NO MORE BS: Putting Shame in the Right Place at the VA – Administration

Angry Grizzly BearI have found great and good providers at the VA, as well as some truly awful and detestable providers.  The Doctors, Nurses, Medical Support Assistant (MSA), and the patient are supposed to form a PACT team to improve the health and welfare of the patient in the VA Health Care System (VAHCS).  The PACT Team is a VA organizational program to assist in improving care and stands for Patient Aligned Care Team (PACT), as an extension of patient care services.  The PACT Team also includes the Patient Advocate and several others, as detailed in the image below.PACT_model

I mention all this because I have heard from a veteran, we are going to call him “Boats,” a chief Boatswain mate for over 20-years in the US Navy, honorably discharged, and a disabled veteran of the Vietnam Era.  Boats’ doctor changed clinics, thus shaking the PACT team to its core.  Since the doctor was reassigned to a different clinic, the nurse has been changed but not explicitly assigned, so the coverage nurse cannot be reached by phone, and secure message falls on deaf ears and plastic lips.  Hence, reaching his PACT team has become a burden, his health has suffered greatly, and the mask mandate makes his safety in the VA Clinic doubtful at best, as the mask aggravates his ability to breathe.

PACT 1Because his clinic has no doctor, other doctors have been sharing their time in the clinic.  This means that if treatment requires time and interactions over multiple visits, the patient loses any type of continuing care and is left frustrated, with continuity of care hindered.  Here’s the rub, this has been an ongoing situation for a long time, and the continuity of care has become a root cause in the failing health of this veteran.  Unfortunately, this is not a new or rare problem for the VA, and as shortages in providers continue to increase, it will only worsen.

PACT 3Boats is in the same situation as many other veterans.  While misery loves company, this type of misery costs lives, and that is an administrative problem Congress legally bound the VA to fix, and they refuse to address.  Like the mask policy that does not include a face shield option or include the verbiage for approved medical conditions, the administration of the VA continues to market lofty and grand standards and fails even to meet minimum legal requirements.  I have witnessed the administrative officers, known by their online pictures, refuse to help veterans, pawn off veterans, and even go so far as to hide from veterans to avoid providing customer service.

The hospital administrators have been schooled in the VA; many have “come up through the ranks.”  These administrators have been taught how to avoid accountability, responsibility, and work the VA Bureaucracy to keep their jobs, even when veterans are dying from the administrative problems they created.  While an employee, I heard the tales of how my Hospital Administration Services Director got her job; draw your own conclusions, all I do know is someone was promoted to an exceedingly great height above her maximum level of incompetence!

Detective 4Consider the hospital director moved, at taxpayer expense, from Seattle to Phoenix.  She had been killing veterans in Seattle and took over an award-winning hospital, which very shortly became a national joke for where veterans go to die!  Her lessons are still being taught, veterans are still dying, and the administration is still the problem!  The mask mandate that has stopped my prescription from being refilled, my abusive PACT Team led by a doctor who invited me to find a new provider, refused to contact me for two months about needed blood work to refill diabetes medication.  After two weeks without diabetes medication, magically, diabetes medication arrives. No blood work ever occurred because I cannot access the VA due to my approved medical condition that makes wearing a mask impossible.

The administration of VA Hospitals is a crime!  I had an assistant director, while an employee, who said, “If a non-VA Hospital did anything like the VA does things, they would be shut down for malpractice.”  The assistant director is now a clinic director for the VA; her resume included 20-years in non-VA hospital administration.  She joined the VA to help veterans.  Where is the VA-Office of Inspector General in rooting out these administrative landmines of ineptitude that makes hiring more difficult and retaining talent near impossible?  Where is Congress in scrutinizing the VA and helping those working to change the VA to succeed instead of actively contending with them?

LinkedIn VA ImageBoats has serious problems.  The legacy of the VA is to kill him instead of fixing their administrative problems.  But, the VA’s mission statement is still, “To fulfill President Lincoln’s promise: “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s Veterans.
“Our department remains fully committed to fulfilling the sacred obligation that we have to those who serve in uniform.” ~VA Secretary Denis McDonough.

VA SealWhere is the VA acting in accordance with the mission statement and fulfilling its “sacred obligation?”  The answer, with the current leadership in administration, nowhere!  The VA has been purposefully designed to kill veterans and can be fixed.  The fix must include Congress, and we all know how Speaker Pelosi (D) feels about veterans; when she called them terrorists, it was clear her scrutinizing the government where the VA is concerned will not happen.

I-CareVA Secretary Denis McDonough signed onto the “I-Care” principles as core values in care for veterans in the VAHCS.  Well, when can we, the veterans, see that these core principles have been on-boarded and are correcting behavior?

“VA Core Values describe how VA will accomplish its mission and inform every interaction with our customers. These Core Values are: Integrity, Commitment, Advocacy, Respect, and Excellence — better known as “I CARE.” VA’s Core Values will continue to serve as the right guide for all our interactions and remind us and others that “I CARE.”

  • I care about those who have served.
  • I care about my fellow VA employees.
  • I care about choosing “the harder right instead of, the easier wrong.”
  • I care about performing my duties to the very best of my abilities.

DutyMr. Secretary…  The veterans are dying now!  We are waiting!

Like my enlistment oath, I signed onto the I-Care principles and even though I am no longer employed by the VA, I live I-Care!  Where is the VA in proving “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.

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COVID-19 – The Paradigm We are Choosing is Incorrect

Since February 2020, I have asked one question more than any other, “Why are we responding to COVID-19 with hysteria, emotional hyperbole, and ridiculous virtue signaling?”  It is estimated that there are 320,000 different viruses that inhabited planet earth.  Consider the following sourced from the Virology Blog:

To estimate unknown viral diversity in mammals, 1,897 samples (urine, throat swabs, feces, roost urine) were collected from the Indian flying fox, Pteropus giganteus, and analyzed for viral sequences by consensus polymerase chain reaction.  This bat species was selected for the study because it is known to harbor zoonotic pathogens such as Nipah virus. PCR assays were designed to detect viruses from nine viral families. A total of 985 viral sequences from members of 7 viral families were obtained.  These included 11 paramyxoviruses (including Nipah virus and 10 new viruses), 14 adenoviruses (13 novel), 8 novel astroviruses, 4 distinct coronaviruses, 3 novel polyomaviruses, 2 bocaviruses, and many new herpesviruses.”

Now, consider the following:

Varicella-zoster is a herpes virus that causes chickenpox, a common childhood illness. It is highly contagious.  After a person has had chickenpox, the varicella-zoster virus can remain inactive in the body for many years.”

Since chickenpox is a viral disease, let us compare methodologies of treatment for chickenpox to COVID-19.  For chickenpox, we isolate those infected, we keep them comfortable, and we treat the symptoms until the virus runs out of steam.  We use logic, known remedies, and we vaccinate.  We do not force entire populations to self-isolate, wear masks, halt economies, cease business, or tolerate rioting and pillaging by domestic terrorists.

Why is COVID-19 being treated differently than every other virus known to man?  Why are we treating COVID-19 like Bubonic Plague instead of like the chickenpox?  While I understand that Bubonic Plague is a bacterial infection, I mention Bubonic Plague due to that bacterial infection being highly contagious and significantly deadly, to aid in clearing vision.  The world has lived with bacterial infections and viruses since man began walking the earth.  Yet, suddenly, COVID-19 is cooked up in a Chinese lab and the world is expected to cease.

There must be another reason than medical science and health of populations for the response to COVID-19.  I worked in an ER before COVID-19 came on the scene.  If you had a cough, a cold, a fever, or suspected you might be sick, you were encouraged to wear a mask.  No fines for not wearing a mask, no arrests for not wearing a mask, if you were in an ER, and caught an infection from another patient; well, that is a risk of going to a hospital.  Why is COVID-19 being responded to with fear, chaos, and a lack of scientific approaches?

The following image is a Johari Window.  A Johari Window, “is a technique that helps people better understand relationships. It was created by psychologists Joseph Luft (1916–2014) and Harrington Ingham (1916–1995) in 1955.”  The following Johari Window is intended to be an aid in understanding COVID-19 and the response from the government.

Johari Window for Control

Hence, if the response to COVID-19, was purely scientific, the Johari Window would look like the following:

JJohari Window - Control

The same would be true for any of the purely single-dimensional Johari Windows.  One source would dominate them all.  In a normal situation, a person should be able to expect some of each category of response would be melded together to achieve the greatest good, for the greatest number of people when looking at the four main responses to illness as represented in the Johari Window.  However, as a hysterical surgeon at the VA reminded me, “COVID-19 is NOT normal times” [emphasis his.]

Why is COVID-19 different?  Why is COVID-19 allowed to create such abnormal responses?  Was there an edict passed by a world body that said everyone had to lose their minds over this particular Chinese disease?  The WHO continues to relate that COVID-19 is a SARS-like respiratory disease.  Well, the world has dealt with MERS (Middle-East Respiratory Syndrome) and SARS (Severe Acute Respiratory Syndrome) now for over a decade (2002), and none of the previous president’s or governors lost their minds and allowed America to come to an indefinite screeching halt over a virus.  In fact, both SARS and MERS are viral infections, SARS originates in China, both are prevalent in the United States, and both are in the same family as COVID-19.  Hence, why are we losing our freedoms, our lifestyles, our economies, and lives over another viral infection?  The entire US was not ordered to wear masks when SARS and MERS first arrived; as a point of fact, over a million people had to die from SARS before President Obama even took notice of the viral infection.

I have heard it postulated that the only reason COVID-19 is being responded in such brutally malignant methods was due to politics and how 2020 is a presidential election year.  Consider Avian Flu, beginning in China in the 1990s, Avian Flu began spreading and was rampant from 2004 to 2014, no political points were made on Avian Flu during those presidential elections (1990 through 2014).  As a point of reference, Avian Flu is still producing new strands and variants (2020), was also labeled a pandemic, just in time for the 2008 election cycle, and no significant political hay was made over the Avian Flu Pandemic, even though the Democratic Party made pandemic response a talking point for their platform.

Swine Flu (2009), the first global pandemic in 40-years, made huge waves in politics, originated in China, is still a major problem with Chinese pork leading to the demise of millions of pigs annually.  Swine flu was a politically polarizing disease when it came to vaccinating and expanding the government’s health budget to prevent more outbreaks. Swine Flu affected Americans directly and led to preventive legislation, but again during election cycles, no political hay was made over the government’s response, and the government’s response was ludicrously useless for a long time.  Worse yet, the governors of NY and CA sold crucial medical equipment and further frustrated their state’s abilities to respond to COVID-19.

Ebola, a highly infectious, very deadly viral disease, makes the human-to-human jump very easily.  Multiple large-scale infections have been almost continuous in Africa since 1995.  Infection is spread through all infected human bodily fluids, and in 2014 both American political parties made a test run to politicize Ebola to increase government control.  However, by 2018, neither party was trying to make political hay on the disease.

The list of viral diseases and the lack of wide-spread draconian measure goes on and on.  The forced mandates made during COVID-19 remind one of the opposites of the instructions provided by Kipling.  Government officials losing their heads, blaming it on the president and everyone else, and still clinging bitterly to power.

If—

By Rudyard Kipling
(‘Brother Square-Toes’—Rewards and Fairies)

If you can keep your head when all about you
Are losing theirs and blaming it on you,
If you can trust yourself when all men doubt you,
But make allowance for their doubting too;
If you can wait and not be tired by waiting,
Or being lied about, don’t deal in lies,
Or being hated, don’t give way to hating,
And yet don’t look too good, nor talk too wise: 

If you can dream—and not make dreams your master;
If you can think—and not make thoughts your aim;
If you can meet with Triumph and Disaster
And treat those two impostors just the same;
If you can bear to hear the truth you’ve spoken
Twisted by knaves to make a trap for fools,
Or watch the things you gave your life to, broken,
And stoop and build ’em up with worn-out tools: 

If you can make one heap of all your winnings
And risk it on one turn of pitch-and-toss,
And lose, and start again at your beginnings
And never breathe a word about your loss;
If you can force your heart and nerve and sinew
To serve your turn long after they are gone,
And so hold on when there is nothing in you
Except the Will which says to them: ‘Hold on!’ 

If you can talk with crowds and keep your virtue,
Or walk with Kings—nor lose the common touch,
If neither foes nor loving friends can hurt you,
If all men count with you, but none too much;
If you can fill the unforgiving minute
With sixty seconds’ worth of distance run,
Yours is the Earth and everything that’s in it,
And—which is more—you’ll be a Man, my son!

Source: A Choice of Kipling’s Verse (1943)

I submit that the government forced mandates are illegal, immoral, unethical, and criminal.  To force edicts, when legislatures are in session is abominable behavior where those governors should be held accountable.  Law in America begins in the legislature, passes to the executive, and if signed, onto the population.  If vetoed, the legislation could be overridden by the legislature according to strict policy and law.  However, the executive cannot, and should not, be allowed to run roughshod over the legislative; nor should the executive be allowed to run roughshod over by the legislative.  All three branches of government (executive, legislative, and judicial) must work together; why is COVID-19 being allowed to change this 200+-year-old dynamic in America?

Daily I see mayors enacting personal bias and edicts over the citizens in their cities and towns.  I see a disparity between those who consider themselves above the law not following their own edicts, demands, and dictates.  America has always been a country where the “Rule of Law,” was found in full force upon every person.  Why are those who write edicts and dictates, and making demands, not being held accountable for their refusal to follow their edicts, dictates, and demands?  Why is the response to COVD-19 any different than the myriad of other viral and bacterial diseases that plague mammals?  Why is the media being allowed to fan the flames of rioters’ discontent and government hysteria?

The response to COVID-19 by governors and mayors has been and continues to be not only incorrect but dangerously incorrect.  Consider the waste of money caused by hysteria in New York City, where upwards of $21 Million dollars was spent on outdoor hospitals and the USNS Comfort.  As a point of reference, where the USNS Comfort was concerned, the bureaucracy that kept patients from being seen was almost as bad as the bureaucracy at the Department of Veterans Affairs.  Thus, not all the blame for the USNS Comfort being wasted can be foisted upon the city of New York.  Consider the financial ties the governor of California has to a mask manufacturer in China, who signed the deal, then could not qualify for federal certification producing the masks.  While the company has finally certified, the debacle remains highly suspect.  These are but two different states issues where COVID-19 is concerned that require answers from those in charge.

From forced mask mandates that were never considered by the state legislatures, to draconian social distancing, and other mandates about how a business can operate, to the state government and city hall acting maliciously against individuals and businesses, the response to COVID-19 has been unprecedented, unreliable, and unforgivingly hostile.  Having discussed COVID-19 with many people a frequent question is “When will this nightmare end?”  Yet, would the better question be, “Why was this government-produced drama allowed to propagate in the first place?”

When the governors of NM and MN can interrupt free-travel and commerce between the states, which is against federal law, many people should have been up in arms.  Instead, like lemmings running for a cliff, the governors have been praised and followed blindly.  When Seattle, Portland, New York, Detroit, and so many towns and cities in between have been mercilessly attacked by rioters, pillagers, and domestic terrorists, I expected a swift, decisive, and vigorous response, and instead was greeted with weak knees, yellow spines, and craven virtue signaling.  Of all the COVID-19 responses, the threat to public safety by mobs and terrorists is of greater concern than the illegality of the actions of the governors and mayors, but not by much.

From February 2020 to the date of this writing, the response to COVID-19 has been a farce, a rejection of sound scientific thinking, and a lawless and egregious drama, worthy of the lowest Kabuki Theaters.  It is time to end the farce, stop the drama, and open America to business.  Recovering from the failed follies of COVID-19 government edicts will require at least a decade of hard work.  Thus, I am calling upon every American Citizen to stand and demand the COVID-19 drama, government overreach, and government made disaster to cease immediately.  We the voters must hold the elected officials accountable for their thievery, their hysteria, and their inappropriate actions at the earliest opportunity.  The bureaucrats who have made political hay while America suffered, also need to be held accountable to the society they were hired to serve.

Make no mistake, the response to COVID-19 has been nothing but a bad case of emotional hyperbole and government power grabs, and this must cease forthwith!

 

© Copyright 2020 – M. Dave Salisbury

The author holds no claims for the art used herein, the pictures were obtained in the public domain, and the intellectual property belongs to those who created the pictures.

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