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.

Compliance Problems and Dead Veterans – More Shameful VA Misconduct Chronicles

Angry Grizzly BearThe Department of Veterans Affairs (VA) – Office of Inspector General (VA-OIG) is filling my inbox by mid-week again, and the volume never ceases to amaze and mystify.  Over the last 10+ years of reporting on the VA-OIG reports, I have learned that when the volume is exceedingly high by mid-week, there are reports the VA-OIG is hoping to get overlooked in the crush.  Luckily for them, I am here to ensure nothing gets overlooked; you’re welcome!

We begin with more fiscal insanity and the failure to comply with regular auditing and business financial practices that would see a private company’s owners in prison.  Let’s be clear; Congress passed specific legislation to single out government agencies to demand they comply.  One of these unique pieces of legislation is called the Payment Integrity Information Act (PIIA), which audits the VA regularly fails.

Please note, last year, the VA failed two programs on the PIIA; for the fiscal year 2020, the VA failed two of the programs, consistent failure is a leadership problem.  Yet, the VA-OIG claimed the following:

To VA’s credit, it noted a decrease in improper payment estimates two years in a row and a decrease in its improper payment rates for nine programs and activities.”VA 3

Consistent with the previous fiscal year’s PIIA reports, yes; still a leadership problem, yes.  But I am not so generous as the VA-OIG, for I know many a non-profit and for-profit organization that has been fined heavily, bankrupted, and put into conservatorship over the same actions.  Nothing ever happens to the leaders at the VA failing to do their jobs!  12 programs and activities totaling $11.37 Billion, and never are the leaders held accountable for failure; let that sink in for a minute or two.  Read the report, you tell me, should real people be held responsible for failing to follow the law?

Gravy Train 3The VA-OIG conducted a comprehensive healthcare inspection (CHIp) of the Roseburg VAHCS in Oregon; for the regular readers, I bet you can guess what was found.  Yup, the employees feel morally distressed in how they are being pressured to treat the veterans.  Are you surprised; I am not, but there still might be some people, somewhere in America, surprised that the VA abuses the veterans they are honor-bound to serve.  The most tenured leaders have been in place since 2016.  I wonder if the moral distress and the leadership hiring are correlational data points, for I know that from 2012 to 2017, there was a lot of shuffling of VA leaders at the local VAMC/VAHCS level due to dead veterans in Phoenix from death list scandals.

The VA-OIG claimed the following:

The VA-OIG identified concerns with root cause analysis action implementation and outcomes measurement. Leaders were knowledgeable about employee satisfaction and patient experiences. However, they had opportunities to improve their knowledge of VHA data or system-level factors contributing to specific poorly performing Strategic Analytics for Improvement and Learning measures.”VA 3

Tell me something, how can you have a job for more than four years, be rated as knowledgeable about the measurement analytical methods, but not be knowledgeable about root cause analysis, action implementation, and systems-level factors contributing to poor performance?  To gain your position, you had to grow professionally through the bureaucracy and the various sub-levels of VA leadership to lead a VA Hospital.  Yet, somehow, after all this time and experience, you have inadequate knowledge about the essential functions of your job.  Quoting Colonel Potter here: “HORSE HOCKEY!”  Does this sound remarkably akin to designed incompetence to anyone else?cropped-bird-of-prey.jpg

Meaning, I do not believe your lies!

Traveling to Fayetteville, Arkansas, and the case of Dr. Robert Dale Bernauer Sr. (74), who has pled guilty to workers comp fraud and four other charges of fraud, where the total amount of fraud existed from 2011 to 2017 and more than $1 Million.  Co-Conspirators and the insurance company are not named but should be.  Worse, this scheme involved workman’s compensation insurance for Federal and State employees, Federal agencies, State agencies, and private employers.  While the lawyers and attorneys all crow about catching a doctor who committed fraud, and I am glad he was caught, where are all the state and federal employees who had to know this was going on and did not do their jobs?

Through the insurance company, the doctor was charging 1500-2000% higher for medication marked up. Indeed, this should have raised some eyebrows and questions somewhere in the six years this fraud lasted.  Who is asking why this did not raise red flags at the state and federal levels?VA Seal

Weep America, another veteran, has died by suicide, and the VA is culpable due to bureaucrat inertia and outright failure to follow the guidelines and rules as established.

The VA-OIG found that staff did not adequately evaluate the patient’s condition when reviewing the patient’s high-risk status.  Facility staff did not assign a Mental Health Treatment Coordinator (MHTC) prior to discharge or establish a facility MHTC policy, as required.  The Recovery Engagement and Coordination for Health – Veterans Enhanced Treatment (REACH VET) provider did not outreach the patient as required.  Facility staff did not comply with Veterans Health Administration suicide risk assessment procedures and did not notify facility leaders or suicide prevention staff of the patient’s death by suicide” [emphasis mine].VA 3

Why was the staff allowed to fail so severely here; they were not appropriately trained.  Staff failures and training failures are symptoms of leadership failures, and a veteran is dead!  Which staff has been fired for their failures?  Which leaders have been fired without retirement or potential for rehiring for a deceased veteran as the final act in a chain of events that began with failing to perform their job?  How many times will this story have to repeat before Congress acts to reflect the interest and the responsibility invested in their office by the electorate?  How many times is this story repeating without the benefit of the VA-OIG doing a full-blown investigation?Angry Wet Chicken

Unfortunately, the following report involves the abuse of an intimate partner and bureaucratic inertia.  While the complete record is not revealed (thankfully), what is revealed is detestable to the Nth degree and includes 214 days of spousal abuse, bureaucratic inertia, and mental health failures to protect the spouse and help the veteran, ending with the veteran’s suicide.  The saddest part of this story, it took almost three years for this suicide to be investigated by the VA-OIG (2019).

“The VA-OIG found that despite the patient’s and spouse’s intimate partner violence (IPV) reports, inpatient mental health unit staff did not consult with the IPVAP point of contact or ensure the spouse felt safe with the patient returning home upon discharge. The inpatient psychiatry resident did not timely complete a progress note addendum, which resulted in other clinicians not having access to critical IPV-related information for 34 days. Facility staff failed to consider a consultation with the Office of Chief Counsel, although the Veterans Health Administration (VHA) advises employees to “work with your Office of Chief Counsel” regarding state reporting requirements for victims of IPV. Outpatient mental health staff did not consult with the IPVAP point of contact or document discussion of IPV resources or treatment options, as the OIG would have expected. The Facility Director did not ensure the development of an IPVAP protocol, as required. Although a licensed independent provider was appointed as the IPVAP coordinator, facility staff and leaders did not identify the assigned IPVAP coordinator as a resource at the time of the patient’s care in 2019. The VA-OIG also found that VHA guidance about IPV training responsibilities was unclear.”VA 3

Let’s talk about some realities of mental health.

      • 50% of the patients seeking mental health see no improvement.
      • 10% of the patients seeking mental health support will be injured by the mental health provider.
      • 33% of the mental health patients choosing a pharmacological solution experience harm or no relief.

If you add these numbers up, that’s 93% of the population seeking mental health support not being helped or being harmed by mental health providers.  This does not mean that mental health providers need to give up, but they need to work harder to find solutions and meet their patient’s needs.  It means timely provider notes are mandatory!  It requires providers to have a plethora of options for treatments, obtain patient buy-in, and follow up with the patient.  It involves treatment facilities to write procedures and operating policies that allow for rapport between a patient and a provider that is not disturbed as long as that relationship is healthy and progress occurs.

Knowledge Check!America, it is time, and past time, for the Department of Veterans Affairs to be overhauled from stem to stern.  To be held up to scrutiny, transparent audits and the leaders held accountable and responsible for the failures and abuse of veterans, their spouses, and dependents.  These last two stories, especially, have left me spiritually sick and mentally angry!  There is no excuse for the inertia evidenced, no excuse for the designed incompetence, and no excuse for the abuse to continue!  Where is Congress?  Where is the US President?  Where are the House and Senate speakers (Major and Minor) raising a rhubarb and demanding hearings, opening Department of Justice inquiries into misconduct and malfeasance when these egregious VA-OIG reports are brought before them?  Where is the media in demanding the politicians pay attention?

Satire? Obama ISIS Speech Depresses Nation | Hooper's War - Peter Van BurenWeep America!  Those who have defended you and me are being fed into the machine of bureaucratic inertia and spat out as broken or dead constructs — bereft of hope, lost in red tape, and denied solutions and care.  Pets and farm animals are treated better than veterans, and I cannot help but wonder if this was designed purposefully to satisfy the whims and fancies of the politicians currently in office.  Treat an animal like a veteran is treated, and you will be publicly shamed on national TV faster than a snake can shed its skin.  You will receive more media attention, more lawyers and politicians will hound you, and consequences galore will fall all over you.  Shameful!  Utterly shameful!

References

American Psychological Association. (2012, August). Recognition of psychotherapy effectiveness. Retrieved from http://www.apa.org/about/policy/resolution-psychotherapy.aspx

Corbett, L. (2013, December 17). Psychotherapy based on depth psychology is a superior approach [Video file]. Retrieved from https://youtu.be/e4JQamcq24c

Lilienfeld, S. (2007). Psychological Treatments That Cause Harm. Perspectives on Psychological Science, 2(1), 53-70. Retrieved from http://www.jstor.org/stable/40212335

Smith, B. L. (2012). Inappropriate prescribing. Monitor on Psychology, 43(6), 36. Retrieved from http://www.apa.org/monitor/2012/06/prescribing.aspx

© 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.

An Open Missive to our Federal Elected Officials: Who Polices the Federal Government in Following Hiring Practices?

As a dual-service, disabled veteran, possessing two master-level degrees from accredited colleges and engaged in the pursuit of a Ph.D., I am finding, from personal experience and in speaking to others pursuing employment with disabilities, discrimination is alive and well.  I can understand the discrimination in private sector hiring; I do not like it but understand it.  Risk, costs of health insurance, and costs of doing business increase when hiring those with disabilities.  I do not see government as a “jobs program” in any way; however, the government has taken it upon themselves to enact rules specifically to hire those with disabilities.  Thus, the government should be more open to hiring those of us with disabilities.

People ProcessesFederal Government hiring procedures provide two hiring paths, competitive and non-competitive.  Under competitive, there are several ways of being placed ahead of others and points are awarded for certain hiring preferences, of which being a veteran is but one.  In non-competitive hiring, Schedule A provides for disabled people to sidestep the traditional, or competitive, practices of hiring to have an opportunity of obtaining employment without having to compete with candidates not experiencing the special conditions caused by disability

Disabled people are supposed to be able to employ Schedule A hiring practices for Federal Hiring because disabled people know how difficult it is to be hired for the private sector, city, county, and state government hiring.  Here is where those in hiring positions for the Federal Government are able to bypass the system and not hire disabled people:  no one is policing hiring.  I was informed, very politely, by the Inspector General’s Office that they do not inquire or investigate compliance with regulations for hiring.  The question to you, elected Federal Officials: who polices and ensures compliance with written protocols established by OPM for hiring?

As a disabled veteran, hiring in the private sector has become more difficult as my injuries have become more noticeable, from fall 2010 to present.  Having a disability that is nerve based, causing tics/twitches/spasms, hiring officials acknowledge directly or indirectly that since my cost to employer-based health care will come with a pre-existing condition and higher overall costs in ADA compliance and loss of potential (blue) money, I become the “candidate to beat,” and finally will be told, “you are overqualified,” “you are over-educated,” or my personal favorite “you are not a good fit.”  Thus, after four consecutive years of seeing my ability to be hired in the private sector diminish, I began more heavily pursuing employment with the Federal Government.

In June 2016, I was, finally, awarded a Schedule A letter to add to my documents in Federal Hiring.  With the Schedule A letter, I was provided OPM training on how to be “Direct Hired” and walked through the OPM website governing the policies that govern Schedule A hiring and disability hiring for the Federal Government.  Since the award of the Schedule A letter, I have had a VA hiring official refuse to use the letter claiming VRA and VEOA are both more efficient, and then not hire me for being “overqualified.”  I have experienced hiring managers tell me that “Direct Hire” authority lies with managers, and you need to know those managers to employ Schedule A preference, but the hiring managers cannot tell you who else to speak with to receive Schedule A hiring.  The absolute best excuse has been a hiring manager’s claim that there is no such thing as non-competitive hiring, that all applicants must be hired under competitive hiring standards, and then proceeded to tell me I am not qualified for the position because my degrees were not specifically those desired in the advertisement, even though the advertisement did not specify a specific degree, other than master-level.  Most recently I have been offered positions so far below minimum pay levels only because the government knows that desperation often breeds compliance, even if compliance creates actual harm, all in the name of some future date of possibly being hired for the wages qualified for at the time of hire.

Hence, I emailed the Inspector General’s office regarding these circumstances and received the following reply, “The Inspector General’s Office does not monitor compliance with hiring in the Federal Government.”  Thus, Elected Officials, I ask you, “Who regulates and ensures compliance in hiring for Federal Government positions?”  “Who is accountable for OPM regulations being adhered to by local hiring decision-makers?”  “Where can those who are disabled and trying to work turn for a reconciliation of just grievances?”  You, the elected officials, created this hiring system with preferences for disabled people to find work with the Federal Government, so who is policing the hiring for you?

I have now contacted elected officials in four separate states while living and voting in those areas, Ohio, Arizona, Utah, and Michigan, asking the representatives of elected officials directly the same questions posed in this missive.  Senator McCain’s office was the most oblique and obtuse claiming that if hiring practices are not being followed it is due to a lack of training somewhere, but the issue is not important enough for the senator’s time.  Upon arrival in New Mexico, I asked about hiring at the VA Hospital in Albuquerque and was told by several officials at the VA Hospital that the HR Department was under extra scrutiny due to a significant lack of following the hiring guidelines for Federal Government hiring; but, none of those people could tell me who polices the hiring practices and ensures compliance.

Why is this important; because disabled people are not receiving the kind of hiring support they need.  With the current costs to business operation in the private sector, I can understand, I do not like it, but I can understand, that hiring those with disabilities is going to be a major cash outlay upfront with increased risk.  As a business professional, I understand the risk/cost structure, and I understand that the speed of business dictates finding the lowest cost/risk, candidate.  For the city, county, state, and Federal Government positions, I cannot fathom why disabled people are dragged through such egregious hiring practices.  I did an unofficial survey of 25 Federal Government, NM State, Bernalillo County, and City of Albuquerque employees asking them one simple question, how long did it take for you to be hired initially.  The answers ranged from multiple months to 5 years of constant applying.  If the employee had been promoted, I asked how long did the employee wait for the promotion, and the answers ranged from 3-months in the initial position to 15-years.  As a business professional, I can confidently say this is where enormous amounts of blue (potential) money are being wasted, and as the axiom goes, burn enough blue money and green money, in this case, taxpayer funds, evaporate!

Ways to fix the hiring issue:

  • USAJobs.govEach Federal Government office needs to have a single person solely responsible for Schedule A and all other direct hire authority programs that non-employees can communicate with to apply directly to that organization. All open positions would run through this office first providing the option to request Schedule A preference, and upon that selection, USAJobs.gov would automatically drive the applications to the single person responsible for direct hiring and provide this person’s name and contact information to the applicant.
  • Stop the redundant efforts. Once a background and reference check has completed for one office, make this information available to all offices for 365-days.  With applicants making multiple applications to several different offices, this alleviates contacting those references multiple times, duplicating work, and wasting resources.  The technology to share is already available, and this is a low-cost, high-return option to invoke.
  • Every worker in government expects everything to take an inordinate amount of time to complete work. The longer the waiting game takes, the more potential (Blue) money is wasted exponentially.  Start shaving unproductive hiring practices, processes, and procedures.  Streamlining the hiring process overall is needed!

Blue Money BurningConsider the following as a general guide.  For every five dollars of blue money wasted, fifteen to fifty green taxpayer dollars evaporate.  Thus, when a position is open, the lost potential is the annual salary of the new hire for every month the position remains open and unfilled, and the green money loss is the annual salary of the position open every two months.  Between others having to work harder to cover the open position (Blue), the added strain and stress of working shorthanded (Blue), and the lost productivity of the entire team including the costs of long-term planning (Blue), along with other factors, are “hidden costs” of conducting business.  In the blue money loss, the green money evaporation is found in less time for maintenance, tools, and people are used harder and longer, overtime for important deadlines, and commitments lost are all, but not a complete list, of green money evaporation pits.

  • While not directly a hiring practice, reducing employee churn, training, and promoting more quickly is a best business practice. The people in government make the government, and I am not the only customer service professional pointing to government offices as the epitome of incompetent people wasting resources and destroying morale and customer relationships.

Case in point, at the Regional VA Office in Phoenix, AZ, three people regularly man the front desk and are the face of this VA facility.  Of these three, one person is incompetent and intentionally mean, remarking in demeaning and insulting tones to questions and speaking ill of the veteran they just “helped.”  One is trying and means well.  The third could not be hired to clean road kill off streets and is completely and utterly a drone, for example saying they are working on a task but never accomplishing anything productive.  Several times while being harassed assisted by these individuals, I witnessed the third person asking for help from another employee to staple forms together, asking “where does the staple go in the form again?”  Hence, I was not surprised when Phoenix became the face of incompetent and heartless government workers literally killing veterans.  Clean house of the deadwood, replace with hard-working people and streamline the process of work to reduce the opportunity for drones and hacks to manipulate the system.  Of the 10-15 people that regularly float through the Phoenix VA Regional Office Front-Desk/Waiting Area, I think two might actually be working.  The rest seem to have an amorphous purpose doing ambiguous work in a cloud of confusion taking taxpayer wages for no productivity.

  • Customer service improvement begins internally, employee to employee. Want to slow churn, improve how employees serve each other.  Want to reduce churn significantly, get the supervisors, team leaders, and other organizational leaders out of the office, onto the production floor, and actively exemplifying customer service and professionalism.  Improve employee to employee customer service and departments like the VA and DMV will immediately begin to change their horrendous reputations.

I am not the only person in this country paying taxes and angry about the drones and dregs hired to conduct government business.  It is past time to demand accountability for the taxpayer money waste at all levels of government.  Decreasing waste begins with improved hiring, respect for the government they work for by being honest in their employment, and increased regard for the people they serve.

When an employee commits a crime, they should be able to be fired and never re-hired by the government, then held accountable in a court of law for their crimes.  When an employee does not pay their taxes while working for the government, they should be fired and never re-hired, then held accountable like every other citizen not paying their taxes.  To hear about government computers full of porn, child porn, and online gambling, tells me there are workers that are not being supervised properly, work is not being done, and the supervisor and the offending employee need to be fired and never re-hired, then held accountable in a court of law for their crimes.  Being paid to work and not working is theft!  Child porn is a crime!  Watching porn on a computer while being paid is both sexual harassment and theft, both of which are crimes!

The taxpayer receives a slap to the face when federal, state and county government employees are caught gaming the system for personal profit, are not required to remit the monies ill-gotten, and are not fired, or worse are fired and an obscure union regulation returns them to work at the same salary and position of authority, or worse are promoted after being returned to work.  These are failures in treating people properly, honoring the tax dollars invested, and reflecting a failure of elected officials to supervise government workers needed to run the government.  When will our elected officials become the leaders we are paying them to be, holding those malfeasant characters legally and morally accountable and removing them from employment in government?

Your'e HiredWe hired you, the elected officials, to run the government for us, not to enrich yourselves at our expense, and not to allow nefarious and untrustworthy people to lie, cheat, and steal our tax monies and keep being paid with our tax money!  More egregious still is allowing those who have abused the power of government to cause harm, then allow those abusers to quietly leave the government with their pensions, and no criminal charges are ever pursued, e.g., Lois Lerner among many others.  When you want to know why the approval rating for elected officials is so low, look no further than the issues raised in this missive.  Fix the problems!