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(USA Today)   Secretary of Veterans Affairs is kicking ass and taking names to fix some of the many issues at the VA. He'll reward himself with a trip to Wimbledon for the effort   ( usatoday.com) divider line
    More: Spiffy, va medical center, United States Department of Veterans Affairs, VA medical centers, VA officials, Veterans Health Administration, national VA officials, VA regional governance, VA headquarters offices  
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1445 clicks; posted to Politics » on 08 Mar 2018 at 2:52 AM (39 weeks ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



24 Comments     (+0 »)
 
View Voting Results: Smartest and Funniest
 
2018-03-07 07:49:09 PM  
Like they did the last 10 times? Right.
 
2018-03-08 02:54:55 AM  

MasterAdkins: Like they did the last 10 times? Right.


yeah but obama
 
2018-03-08 03:23:06 AM  
I was at the Knoxville VA Tuesday and it was a great experience.
/no joke
 
2018-03-08 03:30:06 AM  
Huh. The Trump administration decides reducing headcount is a good idea.

Shocking.

\not sure if this particular effort is good or bad
\\I'll let CNN badger people about that
\\\\But is this a good thing or a bad thing?
 
2018-03-08 03:30:14 AM  

mr lawson: I was at the Knoxville VA Tuesday and it was a great experience.
/no joke


The Minneapolis VA has always been quick, responsive, and courteous, even when at their busiest.

One of the reasons I use my employer's insurance is because there's a lot of vets out there who don't have good insurance and I don't want to crowd them out of getting assistance.
 
2018-03-08 03:33:27 AM  
Joke's on him - Wimbledon is by far the least interesting south London suburb. And bear in kind it borders New Malden, so that's really saying something.
 
2018-03-08 04:07:45 AM  
I don't get the trip to Wimbledon bit. I even rtfa, expecting to read he had tickets to centre court or summink.
 
2018-03-08 07:58:53 AM  
The only actual way to fix the VA is more money. You need to double the number of doctors there so they aren't so farking overworked compared to other hospitals. And you need to compensate them at similar levels. Currently VA docs start out trying to to good for our vets willing to make sacrifices. But lots of VA docs burn out fast and many that can ditch when they burn out.

It's also just plain harder to provide similar care. If you have less patients you have more time to think and spend per patient.
 
2018-03-08 08:28:06 AM  

lennavan: The only actual way to fix the VA is more money. You need to double the number of doctors there so they aren't so farking overworked compared to other hospitals. And you need to compensate them at similar levels. Currently VA docs start out trying to to good for our vets willing to make sacrifices. But lots of VA docs burn out fast and many that can ditch when they burn out.

It's also just plain harder to provide similar care. If you have less patients you have more time to think and spend per patient.


This - every administration, they appoint somebody, and that person fires a few people and makes a few bold speeches and then things go back to business as usual. This has been happening all my life.
And I'm 67.
 
2018-03-08 08:53:06 AM  
That's cool and all but what they need is more funding and more staff. As is it takes forever for me to get appointments at the local VA clinic. And there's been several times appointments have had to be rescheduled for varied reasons on their end. They try and get you set up in the "Choice program" where they'll pay for sending you out to a civilian doc but sometimes those are scheduled out too. For instance, I currently need to get to a dermatologist over skin cancer concerns and the VA said they couldn't get anything scheduled in the next 30 days so they searched through all the local dermatologists that are willing to work with the VA and one finally responded that they could fit me in...in June.
 
2018-03-08 08:53:26 AM  
The last President to really do something for the Vets was probably Harry Truman.
 
2018-03-08 10:12:16 AM  

wood0366: mr lawson: I was at the Knoxville VA Tuesday and it was a great experience.
/no joke

The Minneapolis VA has always been quick, responsive, and courteous, even when at their busiest.

One of the reasons I use my employer's insurance is because there's a lot of vets out there who don't have good insurance and I don't want to crowd them out of getting assistance.


My dad uses the Ramsey VA clinic because hates driving to Minneapolis, but overall he has had a good experience with Minnesota's VA as well.
 
2018-03-08 10:43:45 AM  
So, they got rid of three directors and replaced them with one.

That makes sense, as the issue of having too much of a backlog is always to reduce the number of people working.

Even if these aren't providers, this means that decisions will now take three times as long to be made that will impact care.  If they really want me to feel that they are doing something the article would say any of these things:

1.  Hired More Doctors
2. Streamlined appointment process
3. Allowed veterans to visit external providers when wait times were excessive
4. Enhanced accountability for malpractice cases
5. Created emergency care options for depression and suicidal thoughts/actions (you know to reduce the 22 veterans a day that commit suicide, many due to not being able to get care from the VA).

Until then this is just the typical business process - blame everything on the guy before you, reorganize, create a new mission statement, realize nothing changed, collect golden parachute.
 
2018-03-08 11:05:42 AM  

Delezaio: So, they got rid of three directors and replaced them with one.

That makes sense, as the issue of having too much of a backlog is always to reduce the number of people working.

Even if these aren't providers, this means that decisions will now take three times as long to be made that will impact care.  If they really want me to feel that they are doing something the article would say any of these things:

1.  Hired More Doctors
2. Streamlined appointment process
3. Allowed veterans to visit external providers when wait times were excessive
4. Enhanced accountability for malpractice cases
5. Created emergency care options for depression and suicidal thoughts/actions (you know to reduce the 22 veterans a day that commit suicide, many due to not being able to get care from the VA).

Until then this is just the typical business process - blame everything on the guy before you, reorganize, create a new mission statement, realize nothing changed, collect golden parachute.


I wonder if he's opened the second envelope.
 
2018-03-08 11:19:56 AM  

wood0366: Delezaio: So, they got rid of three directors and replaced them with one.

That makes sense, as the issue of having too much of a backlog is always to reduce the number of people working.

Even if these aren't providers, this means that decisions will now take three times as long to be made that will impact care.  If they really want me to feel that they are doing something the article would say any of these things:

1.  Hired More Doctors
2. Streamlined appointment process
3. Allowed veterans to visit external providers when wait times were excessive
4. Enhanced accountability for malpractice cases
5. Created emergency care options for depression and suicidal thoughts/actions (you know to reduce the 22 veterans a day that commit suicide, many due to not being able to get care from the VA).

Until then this is just the typical business process - blame everything on the guy before you, reorganize, create a new mission statement, realize nothing changed, collect golden parachute.

I wonder if he's opened the second envelope.


That will be the headline in 6 months.
 
2018-03-08 11:24:52 AM  
Sadly, people who voted to have our country "run more like a business" appear to have never worked for a company large enough where using company resources to provide lifestyle services to the executives is the norm.
 
2018-03-08 11:35:33 AM  
My wife gets her health care in the private sector but with the VA as her insurer. She's had a few issues lately with coverage. For instance, we learned this week that the VA considers 3-D mammography to be experimental" even.  It's the only kind they do in our city.
 
2018-03-08 11:41:16 AM  

Lady J: I don't get the trip to Wimbledon bit. I even rtfa, expecting to read he had tickets to centre court or summink.


FTFACaption: "VA Secretary David Shulkin takes responsibility after a report found he improperly accepted Wimbledon tickets and taxpayer-funded airfare for his wife during a trip last year. He says he's eager to move forward and focus on fixing the VA. USA TODAY"
 
2018-03-08 11:42:59 AM  
It's time to disband the VA. It's the largest government agency besides the DoD with 377,000 employees. Those advocating expanding it, do you really think half a million employees will solve the problems with the agency? Why not a full million?

Just break up the VA. We can give Vets a tax break to pay for healthcare. Make it double the rate proposed in the AHCA as a benefit for their service.
 
2018-03-08 12:42:47 PM  
"Shulkin ordered staff to come up with a plan to reorganize VA headquarters offices as well to better serve veterans. He expects that plan by May 1."

So basically, "I have no idea what to do so I'm pawning the problem off on a committee that will spend weeks dithering before delivering a report 6 weeks late that consists of little more than weak-ass business platitudes about empowering the employees and horse shiat like that".
 
2018-03-08 08:19:37 PM  

Troy Aikman's Giant Thumbs: It's time to disband the VA. It's the largest government agency besides the DoD with 377,000 employees. Those advocating expanding it, do you really think half a million employees will solve the problems with the agency? Why not a full million?

Just break up the VA. We can give Vets a tax break to pay for healthcare. Make it double the rate proposed in the AHCA as a benefit for their service.


Well, let's suppose that a vet is minus a couple of essential things to run properly. Say the combination rates a disability of 60% or greater-which is what gets priority VA care with no copay. Suppose the vet was an E4 at the end of duty. That's not too uncommon for a decent one tour soldier. Suppose that vet is living on VA disability and has a low-wage part-time job-because traveling hours each time they need to see a doc for their conditions precludes them getting a full-time job. Now, let's see. An E4 at that rate would receive $1083.52 per month of non-taxable income and about $500 taxable income. So, you must not be talking about tax deductions because this person's tax liability would be nothing and a deduction would mean nothing. So, a credit, then. How much? What pool would they join to get low rates? The government seems determined to dismantle the ACA. Even supposing the veteran could find a policy with affordable premiums, what about a pre-existing condition clause? Where would the money for the frequent copays come from? It's pretty tough to squeeze them out of that low of an income.
 
2018-03-08 08:48:16 PM  

meerclarschild: Troy Aikman's Giant Thumbs: It's time to disband the VA. It's the largest government agency besides the DoD with 377,000 employees. Those advocating expanding it, do you really think half a million employees will solve the problems with the agency? Why not a full million?

Just break up the VA. We can give Vets a tax break to pay for healthcare. Make it double the rate proposed in the AHCA as a benefit for their service.

Well, let's suppose that a vet is minus a couple of essential things to run properly. Say the combination rates a disability of 60% or greater-which is what gets priority VA care with no copay. Suppose the vet was an E4 at the end of duty. That's not too uncommon for a decent one tour soldier. Suppose that vet is living on VA disability and has a low-wage part-time job-because traveling hours each time they need to see a doc for their conditions precludes them getting a full-time job. Now, let's see. An E4 at that rate would receive $1083.52 per month of non-taxable income and about $500 taxable income. So, you must not be talking about tax deductions because this person's tax liability would be nothing and a deduction would mean nothing. So, a credit, then. How much? What pool would they join to get low rates? The government seems determined to dismantle the ACA. Even supposing the veteran could find a policy with affordable premiums, what about a pre-existing condition clause? Where would the money for the frequent copays come from? It's pretty tough to squeeze them out of that low of an income.


Wait, are you seriously claiming that Tax credits aren't a valid solution to healthcare in this country? That's unpossible. As we have heard from our leaders many times, the poor are that way by choice. The vet can grab his bootstraps and earn better healthcare like Jesus intended.
 
2018-03-08 09:07:46 PM  

Troy Aikman's Giant Thumbs: meerclarschild: Troy Aikman's Giant Thumbs: It's time to disband the VA. It's the largest government agency besides the DoD with 377,000 employees. Those advocating expanding it, do you really think half a million employees will solve the problems with the agency? Why not a full million?

Just break up the VA. We can give Vets a tax break to pay for healthcare. Make it double the rate proposed in the AHCA as a benefit for their service.

Well, let's suppose that a vet is minus a couple of essential things to run properly. Say the combination rates a disability of 60% or greater-which is what gets priority VA care with no copay. Suppose the vet was an E4 at the end of duty. That's not too uncommon for a decent one tour soldier. Suppose that vet is living on VA disability and has a low-wage part-time job-because traveling hours each time they need to see a doc for their conditions precludes them getting a full-time job. Now, let's see. An E4 at that rate would receive $1083.52 per month of non-taxable income and about $500 taxable income. So, you must not be talking about tax deductions because this person's tax liability would be nothing and a deduction would mean nothing. So, a credit, then. How much? What pool would they join to get low rates? The government seems determined to dismantle the ACA. Even supposing the veteran could find a policy with affordable premiums, what about a pre-existing condition clause? Where would the money for the frequent copays come from? It's pretty tough to squeeze them out of that low of an income.

Wait, are you seriously claiming that Tax credits aren't a valid solution to healthcare in this country? That's unpossible. As we have heard from our leaders many times, the poor are that way by choice. The vet can grab his bootstraps and earn better healthcare like Jesus intended.


Hmmm...combat boots must be different now than in my day-mine didn't have straps :)
 
2018-03-08 09:15:29 PM  

meerclarschild: Troy Aikman's Giant Thumbs: meerclarschild: Troy Aikman's Giant Thumbs: It's time to disband the VA. It's the largest government agency besides the DoD with 377,000 employees. Those advocating expanding it, do you really think half a million employees will solve the problems with the agency? Why not a full million?

Just break up the VA. We can give Vets a tax break to pay for healthcare. Make it double the rate proposed in the AHCA as a benefit for their service.

Well, let's suppose that a vet is minus a couple of essential things to run properly. Say the combination rates a disability of 60% or greater-which is what gets priority VA care with no copay. Suppose the vet was an E4 at the end of duty. That's not too uncommon for a decent one tour soldier. Suppose that vet is living on VA disability and has a low-wage part-time job-because traveling hours each time they need to see a doc for their conditions precludes them getting a full-time job. Now, let's see. An E4 at that rate would receive $1083.52 per month of non-taxable income and about $500 taxable income. So, you must not be talking about tax deductions because this person's tax liability would be nothing and a deduction would mean nothing. So, a credit, then. How much? What pool would they join to get low rates? The government seems determined to dismantle the ACA. Even supposing the veteran could find a policy with affordable premiums, what about a pre-existing condition clause? Where would the money for the frequent copays come from? It's pretty tough to squeeze them out of that low of an income.

Wait, are you seriously claiming that Tax credits aren't a valid solution to healthcare in this country? That's unpossible. As we have heard from our leaders many times, the poor are that way by choice. The vet can grab his bootstraps and earn better healthcare like Jesus intended.

Hmmm...combat boots must be different now than in my day-mine didn't have straps :)


Bootstraps are a SF perk, although if a regular soldier finds himself trapped and in need of rescue, the AF will drop some down to him. It's much cheaper than S&R.
 
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