Bottle-Necks and Push-Back – Problems in Production Goal Attainment

Knowledge Check!Let me begin with an affirmation when you believe that a problem is insurmountable, you are 100% correct, and nothing will ever change.  If you tell me a problem is insurmountable, I will say to you BULL!  Every time!  Why; because if people built it, people can disassemble it.  We might have to push at it, swear at it, sweat at it, and kick at it some, but people can disassemble it!  When we believe no problem is insurmountable, we are more than ½-way to solving the problem!

At work right now, a colleague has a problem; trainers do not want to come in early and train new hires.  Because new hires cannot be trained in off-hours, his team is slipping in production goal attainment.  When he drops far enough, his regional bosses will decide more resources need to be spent, and public shaming begins to occur because public notice accompanies greater resource allocation.  The bottle-neck is training; the push-back comes from trainers.

Fishbone DiagramThe trainers are pushing back because they are already double and triple tasked to training new hires in two other more “important” departments.  Except, because those other departments are considered “more important,” production goals for the entire facility will never be met.  A core philosophy is missed; when quality fails, nobody meets production goals.  The vicious cycles keep going around; training cannot spare people to train quality, quality fails to meet goals, and production goals are missed due to training.

Exclamation MarkThere are times I have wished this was an isolated example; however, this repeats so often I should have cards made.  Breaking the training bottle-neck requires thinking outside the standard paradigm, or in more basic vernacular, get out of the box and start thinking anew!  While the following solutions are explicitly geared to fixing the training bottle-neck, the pattern for thinking is helpful as a conversation starter.  Start the conversation rolling!

Here’s some ideas:

  1. Off-hours shift training. Look at your operational schedules.  Do you have times when equipment is not operating, when the production floor is down, and when people can be trained?  Use that time!
        • I worked at a manufacturing facility where after the first three days of new-hire orientation, all manufacturing and warehouse employees worked the third shift for their first four months. Why?  Training could operate the floors and equipment and work around maintenance without crimping operational schedules or hindering production.  Then, new hires went onto the day shift where two extra managers could offer management-by-walk around for additional OJT.
        • I have observed warehouses where new hires work a split shift; they come in for 4-hours of training when nobody else is around but trainers, and then 4-hours when the rest of the warehouse is around—giving new hire equipment operators experience in operating in both a quiet environment and a busy environment.
        • The idea is to find times when you can safely train without hindering operation tempo. Use the calendar, use a shift rotation, be honest with people and be upfront on expectations and the reality of business needs.  Guess what, when you are honest, people respond!
  2. Appreciative Inquiry – Believe it or not, when you have a problem, a pressing business need, or an urgent issue, your people will pleasantly surprise you with solutions if you listen and act. Too often, I have been stunned ever to forget this lesson; people have brains and ideas, use them, give them credit, and watch them blossom into your best problem solvers!
  3. It should go without saying, treat people as the professionals you hired.
        • My first boss in supply chain quality control did not teach me basic stuff, e.g., this is a part, how you count the pieces, a SKU, etc. The boss presumed I knew or would ask questions, which saved both of us time and resources.  More to the point, by treating me as a professional, I grew into being a supply quality control officer and loved the job.  I have witnessed the opposite too often to know my experience is not the norm in supply chains, which is detestable.
        • You hired a professional; treat them as a professional. Set standards, show them, explain, train them, and build them into greater professionals, primarily by getting out of their way!
        • Encourage people never to stop learning through example!
  4. Who is your customer? Who are your vendors?  Who are your stakeholders?  Why is this information important?
        • Customer service is dead; however, if you do not know your customer, vendors, and stakeholders are, so is your business model!
        • Customer helping is alive and well; however, your business model is dead if you do not know your customer, vendors, and stakeholders!
        • Managers, let me give you a hint, your customer is your employees. When was the last time you got to know your customers?  When was the last time you helped your customers?  Why did you last help your customers?

LookWhen it comes to bottle-necks and push-back, knowing your customer is the first step in solving the bottle-neck and charting a positive path through push-back.  Consider my colleague, his customer are his employees needing training, his vendor is the training department, and the stakeholders are the rest of the business, those setting production goals, those relying upon his team meeting production goals, and ultimately the paying external customer.  Yet, my colleague, cannot see who his customer is, does not think of training as a vendor, and the rest of the business as a stakeholder, for this is not how he was trained.  Worse, his business unit refuses to accept this method of thinking to improve production goal attainment.

  1. Leadership must lead by first embracing new thinking and possibilities.

Previously in my career, it was a pleasure and adventure to be on a project where the leadership wanted a solution to their problem.  However, the leaders did not want to change, at all.  They wanted a solution, but refused to change in any shape, form, or method.  Worse, the leaders did not admit they did not want to change because they themselves had not considered that a solution would require change.  Thus, when the solution was delivered, it looked like a great idea, on paper.  But, the second it was implemented, reality bit, change was coming, and this scared the leadership team into panic mode.  Add in the coming economic downturn that had already started to hurt the company, and panic turned into a full-on disaster.

?u=http3.bp.blogspot.com-CIl2VSm-mmgTZ0wMvH5UGIAAAAAAAAB20QA9_IiyVhYss1600showme_board3.jpg&f=1&nofb=1Leaders, it is imperative that you lead first by example personally, then by actions professionally, then only if necessary by words.  When you observe new thinking on an old idea, embrace that and see where it goes.  Even if the new idea fails, build people!  Production goals are about human efforts distilled into statistical symbols.  Never forget about the human element.  Build people, and you meet production goals.  Build quality into every single transaction, and you meet production goals.  Fail people, and you will never meet production goals!  Fail quality, and you will fail to meet production goals.

I cannot make this any simpler!

© 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.

“That’s Crazy!!!” – More Chronicles From The VA

Bobblehead DollThe week of 27 September 2021 started funkily and has gone downhill rapidly!  I reported Monday being refused medical service for not wearing a mask.  On Tuesday, I visibly struggled for breath, standing in the VA pulmonologist’s office in front of the pulmonologist who was holding my pulmonology function test results.  I am holding a letter showing I cannot wear a mask, wearing a face shield, and being told by the doctor, “I do NOT care, he needs to WEAR A MASK, or I AM NOT SEEING HIM” [emphasis his].  Eventually, the doctor agrees to see me, provided I remain more than 6 feet from him, and he does not have to touch me.  The doctor then proceeds to lecture me about getting the vaccine, wearing a mask, and of course, breathing through my breathing difficulties.

As they say on the Home Shopping Network, “But wait, there’s more!”  Crazy has only just begun, unfortunately!

A patient with iron-deficiency anemia died at the hands of VA Doctors at the San Juan Puerto Rico VAHCS (2017), and the VA-OIG is just completing and reporting on their death in 2021.  The patient who came in for a colonoscopy developed rectal bleeding, which required an anticoagulant, and the patient subsequently died.  A tragic set of dominoes was set up and knocked down in this patient’s case, and the VA is entirely at fault for the patient’s death.  How badly the patient’s family must feel with this report in hand and knowing they can do absolutely nothing!VA 3

100% crazy indeed; but wait, there’s more!

Justice was served cold and raw, and while I was hoping for a harsher sentence by far, I am still hoping his victims can recoup some of their losses and obtain retraining.  “Jonathan Dean Davis, the owner of Retail Ready Career Center in Texas, was sentenced for deceiving the VA of $72 million. Beginning in 2014, he offered six-week heating, ventilation, and air conditioning course, promising to prepare veterans for careers in the HVAC industry. However, upon entering the workforce, many of these veterans discovered that the course had failed to teach them many of the basic skills necessary for entry-level technician jobs. Davis was also ordered to pay $65.2 million in restitution and forfeit $72.5 million to the federal government.”

It is very hard to describe what goes into the GI Bill besides money and time in service.  It is even tougher to explain how cheated you feel when the benefit is cut by the government, stolen by school administrators, and reduced by petty rules and regulations.  To see your benefits stolen through shoddy training and see your hopes and dreams dashed, as well as your benefit, turned into useless paper, the heartbreak is incredible!  The punishment for all involved should have been greater, and some federal employees should have shared the blame for failing to do their jobs!I-Care

Hold onto your seat, folks; the insanity has not even reached its peak yet; there’s more!

The VA Office of Inspector General (OIG) inspected the VA Illiana Health Care System in Danville, Illinois, to determine the validity of allegations, specific to COVID-19 and the Community Living Center (CLC), of failure to observe infection control practices, failure to minimize the risk of exposure to COVID-19, inconsistent ongoing testing, and failure to notify residents, families, and staff of positive test results. During the inspection, the OIG identified concerns related to leaders’ post-outbreak actions.  The VA-OIG substantiated a failure to observe general infection control practices, including in the following areas:

    • Leaders failed to minimize the risk of exposure to COVID-19.
    • Leaders did not respond adequately to staff exposure.
    • Leaders did not have a plan for the transfer and isolation of residents.
    • Leaders did not implement recommended infection control measures when performing aerosol-generating procedures and continued to hold group therapies.

The VA-OIG substantiated the lack of a post-baseline testing plan and a failure to test CLC staff after potential exposure.  The OIG identified actions taken by leaders following the CLC outbreak that lacked input from frontline staff to identify corrective actions and opportunities for improvement.”  This is the politically correct way of saying that the community living center leaders are thoroughly incompetent and should not be trusted in their current positions.

Leadership failure in spades, employees, patients, families all placed at risk because of incompetence and politics of the facility leaders, and the VA-OIG does not have the teeth needed to FIRE and REPLACE the leaders who are clearly out of their depth and ability!  For months the media and political leaders have been harping and preaching how dangerous COVID as a viral infection is.  Yet, the leaders in the Illiana VAHCS seem to be operating to a different set of rules and policies.  Will any elected leader be asking why?  Insanity runs deep in Illinois!VA 3

On the topic of COVID-19, and the failures of VA providers to do their jobs, we find another dead veteran due to what in the private sector would be a classic case of malpractice!  Yet, care at the VA is protected from malpractice, and the providers are safe from responsibility and accountability for their failures.  While the following is specific to North Carolina, similar examples are found across the United States.  Insanity thy name is represented in spades at the VA!Angry Wet Chicken

The VA OIG conducted a healthcare inspection at the Fayetteville VA Coastal Health Care System in North Carolina to assess concerns related to the quality, coordination, and timeliness of care, and the impact of COVID-19 on a patient with unintentional weight loss who was later diagnosed with oral cancer and died at another VA medical center.”

    • The VA-OIG substantiated that the primary care provider and dietitians did not provide quality care to the patient.
    • The VA-OIG substantiated that dietitians conducted incomplete nutritional assessments.
    • The VA-OIG substantiated that the patient’s PACT nurse and dietitians failed to coordinate care by not communicating the family’s request for a face-to-face appointment and the patient’s declining nutritional status to the primary care provider.
    • The VA-OIG found that incorrect scheduling resulted in the patient not being seen by a dietitian for a follow-up appointment and a delay in scheduling a non-VA dental appointment.

The VA-OIG concluded that COVID-19 impacted the care provided by dietitians because of the use of telephone visits, which did not allow dietitians to visually assess the patient’s physical characteristics caused by a declining nutritional status.”

Blaming a viral disease for the failure of people to do their jobs is the height of skullduggery, showing pusillanimous disregard for the patient and a timid weak-kneed, and yellow-bellied timorous approach to medicine.  None of you deserve to be in the medical field if you cannot properly take personal protection and see patients who need to be physically seen!  Now, let’s call a spade a spade and call out your wimpy, limp-wristed, lily-livered weakling leaders who refuse to act like leaders in a hospital and prefer to act like scared amoebas in a petri dish!  There is NO EXCUSE for your paltry excuses, your shady practices, and your hiding in offices and behind the disruptive behavioral committees when your policies and procedures FAIL when YOUR training plans fall apart, and when reality bites hard enough to disrupt hospital operations and your policies are the problem endangering patients!VA 3

Crazy…  Thy name is abused in the VA, and the leaders are failing to understand sanity!  But … wait, there’s more!

There are times when I describe the insanity at the VHA, VBA, National Cemeteries, and the Department of Veterans Affairs (VA) as designed incompetence.  The following is the purest example of designed incompetence witnessed to date.  Consider with me the following:

?u=http3.bp.blogspot.com-CIl2VSm-mmgTZ0wMvH5UGIAAAAAAAAB20QA9_IiyVhYss1600showme_board3.jpg&f=1&nofb=1Blue Water Navy Outreach requirements were met, but processing and procedures remain lacking and need improvement.  The VBA was legislatively mandated to extend veteran benefits to a classification of sailors who operated in blue water conditions off Vietnam or within 12 Nautical Miles of Vietnam.  The VBA went forward and established the computers, the records, the systems, etc., to handle these claims.  The results, a complete farrago!

The VA-OIG substantiated that the VBA has not established procedures for its employees to follow when the computer search tool they use to determine ship locations during claimant service dates returns unlikely results (for example, providing an inland location in a search for an aircraft carrier). In addition, VBA employees inaccurately decided approximately 46 percent of veterans’ claims (2,100 of 4,600) from April through June 2020, which led to about $37.2 million in improper payments to veterans ($25.2 million in overpayments and $12 million in underpayments) during that period. About 95 percent of these errors resulted from VBA employees deviating from policies governing disability-rating decisions.”

Did you catch that the VBA intentionally designed a system that failed to perform the task because humans and computers were lenient to deviate?  Nobody is held accountable for the continued loss of benefits, treatment, and wasted resources of the government and the veterans involved!  Here’s the rub, this is NOT the first time this has happened!  The VBA is notorious for failures like this and never held accountable by the elected officials hired to scrutinize the government!  Name a military excursion where benefits had to be carved out by legislative order, and you will find foot-dragging, designed incompetence, inconsistencies in decision making, and piss-poor performance at every level of the VBA.  Why?LinkedIn VA Image

Let’s imagine you hold a job that has a reporting requirement to an authorizing body that can shut you down.  You arbitrarily change language in metrics and reporting, do not tell the authority but still expect the authority to license you and your efforts.  How likely do you think the governing body will look favorably upon your changes?  The VA is legislatively mandated to report to Congress on its capacity in five areas, spinal cord injuries, traumatic brain injuries, blind rehabilitation, prosthetics and sensory aids, and mental health.  But, by changing the language, metrics, and methods of talking about injuries, the VA can hide, misreport, underreport, overreport, and play reporting games with the report to Congress and the VA-OIG second look get away with the deception.  Never forget, the maskirovka comes with veteran patient abuse!Angry Grizzly Bear

The VA-OIG has reported continuously to Congress, to deaf ears and plastic lips, the following, “… VA cannot compare its current mental health capacity with its 1996 capacity because of changes in diagnosis and treatment, service provision, and data collection. For example, VA must report on the number of veterans with “serious mental illness,” but VA no longer uses that term. And non-VA care, which veterans increasingly seek, must be excluded from reports on VA’s capacity to provide care. The OIG believes that by modernizing the reporting metrics, Congress would be better positioned to assess VA’s capacity to provide care for today’s disabled veterans.”

Congress continues NOT to push the VA to adopt 1996 language and metrics for reporting, or change the law to update the language and metrics to capture the data more accurately, thus allowing the lies and deceptions to continue.  Will anyone in the media EVER ask Congress WHY?VA 3

What kills me, the insanity discussed in this summation of VA-OIG reports does not even scrape the iceberg.  In my email inbox, I have to select between continued financial failures by leaders, veteran suicide during an inpatient residency, and the continued moral distress of employees by facility leaders.  I have twenty more VA-OIG reports sitting awaiting summation because the insanity has blossomed, and the VA-OIG is working hard to clear their reports for the end of the calendar year.  Each and every one of these reports deserve analysis, discussion, and mega-doses of sunshine disinfectant.  The sheer enormity of the insanity means that timely discussion physically cannot occur.  By overloading the system, the perpetrators of veteran abuse can escape sunshine disinfectant, and that is a sore injustice!Satire? Obama ISIS Speech Depresses Nation | Hooper's War - Peter Van Buren

Pray for the families of those who have died at the hands of the VA providers and for those currently dying under the hands of VA providers.  Congress needs to act, and we, the electorate, must hold their feet to the fire until they are consumed, or they stand and do their jobs!  There are no excuses for the insanity contained in these VA-OIG reports!

© 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.

MRSA and COVID – Pandemic Hype Indeed

Bobblehead DollMRSA is shorthand for methicillin-resistant Staphylococcus aureus, a medicine-resistant staph infection that swept America beginning in 1990 —gaining massive popularity in 2017 when it killed more than 10,000 people and hospitalized more than 300,000 in the United States alone.  Worse, of those hospitalized, many had to have large sections of their anatomy excised, limbs removed, and other surgical procedures done to cut away the infected flesh.

As for COVID’s death toll, your guess is as good as mine.  We all know the scandal of the emphasized numbers to obtain greater Federal Money and media attention.  We have all been exposed to the hype and hysteria from infection rates that do not equate to those with frank symptoms, and neither of those numbers equating to those needing hospitalization.  Worse, we all have been front-seat with the PCR testing scandal where a tampon, motor oil, and a host of other non-human samples all tested positive (falsely) for COVID.

When the intentional housing of infected patients with healthy residents in long-term care facilities is added to this COVID-drama, they shouldn’t be, for these are victims of murder, and the governors need to be held accountable for their deaths; nothing but confusion in statistics reigns.  Unfortunately, all this and more is just the tip of the iceberg regarding the statistics in the highly politicized COIVD-debacle we are living through.The Duty of Americans

One point of significant contention is the difference between an epidemic and a pandemic.  An epidemic is when a disease (bacterial or viral) spreads over a large geographical area, and many different people simultaneously take ill.  A pandemic takes an epidemic one step further and is a political decision, as the illness spreads across national borders infecting larger numbers of people.  MRSA for all the people killed, in all the different countries, and health systems, has only ever achieved epidemic status.  The Spanish Flu (1918) for all the people killed, in all the different countries infected, only achieved epidemic status.  As a point of reference, the Spanish Flu (1918) is a confusion of terms between pandemic and epidemic, and depending upon the source; you can see the media hype of the flu.  MRSA, like the annual Flu, Chicken Pox, Mumps, Measles, and Rubella, are still just as effective at killing people, and we do not shut down the globe for these viral infections.  Yet, nobody in the world’s governments wants to discuss why COVID has been given this treatment.  But, I digress; let’s get back to MRSA.?u=http3.bp.blogspot.com-CIl2VSm-mmgTZ0wMvH5UGIAAAAAAAAB20QA9_IiyVhYss1600showme_board3.jpg&f=1&nofb=1

Please note, while hospitals are on track to meet a 50% reduction in MRSA and bloodstream infection reductions, this does not mean that other places MRSA pops up will meet these same reductions.  MRSA causes outbreaks under specific conditions, typically in crowded areas with inadequate hygiene, skin-to-skin contact, and shared equipment.  Hence, MRSA is prevalent in gyms, dressing rooms, daycare facilities, and any place where human body fluids can sit on a surface shared by other humans.  Hence, before going further, I urge informed caution where MRSA is concerned.  Ask about decontamination of hard surfaces, cleaning habits, and customs, and when in doubt, ask for more information before participating.

The National Institutes of Health (NIH) in partnership with Janssen Research and Development, found some interesting results in protecting the body from MRSA by boosting the body’s immune system.  These results are interesting because until COVID came along, medicine generally wanted to stimulate the body’s immune system first, then look at vaccines and drugs.  But, since COVID came along, doctors want to revert to what created MRSA, an overabundance and reliance upon vaccines and medicines instead of boosting the body’s immune system.Vaccine

Let’s take a trip down memory lane to the 1990s.  MRSA is breaking onto the scene and scaring the living daylights out of medical professionals.  This new staph infection is resistant to every drug known to man and kills rapidly once the skin infection gets into the blood.  Sepsis deaths which had been trending down for a decade, were spiking.  People went to the hospital for a routine checkup and died of skin infections horribly a few days later.  Research quickly discovers this is a staph infection, quickly realizes it is drug-resistant, and new practices are needed in cleaning and disinfecting to prevent this from spreading.  But, the first step was to boost the body’s natural immunity.  Vitamin C, D, E, and Fish Oils, were discussed as options to be added to some diets.  Exercise, diet, and weight loss became much more important topics, and the reason why was witnessed on the evening news.  We saw patients lose limbs; a patient lost their nose; a patient went swimming in a pond and died horribly shortly thereafter.Pressure Injuries - Example

I mention MRSA because common sense, research, and boosting the body’s immune system work, as historical data supports, to protect communities from large health problems and viral outbreaks.  Masks, isolation, expensive government mandates and vaccines, do not protect communities from health problems.  Many media pundits have cited the 1918 Spanish Flu epidemic as comparative to COVID.  What’s the difference, the most significant difference between 1918s Spanish Flu and 2020 COVID, government interference, and media hyperventilation!

What’s the difference between the ongoing MRSA battle, which claims hundreds of thousands of lives annually in the United States and millions of lives globally, and COVID?  Government intrusion and media hyperventilation.  Back in the 1990s, Dr. Fauci was still relatively unknown in the pantheons of NIH and was still misinforming about AIDS/HIV.  By 2018, Dr. Fauci has reached the pinnacle of his lackluster career, and he needs a pandemic to come along to help his career into the spotlight of historical immortality.  In the 1990s, the president was a Clinton, and the media adored his every breath.  In 2016 the president was detested by the media, and a solution to his popularity needed to be generated.Apathy

MRSA has killed and maimed more people globally than COVID ever will; yet, MRSA, while being more deadly and dangerous, is relatively unknown outside medical centers, and the media hypes about COVID non-stop.  Ever stop to ask yourself why?  Common sense medicine is still the best method for preventing and healing after an MRSA infection.  It would be the same for COVID except for the political environment that shut down inexpensive and effective drugs.  Ever stop to ask yourself why?

The Center for Disease Dynamics, Economics & Policy (CDDEP) has a graph of MRSA infection rates by country reporting.  Romania is on top with the worst rates of hospitalized MRSA, Iceland has the best rates of non-infection, and the numbers appear to be current as of 2004.  Yes, that data is 17 years or so old and can be taken with a grain of salt.  However, it does provide an interesting view on MRSA infections.  Not all MRSA infections are reported equally.Plato 3

The main MRSA reported and tracked are those where the infection can be reliably proved to have originated in a hospital—leaving infections from gyms, locker rooms, sports equipment, daycare centers, schools, etc., all open for speculation and wonder.  Not good policy on something this dangerous and easily spread from person to person.  I worked in a call center that was threatened with being shut down if infectious pink eye (a staph infection) was not brought under control.  Pink-eye was spread around that call center so often, and so prevalently, the health department threatened drastic and dire measures if the business did not take action.  Yet, MRSA, another staph infection, isn’t even tracked and reported.  Ever ask yourself why?  Ever wonder why some infections and communicable diseases are reported to death and others never even get mentioned?

Knowledge Check!Please let me repeat myself, and I repeat myself only for emphasis; we live in a world of risk.  The government, any government, cannot control the risk of living.  We, the citizenry, should never expect the government to attempt to control the risks of living, for that is the road of tyranny and oppression.  The government is only a tool; the tool should be used sparingly and only in times of greatest need for the greatest good of all citizens.  When the tool of government is overused, tyranny and oppression are the only results, and the citizens will weep in frustration and anger at the governments’ largesse!  MRSA is a risk we undertake to enjoy a social activity, exercising in a gym.  MRSA is an activity we expose our children to when we send them to school, for the benefits outweigh the potential risks.  The risks of runaway government are being felt right now; what are we willing to do to fix that problem?

© 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.

Let’s Talk – Thoughts on Several Issues

GavelMountainview Medical, the surgical center in Las Cruces, NM., informed me politely that I was not welcome as a patient for my inability to wear a mask.  Once my failure to wear a mask was resolved, I was welcome to return, but I was not welcome until then.  This was made pretty clear to me today (27 September 2021).  Regardless of a wet signature signed letter from my VA-provided primary care provider, I cannot wear a mask, irrespective of the fact that the VA had arranged this appointment and was paying the bill.  I was persona non grata.

One would think that having accepted a contract, the accepter would do everything to fulfill the contract.  Yet, apparently, a mask is sufficient legal cause to forfeit a contract.  Does anyone else find this strange and odd?  Would a lawyer please step forward and explain contract law to me.  When I have accepted a contract, my job has been to fulfill that contract to the best of my abilities or be found in breach and liable for the damages to the contract issuer.Apathy

Changing topics.  I was taught, look people in the eye when speaking to them.  Be honest, forthright, and confident enough as a person to render respect.  I have studied people and psychology for a long time.  I am lost on this topic and if you have insight, please feel free to add your comments below.  Why do women feel the need to either become hostile or play with their clothes, hair, or refuse eye contact when talking to me?  I am not horrendous to look upon; I am certainly not good-looking either.  I am not flirting; I interact with other people for professional reasons; yet, I cannot get people to look me in the eye and have professional conversations.

What has happened to eye contact in American society?  What has happened to confidence in communicating?  Look, I get it; right now, the media has everyone scared to shake hands.  I was raised providing a firm handshake, looking people in the eye, and socially interacting is the highest skill you can learn to succeed.  I was having this conversation randomly the other day, and the other person was scapegoating millennials.  I feel this is 100% unfair as the problem is multi-generational and crosses all industries and situations.  Consider the following, and let’s have this conversation.Einstein

Changing topics.  What is more acceptable to you; all talk and no action, or all action and no talk?  In reviewing some transcripts of a ZOOM meeting where President Biden was in attendance with many Democratic National Committee (DNC) leaders and party flunkies, the president made remarks to the effect that since he was the only one speaking to a point, the DNC should be grateful.  One of the reasons I have been hesitant to expand the blog is that I prefer to be a person of action.  Yet, with my disabilities, I find taking action less and less the course I can physically handle.  Thus, I must find new outlets, and training others is a course of action I am good at.  Thus, the blog was born; but not taken without reservations.

QuestionNow, America finds itself at the mercy of a person who considers himself a person of words and thinks others should be grateful to have his words on a particular subject.  In psychology, this method of thinking is generally classified as narcissistic.  A narcissist is a person full of pride and egoism, which shows extreme love for themselves and only for themself.  I cannot think of a better adjective to describe Joe Biden.  Thus, I wonder about the question posed, do you prefer a person of many words and little action, or do you prefer someone of few words and plenty of action?

Strip politics, identity, sex, gender, and all other adjectives and names from this comparison.  Simply make a distinction between words and no action and lots of action and few words.  Then lay that preference out on the world and make choices based upon that preference.  As a person of action, I prefer other people of action.  I like people of action for actions can always be guided and shifted; words mean everything is stuck awaiting action.  If you prefer words to action, please let me know in the comments section why and explain to me how words are better than action.  I am genuinely interested in and appreciate logic and reason.kpi

Changing topics.  Last week my cousin succumbed to his injuries and passed this mortal coil.  I learned something that made me furious, and frankly, I am still not my “cherub-like self.”  I had always thought my cousins escaped the chains of abuse.  My uncle and aunt on my father’s side are just so tender-hearted and innocent; I thought their kids would escape the evils of abuse so prevalent on my side of the family circle.  Unfortunately, the clutches of sexual abuse tormented their family, and my cousin did not ever receive the training needed to overcome the abuse and was a victim his entire life.

I learned from an early age how to fight.  I was raised to be the last bastard standing in a room full of bastards.  I learned how to win, fight dirty, and be it fists, words, ideas, or weapons, I was going to be the victor.  I grew the antibodies against abuse by being abused.  I do not like admitting this, but it is the truth, plain and simple.  My cousin never got this training, I never knew he needed this training, and his family has suffered incredibly from a guidance counselor in the school district who abused my cousin in the second grade.Grit - Defined

To the abused; I am sorry!  You are now faced with a choice, do you give the person who abused, or is still abusing you, power over the rest of your life, or do you choose to fight and win back your life, dignity, and potential?  That is the only choice you make, and you will make this choice every day for the rest of your life.  How you choose dictates your destiny; do you have gravel in your guts sufficient to take back what was stolen from you or not?  You have friends, associates, and support, but at the end of the day, in the wee hours of the morning, you, and only you, have the power to defeat your abuser, and you must wield the sword to defeat the abuser!Angry Wet Chicken

To the abusers; I detest you!  With all the power I possess, I will actively work against you to defeat you!  There is nowhere you can run, nowhere you can hide, and nothing you can do to evade and escape.  I am not justice; I am simply a man who will not allow you the power to continue to abuse.  I know many like me who are just as committed to seeing you stand in front of a judge and be punished for your crimes, and we will continue to work for this day to our dying breath!

I have met too many abused and broken people who do not understand the simplicity of conquering abuse.  The action is simple, choose to stop allowing yourself to be abused.  The reality and activities to support that choice are hard, painful, and the struggle is real physically, mentally, emotionally, and on every level possible.  But, I promise you, freedom from abuse is possible!  Make the choice to stop allowing yourself to be abused!  Need a friend, contact me; need help, reach out.  There are plenty of people locally and more virtually who understand and are happy to help.  Just allow us to be there for you!Angry Grizzly Bear

The accepted praxis in society is to not talk about abuse and abuse recovery as this is a topic for “someone else” to discuss.  Well, that myth ends today!  Abuse is happening too often to continue to ignore, sidestep, or push it under the table.  Abuse is not just a topic for annual teacher training classes, nurses, and doctors.  Abuse does not just happen to low-income families, bad people, or those who “deserve it.”  Abuse comes in many different types and styles, forms, and methodologies.  The single unifying factor in abuse is a single person who is gaining power over another person through manipulation and dominion.

Sexual abuse is about power and dominion, as well as sexual gratification.  Sexual abuse is NEVER about love, and I do not care if it is male-on-male, male-on-female, or female-on-female; it is always about power, not love!  Physical abuse is always about dominion and power over another person; they are always selected for their weakness.  The abused person is constantly victimized until they cannot live without the abuse, or so they are trained.  Verbal abuse is all about power and dominion, feeding the ego of the abuser on the weakness of those abused.  When directed at another for personal gain, apathy is abuse and needs to be corrected before additional harm and further abuse are committed.

Pornography and masturbation are self-abuse.  Drug abuse is self-abuse, alcohol abuse is self-abuse, and these abuses lead to physical, sexual, verbal, and other types of abuse.  Abuse of self leads to abuse of others.  Abuse of others causes society to detest and denigrate you, exasperating self-abuse and addictive behaviors, which further exasperate drug and alcohol abuse and abuse of others.  Vicious cycle indeed!

Knowledge Check!Agree or disagree, leave a comment and let’s have the conversations that need to be discussed.  Let’s openly discuss root causes and look to create solutions that can generate positive outcomes.  Better, let’s open our hearts and hands to lift and support.  There has undoubtedly been sufficient abuse, torment, anger, and hatred in this world.  We need to find different solutions!

© 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.

New Jersey, New York, California, Oregon, and Washington – Just Sell Them for Parts!

cropped-laughing-owlWith a nod to Bill Engvall, let’s honestly discuss three complete holes in America where suicide by legislative fiat and executive stupidity has produced catastrophic failure.  Let me be perfectly honest, if either of these states were a business, they would have been forced into receivership, broken up, sold for parts, and their leaders jailed for incompetency and felonious charges of malfeasance long ago!  The charades have ended, the rose-tinted glasses are off, and frankly, the party is over, all the taxpayers are fleeing, and the businesses are closing shop and fleeing for healthier climates.

California this week passed another job-killing piece of legislation.  The bill is targeted at Amazon and is built on hogwash, acrimony, lies, and allegations so thin you could read Apple’s User Agreement through them.  Not the first time California’s legislative body has targeted a specific business for job-killing legislation, not the first time the legislation is built on sand, and the forecast is for torrential rain, not the last time this idiocy is going to happen.  The fact that California keeps killing itself is depressing!Bird of Prey

New Jersey and California hold an interesting title, and 32 other states are 100% insolvent in their Unemployment Compensation Trust Funds.  Business owners, this fact alone should scare the living daylights out of you and every one of your workers right now!  Now, some of you get it; some are scratching your heads and going; why is this important.  For those who got it, feel free to skip the following explanation.

The unemployment trust fund is akin to the social security trust fund managed by, raided, and depleted by the Federal Government.  No money means that the debts in those trust funds cannot be paid, and all the funds being collected right now are not being used for future calamities.  For all you economists out there, yes, this is a very simplified explanation.  Insurance trust funds are expected to be the funds of last resort to ensure payments to investors; those paying premiums for coverage can receive protection.  Not having these trust funds means the state unemployment insurance fund is in deep trouble, and there is only one direction to point the blame, the legislators and executives in government.

Bobblehead DollNow, some are claiming these funds were only depleted due to the COVID pandemic.  Do not believe the hype.  These funds were in trouble long before COVID hit, and the fact that there are funds to replenish these trust funds and government leaders are refusing to invest money in the trust funds should be major red flags for everyone in the state!  State and local governments are spending money like it’s Christmas, and the New Year will never come with the bills from the holidays.  Think drunken-sailor on 7-day liberty here if you prefer that analogy.  Either way, financial troubles are brewing above and beyond the current inflation woes, and the media is deftly NOT reporting this crisis.  Does anyone want to venture why this topic is not being discussed?

The Article from the Tax Foundation lays out the data nicely, and you are left to draw your own conclusions from the data.  But tell me, what happens when you call GEICO, Farmers, All-State, etc., with a claim and the claim is denied because the insurance company has no money?  Now multiply that by every wage-earner and business in your state and tell me if maybe, just maybe, the unemployment insurance trust fund being insolvent should be a more significant issue of discussion.Tax Burden

If your state is insolvent, and your next paycheck is a LOT lighter, remember this tidbit about unemployment tax insurance trust funds.

Unemployment insurance tax rates on businesses rise automatically when trust fund balances are low.”

Do you see the trouble now?  First, the government maliciously raids and spends the funds, then a hidden tax kicks in, depleting your paycheck, and the government does not have to tell you why your paycheck is lighter.  Especially since those in legislative bodies traditionally exempt themselves from having to pay these taxes.  Now add in the other hidden taxes; inflation goes up because when taxes climb, inflation climbs, prices go up to cover the hidden taxes of higher costs to operating a business, and wages stagnate, which crimps your budget even further.Government Largess

The states mentioned are not the states that did not need Federal Intervention, and they are not counted among the states spending money wisely, as discussed by Governing.com.  Please tell me that nobody is surprised by this revelation.  I find it alarming that Governing.com, in their analysis, was able to conclude the following:

Despite predictions that COVID-19 would crush state tax revenues, most of them didn’t need mega-billions in pandemic aid to balance their budgets. But for the most part, they seem to be spending the money wisely.”

Leading me to ask, why did the Federal Government invest our tax dollars, venture into such incredible debts, and shut down a booming economy?  COVID has proven NOT to be worthy of the title “Pandemic.”  Yet, COVID remains an excuse for emergency measures, emergency spending, and emergency police actions.  Will any media representative ask a politician why?  I didn’t like the book, but I read Albert Camus’ book “The Plague” for light reading.  That is a book about a public health crisis, a pandemic worthy of the title pandemic, and several times in world history, the title pandemic has been warranted when survivors are burning corpses in the street.  COVID fits none of the definitions or situations for a Pandemic, except for the politically connected to laugh at the politically abused populations.Angry Wet Chicken

Look at Washington, New York, New Jersey, California, and Oregon across the COVID-19 political mania.  Tell me why COVID is not an exercise in malicious government and politics gone horribly wrong.  Sure, we can add New Mexico, Minnesota, Michigan, and a couple of other states into the mix for fun.  These core states are where politicians made vast sums of money on COVID-Hysteria, and I would like to keep the focus small for the current article.

The House Ways and Means Subcommittee is reporting 32 states are intentionally withholding money from rural governments as a political move.  When you take the top 20 receivers of COVID-Relief money and the 32 states withholding COVID-Relief money, you find some lines of congruence with states with the harshest COVID restrictions, ridiculous COVID mandates, and no correlating data to infection risk avoidance.  Now, why isn’t COVID reported as a political and social experiment gone horribly wrong?  Worse, why was the money borrowed by the Federal Government at extortionate rates and given pell-mell to the states when the majority of those states do not need the money and the states that did need the money have sufficient if their politicians reigned in spending?Angry Grizzly Bear

The five states mentioned are not poor states by any stretch.  They have resources, both human and natural; they have riches galore, they have potential, they used to have favorable business climates, they are committing suicide.  Why should the rest of America bail them out?  Why not break them up into parts, sell assets to cover debts, place them into receivership, and force them on a diet of sanity and logic until the bills are paid?

I close with a word of warning.  Texas, you’re headed to California status faster than you would like to admit!  Your COVID restrictions are particularly heinous and represent the infection found in Austin spreading like fast-moving cancer to steal your state and liberty.  Arizona, Idaho, Wisconsin, Iowa, you are all on a similar track, the speed might not be as noticeable right now, but the infection is there and growing.  Utah, Colorado, Wyoming, Montana, both Dakotas, you are all at various places in being terminally sick with the same cancer.  If soft words and political expediency can conquer the Western US, the entire United States is lost.  New Mexico has been lost since it was given statehood in a political move that robbed Arizona and Texas of land!

Image - Eagle & FlagThe time to awake and arise is now!  The fight for liberty and freedom will be fought and won or lost in the American West.  Sure, the coasts of America are well and truly infected.  But, the fight for independence is not on the shores; it is right outside your doors.  The media and politicians like to hyperventilate about the coasts, but the rural communities in the “Fly-Over” states are more important to liberty and freedom surviving than any other local in America.  Awake and Arise!

© 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.

Chronicling the VA, One Ignominious Story at a Time!

I-CareAs we catalog the VA, occasionally, local services providers must be recognized for their service or their deficiencies.  In the spirit of fairness and transparency, it is time to discuss one of those community providers, Advanced Neurology Epilepsy & Sleep Center (ANESC), Dr. Aamr A. Herekar M.D.  Also, in the spirit of fairness and complete transparency, I have tried to settle my problems through the VA Community Services Offices and an appeal to the management and doctor of ANESC, all to no avail!  Regular readers know I have been in a multi-year battle with the VA over arresting me for not wearing a mask because when I wear a mask, I become a medical emergency.

I possess a note from my doctor, a VA Primary Care Provider, written to my employer on VA Letterhead with a wet signature, declaring my inability to wear a mask.  The VA did not accept this letter and arrested me three times.  Well, Dr. Herekar’s office was presented the same letter, and hassled me before both appointments for not wearing a mask, became hostile, argumentative, and a nuisance over the mask issue, even after I complied with putting on a face shield.  Today (23 September 2021), over Facebook messenger, I was informed that I would be invited to find a different provider due to my refusal to wear a mask.VA 3

Imagine that; Facebook Messenger has become the medium of choice for ending a patient relationship with a medical provider.  How very inappropriate!  How very unprofessional!  How very typical of some of the providers I have been sent to in the community by the VA.  Apparently, the abuse of veterans is spreading from the VA providers to the community providers.  If you are in the El Paso area and receive a referral to Dr. Herekar, please be cautious of his staff.  I have no idea of the efficacy and quality of the doctor, but his staff is absolutely third-rate or less!  The shame of the entire episode, the taxpayer is on the hook for my being abused by the staff.  How deplorable!Foghorn Leghorn - Medication

In reviewing different results reported from the Department of Veterans Affairs (VA) – Office of Inspector General (OIG) comprehensive healthcare inspection (CHIp) of VAMC’s, I am finding some interesting trends.

      1. Why the sudden, as of July 2021, focus on attendance and staffing in behavioral committees? More to the point, why are the behavioral committee’s processes and procedures so draconian?  More specifically, the following is a unique passage too often see in CHIps.
          • High-Risk Processes
            • Disruptive behavior reporting and tracking
            • Disruptive Behavior Reporting System
            • Order of Behavioral Restriction and patient notification documentation
            • Staff training – Isn’t this interesting, staff training is a “High-Risk Process?”
      1. When reporting that patient experience scores are similar to “VHA Averages,” isn’t this like saying a VAMC is as good as another pig in a pile of slop? Why accept averages that are comparable to other VAMC’s?  The leadership at the VAMC’s across the country is failing the veterans, yet the VA-OIG is accepting average performance compared with other VAMC’s.  It sounds like pathetic designed incompetence, wrapped in weak excuses, and deep-fried in a pity party!
      2. Training continues to be a fundamental excuse for failing, and even the VA-OIG seems to have given up and thrown in the towel.VA 3

An example of how training continues to be a fundamental excuse for failing and designed incompetence lies in another CHIp, specifically reporting reusable medical equipment (RME) and sterile processing services (SPS).  The VA-OIG reported the following weaknesses:

      • Standard operating procedures not aligning with manufacturers’ guidelines.
      • Annual risk analysis reporting to the VISN SPS Management Board.
      • SPS chiefs developing, implementing, and enforcing a daily cleaning schedule for all SPS areas
      • Equipment storage, cleaning, and usability.
      • Completion of Level 1 training within 90 days of hire, competency assessments for RME, and monthly continuing education for SPS staff.

All this after the VHA has already been caught with poor cleaning of reusable medical equipment on multiple occasions, where the training of cleaning staff was the primary reason for failing the CHIp from the VA-OIG.  The cycle continues unabated, and training is central to correcting and ending the process.  Yet, even the VA-OIG refuses to address the leadership failures and be part of the training corrective action behaviors.VA 3

In other CHIp reports, we find that completion of training is a high-risk process.  Leading to interesting questions about why and what is involved in staff training to make training high-risk.  What boggles my mind, much of last year, the CHIp reports found moral distress from leadership, this year, nothing; why?  Did the VA-OIG stop asking about this issue?  Certainly, the VA has not corrected this problem.  Am I merely suspicious, or is there a correlation between less focus on employees feeling morally distressed at work and increased focus on patient disruptive behavioral committees?

From other CHIp reports, we find more questions and logic that make no sense.  For example, how can patients be receiving care that meets VHA averages in acceptable care, but the employees reflect severe moral distress?  Does this not indicate that the averages for patient care are set too low?  Would not this be an indicator that leadership is not held to a sufficiently high enough standard of performance?  Worse, on these CHIp reports, we find greater mention of disruptive behavior committee actions, paperwork, training, and actions taken.  Thus, there appears to be a correlational data relationship between disruptive patients, moral distress in employees, failing leadership, and the abuse of the disruptive behavior committee process.  Where are the elected officials asking questions and drawing substantive conclusions regarding the data presented by the VA-OIG?  Heck, where are the VA-OIG data analysts raising alarms and red flags over correlational data points for investigators to act upon?VA 3

As a person who has been fallaciously labeled and erroneously called “disruptive,” this particular topic strikes home.  The system is ripe for abuse by egotistical leaders hell-bent on power-tripping!  When I asked how do you appeal the decisions, I was told lies, given wrong information, and forced to pay fines that I should not have had to pay.  Worse, the Federal Marshals at the courthouse remarked that there had been a significant uptick in veterans in the same situation as mine being fined erroneously by the VA.  Thus, the abuse of the veterans is both widespread and decidedly egregious!

Another recurring issue from the CHIp reports is remarkable from recent VA-OIG investigations, especially since multiple veterans have recently died over the issue, care coordination.  Care coordination includes completing paperwork, filling out the electronic health record, and signing the electronic health record, so the notes are available for other providers to use for follow-on patient treatment, nurse-to-nurse communication, and medication transmission, but most importantly, monitoring and tracking patient whereabouts on the facility’s grounds.  Yet, even with dead veterans with these issues as root causes, the VHA continues to fail in care coordination.  How do you define appalling, detestable, and disgraceful?  Where are the elected officials?  Where are the veteran service organizations in raising rhubarbs about the abuse of veterans at the hands of the VHA?VA 3

Finally, the most astounding and absurd continuous hit point from CHIp to CHIp report is found under the heading of “Quality, Safety, and Value.”  Under this heading falls a lot of topics, but imperative to improvement is the leadership failure to hold meetings attended by the primary audience.  Tell me, in the private sector; your boss calls a meeting of all department heads and their number two person.  If these people are no-shows, how long will they keep their jobs?  Yet, the VA-OIG finds repetitive missed meetings, no follow-up, no remediation, no punitive measures, no corrective actions, and these people are still employed!

Knowledge Check!One of the most bothersome things about reading three weeks’ worth of CHIp reports has been the consistency of the reports.  Too often, the reports read like they were copied.  Maybe this is due to the consistency of failed leadership; perhaps this is due to the lack of originality in thinking in the VHA, VBA, and the VA in general.  Regardless, the CHIp reports raise some concerning issues, specifically around the potential for abuses found in the disruptive behavior committee process and what disruptive behavior is at the VHA and VBA.  For example, if a patient is throwing furniture, this is obviously disruptive.  But, if a patient disagrees with a policy and is politely asking to speak to administration, this is not disruptive, but the patient is treated as disruptive, and that is abusive of the disruptive patient policies.

© 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.

COVID, Vaccines, and Fetal Cells – Do You Know the Ingredients of Your Vaccines?

Knowledge Check!By now, it should not surprise anyone that many common vaccines contain fetal cells, including those for COVID-19.  In a press release, the North Dakota Department of Health makes the following claim, “… some of the COVID-19 vaccines used cells originally isolated from fetal tissue (often referred to as fetal cells), some of which were originally derived from an aborted fetus. The use of fetal cell lines is a very sensitive and important topic within some faith communities and among individuals with concerns about the ethics of using materials derived in this way.”  It has been an open secret that fetal cells have been used to make or test vaccines for a long time now, and the cells were harvested in the 1960s.

Dr. McKenna (2018) writes on using aborted fetal tissues in vaccine and medical research and makes a strong case between the use of aborted fetal tissue in a research laboratory and the reimbursement practices of Planned Parenthood.  Legal or illegal, moral or immoral, ethical or unethical, the actions of Planned Parenthood in selling aborted fetal tissues are personally repugnant, but I do not understand the legal jargon sufficiently to offer an informed opinion.  I find the selling of aborted fetal tissues ghoulish, immoral, and disgusting.  However, the science of using fetal tissues in producing and testing vaccines is understandable, and I find this practice heinous and dangerous.Apathy

Consider with me the science and draw your own conclusions, for this is the power of science.  We can both observe what is occurring and draw independent conclusions based upon the data presented.  We can disagree, and the science can be debated, for one thing is universal, “Science is NEVER settled!”

Johnson & Johnson and AstraZeneca vaccines were developed with fetal cells. The Moderna and Pfizer vaccines are “supposedly” not derived from fetal cells, but some reports have these companies testing the vaccine on fetal cells.  Frankly, with all the money involved, I do not trust any pharmaceutical company to report the truth.  They cannot be held liable for lying or endangering the health and welfare of those receiving their products.  Again, draw your own conclusions.  I am not here to tell you how to think; just hear me out first.The Duty of Americans

Let’s separate some fact and fiction from the marketing and hype.  Here is a website typical of most “informational,” “quasi-science,” filtered data websites on vaccines and fetal cells.  The website is more useful for what is not related than what is related, and that is the first problem.  In reporting that fetal cells are being used, what are your first three most important questions?

My first three questions are:

  1. Why are fetal cells used and not other types of cells?
  2. Why use cells from such old specimens to grow the vaccines?
  3. What about the recipient and any potential for DNA/RNA cross-over from human-to-human contamination?

If you want an excellent book on this topic, please see Meredith Wadman’s “The Vaccine Race: Science, Politics, and the Human Costs of Defeating Disease.”  I am not writing to sell a book, but I do recommend this book as a means of capturing the information I cannot cover in a simple blog post.  There is history, science, government politics, intrigue, and a whole lot of people who are needed to flush out even a tenth of this topic and the book does a good job of explaining these topics.  Imperative to note, you do not need to be a chemist, physicist, or a multi-degreed scientist or medical doctor to read the book.  If you have legitimate questions about vaccines, from the annual flu vaccine to COVID, I recommend having this book as a reference.Problems

Are there alternatives to fetal tissue available and of sufficiently low enough cost to change from 60-year old fetal tissues; yes.  However, as the book The Vaccine Race makes clear, the impetus to change is missing.  Herein lay the problem, Big Pharma is not going to change.  Unfortunately, there are no regulatory agencies with enough power to force change on a $100 Million industry; the sale of aborted fetal tissue is that big and more.  Worse, by manipulating the public through feel-good marketing websites and public disclosures that do not answer questions, Big Pharma can avoid accountability.

Using the CDC website, let’s explore some other common ingredients in today’s vaccines, and you can choose whether you want these chemicals in your body.

    • Formaldehyde – Used to kill viruses and toxins that are introduced in the vaccine manufacturing process.  Where do we find formaldehyde; the preservation of dead bodies in a mortuary.
    • Sugar and Gelatin – Yup, you read that right, you are getting a shot of Jell-O.
    • Aluminum Salts – Check out the research on what Aluminum Salts do to the neurological system.  Nothing good is a vast understatement!
    • Thimerosal – Also known as “Ethylmercury” or a form of alcohol mercury, but if you believe the CDC and Big Pharma, this type of mercury is in a smaller dose and is not as easily stacked up in the body, and is less likely to cause mercury poisoning.  Even the CDC warns that Thimerosal is only used in Flu vaccines; you know, those vaccines you’re supposed to not worry about and get every year.
    • Egg Proteins and Neomycin – Egg proteins are generally only found in Influenza (flu) vaccines and Yellow Fever vaccines.  Neomycin is an antibiotic used to prevent bacterial contamination from the manufacturing process.

VaccineAs a side note, does the process of creating and manufacturing a vaccine concern you if the manufacturers need formaldehyde and neomycin due to problems prevalent in the manufacturing process?  Now, consider two significant issues in America, the explosion of medicine-resistant bacteria and viral infections in hospitals and the explosion of obesity.  With Jell-O in the annual flu vaccines and the neomycin, aren’t the vaccines part of the growing problem of medicine-resistant bacteria and viruses and the obesity problems?

Ingredients specific to the COVID vaccines, we find a list of chemicals, metals, sugars, and alcohols that frankly astounds and mystifies.  Here is the website with the ingredients broken down that the pharmaceutical companies are willing to advertise as being inside their vaccine.

    • Sucrose is in two of the vaccines.
    • A couple of chemicals (polyethylene glycol/ethanol) I use to wash engines.
    • Salts and cholesterol are in the vaccines.

… and the list goes on and on!  Some of these ingredients are in a Twinkie.  Does this mean that I can safely eat Twinkies, Zingers, and other processed foods and not gain weight or have adverse health problems?  Why should people not be asking more questions about chemical reactions with other medications inside the body?  Why shouldn’t we be asking more questions about long-term side effects and multi-chemical toxicity?

Bobblehead DollI am not anti-science, anti-vaccine, anti-anything.  I am pro-choice and pro-question.  I want clarity, honesty, and transparency.  I desire the ability to have all the information so as to make informed decisions, whether those decisions be about health, law, science, politics, etc.  I do not feel this is too much to ask.  Do you?

© 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.

Working Man’s Ph.D.

cropped-tools.jpgIn 1993 one of the biggest hits was a song called “Working Man’s Ph.D.” sung by Aaron Tippin.  Aaron Tippin has the most colorful biography of all the country-western singers I know, including a commercial airline pilot, pipefitter, truck driver, welder, farmhand, and songwriter and singer.  The lyrics for the song “Working Man’s Ph.D.” form the backbone to the point of this article and as a means of honoring those who have well-earned their working man’s Ph.D.

You get up every morning ‘fore the sun comes up
Toss a lunchbox into a pickup truck
A long, hard day, sure ain’t much fun
But you’ve gotta get it started if you wanna get it done
You set your mind and roll up your sleeves
You’re workin’ on a working man’s Ph.D

Consider the following line especially, “you’ve gotta get it started if you wanna get it done; You set your mind and roll up your sleeves.”  How many times has grit been the only determining factor between starting and finishing a project?  Starters are many, but enders are few.  Those are the two elements for success, and every working man knows the recipe.  Get your mindset and start by rolling up your sleeves.  Preparation is key to finishing strong.20th Maine

Now, cast your mind to those who have never learned how to be a working man.  They have no grit, no ability to make up their minds, and cannot stand up to adversity and spit in adversity’s eyes.  Yet, they talk a good line.  They want you to think they know.  But the lines on their brow and the lack of callouses on their hands tell another story entirely.

Take a moment and consider your first blister.  Do you remember how you earned it?  Do you remember what you were doing the first time you felt that sting?  I do.  My first blister turned into my first and most lasting callous.  I was hoeing a row of peas in a garden; I was six.  I was told that a blister from working is the mark of a man learning how to work.  I earned that blister on a hoe handled that had been wrapped in duct tape to prevent splinters.  After that row of peas, there was a row of corn, potatoes, tomatoes, and lawns to mow.  By the end of the day, I was exhausted and sore, the blister was bloody, and I learned how to treat blisters so you could go to work the next day.Rocks

Let me tell you a secret; I love that blister and callous!  I have burned that callous on many a stove and pan.  I have cut that callous on several knives and received no injury.  I have softened that callous while wrestling sheep in a shearing pen.  I have milked cows and goats to the cows and goats’ misfortune with that callous.  That callous has taught me many a lesson, including how to get a blister under a callous.  In the middle of a cold winter, while splitting wood, that callous kept my hands sticking to the steel of the handle on the splitting maul.  That maul handle had been replaced so many times that my father had taken the splitting maul to work and replaced the wood with ½” steel tubing.  It heaviest splitting maul I ever used, but I never broke that handle off!

With your heart in your hands and the sweat on your brow
You build the things that really make the world go around
If it works, if it runs, if it lasts, for years
You bet your bottom dollar; it was made right here
With pride, honor, and dignity
From a man with a working man’s Ph.D

Consider something with me, think about your hardest task completed; what did you learn about “pride, honor, and dignity” about accomplishing that task?  Hard work taught you a lesson that ease and prosperity could never teach.  Lessons that you cannot pass along to another person except by teaching them the joys and pleasures of task accomplishment and hard work.  Yet, in the world today, so many want to look down on hard work, and this is a thought process that needs reversing.Good Timber

I screwed up.  I admit this freely.  I took some money for raking my neighbor’s lawn and did a poor job.  My neighbor fired me; she was right to do so.  I felt so disgusted with myself for taking money and not delivering a good job, I went over and finished that job over my neighbors’ objections.  I shoveled her snow for free that year.  I did everything I could to discharge the debt I owed to this woman for teaching me that there is no honor, dignity, and pride in a job not done well.

cropped-snow-leopard.jpgMy wife the other day asked me why I don’t quit jobs I have undertaken.  She doesn’t understand the lessons I have learned; I cannot do a poor job.  I cannot commit to doing a job and give less than my full potential and all of my talents, skills, and abilities.  Even when it means I am surrounded by enemies in a hostile environment where my life is constantly threatened.  I have to give it everything I have; I owe this debt to my neighbor that must be serviced.  I have earned a working man’s Ph.D. as well as a couple of master’s degrees from the school of hard knocks; I owe too much to those who have taught me to forget these lessons.

Now there ain’t no shame in a job well done
From driving a nail to driving a truck
As a matter of fact, I’d like to set things straight
A few more people should be pullin’ their weight
If you wanna cram course in reality
You get yourself a working man’s Ph.D

There is a truth in these simple words, I wish to convey in the soberest words possible, “there ain’t no shame in a job well done.”  There is no end of shame to a job poorly done.  Consider the current president; why does the common person, those of us carrying working man Ph.D.’s, scorn the president?  Why did the common person, those carrying working man Ph.D.’s, heap praise on President Trump?  The simple truth and reality in the sentiment, “there ain’t no shame in a job well done,” but there is no end of shame in a job poorly done.  Use any other person you care to name, John Wayne and Kim Kardashian, who gets the stain and who gets the praise of a job well and poorly done?  President Reagan and Nancy Pelosi?  Michael Jackson and Mother Teresa?Leadership Cartoon

The job doesn’t matter, driving nails, driving trucks, nursing babies, keeping a house, accountant, pipefitting, welder, buyer, etc., what matters is how well the job is completed.  Do you take the job and do it well or poorly?  For if you do it poorly, there is nothing but eternal shame, the work itself will always testify of your performance, and people will speak of your incompetence.  Do it well, to the best of your abilities; even if a scoreboard might proclaim you are a loser, you have won victory and honor, pride, and dignity that can never be taken from you.  How you perform the task is the deciding factor, not the job, not the task, not the scores and the statistics, your performance of the task’s duties.

When the quittin’ whistle blows and the dust settles down
There ain’t no trophies or cheering crowds
You’ll face yourself at the end of the day
And be damn proud of whatever you’ve made
Can’t hang it on the wall for the world to see
But you’ve got yourself a working man’s Ph.D

The hardest lesson I learned in the US Army was how to shave without looking at myself in the mirror.  Then I had to learn how to live with my mistakes to shave and look myself in the eye.  Right there and then, I learned the lesson contained in the following lines, “You’ll face yourself at the end of the day; And be damn proud of whatever you’ve made.”  In junior high school, I read Stephen King’s “Pet Sematary,” and the following quote stuck in my mental craw.  It comes out often to teach me more lessons.

The soil of a man’s heart is stony ground. A man grows what he can, and he tends it. ’Cause what you buy, is what you own. And what you own… always comes home.”

Thank you!Hard work teaches hard lessons, but the lessons learned are worth more than gold and diamonds, and I wouldn’t trade a single lesson learned for all the money in the world and all the fame in Hollywood.  Of all the degrees and titles I have acquired in this world, or will acquire, the only one I ever want is that of “Hard worker,” for that single title says it all.  When the chips and markers are counted at the end of life, I want to be found pulling my weight.  I might be disabled, I might be stubborn as a Missouri Mule with a mean streak a mile wide, but I want to be found pulling my weight.

Now there ain’t no shame in a job well done
From driving a nail to driving a truck
As a matter of fact, I’d like to set things straight
A few more people should be pullin’ their weight
If you wanna cram course in reality
You get yourself a working man’s Ph.D

Bobblehead DollMy deepest thanks to Aaron Tippin for his example and his incredible talent as a singer and person.  I have met many military people who sing Aaron Tippin’s praises, and I am very grateful for the talent shared.  May I encourage you to consider how well your studies are progressing on your “Working Man’s Ph.D.

© 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.

Rules for Achieving Production Goals

Knowledge Check!Some may scoff, others may scowl, but I will tell you an open secret, if you are not quality first, production goals will never be achieved.  Sure, a company may hit a target now and then, of course a quarterly statement might come in on target, but reliable production cannot be achieved without quality focus and the following rules.

With more than 20 years’ experience in manufacturing, supply chains, logistics, call centers, and much more, the following production rules are at least a moment of your time for reading and two moments for consideration.  Yes, there are a lot of people who will claim they have the path to success mapped and if you follow it, you to can achieve success.  I am not one of them!  I have tried and true lessons, I have common sense approaches, and I offer freely information that when combined with your knowledge, and the people you have working for you, solutions can be generated to achieve success.

  1. Quality is everyone’s job! – Tell me; whose job is it to pick up trash in the parking lot? How much litter is in your parking lot, trapped against the fence, collecting around the dumpsters, and crowding the floors of your facility inside and out?
    • A colleague states the following:
      • I can tell you within five seconds after arriving the quality mindset of the facility I am visiting, by looking at the parking lot.”
    • My colleague is correct; every facility I have visited that has had a clean parking lot, where employees and managers are picking up after themselves, has a quality culture worth emulation. Unfortunately, the reverse is also true!
    • What does your parking lot look like?
  2. Never take your customer, employee, shareholder, vendor, etc., where YOUR brain has not traveled first! – I sat in a meeting where the leader openly admitted, after telling the new strategic focus, goals, and mission plan, when answering questions about this plan regarding implementation, stated, “I haven’t thought that far ahead.” That company is bankrupt.  Not because they did not have good products, customers willing to buy, or great service, but because the leadership took the business places they had not personally already traveled in their minds.
    • How can you expect any goal to be achieved if you cannot answer implementation questions?
    • How can people follow if you do not know where you are headed?
    • Where are you going and has your brain already traveled there?
  3. Data will be misinterpreted if specific explanations are not included! – New manager, fresh from school, knew all the lingo, had all the buzzwords memorized, was handed a sheet of data, and failed to comprehend what the data meant. Worse, he led others into ruin by misinterpreting data.  If data is not explained, if the why behind data is not clearly understood, if the data story is incomplete, the data is useless, meaningless, and valueless!
    • What is your data story?
    • How do you train others in your data story?
    • Can other people explain the why behind the data, or do they have to come to you for that explanation?
  4. When in doubt, trust your people! – Time does not allow me to relate even a tenth of the stories where the people have proven the data wrong, have gone above and beyond expectations, and achieved miracles. Yet too often the people are the first ones cut in a crisis.
    • Juran’s Rule – When something is going wrong, 90% of the time it is the process, not the people. Yet, how many times are the people blamed for bad processes?
    • Appreciative Inquiry – The theory that states that when you have a problem, the people already in the positions doing the job, hold the answers needed to fixing the problems. Yet, how many times are the people the first one’s lost in crisis?
  5. Data lies; humans live! – Recently the data stated that the problem in a facility was in a specific area. The specific area was encouraged to perform better.  The management thought, “Problem solved.”  Production goals were missed, more counseling to this specific area, more encouragement to achieve, more focused spending to target pain points.  Still missed production goals.  Nobody looked beyond what the data said was the problem, and the data was suffering from a pretty severe case of GIGO (Garbage In = Garbage Out).  There was no production goal problem in the area specified, the problem was on the other side of the plant, and because of the investment in the wrong area, it took longer and more resources to fix the proper area.
    • When data is purported to have “concluded” anything, first give it a reality check!
    • Data is only as good as the inputs.
    • Humans live in the real world, whereas data lives in an altered reality that mimics (rarely) the real world.
    • Never forget, data lies. Data can, at best, only support a decision direction.  Data cannot conclude, prove, or justify anything.
  6. The Rule of 6-P’s – The Rule of 6-P’s is known in various forms and words, but the sentiment is always the same, “Proper, Prior, Planning, Prevents, Purely, Poor, Performance.” Yet, how often is planning done without proper prior activities?  How often is poor performance blamed on everything but poor prior planning?
    • Do you know what proper prior planning looks like as an activity?
    • What is involved in prior planning, and how do you tell the difference between proper and improper prior planning?
    • Who is involved in prior planning and why are they there?
  7. Celebrate small achievements! – Here is another open secret, rarely implemented, always discounted, but remains the single most powerful tool in a leader’s toolbox, praise! That’s it.  Praise is better than cash gifts for the brain, research and fMRI imagery support this conclusion.  The research is fascinating.  Yet, honest, regular, sincere praise continues to be the most overlooked aspect of leadership in business today!
    • Praise is celebrating achievement with someone else.
    • Celebrating success is imperative to moral, discipline, and enthusiasm in the workplace.
    • When was the last time you showed genuine praise for your people? When was the last tangible “Thank you” witnessed?  Who witnessed that gratitude, praise, and celebration?
    • Mark Twain is quoted as saying, “I can live for two months on a good compliment.” Issue praise!  Celebrate all achievements, but most of all celebrate the small achievements.
  8. Success is a choice, but you need everyone making this choice! – Find me a successful team where one team member is not fully and wholly committed to achieving success, and I will show you a team that missed achieving the highest success. Production goals are the exact same thing, if everyone on the team does not know the goal, know the why, and are committed to achieving the production goal, that goal will be missed!
    • How do you find the person not interested in achieving the production goal; who is dropping trash and not picking it up?
    • What do you do when the person is identified; that depends, are you a learning organization or a money pit? If a money pit, that person is fired.  If a learning organization, then it is time to ask questions, discover reasons, and explore options.
    • How do you choose to lead, carrot or stick?
  9. Success is designed; who is drawing the lines? – One of the most egregious problems in today’s world is the delegation of authority to those not worthy or capable. On a consultation the boss had delegated his role to an author of a book.  Every question asked of the leader, he grabbed this author’s book and looked for an answer.  The book is a good resource, but the lack of application to direct business problems was not the author’s intent and was beyond the authors ability.
    • Who is drawing the lines designing what success looks like?
    • Why?
  10. The Pyramid Analogy – Use it, Live it, Love it!

The Pyramid Analogy

Consider the triangle from geometry, there are six different classifications, all of which demonstrate production goal attainment, but only the equilateral triangle makes up the pyramid, and only the equilateral triangle can report success in production goal attainment.

Right Triangles:

Right triangle - WikipediaA right triangle has one 90° angle.

The Acute:

Acute triangle | Acute angled triangle
The Acute Triangle has three acute angles (an acute angle measure less than 90°).

The Obtuse:

Obtuse Angled Triangle | Formula and Properties | Solved Examples & Practice Questions
The Obtuse Triangle has an obtuse angle (an obtuse angle is more than 90°).  Since the total degrees in any triangle is 180°, an obtuse triangle can only have one angle that measures more than 90°.

The Isosceles:

Properties of Isosceles Triangle - Definition & Solved Examples
The Isosceles triangle has two equal sides and two equal angles.

The Scalene:

Scalene Triangle (Definition, Area, Perimeter & Examples)
The Scalene Triangle has no congruent sides. In other words, each side must have a different length.

The Equilateral:

Properties of Equilateral Triangles | Brilliant Math & Science Wiki
The Equilateral triangle has three congruent sides and three congruent angles.  Each angle is 60°.

The Pyramid is an interesting shape, it is self-replicating from a single equilateral triangle.  The pyramid is a five-sided object that represents one of the strongest shapes in the galaxy, with integrity to flex without breaking and being destroyed.  Did you know that if you drew straight lines inside the equilateral triangle, and bent the triangle along those lines, a pyramid would take shape?

Volume of a Pyramid - Assignment PointConsider the production environment and the variables generally fall into three categories, inbound, or products needed to make something for a customer; outbound, the product shipped to a customer; quality, the need to ensure the product is acceptable for the customer.

Using a right triangle, if outbound is the 90-degree angle, your quality is way out of reach, and inbound inputs and outbound deliveries are not being properly reviewed by quality.  Thus, the production environment cannot function to its fullest potential, because all three, inbound, outbound, and quality, are not working equally together.

Bobblehead DollTake any other triangle and the story is exactly the same.  When the inbound and the outbound are not equally bound to quality, and quality is not equally bound to inbound and outbound, resources are not properly shared, time is wasted, and production goals will never be met!  Arrange the variables anyway you prefer, and if the pattern is not an equilateral pattern, there is a problem in the production environment and production goals will be missed, opportunities, lost, and money follows potential right out the door.

Follow the rules and watch production meet goals almost by magic.  Fail to follow the rules and production will continue to struggle.  Production goals are effort incarnate, humans pump efforts in, looking for results.  The goals are statistical symbols reporting success, failure, and percentages of improvement towards goals.  At then end of the day, the human element is the only variable worthy of consideration in meeting production goals, and quality is the badge of honor in human efforts.  Thus, quality is the tool that promotes production goal attainment.

© 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.

If Everyone Cared – More Detestable VA Stories (Chapter 2)

?u=http3.bp.blogspot.com-CIl2VSm-mmgTZ0wMvH5UGIAAAAAAAAB20QA9_IiyVhYss1600showme_board3.jpg&f=1&nofb=1For the last two weeks, I have been a little remiss in writing.  My cousin passed from diabetes, two of my grandkids got sick with COVID (they are recovering), and I was diagnosed with asthma.  The last two weeks have been a roller-coaster of ups and downs, so imagine my surprise as I went to catalog more of the Department of Veterans Affairs (VA) – Office of Inspector General (VA-OIG) reports, Nickelback’s song, “If Everyone Cared,” was playing.  Pandora certainly appears to have a sense of humor and an innate sense of déjà vu.  I cannot think of a better title to proclaim the need for raising awareness and what is needed to fix the VA.  Until everyone is aware and the scab hiding the infection of the VA are ripped away to be exposed to the sunlight disinfectant, nothing will change, and taxpayers will continue to pay for the abuse of veterans who deserve so much more.  Thus, as we celebrate US Constitution Day, let us remember the veterans who have helped protect and defend the US Constitution and improve the government response!

The VA-OIG reports begin in Kansas City, Missouri, with a $335 Million Fraud Conspiracy, which included $615,000 in tax violations.

By pleading guilty today, Patrick Michael Dingle, 50, admitted that he conspired with Matthew C. McPherson, 45, of Olathe, Kansas, to fraudulently obtain contracts set aside by the federal government for award to small businesses owned and controlled by veterans, service-disabled veterans, and certified minorities.”VA 3

A sentencing hearing will determine if any prison time and what if any, restitution is required in this plea deal.  Frankly, the fact that the fraud existed from 2009-2018 is nothing short of a blatant and utter slap in the face for the taxpayer.  How many federal employees had to have seen the documents, failed to perform due diligence, refused to do their jobs, and were not named as co-conspirators or, at a minimum, facilitators of the crimes?  Is aiding and abetting a criminal operation not a charge that can be brought against the federal employees who empowered this fraud?  Thus, I demand all these people explain why and how an investigation can occur and not include the facilitators, those federal employees, who did not do their jobs!

Assistant US Attorney Paul S. Becker is prosecuting the case. The following agencies assisted in the investigation: the Department of Veterans Affairs, Office of Inspector General; the Department of Defense Criminal Investigative Service; the US General Services Administration, Office of Inspector General; the U.S. Small Business Administration, Office of Inspector General; the Army Criminal Investigation Command, Major Procurement Fraud Unit; the Department of Agriculture, Office of Inspector General; IRS-Criminal Investigation; the US Secret Service; the Air Force Office of Special Investigations, Procurement Fraud; the Naval Criminal Investigative Service; the Defense Contract Audit Agency – Operations Investigative Support (OIS); the US Department of Labor, Office of Inspector General; and the Department of Labor, Employee Benefits Security Administration (EBSA).VA 3

File the following under false imprisonment, and will someone please tell me why those employees involved are not in prison now!  A patient in the inpatient mental health unit and community living center at the Tuscaloosa VAMC in Alabama was falsely imprisoned and kept against their will for more than 2-years.  Was denied access to a patient advocate, which should be a red flag that something is disastrously wrong right there.  Plus, official mail to an elected official was improperly handled by staff to prevent elected officials from knowing about the veteran’s plight.

Here is what the VA-OIG investigation substantiated in their investigation:

    • Staff did not adequately assess the patient’s admission status as voluntary or involuntary and did not follow commitment requirements during the first two of the patient’s three Inpatient Mental Health Unit admissions.
    • Staff did not properly manage a letter from the patient that was intended for a public official.
    • Staff did not correctly identify a surrogate decision-maker and did not address ethical concerns regarding the appropriateness of the patient’s surrogate decision-maker.
    • Staff did not comply with requirements when the patient requested an against medical advice discharge.
    • staff at the facility denied a patient’s discharge requests and did not ensure the patient’s access to a patient advocate.
    • Staff failed to follow informed consent procedures.
    • Staff denied the patient’s discharge requests.
    • Staff did not conduct a sufficient or timely decision-making capacity evaluation and documented unsupported, conflicting decision-making capacity information in the patient’s electronic health record.VA 3

These are serious crimes, not bad administrative practices, felonious crimes.  Yet, the employees skate, the patient was held against their will, and nobody will be responsible for this disaster.  Where are the elected officials?  Where are those hired to scrutinize the government?  In this situation, any other medical organization would be facing lawyers armed with righteous indignation and seeing dollars signs in their dreams.  Yet, because this is the VA, the patient can be harmed, and no one will ever care, and that is a crime the elected officials are guilty of and need to be held to task for!

Moving to Biloxi, Mississippi, we found another VA employee who had sticky fingers and a long time to steal from the government (2009-2020).

Chad Paul Jacob of Saucier, Mississippi, pleaded guilty to stealing personal protective equipment, electronics, and medical equipment while working as the assistant chief of supply chain management for the Gulf Coast Veterans Health Care System in Biloxi. From 2009 through December 2020, Jacob stole and resold VA property at local pawn stores and on his personal eBay account.”VA 3

For eleven years, they were working as the assistant chief of supply.  The employee had how many reporting employees and superiors have had to sit through how many records audits.  In all these eleven years, I cannot believe that nobody ever suspected problems.  Who did the thief learn how to steal from the government from?  How many employees churned, and did any of these employees churn because they tried to report irregularities, and the boss ensured they were disposed of to silence them?  The VA has been taken to several congressional hearings to eliminate the whistle-blower rather than fixing the problems at the VA.  Thus, it is not in any way, shape or form, out of line to be suspicious about employee churn and fraudulent actions taken by a supervisor to eradicate and protect their schemes!  Why are these questions never asked in the VA-OIG investigations where schemes are uncovered by ranking and supervisory personnel?

Remaining in the south and moving next door to Slidell, Lousiana, a doctor, has been indicted for illegally dispensing opioids in a health care fraud scheme.

Adrian Dexter Talbot of Slidell, Louisiana, was charged for his role in distributing Schedule II controlled substances, including oxycodone and morphine, outside the scope of professional practice and for maintaining his clinic to distribute controlled substances illegally. He was also charged with defrauding health care benefit programs of more than $5.1 million, given that the opioid prescriptions were filled using health insurance benefits.”VA 3

Remember, an indictment is not a finding of guilt, and the defendant remains innocent until proven guilty in a court of law by a jury of his peers.  There is a very compelling point made by our founding fathers that need to be repeated here and declared more often in American Society.

“… Should the People of America, once become capable of that deep simulation towards one another and towards foreign nations, which assumes the language of justice and moderation while practicing iniquity and extravagance, and displays the charming pictures in the most captivating manner of candour, frankness, and sincerity.  At the same time, it is rioting in rapine and insolence; this country will be the most miserable habitation in the world.  Because we have no government armed with power capable of contending with human passion unbridled by morality and religionOur Constitution (the US Constitution) was made only for a moral and religious people.  It is wholly inadequate to the government of any other.” – President John Adams

The drug war and the opioid crisis stem from the same problem, a lack of morality and religion.  The duplicity of showing candor, frankness, and sincerity, while at heart there is nothing but ravening appetites and the minds of wolves, is the problem.  Sure, drugs create a social and medical issue out of the unbridled appetites and passions.  The core is the lack of self-restraint from being disconnected to religion and morality and from social duty, responsibility, and accountability.  Thus, making people miserable and looking for a cure.Knowledge Check!

The case above expresses this point clearly; the doctors involved were filling an appetite.  As long as there is an appetite, there will be people willing to risk everything to fill the appetites of others; moral and social disconnection, and the US Constitution cannot govern these people except to their destruction!

Moving to Fort Lauderdale, Florida, we find another series of indictments for more fraud, reflecting the same social disconnection.

Kingsley R. Chin of Fort Lauderdale, Florida, the chief executive officer of SpineFrontier Inc., and Aditya Humad of Cambridge, Massachusetts, the company’s chief financial officer, was indicted on one count of conspiracy to violate the Anti-Kickback Statute, six counts of violations of the Anti-Kickback Statute, and one count of conspiracy to commit money laundering. Chin and Humad allegedly bribed surgeons to use SpineFrontier’s products, and in turn, the company received millions of dollars in revenue from surgeries the surgeons performed.”VA 3

Traveling north to Bedford, Massachusetts, we find another dead veteran and culpability so thick it should be used as a board to apply corrective discipline for all parties involved!  From the report, we see the scope of the investigation for the VA-OIG:

Mr. Timothy White was a resident of the Bedford Veterans Quarters (BVQ), an independent living facility operated by Caritas Communities, Inc. (Caritas), in space leased to it through VA’s enhanced-use lease program. A month after Mr. White was reported missing, his body was found in the emergency exit stairwell of the building that houses the BVQ. This stairwell down the hall from his room was VA property and not leased to Caritas.”VA 3

The VA-OIG found the following as facts in the investigation:

    1. The VA police department’s failure to locate Mr. White resulted in part from the police and others at VA not considering the veteran an at-risk missing patient, which would have required a stairwell search.
    2. The Veterans Health Administration and the Office of Security and Law Enforcement lacked clear guidance regarding the obligations of VA police to search for nonpatients reported missing on VA property.
    3. VA police also did not discover Mr. White in the stairwell because of an improper order by the then-police chief to cease patrols of the building in which Mr. White was found.
    4. The OIG found that the VA police chief exceeded his authority as VA policy, and the lease required VA police to patrol VA property.
    5. Medical center staff mistakenly believed the emergency exit stairwells were not VA space; they did not clean them.
    6. The confusion among medical center leaders and staff regarding the lease scope and VA’s obligations stemmed from a lack of clear guidance from the Office of Asset and Enterprise Management.
    7. Routine police patrols and stairwell cleanings likely would have led to Mr. White being found earlier.

Angry Grizzly BearNow, as logical thinking adults, do you buy the load of excuses being sold here to pass off the blame for a dead veteran?  I know I am certainly NOT buying this load of bull!  Having worked and spoken in-depth to leaders of VA Police Departments, the excuses to not do stairwell checks and camera checks for missing patients are beyond inexcusable!  I know of a situation where a patient was lost on VA property.  Every police officer and staff member, even those on off-shifts, were called in, issued out in teams, and every square inch of the property was investigated until the patient was found.  Yet, somehow this patient was able to DIE unnoticed in a stairwell!  Are you kidding me?!?!?!

Regardless of whether this veteran died of malnourishment, dehydration, exposure, or lack of medication, he died horribly!  The veteran died at the hands of responsible parties, and those parties need to be held accountable for his untimely and atrocious death!  There is NO EXCUSE for this veteran to have died.  SHAME on the administration!  SHAME on the VA Police!  SHAME on the third-party contractor.  SHAME on the leaders of government who have allowed this abuse and refused to act!

Moving west to Chalfont, Pennsylvania, we find more stolen valor and theft of government benefits.

Richard Meleski of Chalfont, Pennsylvania, was sentenced to three years and four months in prison, three years of supervised release, and ordered to pay $302,121 in restitution for stealing VA benefits by pretending to be a veteran who the enemy had captured during combat. In July 2020, Meleski pleaded guilty to one count of healthcare fraud, two counts of mail fraud, one count of stolen valor, two counts of fraudulent military papers, as well as two counts of aiding and abetting straw purchases, and one count of making false statements in connection with receiving Social Security Administration disability benefits.”VA 3

While there are many more VA-OIG reports needing sunshine disinfectant, let us remember Mr. White, who has passed, and the feloniously falsely imprisoned unnamed veteran from today’s VA-OIG recap.  These two veterans especially deserve respect, dignity, and remembrance.  Their families and friends deserve praise and prayers.  America deserves answers, and federal employees need to be held accountable for failing to do the job they are paid tax dollars to perform!

I-Care© 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.