee to give the typical bland administration response. The VA has always been committed to providing “high quality and timely” care to veterans —while noting that there were reports of “performance issues.” Well, yes.
The medical needs of veterans who have served their country honorably are falling victim to wait-list fraud in at least seven Veterans Administration facilities around the country. A VA social worker and employee representative in Chicago told CBS News that there were secret waiting lists designed to hide the fact that veterans were not receiving medical care that was timely, and sometimes no care at all.
In Phoenix close to 40 veterans may have died while waiting too long for colonoscopies and endoscopies that could have diagnosed their cancers while they were still treatable.
At the Cheyenne VA Medical Center, a Telehealth Coordinator described how patients were always listed as receiving appointments within a 14-day window no matter when the appointment was first requested nor how long the patient actually waited. At least 19 vets in Columbia S.C. and Augusta Ga., died in 2010 and 2010 waiting for appointments.
In the meantime, Private Bradley Manning, who was convicted of leaking national security secrets to the “anti-secrecy” website WikiLeaks. Manning has been diagnosed by military doctors with gender dysphoria, the sense of being a woman in a man’s body. Bradley has chosen to change his/her name legally to Chelsea, and asked for hormone therapy and to be able to live as a woman. The Pentagon is trying to help.
Pentagon press secretary Rear Admiral John Kirby said: “No decision to transfer Pvt. Manning to a civilian detention facility has been made, and any such decision will, of course, properly balance the soldier’s medical needs with our obligation to ensure Pvt. Manning remains behind bars.”
High quality and timely care, and, um. “performance issues” indeed. How about “priority issues”as well.
ADDENDUM: Sec. Of Defense Chuck Hagel has announced that they are reconsidering hormone therapy for Manning at a time when they are sharply drawing down the Army. The VA is a different department, but at least somebody realizes that this looks bad just now.
ADDENDUM II: 5/16 , According to Breitbart: Defense Secretary Chuck Hagel has formally approved the request of
Pvt. Bradley Manning, convicted for leaking 750,000 classified documents to WikiLeaks, to be temporarily transferred out of military custody in order to undergo expensive hormone therapy and surgery to become a transgendered woman. Manning’s taxpayer funded request to change his name from Bradley to Chelsea was approved last month by a Kansas court. Pentagon spokesman Rear Adm. John Kirby denies the claim, saying no decision has been made. We will get answers eventually.
In the meantime, the VA scandal is unfolding. Secretary Shinseki dramatically fired the head of hospital operations, but the gentleman was planning to retire this summer anyway. Obama has nominated someone who was in charge of another hospital where veterans died while awaiting treatment. The ability to cover up unpleasant facts is still limited. We will get answers eventually.
Filed under: Health Care, Military, Politics | Tags: President Obama, The Death Book, The Veterans' Administration
Last year, the bureaucrats at the Veterans’ Administrations National Center for Ethics in Health Care recommended a 52-page end-of-life planning document, “Your Life, Your Choices.” It was published first in 1997 and later promoted as the VA’s preferred living will throughout the vast network of hospitals and nursing homes in the Veterans Administration system. After the Bush Administration saw just how this document was treating very complex moral and health issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now returned the booklet to use.
The author is Dr. Robert Pearlman, the chief of ethics evaluation for the center, who according to the Wall Street Journal, advocated for physician -assisted suicide before the Supreme Court in 1966 in Vacco v.Quill, and who is known for his support of health-care rationing.
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The booklet presents end-of-life-choices in a way that leads to predetermined conclusions. A worksheet lists scenarios and asks readers to decide just when their own life would “not be worth living.” One asks “Have you ever heard anyone say, “If I’m a vegetable, pull the plug?” There are also such scenarios as “I can no longer contribute to my family’s well being,” “I am a severe financial burden on my family” or my situation “causes severe emotional burden for my family.”
Is it the job of the government to steer vulnerable individuals to conclude that life is not worth living? You don’t have to have official “Death Panels” to cut down on end-of-life medical costs. If President Obama doesn’t understand Americans rejection of his health care plans, he has only to look at the way his Veterans’ Administration is treating those in its care.
America owes a vast debt to her veterans. We need to make sure that no veteran is ever treated as a burden, but only with the honor and care that is their due.