Archive

Posts Tagged ‘VA’
June 30th, 2014 at 2:08 pm
Obama Goes Outside Military Brass, Medical Community for New VA Chief

Robert McDonald, former CEO of Procter & Gamble, is President Barack Obama’s nominee to run the scandal-ridden Department of Veterans Affairs.

McDonald’s nomination is catching some in the veterans’ community off-guard. Unlike previous VA Secretaries, he’s not a general – though he did graduate from West Point and serve for five years as an Army paratrooper before jumping to P&G.

He’s also neither a medical doctor, nor does he have experience administering a hospital; traits that some think would be useful for a person stepping into the nation’s largest health system with 1,700 facilities.

Indeed, the case being made for McDonald is that his background in brand management and customer service signals that Obama thinks the main problem at the VA is bad leadership.

Which brings us to an interesting question – Is McDonald’s job just to make the VA’s public face more attractive, or is it to get the sprawling department into tip-top, customer satisfaction shape?

The answer depends on how much latitude President Obama is giving McDonald to operate. For example, in places like Phoenix where staff and administrators falsified records to get performance bonuses, does McDonald have the authority to fire and hire political appointees as well as career civil servants? Does he have the flexibility to outsource patients to private medical providers in regions where the VA hospitals are overbooked?

Senate Republicans should ask McDonald these and other questions during his confirmation hearings. Veterans and their families deserve to know whether the VA’s new chief has the power to be a turnaround artist, or just a place warmer.

June 10th, 2014 at 5:26 pm
Interim VA Chief Adopts Boehner’s Private Option Fix

Last week House Speaker John Boehner (R-OH) sent a letter to President Barack Obama demanding that “any veteran unable to obtain an appointment within 30 days [have] the option to receive non-VA care.”

This week it was revealed that 57,000 veterans have been waiting 90 days or longer for care from VA facilities.

But at a time when the White House is dithering, the acting VA chief is adopting Boehner’s approach.

“The interim VA secretary said he would spend $300 million to increase hours for VA medical staffers and contract with private clinics to see veterans who are unable to get care through VA medical centers,” reports the Washington Post.

Kudos to Sloan Gibson, the temporary VA secretary, for leveraging the private sector to care for those who’ve rendered the highest public service.

June 4th, 2014 at 7:00 pm
Boehner to Obama: All Vets on VA Wait Lists Should Get Private Option

“All veterans on waiting lists should be able to easily access care outside the VA without waiting for a potentially corrupt facility to approve their request,” House Speaker John Boehner (R-OH) writes today in a letter to President Barack Obama. “Our veterans should not be left in limbo, relying on what your own audit acknowledges is a ‘systematic lack of integrity within some Veterans Health Administration facilities.’”

As an immediate remedy Boehner calls on Obama to support legislation coming from the House Veterans Affairs Committee that would allow “any veteran unable to obtain an appointment within 30 days the option to receive non-VA care.”

If the president and his congressional allies have a better alternative they better put it forward. Too many veterans are waiting.

June 3rd, 2014 at 5:54 pm
Vet Groups Part of VA’s Dysfunction?

Recently, Yuval Levin wrote a characteristically sober and insightful post about the structural problems afflicting not just the Veterans Affairs hospital system, but the VA itself.

Amid other obstacles to reform, Levin explains why certain veterans groups share some of the blame for the VA’s managerial mess.

It is impossible to overstate the political power of the veterans’ interest groups over the VA. The simplest way to describe it is that they get everything they want, period. There are many powerful interest groups in Washington, but because their domain is carefully limited and politically and culturally sensitive, the vets’ groups have a kind of command of their arena that I don’t think any other sort of interest group approaches. And this is a big part of the reason why the VA is so dysfunctional, because it is not subject to congressional or administrative oversight in the usual sense. It answers fundamentally to the vets’ groups. They often informally review its annual budget request before it goes to OMB. They are uniquely involved in drafting budgets on the congressional side. They are considered a necessary signoff on every major decision. Their firm opposition to something is the end of the story. Their priorities are the VA’s priorities. And yet they are very well positioned to treat failures that result from their own distorting power over the system as reasons to increase their power.

Every successful interest group enjoys a certain amount of leverage to get what it wants, but the power exercised by veterans’ organizations that Levin describes is itself a scandal in need of reform. Somewhere the public’s commitment to serve those who served all got hijacked by lobbyists imposing policy choices that are clearly having deleterious effects on retired and disabled veterans. Any reform of the VA department needs to include whatever measures are necessary to uproot this latest case of regulatory capture.