It IS ALL About Leadership – More Shameful VA Chronicles

I-CareRecently, guardianships have been in the news, and I doubt this story will make the lawyers very happy.  The department of Veterans Affairs – Office of Inspector General (VA-OIG) reports that an Albuquerque couple has been sentenced for defrauding guardians, which included veterans.  The criminal report claims:

Susan Harris acted as president and was the 95-percent owner of Ayudando, while Moore acted as chief financial officer and was a five-percent owner. They engaged in a pattern of criminal conduct from November 2006 to July 2017 that included unlawfully transferring money from client accounts to a comingled account without any client-based justification.  They wrote and endorsed numerous checks, often of more than $10,000, from these comingled accounts to themselves, family members, cash, and other parties where payment would benefit their families.”

For the better part of 11 years, this couple has spent money not their own, abused their charges, and defrauded vulnerable clientele.  While the federal attorneys and investigators crow about catching this couple and ending this situation; what about all the rest of the guardianships where abuse is occurring?  I have read horrific stories about victims of guardianship abuse and hope more will be done on this topic very shortly!VA 3

For 11 years, where were the VA and the Social Security Administration?  Where were the local hospital leadership, social workers, and other federal employees who had to have known something fishy was going on?  Where are these Federal Employees now?  Where are the politicians scrutinizing this incident to ensure that protection for vulnerable citizens never happens again through legal guardianships?

Now traveling to Eastern Oklahoma VAHCS in Muskogee where an audiologist provided poor care and billed for unrendered services.  Pay close attention to the VA-OIG report; the leadership failures on this report alone are voluminous and unforgivable!

A facility fact-finding review revealed the audiologist provided poor care to eight of 43 patients reviewed, including misinforming patients who needed hearing aids that hearing aids were not needed. Although the audiology leaders reported the fact-finding results to the OIG, they failed to evaluate whether patients needed clinical follow-up; determine whether additional patients were affected by the audiologist’s poor care; evaluate whether clinical disclosures were required for the affected patients; and communicate the fact-finding results to the Facility Director, who was, therefore, unable to initiate the process to determine the necessity of a large scale disclosure. The instances of poor care were also not reported to the Patient Safety Manager, who was, as a result, unable to assess the adverse events to determine if patient safety interventions were indicated. The VA-OIG also found that performance monitoring of facility audiologists was not conducted as required. Annual competency assessments and annual performance appraisals were not consistently completed and did not contain adequate performance standards. Audiology leaders failed to consider whether the audiologist’s actions warranted a report to the state licensing board due to a lack of understanding of the requirements for reporting and, therefore, the Facility Director was not informed of the need to initiate a state licensing board review” [emphasis mine].

Will, someone please tell me, were the audiology leaders who failed to perform their jobs removed from Federal Employment?  What about the audiologists causing the problems?  Are they removed from Federal Employment?  Were their licensing practices curbed to protect other populations of patients?  The leadership failures here read like a Steven King horror story but do not have the satisfaction of finishing the story.VA 3

Yet, the Department of Veteran Affairs (VA) will continue to market that they are “defining quality in healthcare.”  The jokes write themselves but cannot be fired from Federal Employment!  Politicians, why can these jokers not be fired from Federal employment for such egregious abuse of their positions and failures to do their jobs?

I-CareTraveling further to North Carolina, we find that the perpetrator of this fraud has pled guilty, but again responsibility, accountability, and correction of the VA is being skirted.

John Paul Cook, 57, of Alexander, North Carolina, pleaded guilty to defrauding the VA. After enlisting in the Army in 1985, Cook sustained an accidental injury and complained the injury worsened a preexisting eye condition. In 1987, Cook was discharged, and he began receiving benefits that would increase over the next 30 years due to Cook’s repeated false claims of increased visual impairment and unemployability. In 2005, the VA declared Cook legally blind, and he began receiving disability-based compensation at the maximum rate despite repeatedly passing vision screening tests to obtain or renew his driver’s license and purchasing vehicles that he routinely drove.”

1987 to 2020, we will be generous in counting the years here; regardless, we are looking at 30+ years this fraud continued.  Where were the verification protocols?  I have had to produce a valid driver’s license at the VA to obtain and keep current my VA identification card.  How did this fraud go on for so long?  What is the VA doing to stop, or at least hinder, those who would defraud the government before the problem becomes 10 years old, let alone 30?!?!  I cannot fathom how this fraud went on for so long without a routine checkup, a routine exam, a follow-up exam, etc.VA 3

Going north from South Carolina, we find more fraud, this time in New Jersey, where a man did not report his mother had deceased and continued to claim her benefits for a total of over $200K.

Melvin Greenspan, 72, of Perrineville, New Jersey, pleaded guilty to defrauding VA of over $200,000 in survivor’s pension benefits. After the death of his mother in 2006, who had received survivor’s pension due to his father’s prior military service, Greenspan failed to notify the VA about his mother’s death and made withdrawals of the benefits through 2018.”

Where was the leadership?  Where are the leaders now?  Another fraud case, older than a decade, and still the VA cannot be held accountable for facilitating the fraud.  I am stunned!  How did this one continue for so long?  Doesn’t the VA check local newspapers, the Social Security Administration, other Federal Agencies?  Since the culprit was not held on defrauding SSA, one can only presume the mother’s death was reported there.  Why did the VA not get notified to ask the family questions?VA 3

On the topic of guardians and leadership, the following story makes me angry!  However, I will withhold further elaboration since those accused remain innocent until proven guilty by a trial of their peers.

Johnny Ray Gasca, 51, was arrested for allegedly abducting a 68-year-old woman with dementia from the West Los Angeles VA Medical Center in California. A witness recognized Gasca and reported he might have previously taken money from the woman’s bank and retirement accounts. Following his arrest, Gasca described the victim as his girlfriend and told agents that they stopped at a bank where the victim made a $15,000 withdrawal after leaving the medical center.”

In the first report from the VA-OIG discussed, we found guardianship rules being violated to the Nth degree.  In this story, we have no information of an assigned guardian, and we have a dementia patient being abused.  The dementia patient was traveling with a friend; who is the legal guardian for a dementia patient?  Where are the family or friends legally bonded to render aid for this patient and monitor finances to protect them from abuse?  How can the VA operate one way in one locale and 180-degrees differently in another locale and the leadership not held accountable?VA 3

Speaking of missing leadership, the following VA-OIG report is a beauty!  The Department of Veterans Affairs – Veterans Health Administration (VHA) has a program to help homeless veterans, where contractors are used, and the VHA uses case management documentation to verify the veteran is receiving the assistance being paid for, the program is called the contracted residential services (CRS) program.

The VA-OIG found facility staff did not consistently document case management and monitor the progress of veterans in the program.  Further, four of the 14 CRS contracts reviewed had performance deficiencies, with one resulting in improper payments of $592,000. These deficiencies may affect the health and safety of veterans living in transitional settings. Moreover, VA lacks assurance that veterans received required services. There were also contract administration problems in 13 of 14 reviewed contracts. Contracting officers did not always properly delegate responsibilities to staff functioning as contracting officer’s representatives. Further, one facility’s representative did not ensure contractors provided meals or the means to purchase them, as required, and another lacked invoice supporting documentation for approval. The VA-OIG audit team estimated that 107 of 119 contracts had monitoring and administration deficiencies. Furthermore, the team estimated that VHA made $35.3 million in improper payments, of which approximately $21.6 million was technically improper because the individuals authorizing payment were not delegated authority to serve as contracting officer’s representatives.”

If your accomplishment rate in your employment was 48%, would you retain your job for very long?  If 90% of your documentation claiming how well you do your job was missing or fabricated, how long would you maintain employment?  If you delegated people to complete your work who were unauthorized and you were contractually culpable, how long do you think you would stay out of prison?  How long would your boss stay out of jail?  How long would your company exist?  Now, answer me this riddler, why does the government get a pass on these questions?VA 3

Finally, we have Deputy Inspector General David Case’s testimony regarding the failure of VA leadership where the implementation of a new electronic health record (EHR) is being stalled.  If you care, the VA leadership and the VHA leadership are failing the EHR initiative.  Not that this was not expected, and not that this is not surprising, the IT and IS departments of the VA and VHA are so hopelessly lost it amazes me the VA is even using computers and not written records!  But, do not take my word for it, Case himself claims,

“Detailed in this statement, we have repeatedly found unreliable and incomplete estimates for upgrades and costs, inadequate reporting affecting transparency to Congress, and stove-piped governance with decision making that does not appropriately engage Veterans Health Administration (VHA) personnel who are the end-users of the new EHR system.”VA 3

Knowledge Check!Get that; the leadership failures are obstructing Congress and hindering the EHR progress!  What can we conclude from this batch of VA-OIG reports:

        1. The VA, VHA, VBA, and National Cemetery leadership are actively missing, like the Democrats from the Texas Legislature.
        2. If the leaders are present, the leaders are the problems in progressing.
        3. The leaders have created a system where fraud and abuse of the veterans and taxpayers can be achieved with ease.
        4. Nobody in the US House of Representatives or US Senate scrutinizes the legislative branch sufficiently to effect changes.
        5. When in doubt about where your leaders fall, check to see if they are in their offices. Oh, wait, that won’t help, their offices have locks on the doors!

If this is how the VA defines quality healthcare. In that case, the veterans are screwed, the taxpayer is sunk, and the leaders will enjoy their magnanimous federally approved retirement packages, ad nauseam ad infinitum!

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

 

The Role of Quality – The Only Path to Improving Productivity

LookWarehouse or call center, manufacturing or non-profit, service industry or product sales, the role of quality continues to be misunderstood.  Sometimes, it appears that quality is intentionally misunderstood.  Often it seems as if quality and compliance are synonymous, even though quality is a small part of compliance.  Some businesses call quality “Quality Assurance,” “Quality Control,” or the “Quality Department.”  Regardless of the name, quality is the only path to improving productivity; however, productivity is measured.Inspiring Quotes on Quality - Fortune of Africa Swaziland

I have worked with businesses that used quality as a stick to beat employees and ultimately fire them.  This is an absolute abuse of quality and the quality people!  Worse, it hinders productivity because everyone becomes worried about meeting quality demands and not meeting customer expectations.  The employees who meet “quality” in these organizations are depressed, morale is pathetic, and the brand suffers significantly.  What really hurts, everything costs too much takes too long, and the company is not competitive, flexible, viable, or even worth mentioning.

What is Quality?

Bobblehead DollQuality is a process of striving to improve.  Interestingly, people inherently know when they have received quality or not.  Be it a person, a company, a community, a state, a government, etc., how one approaches quality as a process for improvement defines that person, company, community, state, etc.  Some companies think, “We have a quality department, we are meeting quality metrics, we are doing just fine in quality.”  To which I reply, in my best imitation of Colonel Potter from M*A*S*H 4077, “HORSE HOCKEY!”Quality Quotes (40 wallpapers) - Quotefancy

Why; because that company cannot define what drives the metrics being reported.  That company has a quality department but not a quality attitude, quality focus, and quality determination.  It cannot be stressed enough if your people are not quality first; you are losing between 33% and 50% of your potential!  Worse, the loss of potential is always hard to pin precisely to a direct problem when the problem is lodged in something as amorphous as “quality.”Chinese Crisis

Recognizing Quality Value

Let’s do the numbers together.  A manufacturing plant, a call center, and a warehouse are examples A, B, and C, respectively.

Example A: Employee A has been trained on making a part; he has never been told how his parts affect the finished product and is sometimes sloppy in creating pieces.  But, because he is within set standards, his sloppy work can be cleaned up at another station, so Employee A does not want to improve quality.  Producing 200 parts made per day, with anywhere between 5 and 75 pieces, needing additional work; Employee A has an overall cost to the company above and beyond expected costs.  Regardless if Employee A increases his productivity to 250 to 300 pieces per day, his defects remain potential lost.Blue Money Burning

Example B:  XX Team has 15 agents; each agent is expected to handle 80-100 calls per day.  But the quality metrics are so stringent; the team can only meet 35-40 calls per day on average.  However, the business processes to complete work, and meet the quality standards, handicap any single agent from meeting the 80-100 calls per day.  Does the company look at the agents or their business processes and quality standards?  The business will demand higher productivity and never realize that the churn increase is from burned-out good employees walking away!blue-money

Example C:  Inbound product receivers, outbound product shippers, and quality are the three departments in a warehouse.  Inbound, they do not consider themselves part of a quality initiative; their productivity is driven by how many items get properly stowed per day.  Outbound is where the company focuses as this is where the customer satisfaction is directly observed; how much an outbound picks and prepares for shipping is productivity.  Quality is considered someone else’s job as a quality department counts for compliance to SOX and other legislation.  Inbound and outbound employees know their positions, and because they are not quality, they can create quality problems intentionally or not, and someone else will always take care of the problem.  Dirty part locations with inventory from other areas don’t matter; quality will fix it.  Torn or damaged product in a location, it doesn’t matter quality will fix it.  In this case, 2/3rds of the employee potential for improving quality is AWOL!

TOP 25 POOR QUALITY QUOTES | A-Z QuotesNow, someone might think, these are hypotheticals, not real businesses.  Those examples are directly from my experience.  Yes, these examples are slightly oversimplified for brevity; however, not having a whole company quality culture hinders productivity.  This is a truth inescapable.

Co-Equal but not Co-Valuable

kpiProductivity, however measured in your company for goods or services, should be a co-equal part of quality.  Yet, if equality cannot be achieved, err on the side of increased quality until productivity catches up.  The value of productivity is measured in green money, cash.  The value of quality is measured in blue money, potential.  Bringing up my favorite axiom, “Burn enough blue money, and cash evaporates, and no one can trace where the cash went!”

Returning to Example A, the employee does not know, has not been trained, and is unaware that their actions are directly costing the company.  Since there is a quality person to check and “fix” the mistakes, the loss of potential is immeasurable until the business leaders have to increase the manufacturing price to account for the added work in quality to correct the errors.  Hence, when all metrics are equal between quality and productivity, err on the side of quality, and productivity will catch up.

Exclamation MarkWant a secret; it does not work in reverse!  Erring on the side of increased productivity increases costs elsewhere, burns potential, and ruins company bottom-lines.  Quality cannot “catch up” to productivity — an example best witnessed in manufacturing and warehouses.  The potential costs between manufacturing or multiple handling of products carry a potential cost, with no means of recovery.  Thus, it remains imperative to understand the roles of productivity and quality defined early, and placed in the proper order, to avoid significant cash hits to the bottom line.

Quality – A Culture, Not Just a Department!

cropped-2012-08-13-07-37-28-1.jpgA quality culture is an extension of the individual’s professionalism, always striving to be better.  Not faster, not slower, but better every day.  Training is a dynamic part of quality, and learning something new should be encouraged.  Yet, training, especially in call centers, always seems to take a back seat to operations and productivity.  All because productivity is not correctly understood and placed in its proper role.  Training and quality are potential or blue money expenses where the return on investment will be unknown.  Why; because quality and training place tools into the hands of employees, who then go on to build or destroy based upon the examples of leadership.

Quality Image Quotation #4 - Sualci QuotesQuality should be felt in every conversation, in every process, in every program, in every interaction.  As the most important customer in a business is other employees, the quality program is the most important activity and process for enhancing the business’s goals, aspirations, and daily production rates.  A culture of quality will then have the ground to grow and room to expand.  But, a quality culture will not grow overnight, nor will it grow without causing stagnant processes to change.

Knowledge Check!Consider a seed.  To grow, that seed has to be destroyed completely; but no one ever mourns the loss of the seed for the potential fruit to be born from that seed growing.  The same is true for a quality culture growing; the culture will destroy the seeds of stagnation, the apathy of indifference, and the processes and procedures that are not valuable to the new quality culture.  Will you allow a quality culture to grow?

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

Sales Tax Holiday’s – Pure Politikal-Gimmickry

Angry Grizzly BearUntil I moved to New Mexico, I had never heard of a “Sales Tax Holiday.”  As a kid, I learned about rebates from an economist who defined rebates as money that did not have to be charged, which pays for a program to give some money back after the purchase concludes.  However, rarely are rebates actual cash returns, but get “built” into the price to sell the product.  Consider all the gimmicks and rebates involved in selling a car, and you know the truth and deceptiveness of rebates.  Sales tax holidays are one of the biggest scams perpetrated in 17-different U.S. states, and it is time to rip the bandage off this festering wound and apply some sunshine disinfectant!

What is Politics?

Politics is too often a word with so much baggage; people become confused and stop listening after hearing the word politics.  According to Webster:

As a Noun, “the activities associated with the governance of a country or other area, especially the debate or conflict among individuals or parties having or hoping to achieve power.”

    • The activities of governments concerning the political relations between countries.”
    • The academic study of government and the state.”
    • Activities within an organization that is aimed at improving someone’s status or position and are typically considered to be devious or divisive.”
    • A particular set of political beliefs or principles.”
    • The assumptions or principles relating to or inherent in a sphere, theory, or thing, especially when concerned with power and status in a society.”

As a Verb, politic/s is derogatory and is defined as “engaging in political activities.”

Knowledge Check!From Old French Politique “political,” Latin from Greek Politikos, and Polits “citizen” and Polis “city.”  Thus, we have described the term politics in all its glory and inhumanity.  Is the term more understood?

Politics is a descriptive tool used to identify certain human activities where power is sought, and devious means and divisive gestures are employed to obtain that power.  Every action tied to securing power through devious means and divisive gestures is politics or political, which means derogatory.  For those needing more, derogatory is “showing a critical or disrespectful attitude.”  Thus, at the root, politicians by their very name and nature are derogatory towards those who elect them into power.

What is Realpolitik?

Bobblehead DollRealpolitik is politics or diplomacy based primarily on considerations of given circumstances and factors, rather than explicit ideological notions or moral and ethical premises.  For a long time, the American public has witnessed the same political gamesmanship (realpolitik) in the U.S. House of Representatives, the Senate, and the Presidency.  All because those in power have intentionally blurred the line between a Republic and a Democracy to stay in control.  Never does realpolitik benefit the rule of law or provide equality as a primary and fundamental governance position.

Sales Taxes

Use the link on Sales Taxes to appreciate progressive and regressive taxes more fully.  The sales tax sits at the highest pinnacle for regression of all the progressive ideas needing to be eliminated.  Consider this, in states with the highest sales taxes, the sales tax is a reversed pyramid scheme where the final consumer winds up paying taxes on business-to-business transactions, dynamically increasing the price of the final goods or services delivered.Gravy Train 3

From an article on sales taxes by the Tax Foundation, we find the following important information:

“Narrow sales tax bases reduce collections, but more importantly, they make the tax less neutral and less economically efficient. Many states exempt certain goods (like groceries or clothing) from the sales tax for political reasons, excluding many consumer services (such as dry cleaning, haircuts, or tax preparation) largely by historical accident. Most states instituted their sales taxes during the Great Depression, when services made up a much smaller portion of the economy. Since then, the portion of total U.S. personal consumption dedicated to services has grown significantly, while the purchase of goods has declined. This trend has contributed to the erosion of states’ sales tax bases over time, an unintentional base narrowing that puts upward pressure on sales tax rates.

How can a person tell that sales tax schemes create inequitable tax bases:

Curiously, a policy expressly designed to inject progressivity into sales taxes—an exemption for groceries—largely fails to accomplish its purpose. Studies suggest that the exclusion of groceries beyond the necessary exemption for food purchased using SNAP or WIC does not favor lower earners.”

What is a Sales Tax Holiday?

Lemmings 2Simply put, a sales tax holiday is a day, usually just a single day when the government allows you to purchase goods and services without paying a sales tax on the receipt.  However, all the other sales taxes are still built into the cost of the good or service; just on this special day, the final receipt sales tax is not charged.  Sales tax holidays are one of the most inefficient and ineffective methods of “sharing unanticipated government money surpluses with the taxpaying public.”

How do we know sales tax holidays are a gimmick, are ineffective and inefficient, and are nothing but the practice of realpolitik?  In 2017, the Federal Reserve researched and found that sales tax holidays only shift normal patterns of purchases, not spurring economic growth, not increasing sales, just moving sales to a holiday to see a minor benefit on regularly planned purchases.  What’s worse, sales tax holidays discriminate unequally, making taxpayers the fool.

Tax Scheme 2For example, Florida in 2021 held a “Freedom Week” where camping supplies and outdoor hobby supplies were tax-exempt.  As a disabled person, I cannot camp.  As an empty nester, there are not many outdoor hobbies for myself and my retired spouse to enjoy where we need supplies.  Thus, people like myself and my spouse would not benefit from “Freedom Week.”  The same goes for tax-exempt school supplies; not having children in school, we do not benefit from a sales tax holiday as kids prepare to go back to school.

Worse, those in the lowest income brackets, guess what, they do not benefit from sales tax holidays either!  Just like in the example above regarding the sales tax “exemption for groceries—largely fails to accomplish its purpose and does not favor lower-income earners.  Hence the politikal-gimmickry of sales tax holidays.  If your circumstances do not allow you to participate in the sales tax holiday on the exact day (or days) provided by your state, you lose, and the politicians could care less.

Janelle Cammenga, writing for The Tax Foundation, makes the following case:

Sales tax holidays are political gimmicks that distract from genuine, permanent tax relief. Sales tax holidays are free marketing for businesses to advertise for a 4-7% discount on products.  If a state must offer a “holiday” from its tax system, it is implicit that the tax system is uncompetitive. If policymakers want to save money for consumers, they should work to reduce the sales tax rate year-round.”

Tax BurdenI agree, mightily, sales taxes are progressive, which makes them a poor tax, to begin with.  Adding sales tax holidays make a sales tax worse!  Yet, they are sold to the public as if they were the best thing since sliced white bread.  While it may be true that taxes are the cost of society, there are better ways to collect taxes, and there are infinitely better ways to spend taxpayer dollars than the profligate waste we see happening daily!

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

Knee-Jerk Actions – Micro-Aggression or Humor: A Choice!

Exclamation MarkLet me be clear, upfront, and personal; I am not here to tell you what to think, how to think when to think, or where to think.  I will not force my opinions and ideas upon you as the global corporate media does.  I will offer ideas and suggestions and how you proceed is your affair.  Your choices will determine your destiny.  I aim to aid you in understanding and viewing the world a little differently to improve your destination.

Action vs. Reaction

Action encapsulates intention, producing accomplishment from organized activity; action is a process of thinking, acting, and becoming.  Only in physics should we ever consider every action having an equal and opposite reaction.  Why; because for humans, any reaction gives control to someone else and removes intentional controls.  A reaction is all about response to stimulus, no thinking, no changing, no intent, no organized activity, and no recovery until we, the human agent, retake control of our action.Paradox

Easy example, consider the toddler throwing a fit.  The toddler is trying to obtain a reaction from the parents favorable to that toddler’s individual desires at that moment.  However, any good parent will not respond to the toddler’s demands and usually provide behavior correction to enforce the thought that the toddler cannot make demands.  To regain control over the stimulus provided, the toddler must correct behavior or will not gain control over the future individual actions without additional parental intervention, an undesirable activity.  Thus, early on, the toddler will realize actions do not bring reactions but decisive action by parental figures, which is generally not the desired outcome.

Action versus reaction is an essential principle with foundations in moral agency, individual agency, and long-term consequences.  However, if the parent reacts to every toddler fit, the toddler gains power over the parental figure, which is an undesirable activity for the parent.  Action versus reaction is not splitting philosophical hairs or linguistic nuance; action is an intention-producing accomplishment; the reaction is an intentionless activity where self-control has been given to others.Calvin & Hobbes - Irony Hurts

Victor Frankl, author of “Man’s Search for Meaning,” and Robert Solomon, author of “Not Passion’s Slave: Emotions and Choice,” both speak to this action versus reaction principle in a manner easily grasped.  We, as individuals, might not be able to control our every environment nor control the activities of others upon us, but we can control our actions in response.  Retaining control of self, improving who and what we are, and keeping the power of intentional activity.

Knee-Jerk Reactions

The ‘knee-jerk response’ is any reaction that is done automatically, without thought.  The knee-jerk reflex is what’s known as a mono-synaptic response. The impulse only has to jump from one nerve to another once.  Thus, the medical definition for a social activity, a knee-jerk reaction, requires no cognitive thinking, no intention and is the worst form of response to the intentional stimulus of others.

Bait & Switch 2For example, Speaker Pelosi tore up President Trump’s State of the Union speech record on live, national TV as a knee-jerk response to the sitting US President.  Of all the US President’s Speaker Pelosi has experienced, her behavior to President Trump was the most toddler-like, and people quickly excused this behavior as “Trump-Derangement Syndrome (TDS).”  Thus, we can drop the “knee” in knee-jerk responses and describe the activity aptly as being a jerk.  No thought, not intentional activity (even though the action has intention, the brain does not register cognitive effort), and the reaction to the stimulus is mono-synaptic.

Micro-Aggression and Macro-Aggression

Micro-aggression, according to Webster, is “a comment or action that subtly and often unconsciously or unintentionally expresses a prejudiced attitude toward a member of a marginalized group (such as a racial minority).”  What is missing in this definition; individual perspective.  Micro-aggression is a personal choice to take offense at “a comment or action that” is judged to be “subtly and often unconsciously or unintentionally” expressing what is considered by person one to be “a prejudiced attitude toward a member of a marginalized group (such as a racial minority).”

Social Justice WarriorMacro-aggression is the complete opposite and are “obvious, intentional, above-board insults, where there is no chance of a mistake on the part of the transgressor to be provoking, insulting, or otherwise discourteous.”  But, again, the definition does not include the fact that the person claiming another person’s activities are macro-aggressive is a personal choice, a judgment, and a socially powered decision.

Social Justice Warrior 2Micro- and macro-aggression are often claimed to be “triggered” by specific words, colors, foods, waters, fruits, and a host of other items.  Essentially using fear and envy to demand people act differently or the consequences are toddler-like fits and fussing, picketing, rioting, looting, e.g., acting like a terrorist.  Thus, micro- and macro- aggression is nothing but the toddler throwing a temper tantrum because they are not getting what they want at that moment.  While claiming their aggression is on behalf of someone else, and their acts of terrorism are excusable because the aggression was triggered by someone or something else.  This is like the eight-year-old older brother or sister throwing a fit that the toddler was punished and claiming they are behaving irrationally in support of the toddler’s tantrum.  How many parents will buy this logic; I do not!

Humor

cropped-laughing-owlLove them or hate them, comedians have changed since I was a kid sneaking peaks of comic relief on cable while washing dishes late into the night.  Comedians now carefully pick their materials based upon their perceptions of the audience.  Thus, we have classes of comedians, including “Shock Comedians,” who try to be as offensive as possible and still get laughs.  We have political comedians; some come down equally on both sides of the political aisle, others are as cemented to a political agenda as they can be and use their “comedy” as a tool to influence their audiences towards that political agenda.  We have a host of comedians dedicated to helping people laugh and others who see themselves as able to influence, regardless of consequences.

I am not providing marketing to any comedian by giving examples of the statements made above.  You can certainly use a search engine to find these examples for yourself if interested.  You might even be able to think of several instances from history, especially recent history, that fit into the descriptions provided.  As I said in the beginning, you remain empowered to think as you prefer.

Bobblehead DollMy point is that humor, like every other emotion, can be a tool to build or a tool to destroy, and the choice of build or destroy rests in the user, but the consequences rest in the hands of the audience.  Consider this for a moment, how fast would a “Shock” comedian change their tune if the swearing, foul and degrading language, and behaviors manifested on stage did not get a single laugh, or worse, resulted in people standing up and walking out?  Some would change quickly, others it might take a little more pushing, but the result would be the same, a changed comedian.  Why; because capitalism works!

The comedian is the greatest example of capitalism at work in the world.  People will pay money for entertainment, but if the entertainer insults, denigrates, and derides, that entertainer is history and is told to find a different line of work through capitalism.  The pattern of comedians can be witnessed and applied across the spectrum from politicians to judges, from businesses to non-profits, all because capitalism works.

Why?

Why this article; why now?  On Monday this week, I received an email talking about micro-aggression.  The author used greeting cards and their sayings as representations of trigger events for micro-aggression.  We have the US President (Fraudulent or Not) being hostile and aggressive towards unvaccinated people.  But unvaccinated people are not spreading the Delta-Variant COVID virus; vaccinated people are.  We have social unrest in Cuba, where nobody is taking notice because for too long, the social elite has said that Cuba, as a Marxist-Leninist country, is a good thing and cannot stand watching their lies become evident.

Knowledge Check!Like the disc-jockey’s of my youth said, “And the Hits just keep on coming!”  Pick a spot on the globe, and you will find problems, issues, and concerns driven by micro- and macro-aggressive people who refuse to understand the difference between action and reaction—leaving this article as an attempt to aid in making better decisions.  How you choose to respond to the day’s events informs the political leaders and social influencers if they are winning or losing.  Thus, choose better, knowing that the social influencers and political leaders want you to react, not act!  Hence, choose to act.  Choose to use your moral agency and individual agency as a tool to intentionally choose your following action in the process of becoming who you want to be and not what others want you to be for their selfish gain.

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

Flexible Workspaces – Alternative Work Options

Bobblehead DollAfter my service-connected injuries went crazy in 2010 and my nerves decided I needed to be a “bobblehead doll,” I quickly realized there was a need for alternatives to commuting to an office every day and working as a traditional employee.  However, alternatives to conventional employment continue to be few and far between, primarily due to the IRS in America.  2020 saw a breakout in other options to the traditional employment paradigm, and I would like to continue this discussion to generate more alternatives to conventional employment.

Olmstead and Smith (1989) wrote what I consider to be the quintessential and sentinel book on alternatives to traditional employment, “Creating a Flexible Workspace: How to Select and Manage Alternative Work Options.”  Flexibility in the workplace is not just a Human Resources (HR) duty but is helped by having HR people with imaginations and who are empowered to be creative to keep good employees.  Flexibility is not merely limited to a wide variety of work schedules which can be offered optionally.  Flexibility in the workspace also includes on and off-site employment, and cross-training, as key fundamentals in empowering employees and driving workplace flexibility programs.  But flexibility always begins with the realization that flexibility is a two-directional relationship between employer and employee and a means for enhancing the talents, skills, and abilities already hired as part of a dedicated appreciative inquiry desire to innovate.

Appreciative InquiryQuestion

Appreciative inquiry is a growth mechanism that states that they already have enough of what a business organization needs, provided they listen to their employees.  Appreciative inquiry and common sense tell leaders who want to know and change their organization how and where to begin.  Appreciative inquiry-based leadership is 6-continuous steps that start small and cycle to larger problems as momentum for excellence permeates through an organization.  But the first step, just like in defeating a disabling addiction, is admitting there is a problem.

The six operational steps of appreciative inquiry:

      1. Admit there is a problem and commit to change.
      2. Define the problem.
      3. Discover the variables and stay focused on the positive.
      4. Dream BIG!
      5. Design the future and outline the steps to that future.
      6. Destiny, create the destination you desire.

Follow the instructions on a shampoo bottle, “Wash, Rinse, Repeat.”  The appreciative inquiry model can be scaled, repeated, implemented into small or large teams, and produce motivated members who then become the force to building change.  Allow yourself and your team to learn, this takes time, but through building motivation for excellence, time can be captured to perform.

Call Center Agent - FemaleFlexibility and Viability – Not just Terms, but Lifestyles

Flexibility in an organization is understood as accepting change and positively using that change to grow and develop more flexibility.  Viability in an organization is where the continuing effectiveness of flexibility generates new growth markets and creates the organization’s potential to flex to meet the growth areas.  Flexibility and viability are interlinked and interwoven ideas that every employee should be conscious of and striving to enhance personally as part of their brand.

Andragogy - The PuzzleErroneously called “Employee Engagement,” flexibility and viability are the continued efforts of all employees to participate in the business’ success.  Appreciative inquiry is the sum of the efforts to flex and be viable in competition with other businesses, recognizing that the answers to your current problems are always found in listening to employees.  Please note, you can think your business is flexible enough, but when the winds of change blow, will your business collapse or grow?

For example, as a consultant and subject matter expert, I was called into a manufacturing company to improve flexibility.  The company had been around for more than 100-years, and the owners, a family business, figured they were pretty flexible.  From day one, though, it was apparent the business had stagnated, and there was no flexibility or viability left in the organization.  When the 2008 market recession occurred, the company lost 5 of its 6 operating shifts and barely survived by draining all remaining liquidity to stay afloat.  The company has limped along ever since, to the amazement of everyone who has worked at this facility.

GearsHence, one must understand the principles of viability, flexibility, and appreciative inquiry as a lifestyle of daily choices where the leadership is engaged in and listening to employees.  Failure to listen remains the number one reason businesses, and governments fail.  Who should governments be listening to; average citizens, not statisticians, not special interest groups, not lawyers and political cronies, the people who voted them into power.  Who should businesses be listening to; their employees, not customers, not vendors, not shareholders, all of whom need to have a voice, but the front-line employee has answers.

Realities versus Fiction

Having worked with many a small businessperson across the continental US, the smaller a business understands the need to listen to employees, but the bigger a company becomes, the less desire they have to listen to anyone, let alone employees.  This is a reality.quote-mans-inhumanity

The fiction is the proclamation that the customer should be listened to, the shareholders know what the business needs, or the vendors have essential information for the company.  While all have a seat at the table, the front-line employees remain a wealth of information generally untapped, unused, and depressingly denied the ability to help.  As a consultant, I spend most of my time listening to the employees, then presenting their ideas to management.  I have never claimed another employee’s ideas as mine and never will.  Yet, I know too many consultants whose ethical and professional brands might be slightly less demanding than my behavior standards.  This also is reality, watch the ethics of a consultant; if they waiver, there is duplicity nearby!

Creating Flexibility in the Workplace

As an industrial and organizational psychologist, I affirm in a language most somber that no single tool will be a “magic bullet” for fixing employee concerns and building flexibility and viability.  Holistic solutions are not just a current “buzzword,” but an actual truth.  The solutions must grow from an apt quote from Captain Jack Sparrow:

“The only rules that really matter are these: what a man can do and what a man can’t do. For instance, you can accept that your father was a pirate and a good man, or you can’t. But pirate is in your blood, boy, so you’ll have to square with that someday. And me, for example, I can let you drown, but I can’t bring this ship into Tortuga all by me onesies, savvy? So, can you sail under the command of a pirate, or can you not” [emphasis mine]?

People ProcessesWhat can your company do, and what can your company not do?  Between these two extremes are a lot of different possibilities, opportunities, and areas for exploration.  For example, as a call center, can you home shore your agents?  Maybe the technology is there, but are the legal questions regarding data security and safety open to home shoring?  What about contingent employment, where you use knowledge vendors to fill in during peak times, thus allowing your call center to flex off and not have to work overtime so much?  Would your call center do well with phased retirement, partial retirement, or voluntary reduced work time programs?

Each of these options builds flexibility and viability, but they come with consequences, and the valuation of those consequences should include input from the front-line employees.  For example, a call center I am familiar with used to have stepped departments, where a rep could learn the basics, then promote into the next higher step.

3-direectional-balanceExcept, the model was broken by HR, and the depth of available personnel dried up.  Thus, the call center went to a universal agent model, where all agents were expected to know all the different departments and steps and act accordingly.  The universal model was sold as a cost-saving measure.  The employees did not like the new model as all the business processes were built on the old stepped agent model.  The universal model failed, the company could not afford to return to the stepped model, and knowledge was walking out the door at an exceeding pace.

The answer was to listen to the front-line employees, but it took more than five years and ten different consulting firms and technology firms to reach this point.  But the cost of lost potential sales and lost business knowledge is still hindering this company from a full recovery.  Why; because the change that broke the company has never been fixed, just plastered over, and the universal agent approach destroyed organizational trust between employees and the employer.  Decisions have consequences, and if you do not know what your company can do, you do not know what your company cannot do; especially, if you refuse to listen to the front-line employees.I'm not listening - boring :: Funny :: MyNiceProfile.com

What will your employees do?  What are your employees already capable of doing if provided the opportunity?  Where is the focus in your company, customers, vendors, shareholders, or employees?  Why?  Who of your employees can you absolutely trust to accomplish a task?  How do you know that employee is trustworthy?  What makes that employee happy to return to work every day?Michael Shurtleff quote: Listening is not merely hearing, it is receiving the message...

When you listen to your employees, honestly and openly communicate with them, and know the why to share the why your employees can work marvels you could not believe possible.  If you desire flexibility and viability in your company, build it!  One employee at a time using imagination, honest communication, and build organizational trust.  You will be surprised at how often the answer to improving your company doesn’t have a dollar sign but a living person and a debt of gratitude.

Reference

Olmsted, B., & Smith, S. (1989). Creating a flexible workplace: How to select and manage alternative work options. American Management Association (AMACOM).

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

Call Center Senior Trainers – Focus Group

Date: 19 July 2021

Andragogy - The PuzzleI am a doctoral candidate under the direction of Professor Dr. Susan Miedzianowski in the College of Doctoral Studies at Grand Canyon University. My name is Michael D. “Dave” Salisbury. I am conducting a research study to explore the trainer’s specific influence on employees’ development in an English-speaking call center based on a clear understanding of the trainer’s role.

You can participate if you can answer “Yes” to all of the following questions.

      • Do you speak English?
      • Do you live and work in the United States?
      • Are you employed in an English-speaking call center?
      • Do you have an updated LinkedIn.com profile (for verification purposes only)?
      • Are you willing to answer demographic questions about your age, level of education, years of experience in the call center industry, years in your current call center, and your current job title?
      • Are you an adult over the age of 18?
      • Do you have a trainer/senior trainer title, or are you expected to train or supervise call center trainers in your current role?
      • Do you have more than six years in the call center industry?
      • Are you willing to be audio recorded using ZOOM online software?

If you answer “No,” to any of these questions, you cannot participate in the focus group. I will verify your eligibility via your LinkedIn.com Profile before the focus group meets.

The activities for this research project will include:

If you are eligible to be in this focus group, you will be asked to:

      • What:
        • Meet with other similarly qualified professionals via Zoom, approximately 90 minutes, video and audio recorded.
        • Answer the demographic questions honestly.
        • Answer a series of questions regarding how a call center trainer has influenced you. As well as what you think a call center trainer does.
        • Review a job description of the call center trainer’s role.
        • Review data collected during interviews for completeness.
      • When: On the date and time discussed via email.
      • Where:com online meeting.
      • How: Using your home computer or Internet-capable device, connecting with Zoom.com.

Your participation in this study is voluntary.

An alias will protect all data in this study during the recording of the actual interview and in the documents by using an alpha-numeric code to tie your email address and hide any potential method to track your responses back to you.  All information reported in the dissertation will be in a collated format so individual data cannot be tracked to any single participant.

If you are interested in participating in this study, please contact:
M. Dave Salisbury
(435-219-5414)
msalisbury1@my.gcu.edu

Thank you!

Calling for Call Center Employees and Junior Call Center Trainers

Date: 19 July 2021

Call Center Agent - MaleI am a doctoral candidate under the direction of Professor Dr. Susan Miedzianowski in the College of Doctoral Studies at Grand Canyon University. My name is Michael D. “Dave” Salisbury. I am conducting a research study to explore the trainer’s specific influence on employees’ development in an English-speaking call center based on a clear understanding of the trainer’s role.

I am recruiting individuals that meet these criteria:

      • Do you speak English?
      • Do you live and work in the United States?
      • Are you employed in an English-speaking call center?
      • Do you have an updated LinkedIn.com profile (for verification purposes only)?
      • Are you willing to answer demographic questions about your level of education, years of experience in the call center industry, years in your current call center, and your current job title?
      • Are you an adult over the age of 18?
      • Are you willing to be audio-recorded using ZOOM online software?

You cannot be in this study if you answer “No,” to any of these questions; you cannot participate in the interviews. I will verify your eligibility before setting up the interview.

The activities for this research project will include:

If you are eligible to be in this study, you will be asked to:

      • What:
        • You agree to answer the demographic questions honestly.
        • Be interviewed, via Zoom, for approximately 60 minutes, audio-recorded, or if comfortable, video recorded, your choice.
        • Answer a series of questions regarding how a call center trainer has influenced you. As well as what you think a call center trainer does.
        • Review a generic job description and comment upon what is contained and whether you would add or subtract anything.
      • When: On a convenient date and time discussed via email.
      • Where:com online meeting.
      • How: Using your home computer or Internet-capable device, connecting with Zoom.com.

Your participation in this study is voluntary.

An alias will protect all data in this study during the recording of the actual interview and in the documents using an alpha-numeric code to hide your email address and hide any potential method to track your responses back to you.  All information reported in the dissertation will be in a collated format so individual data cannot be tracked to any single participant.

If you are interested in participating in this study, please contact:
M. Dave Salisbury
(435-219-5414)
msalisbury1@my.gcu.edu

Thank you!

I Hate Being Lied To – Follow-Up on Diabetes and Dieting

Angry Grizzly BearEarlier this week, I went to a doctor’s appointment that included diabetes boot camp and was instructed by Dr. T., a clinical pharmacist for the El Paso VAMC.  At the time, I thought the only liars were the Food and Drug Administration and the food pyramid I have been living for 40+ years.  After some additional research, I have to add Dr. T. to the list of liars using peer-reviewed sources.  Well, at least he is in good company.  The list of liars includes a neurologist who claimed all calories are the same and reducing caloric intake and caloric burn will help a person lose weight.  The advice I have been following for the better part of six years to no avail.

Cave Man Foods

The “Cave Man Foods” pitched by Dr. T. were sourced from Keto-Diets, not “14-years of research at the VA.”  The problem with the Keto-Diets is Ketosis, and if you have a liver problem, which I do, you can do serious damage to the liver by eating eggs.  Eggs are a staple of the Keto-Diets; do you see the problem here?Gravy Train 2

I have a friend, and he and his spouse went Keto about 16 months ago.  Earlier this year, his wife had liver failure, and the Keto-diet helped create a liver problem for someone who has never had liver problems in their life.  The correlational relationship between consuming eggs and non-alcoholic fatty liver disease (NFLD) is pretty solid based on my research.  However, as I am not a dietician, a medical doctor, or a food researcher, I can only rely upon medical advice and encourage you to seek medical opinions (plural) before starting any diet regimen!

Calories are not the same!

Let us establish a base of information.  A calorie is a unit of energy defined as the amount of heat needed to raise the temperature of a quantity of water by one degree.  In Junior High School, we used peanuts, sugar cubes, and other home ingredients to explore calories in chemistry class.  I still remember setting foods on fire and measuring water temperature correctly to get the caloric burns right.  However, dieticians never discussed then and not discussed now that one calorie is not the same as another calorie.  Just like rocks are not all the same size, have the same value, or can be used in the same manner.

RocksFor example, calories from sugar are not the same calories from kidney beans, even though both are units of energy, and 2000 calories of chocolate are not the same as 2000 calories of carrots.  If we are clear on this, let’s discuss why this is important.  2015, a neurologist told me all my problems with my nerves lay in how much fat I was carrying around.  He claimed that if I reduced the amount of calories I consumed and increased the number of calories burned, I would quickly lose weight.  Losing weight never happened, nor could I keep any weight lost off for any length of time.

Three years after this meeting, I was told I had developed diabetes and a non-alcoholic fatty liver, as well as gallstones, and my GERD was out of control.  This was when I was first introduced to the notion that not all calories are equal, even though all calories are units of energy.  I did not understand this discussion totally then; after Dr. T.’s discussion, I still do not fully understand the entire argument.

Lemmings 3I am sure that energy sources are not equal, even though calories are simple units of energy, per the laws and rules of physics.  However, I am not a chemist, a physicist, nor exceptionally well versed in diet and health.  I am not a dietician and am left to try and figure out the best advice and live that advice.  As a foodie, I have yet to find any diet, as the first part of a diet is “die” dying of hunger!  Before you ask, yes, Garfield is a hero of mine and has been my whole life.

Complications to Weight Loss

2017 thru 2019, I had been more active and had lost a little weight.  July through December 2020 come along, and all the weight lost is back in spades; why, the injuries sustained at the hands of the VA Police in arresting me for not wearing a mask at the VA Hospital in Phoenix, AZ.  According to research conducted on people with spinal cord injuries, the following are key variables in weight loss:

      • Age
      • Race
      • Marital Status
      • Employment Status
      • Family history of overweight/obesity
      • Level and duration of injury
      • Cholesterol level at baseline.

Thus, it is only logical that since my fallacious arrests and injuries at the hands of the VA Police at the Carl T. Hayden VAMC in Phoenix, AZ., exercise and weight loss would be impeded, acting as complicating factors in improving my health.  Why is this important; because, my new primary care provider does not think I have any problems and refuses to renew medication until other specialists claim the medicines are needed.  I find it interesting that the doctors would vary so significantly between VISN 17 and VISN 22.Lemmings 4

Mask Policies

While the following is not a variable in weight loss, it is part and parcel of the lies and problems I have experienced since Feb 2020.  The Las Cruces, NM., VA Community Based Outpatient Clinic (CBOC) had no problems accepting my doctor’s note regarding my inability to wear a mask.  When I arrived at the El Paso VAMC, the VA Police had no problem with my doctor’s letter regarding my inability to wear a mask, handed me a face shield, and then provided protection for me with other bureaucrats who took umbrage that I was not wearing a mask.

cropped-bird-of-prey.jpgMeaning that what I have been declaring about the mask policy, the mask mandates, and the hypocrisy of zealot VA Police Officers at the Carl T. Hayden VAMC is 100% true, and my treatment was not in accordance with the mask policy (emailed directive) from Washington DC.  I hate being lied to, detest being arrested and injured when I am right and refuse to be silent about how poorly the VA is treating veterans!  Does anyone know a lawyer who is willing and hungry enough to take on the VA?

References

Chen, Y., Henson, S., Jackson, A. et al. Obesity intervention in persons with spinal cord injury. Spinal Cord 44, 82–91 (2006). https://doi.org/10.1038/sj.sc.3101818

Gundry, S. R. (2017). The plant paradox: The hidden dangers in “Healthy” Foods that cause disease and weight gain. HarperCollins.

Joshi, S., Ostfeld, R. J., & McMacken, M. (2019). The ketogenic diet for obesity and diabetes—enthusiasm outpaces evidence. JAMA internal medicine, 179(9), 1163-1164.

Mokhtari, Z., Poustchi, H., Eslamparast, T., & Hekmatdoost, A. (2017). Egg consumption and risk of non-alcoholic fatty liver disease. World journal of hepatology, 9(10), 503.

Taubes, G. (2008). Good calories, bad calories: Fats, carbs, and the controversial science of diet and health. Anchor.

Taubes, G. (2011). Why we get fat and what to do about it. Anchor.

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

Moral Distress IS a Leadership Problem – More Shameful VA Chronicles!

Survived the VAA surprise occurred in this week’s Department of Veterans Affairs – Office of Inspector General (VA-OIG) reports; the Boise VAMC in Idaho performed well in their comprehensive healthcare inspection (CHIp).  Even though 10 recommendations were left, the VAMC as a whole is performing above average, with no significant complaints found by the VA-OIG.  Congratulations to the Boise VAMC!

VA 3Let me stress something; leadership is the reason why a VA Healthcare System (VAHCS) or VA Medical Center (VAMC) performs well or poorly!  Yet, too often, the leadership IS the root cause of the problems in a VAHCS or VAMC.  The Boise VAMC just proved this point precisely; are any Department of Veterans Affairs (VA) leaders in Washington DC paying any attention?

The VA-OIG performed a CHIp in Portland VAHCS and found moral distress in the employees, again!  This means that the Eastern end of the state is receiving better care than the western end of Oregon State!  Yet another VAHCS or VAMC with employees feeling morally distressed by the commands and directives of their leadership in how they treat veteran patients!  The VA-OIG report makes everything sound like rainbows and lollipops at the Portland VAHCS, but if employees feel “morally distressed,” there are problems, just not those included in the CHIp scope!VA 3

Where problems outside the scope of an investigation are concerned, the following is GREAT NEWS!

Robert Seifert, 63, of Utica, New York, pleaded guilty to making telephonic threats to Albany Stratton VA Medical Center employees. Seifert, who has been convicted twice before of threatening VA employees, admitted that on 14 January 2021, he made three calls to employees for no reason other than to harass and threaten them.”

I am going to repeat it, only for emphasis, “Leave the families out of your anger!”  Never, EVER, attack, threaten, or speak against the families.  They are OFF LIMITS!  I become very frustrated with the VA Leadership, but violence is not the answer, and threatening families is repulsive and counterproductive!  Seifert is scheduled for sentencing on 06 October 2021; may the judge throw the book at him, for this is his third conviction for threatening families of VA Employees.VA 3

On the topic of frustrating leadership who need to lose their jobs and reimburse the government for all wages, the following VA-OIG report is the epitome of failed leadership in action!

The VA’s Office of National Veterans Sports Programs and Special Events (NVSPSE) granted $47 million to organizations with experience in managing adaptive sports programs from fiscal year (FY) 2017 to FY 2020. … The VA-OIG found that the NVSPSE was not effectively managing the program.  The NVSPSE’s director had not established adequate internal controls, including developing standard operating procedures for managing adaptive sports grants.  As a result, the NVSPSE could not effectively evaluate risks from grant recipients, did not reimburse some recipients’ expenses on time, did not always close out grants on time, and did not appropriately authorize extensions for using funds.  By not closing out grants on time, the NVSPSE failed to free up about $346,000 that could have been used for other purposes.  It also improperly allowed recipients to spend $328,000 in FY 2017 appropriations outside the approved period and improperly reimbursed 19 recipients a total of about $247,000.”

The VA-OIG recognizes that these failures to audit and control the adaptive sports program properly potentially violate both the Purpose Statute and the Antideficiency Act, federal laws with direct consequences for Federal Employees.  I am taking bets.  Will anything come out of the director being referred to the lawyers; I doubt any action will ever be taken!  That’s not just my cynicism speaking; that is the experience in watching directors at the VA skate accountability and responsibility better than gold-winning Olympic figure skaters.VA 3

In reporting the following VA-OIG report, do not rationalize that every suicidal person will eventually find a way or means to commit suicide.  I ask you do not think this for two reasons: one, it is a lie lazy people tell themselves to disregard the act; two, helping people with suicide ideation is not cut and dried textbook medicine. Assisting people with suicide ideation takes time, effort, getting to know the person, and a lot of interlocking care from professionals.

“The patient, who was over 70 years old at the time of death, had diagnoses that included post-traumatic stress disorder and major depression. After approximately 15 years of care at a California VA facility, the patient transferred care to the Las Vegas facility in summer 2019. The VA-OIG substantiated that the patient died by suicide from a VA resident mental health clinic on the day of dischargeThe emergency department social worker documented an incomplete comprehensive evaluation. The suicide prevention team did not assign the patient a high risk for suicide patient record flag despite the patient’s stressors and history of suicide behaviors. Staff did not adequately assess the patient’s substance use, incorporate relevant history into the treatment plan, or address the patient’s change in demeanor and concerning statements. The discharge safety plan had not been modified for approximately eight months despite significant life changes. Leaders had not established a mental health treatment coordinator (MHTC) policy. Staff assigned the patient an MHTC at the patient’s tenth visit and four MHTCs over nine months. Staff did not coordinate care with a geropsychologist, with whom the patient had nine appointments. Leaders did not effectively address the patient’s expressed complaints. The VA-OIG substantiated that leaders did not conduct an institutional disclosure” [emphasis mine].

The last sentence is the dead giveaway that the leadership knew there were problems and designed processes intentionally to have an excuse when a patient died!  This veteran was suffering to a great degree, and I hope that with his passing, his family and friends can find peace in the knowledge that the veteran is now pain-free.  But, the VA leadership should be held legally responsible for this death, they failed this patient, and the world is worse for the veteran’s passing.VA 3

Suicides are hard on family, friends, communities; suicides at any age are the ultimate declaration that failure occurred, the pain was missed, and the medical community and support systems failed.  Survivors often feel a great degree of guilt and carry that guilt to their graves.  But, when medical providers go out of their way to hide the problems, refusing to document, and declare, it means that the medical community had written the patient off as too costly to save.  Who speaks for the loss of intelligence and potential of the failed patient; I do!I-Care

I will continue to speak to the failures of the VA to provide the care they promised, and demand leaders are held accountable and responsible.  This was preventable, and the leadership must be held accountable if the system is to be changed!  This veteran did not have to die by his own hand, and the medical community at the VA in Southern Nevada HCS, located in Las Vegas, should be ashamed!

Follow this link if you would like to see a recap, with links, to the shenanigans reported by the VA-OIG in June.  June 2021 has been a month of incredible and horrendous behavior documented by the VA-OIG of the leadership failures at the VA.  The elected leaders of America either need to begin scrutinizing the VA more closely or vacate office.  There is no excuse for the continued irrational and detestable behavior at the VA.VA 3

The last two items are testimony recorded before a Senate and a House of Representatives Committee.  Statement of deputy inspector general David Case Office of Inspector General, Department of Veterans Affairs before the US Senate Committee on veterans’ affairs hearing on VA electronic health records: modernization and the path ahead 14 July 2021Statement of Leigh Ann Searight deputy assistant inspector general for audits and evaluations Department of Veterans Affairs – Office of Inspector General before the subcommittee on oversight and investigations committee on Veterans’ Affairs US House of Representatives hearing on modernizing the VA police force: Ensuring accountability 13 July 2021.  Frankly, both statements are pure vanilla because the subcommittees refused to act, which was known before making the statement and the hearings.  Hence, why should the VA-OIG prepare action plans if the Senate and House will not take action?

Knowledge Check!Repeating, only for emphasis, “Until the US Legislative Branch will do their jobs, and scrutinize the Executive Branch with the intent to demand accountability, no single government agency will ever change.”  Want to help veterans?  Contact your elected representatives and send them these articles, demanding they take action in support of legislation and scrutinization, demanding accountability and responsibility of government employees who are currently active in refusing to change!  Want to help veterans?  Share these stories far and wide.  Everyone should know what the VA is doing and realize that every government agency from the city to the President is employing tactics to steal liberty, rob freedom, and murder veterans!

© 2021 M. Dave Salisbury
All Rights Reserved
The images used herein were obtained in the public domain; this author holds no copyright to the images displayed.

American Heat and European Flooding – The Lies of Climate Change

BBC Logo iPad | Obama PacmanThe BBC is currently pounding the Anthropomorphic Climate Change drum pretty hard.  Currently, the Northern Hemisphere is experiencing summer, and the southern hemisphere is experiencing winter (July 2021). A typical occurrence in global life, the globe moves on an axis, and the north and south hemispheres have opposite weather patterns.  North America is experiencing drought conditions from the heat of summer.  Europe is experiencing flooding from heavier than average rainfall.

To those affected adversely by the heat or the rain, I feel for you.  For those who have lost loved ones to flooding, my sympathies.  For those experiencing days on days of scorching heat, been there, done that; drink water.  However, these weather events have been occurring for centuries, sometimes extreme one way and occasionally intense the other.  This is climate change, and it is normal to see patterns of extreme weather.  I will tell you a secret; man has nothing to do with the weather!

Climate Change HysteriaFive environmental disasters that we should make sure children know about

Anthropomorphic climate change is an invention by academicians to obtain funding from the government, control over people, and dictate how they choose to live – usually while living to extremes themselves.  How can a person know that humans have played no role in how Climate changes?  Believe it or not, there is a simple test.

How many raindrops can a man force to return to the clouds?  How many clouds can man direct to drop rain in drought regions and put sunshine elsewhere?  How many tides can man change from their regular routines?  The answer to all three questions is zero; thus, we can conclude that humans cannot change the Climate, even when extreme weather occurs and people are harmed.

QuestionI was presented with a question the other day regarding anthropomorphic climate change that has kept me thinking.  I pose the same question to you.  “How can paying a carbon tax to the government change the weather?”  Did paying taxes to the government end the war on poverty; no, in fact, the war on poverty has lost ground since the pandemic and government mandates.  Did paying higher taxes end the war on drugs; no, in fact, the drug problem is worse than ever.  Thus, how will paying the government a tax, or a fee for carbon usage, change the weather?

Common Sense

In the dictates of academicians who preach climate change religious adherence, common sense was the first casualty, and the truth was the second.  Has man, at times, been a poor steward of the globe upon which they live; absolutely, but paying money to the government has done nothing to fix the problems, only hide them.  Don’t believe me; that’s okay; let’s use recent history to detail the problem.Silverton's Gold King reckoning (The Gold King reckoning) — High Country News

The Gold King Mine was shut down.  The Environmental Protection Agency (EPA), an arm of the US Government, hid the details, closed the mine, and “hoped” the dangerous chemicals would stay put deep in the ground.  Instead, a government contractor for the EPA accidentally released a bunch of those chemicals into a river that spread to a national disaster in four US states and Mexico.  Nobody has been held accountable for the lives lost, the economic problems created, and the loss of cattle, sheep, horses, etc., that drank the waters and died.  EPA updates claim all the cases have been settled.  Now, the acidic tailings in the Gold King Mine were indeed man-caused; the release of millions of gallons of toxic water into cement creek that pours into the Animas River was man-caused.  However, man could not stand in the Animas River and demand the orange sludge return to the Gold King Mine; so how could man change the weather by paying the government?

Another interesting incident, the Cuyahoga River in Northern Ohio, caught fire multiple times throughout history.  Lightning, sparks from trains passing on bridges, cigarettes, etc., at one time or another caused the Cuyahoga River to catch on fire.  The pollution was certainly man-caused, meaning that man was a poor steward and did not fully appreciate the consequences of dumping materials that floated or sank to become sediment into a river where those materials could catch fire.  Now, the Cuyahoga River is an EPA “Superfund” site, where money has literally been dumped into burying the toxic chemical-laced dirt in an attempt to clean up the pollution.  “… A total of 650,000 cubic yards of contaminated sediment were taken out of the Ashtabula River and buried under 19 acres of soil in a specially built landfill. The price tag was around $85 million.”  The actions taken have been declared a successful cleanup of a river by dredging it and dumping the chemical sediment in a landfill.  Nothing was “cleaned,” simply moved from one location to another, with a price tag so high that it can only be estimated.

The Cuyahoga River Caught Fire at Least a Dozen Times, but No One Cared Until 1969 | History ...Ohio has 53 Superfund sites where similar actions are being taken to “clean” up historical pollution.  By comparison, New Mexico has 21 Superfund sites, and Florida has 92.  Dig a little into the superfund sites on the EPA website, and a fact comes clear, man is a very poor steward of his resources, but he has never influenced the weather.  Inherently, man is a changer of his environment instead of his behaviors.  For example, being cold, man will start a fire instead of wearing more clothes, build climate-controlled buildings instead of growing more hair for the winter months, or living in more tropical environments.  But, building a climate-controlled stadium is a far cry from controlling the heat in one country and rainfall on a different continent.

12 Facts About Chernobyl's Exclusion Zone 30 Years After the Disaster | Mental FlossThe Chernobyl disaster, the USSR poisoning the northern sea, China, India, France, England, Germany, and so many other places around the world where man has abused the environment is poor stewardship, not anthropomorphic climate change.  At best, man can attempt to try and influence the weather.  For example, placing silver iodide into the air to try and make it rain in a blighted drought area.  We have the science, but the science does not always work, and just like Chernobyl, the Cuyahoga, and Animas Rivers, we do not know the consequences of employing the science.https://shiftingtheparadigms.files.wordpress.com/2021/07/b3adf-13ka-w5ahgn_fabizklayrq.jpeg

Poor Steward; Yes!  Affecting the Climate; not Hardly!

Consider this for a moment, the environmental problems are still not fully understood, but the government wants to keep pouring money down that hole.  One must ask, “Why?”  Acidic tailings from gold and other mining operations have been known since the 1800s when those tailings were considered as “the cost of doing business.”  Nobody knew what to do with them then, and we still do not know what to do with them, except to “accidentally” release them en masse into nature and let nature recover.

Intern Seminar Series: Workshop on Science Communication (Interns Only) | Carnegie's Department ...Is it possible that eventually scientists will discover a way to leach the metals and man-produced chemicals from the dirt and water; possibly, and this is a science I can fully support.  But to even consider that man’s puny arm could change the direction of a cloud or dictate where and when rain occurs is absolutely silly!  To blame a man for how much precipitation falls in a designated area is insanity at its finest and most disturbing.  To even consider that man can change the temperature of an entire geographic region is blatantly and patently false as a concept and as a pseudo-science!

The best man can do, is be a better steward of the resources on and in the earth.  After that, man adjusts to extreme weather, chooses how to live, and then goes back to pursuing happiness as an inalienable right.  Government has nothing to say or do in this matter that will ever be effective and valuable.  Thus, why pay more in taxes for something government cannot perform?Knowledge Check!

Is air pollution a real problem; absolutely, and man can change how much pollution he dumps into the environment, but the government should not play a role, and every country must police their own for any progress to be made.  Again, water pollution can be influenced by man and should be monitored, but not by the government, for the government will always act as they did in the Gold King Mine incident.  Uncaring, heartless, picking winners and losers based upon political connections, never holding themselves accountable for the deed or responsible for the consequences.  Thus, why would you trust a government, any government, to change the weather?

© 2021 M. Dave Salisbury
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