The Kool-Aid Crowd and COVID

Bobblehead DollSince 2000, the US Federal Government has spent billions, if not hundreds of billions of taxpayer dollars to improve labels and then “educate” people into reading labels.  The laws passed have forced private businesses to spend hundreds of billions, if not trillions, of dollars in changing labeling on packaging and products to comply.  Go to any mask package and you will find similar:Mask Packaging

Recently I sought service at a Xfinity retail store and was denied service because I cannot wear a mask.  During this outing, I received severely dirty and threatening looks and attitudes from shoppers in a Walmart, all because I cannot wear a mask.  People are becoming violent, just as the government has demanded, to anyone not toeing the government COVID line, and this behavior reminded me of the Jim Jones religious cult.

President Biden is expected to force more people to listen to him threaten and try to scare Americans into getting vaccinated.  The mayors of Boston, Chicago, and New York continue to double down on activities that have not worked since February 2020.  The governors of California, New Mexico, Michigan, and others, continue to use powers not available to them in the name of “public health emergency.”  More mask mandates, more vaccination orders, and more “green passes” to exist.  Here’s the rub, how many of these solutions have worked; honestly, look at the data from February 2020 to December 2021, and tell me how many people were saved wearing masks.

People saved from these government freedom theft mandates, I guarantee, the number is NOT statistically significant!  How do I know; Australia, essentially a large island, has the strictest policies, and Omicron was still able to get onto the island.  How do I know; COVID infected children (school age K-12) have the same risks as uninfected children.  Who is the resource for this information, The New York Times!

Real numbers, Israel has one of the highest vaccinations and boosted populations on the globe; guess what, they also have the highest spike in Omicron infections!  Europe, socialized medicine, high vaccination and boosted populations, where the Omicron and Delta variants spiked infection rates.  Think of this for a moment, populations forced by government to vaccinate, and they are still passing around COVID infections, which is precisely viral science in action!

Peer reviewed researchers in the virus infection community have shown this life cycle of viral infections repeatedly since scientists began writing down what they do.  Vaccinated people pass around strains of viral mutation, which then infect other vaccinated people, until the virus mutates itself to death.  Please, do not believe me, look up this science for yourself, and you will come to a similar conclusion.  At the end of the day the viral infection community of scientists are plotting the death of COVID as a viral infection, but government elected leaders, and the bureaucrats powering the echo chamber of political thinking, will not give up the power theft committed since Feb 2020.

Jim Jones and the Kool-Aid cult suicide has been mocked, used as case studies in group think, and represents a dark time in human psychology and the abuse of religious thinking and adherence.  Guess what, the insanity of COVID-19 is as silly, irresponsible, and dangerous as Jim Jones and his cyanide-laced grape-flavored Kool-Aid.  Senator Manchin nailed it, government is beating the “living crap” out of every citizen, the beatings are intensified by the state government, and the county and city governments.  Yet, little Joey is going to continue to threaten, cajole, beat, and denigrate people using COVID as the excuse.

Did you get the vaccination just to appease government and end the beatings?  Are you able to unmask and live your life without COVID mandates, just because you got vaccinated?  I have friends here in NM who have masked, vaccinated, and done everything the government has demanded of them to avoid the government beatings.  They caught COVID, the whole family was quarantined, and extended family still caught COVID from my friends, once the quarantine was lifted, they gathered, and the extended, vaccinated, masked family caught COVID.  The repetition of this story is exhausting and provides clear proof the government beatings, mandates, and exercised powers are NOT helping but hurting, and make the Jim Jones Kool-Aid episode even more appropriate.

The science from South Africa, where Omicron variant was identified, reports the COVID virus stays in the nose and mouth region.  Guess what, so does the common cold virus, and there has NEVER been an attempt to vaccinate against the ever changing common cold.  We, the citizens of representative government, are the owners of government and it is time we take the reigns and stop the Kool-Aid massacre.  Government should never hold the power over an individual citizen’s health, welfare, or ability to pursue happiness.  Yet, this is exactly what the government bureaucrats want you to give to the government to stop COVID.  Since February 2020, has this worked?  Answer this question as well; how much faster would herd immunity have been achieved had government done what it has done for every other Chinese virus, which is nothing?

Look at recent history, Asian Flu, Hong Kong Flu, Bird Flu A (H5N1), Swine Flu, SARS, etc. the government did nothing.  NO shutdowns, no mandates, no economic stimulus, no job losses for those not vaccinating, no Big Pharma money pump for vaccinations of dubious nature, and the world did not end.  Did some people die; yes.  Did some people get sick; yes.  But herd immunity was faster and more effective than any action the government could think would have worked.  Dear reader, to you I ask, “Are you better off for the government intervention on COVID-19?”  I know my answer, but to you I leave the question and the answer.

Now, flash forward 10-years in your mind.  The real death toll of government intervention is still being hidden, but the deaths from a dubious vaccine are scaring populations silly.  When do we ask ourselves if the forced government vaccinations are the cause for infertility, for economic destruction, and for the massacre of human dreams and lives?  Who do we blame after the money is spent and the vaccines have irretrievably destroyed wide swaths of populations?  When vaccinated children whose risk from COVID remains minimal are sick, twisted with pain, or are dying in droves with reduced life expectancies, but the government continues to defend “doing something in the face of COVID.”

If the Jim Jones religious cult comparison is not appropriate now, when will it be appropriate and concerning to every single citizen across the globe?  Do you know the phrase “Judas Goat?”  The Judas Goat is the goat that befriends sheep, and then leads them to their doom in a slaughterhouse.  Belief in the omni-powerful government is a myth and a Judas Goat, yet to not blindly follow the government mandates is to be refused employment (nurses, firefighters, doctors, police officers, etc.) to be denied service (anyone unable to wear a mask), to be refused legal protection, and be castigated as heretic.  Jim Jones’ believers did similarly to everyone not believing, and they are all dead!  Those who are skeptical of the Judas Goat, are also dead, but their fellow sheep herd went first.

I admit, from day one (October-November 2019) when I first began reading of a new viral infection killing people in China, I have been skeptical, concerned, and boring the daylights out of my wife with the reports, the history, the potential ramifications of this new viral infection.  But in my most fevered nightmares I never thought the government could assume and amass so much power without citizens becoming rebellious.  Flash forward two-years, three arrests for not being able to physically wear a mask, fines, and economical losses incalculable, and my horror is just starting, when I see the vaccinated kids, the shutdown schools, the lost opportunities and potential, and the “hits just keep coming” from government and the bureaucrats.

?u=http3.bp.blogspot.com-CIl2VSm-mmgTZ0wMvH5UGIAAAAAAAAB20QA9_IiyVhYss1600showme_board3.jpg&f=1&nofb=1China is using biological warfare against the world; but the Chinese government is to blame, not the people of China.  I repeat, only for emphasis, do the research yourself.  Make your own decisions.  Unlike the government, Big Tech, and the bureaucrats hungry for power, I trust you to use your freedom and powers of critical thinking.  We might not reach the exact same conclusions, but we can still respect each other, and being better informed from reputable sources improves us both.  Political party be hanged, we are humans first and we need each other.  Please, do not go quietly into that dark night like the sheep entering a slaughterhouse, following the Judas Goat who has skipped aside to miss the consequences.

© Copyright 2021 – 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 images.  Quoted materials remain the property of the original author.

Jacob and Esau – The Perils of Government; An Analogy

Bobblehead DollSeveral books of scripture, in multiple religions, record the story of Jacob and Esau.  Jacob and Esau are twins male children of Isaac and Rebekah.  The boys were competitors for their entire lives.  Esau acts outside his parent’s wishes in marriage, sells his birthright to Jacob for a bowl of pottage (stew or beans; something cooked in a pot), and late in life is reconciled to Jacob even though his people continue to have animosity towards Jacob’s people to this day.  While the story of these twin brothers remains useful to those in religion and teaches several morals of importance, Jacob and Esau represent a classic tale of why government should be limited in size and scope.

Genesis 27, Old Testament, contains the story of how Jacob obtains the birthright blessing, which had been sold to him by Esau for the aforementioned bowl of pottage.  Consider with me what would have happened if the same bloated government we have right now had meddled in the affairs of Isaac, Jacob, and Esau.  The cost of meddling in the internal family affairs, the government would have taken 40% inheritance tax.  Esau would have always had the government as a millstone and ready excuse for not reconciling with Jacob, and lawyers and government officials would have further sundered the family.

Remember this, for it has importance in the following discussion, the government does not grant freedom, EVER!  As described and stated in the US Constitution and US Bill of Rights, freedom comes from a power higher than government, and government was only, ever, instituted for the benefit of man.  Ask yourself, is your government benefitting you?Plato 2

I guarantee the answer is no; regardless of the political spectrum, you prefer.  Why, because the government should not be exerting powers in areas that control or curtail the freedoms of the people.  Esau never valued his birthright, so selling it was easy, and a bowl of pottage was a rich reward for something he did not value.

How expensive is government-funded medical treatment?  Some will claim, but those receiving treatment never see a bill; really?  Costs are more than merely a statement representing the need to pay money.  What about the loss of privacy?  What about the loss of freedom to choose what treatments and providers are best for you?  What about the loss of innovation to the thumb of oppression from the government?  What about the loss of self-reliance and the health benefits of independence?  What about the destruction of your community and the connections people felt with and pride for community hospitals?  What was lost when the medical community forced, through the abuse of government intervention, the knowledge of herbs for the sterility of Big Pharmaceutical drugs?

For the hope of a prosperous retirement, what was sold; freedom and money in the now.  Yet, one should ask, where does the government get the power to take money, then give it back at some future point?  Except, how many of those government retirement Ponzi Schemes are fully funded, even with all the money flowing in?  The answer is as empty as Esau’s bowl.  Still, the government continues to steal money through forced taxation and purchase the hopes and liberties of citizens for that hoped-for bowl of pottage, prosperity in retirement.Plato 3

For the hope of reducing poverty, the government purchased a class of people whom they could abuse and ignite for political gain anytime they want or desire.  To create this aggrieved class of people, the government took over welfare programs, bought people with bread and circuses, asked them to stay in government houses, live on government food, enjoy government-provided entertainment, etc.  What was sold for this bowl of pottage; liberty, potential, freedom, upward mobility financially, safety and security, and hope.  What has been the consequences of this purchase; a permanently aggrieved class of people who look longingly at another’s possessions and desire them through theft because hard work is racist, demoralizing, and stops the government handouts.  Worse, the government had to grow in power and size to “manage” this class of people, creating those with six-digit salaries to rub the purchased people’s faces in the irony of what was lost in the purchase.

The United States has been waging a “War on Drugs,” almost since its founding.  The government considers one drug “good,” mainly due to the ease of controlling it for taxation purposes, and another drug “bad.”  Yet, how successful has it been in this “war?”  Not at all, and its failures are increasing year-over-year, even while new methods of taxation are being invented to manage “legal drugs.”

Alcohol in the United States has had a history of acceptance, tolerance, legal banning, and returned to tolerance and acceptance, all through human desires, abuse of government powers, and the need for tax revenue.  Sin taxes, the class of tax used to allow a citizen government approval to get drunk, stoned, or inject poison into their bodies, are among the highest taxes in America.  Yet, the more the taxes increase, the more people want these products, and the more the government wants people to use these products, for we see the purchase of something transitory using something highly precious to barter.  What is more precious than time and physical health, and what is purchased but something that can only temporarily ease pain or provide relief at best.Apathy

Tobacco has been a favorite drug of the government for its population to enjoy, pushing the popularity of the drug even while condemning and restricting how, when, where the drug can be enjoyed.  Tobacco farmers have played vital roles in American history, and the product has been a significant cash crop for government revenue.  Have you ever wondered where the money and research facilities originate to improve cigarette addiction?  Have you ever considered where the marketing materials originated to pitch the health benefits of smoking?  Do you realize that government is the biggest provider of money for research and marketing purposes?  Never forget the government has become flush with cash, pushing tobacco, regulating tobacco, and licensing tobacco.  Now ask yourself, why would the government give on the one hand and take on the other, because it is making money with both hands as people sell something precious for something valueless and transitory.

Do people get injured and need assistance; yes, but the government is never the answer to provide help.  Are there those who are trying to thrive and escape poverty; yes, but the government is never the answer to providing help.  A truth from time immemorial, governments do not produce anything; thus, the government must first take through legalized theft, taxation, and legal abuse to give to someone else.  Every representative government must walk a balancing act between what a government is and what responsibilities a government must shoulder.  Except, how many continue to make Esau’s mistake and sell something incredibly precious for something transitory and essentially valueless?

Worse, evaluate the consequences of allowing the purchase to occur.  First, the seller experiences buyer’s remorse, anger, jealousy, regret, and the government making the purchase laughs, making the bitterness of the sell more poignant.  Second, the seller needs an outlet for this buyer’s remorse.  In an effort to continue to purchase while appeasing, the government allows the seller to go destroy the property and goods of another less politically connected person and calls this social justice.  Third, the abused class of people who are not politically affiliated or are political rivals, whose property is being destroyed, looks on, and envy, malice, and contempt are bred, which furthers the goals and desires of the government.The Duty of Americans

Esau took a long time to be reconciled to Jacob, but it first required admitting that he had sold his birthright (something of great value) for something transitory and valueless (food).  Jacob and Esau’s story remains of great importance and a cautionary tale, especially for understanding why government needs to be smaller, less involved, and less able to abuse the citizenry.  For too long, the governments worldwide have either abused their powers to purchase or been established as a tyrannical and oppressive government.  Either way, the government is the problem, and the answer continues to be the same, curb the government!

Knowledge Check!If COVID has taught the populations of the earth anything, let us learn this valuable lesson, the government is the problem, not the solution!  The size of government is oppression, the cost of government is theft, and the loss of precious freedom and liberty for transitory and valueless gifts or benefits which come at too high a price in treasure and other precious resources.  We, the owners and the abused of government, must change how we think and feel about the role of government before all is lost to the ever-hungry maw of government and self-interests!

© Copyright 2021 – 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 images.  Quoted materials remain the property of the original author.

“That’s Crazy!!!” – More Chronicles from the VA – Chapter 2

I-CareAs bad as the last several months have been, I hate adding more bad news; but the Department of Veterans Affairs (VA) – Office of Inspector General (VA-OIG) keeps reporting, and I keep summating.  Due to the absolute overabundance of incredible bureaucratic insanity, today’s article format will necessarily shift to report more and comment less.  Don’t worry, I will still comment on the more egregious examples, for some of these VA-OIG reports are scarier than Joe Biden dressed as a mall Santa at a Fourth of July celebration feeling up little children!

  • 2020 Pre-award reviews of contracts totaled $81 million; guess what:
      • 24 of the 31 contracts awarded contained conflicts of interest.
      • 25 of the 31 contracts had problems with overcharges for hourly rates of services rendered.
      • 6 of the 31 price gouged Medicare.
      • 25 of the 31 contracts, if they had adequately followed the contract process, would have saved taxpayers $16 Million. – Would it shock anyone to hear this is just the “tip of the VA-OIG” report iceberg?

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  • Financial Efficiency Review of the Southeast Louisiana VAHCS in New Orleans; guess what:
      • The VAHCS in New Orleans scored 75% out of 90%. The VA does not try to get a 100% because they regularly fail financial audits as a fact.
      • Actual costs are difficult to relate in dollars and cents because the leaders intentionally hid costs from the VA-OIG, then blamed the new medical center director.
      • Avoidance costs, Purchase card abuse, prime vendor program abuse, and more were employed to avoid proper fiscal practices.
      • Audit, FAILED! No accountability, no person held responsible, and the taxpayer is left holding the bill!

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  • Followup to VAHCS Ozarks Pathology Failures From Dr. Levy Scandal; guess what:
        • Levy Scandal for those who do not remember. – Intentional misdiagnosing, VA coverup, refusal to discuss with patients affected. The report is ghastly!
        • 5% of the patients have now been contacted, and the VA-OIG considers this a “success.” I sure hope you are not part of the 24.5% patient population.
        • Here’s the rub in the 76.5% notification, “an absence of a clearly defined process for clinical providers to alert the Clinical Review Team if later changes in a patient’s health required reconsideration of institutional disclosure.” Does the VA-OIG still want to cheer about that notification rate?
        • Less than 5% of the severely sick patients have been notified of the scandal and the problems created by Dr. Levy. Is this how the VA admits culpability, waiting for the patient to pass?
        • Now, here’s the real kick to the balls; “The VA-OIG determined facility processes related to disclosure of the pathology errors and amending patients electronic health records generally met Veterans Health Administration policy requirements, but opportunities for improvement existed.” – Are you KIDDING ME?

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  • Speaking of fiscal inefficiency and audit failures. The VA continues to overspend and under-deliver on prosthetic devices, especially for shoe inserts.
        • In the fiscal year 2019, such items—artificial limbs, shoes, shoe inserts, and compression garments—accounted for about $318.8 million, or about 9 percent of prosthetic spending.
        • Oversight of prosthetic spending was ineffective, resulting in medical facilities sometimes reimbursing vendors at unreasonable rates.
        • Medical facilities spent about $10 million more than reasonable rates in the six months from October 2019 through March 2020.
        • Rates and data in databases remain unreliable, no oversight, and those in charge of oversight are missing in action. Yet, the VA continues to spend pell-mell.  Does this sound like fiscal responsibility to you?

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  • VA-OIG double-speak lives, and is blatantly observable in the following report, the “Contracting Officer Warranting Program.”
        • For those unfamiliar, a simple explanation: “A warrant gives federal contracting officers the authority to obligate taxpayer dollars. VA’s contracting officers help serve our nation’s veterans by procuring the goods and services required for their care and support.”
        • Never forget – There have been long-standing concerns (Never Resolved) with VA’s contracting officer warrant program. Since 2015, the VA Office of Inspector General (VA-OIG) has issued multiple reports [describing how] warranted contracting officers exceeded their authority and made decisions that put veterans and VA facilities, resources, and information systems at risk.
        • Never forget – The VA-OIG has documented multiple times, and the VA has never resolved, that the VA’s acquisition management has been included on the Government Accountability Office’s (GAO’s) high-risk list for fiscal impropriety and poor contractual adherence.

BUT…

        • The VA-OIG found that while VA’s contracting officer warrant program complied with Federal Acquisition Regulation requirements, opportunities exist to strengthen the program and that the VA lacked assurance that all contracting officer warrants were justified and necessary. – Essentially, this is bureaucrat double-speak for, continue to lie, cheat, steal. We like our job and want to continue, and since Congress doesn’t care, neither do we!

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  • The VHA continues to suffer from employee shortages. I have written about this shortage until I am blue in the face and my fingers ache.  I am fed up telling the VHA how to fix this problem.  If they want answers, call me!

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  • Nurse Bethann Kierczak of Southgate, Michigan, was charged with theft of government property and theft or embezzlement related to a healthcare benefit program. She allegedly stole authentic COVID-19 vaccination record cards from a VA hospital—along with vaccine lot numbers necessary to make the cards appear legitimate—and then resold those cards and information to individuals within the metro Detroit community. – Frankly, with the way the Federal Government is acting, this theft is almost understandable and acceptable.
          • No! I am not condoning an illegal action!  I am simply stating that Pelosi and her ilk do 10-times worse hourly by Congressional standards and get away with those crimes!

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  • Donald Peter Auzine of Baton Rouge, Louisiana, pleaded guilty to conspiracy to commit health care fraud. Bonnie Jean Lawless Diaz of Slidell, Louisiana, pleaded guilty to misprision (or knowing concealment) of the commission of a felony. From March 2014 through October 2016, Auzine, the marketing manager at Prime Pharmacy Solutions, defrauded TRICARE and other benefit programs. Diaz concealed the fraud by knowingly submitting compounded medications for which there was no medical necessity. Both will be sentenced on January 4, 2022.

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  • Amanda Dawn Rains of Fayetteville, Arkansas, pleaded guilty to conspiracy to commit mail, wire, and healthcare fraud, obtaining federal employees’ compensation fraudulently, and paying kickbacks. Rains, a former executive with a Rogers medical supply and billing company, participated in 2013 to 2017, defrauding the US government and private insurance companies.

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  • Robert Seifert of Utica, New York, was sentenced to two years in prison for making telephonic threats to Albany Stratton VA Medical Center employees. He admitted that on January 14, 2021, he made successive calls to three separate employees and left each of them threatening voicemails in which he used demeaning and offensive language. Seifert’s threats caused the employees to fear for their safety and property. He will also serve one year of post-imprisonment supervised release.

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  • Patsy Truglia of Parkland, Florida, pleaded guilty to two counts of conspiracy to commit healthcare fraud and one count of making a false statement in a matter involving a healthcare benefit program. From January 2018 through April 2019, Truglia and other conspirators generated medically unnecessary physicians’ orders via their telemarketing operation for orthotic devices like knee, back, and wrist braces. Truglia, co-defendant Ruth Bianca Fernandez, and other conspirators caused approximately $25 million in fraudulent durable medical equipment claims to be submitted to Medicare, resulting in approximately $12 million in payments.

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  • Larry Ray Bon, 62, was sentenced to over 16 years in prison for shooting a firearm inside the West Palm Beach VA Medical Center in Florida. Bon brought the firearm to the emergency room, and after becoming frustrated with medical staff, he retrieved it from his wheelchair and fired several shots. In March 2020, he pleaded guilty to three counts of assaulting, resisting, or impeding federal employees and one count of possession of a firearm in a federal facility with the intent to commit a crime. At that time, Bon was committed to the custody of the US Attorney General for 25 years of mental health care and treatment at a suitable medical facility. However, Bon was determined to no longer need psychiatric hospitalization and was recently sentenced accordingly.

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Finally, if you want a really good reading, you can visit the VA-OIG page and see the lowlights of the VA-OIG’s reports for yourself by visiting the page here.  Excluded from this list are the usual reports of malfeasance and misfeasance captured in the comprehensive healthcare inspection (CHIp) reports, where we find the exact carbon-copied hits from report to report.  We find moral distress, problems in staffing, continued refusals by leadership to train staff, and the ever-present refusal to attend disruptive committee meetings.  Also omitted from this summation were the inspection of veteran centers and the myriad of failures, bureaucratic ineptitudes, and abysmal behaviors.  Frankly, I could not stand being depressed more by writing and analyzing another moment’s detestable and criminal behavior.Angry Grizzly Bear

What curdles the food in my stomach, this is just the VA.  What about all the other official and unofficial government agencies in the alphabet of the executive, legislative and judicial branches of what we collectively call “the government.”  To all the freedom-loving people in America, please awake and arise; we need 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.

 

Do We Understand – Important Truths From President James Madison

Exclamation MarkSometimes revisiting a topic is required to help promote urgency in learning.  Other times revisiting a subject helps to broaden the mind to more of the problem.  My intent in reviewing the topic of understanding is for both of these reasons.  President Madison provides counsel that every American should be adhering to, regardless of political flavor, as the first policy in being a responsible citizen.

We begin with an absolute from President Madison, stated two different ways, with the same meaning:

      • The trust is that all men having power ought to be mistrusted.”
      • All men having power ought to be distrusted to a certain degree.”

To those who would like to be female apologists and excuse women just because President Madison used the term “men” here, the President spoke of “men” as in all humankind.  As in, when power is invested in any person, they should be mistrusted.  They should be carefully watched, monitored, and scrutinized.  Not blindly trusted to act and never called out for their actions.  Hence the role of the media, the role of laws, the role of three co-equal branches of government.  Yet, what do we find today?

Honestly, take a look around, and take off the political glasses of partisan politics for a moment.  Can you honestly claim that the media is representing fairly both sides of the partisan political spectrum?  Can you honestly trust the co-equal branches of government not to be intimidated, cajoled, browbeaten, or unduly influenced by another branch?  Is the military following their civilian leaders without political influence and acting in the best interest of all Americans?  Is each of the co-equal branches of the government pulling their weight and acting in accordance with the law?

Now, look closer to home.  How about the school board, the mayor, the governor, the state legislature, the county board, the city council, the town council, and every other bureaucrat vested with public trust.  Are they obeying the duties and honoring the roles of their office and deserving of the public trust?  What about the teachers in classrooms who the school board officials directly supervise? Are your children taught reading, writing, and arithmetic, or are they being taught wokeism, sexism, and being groomed for sexual perverts?

“Public office is a public trust, the authority and opportunities of which must be used as absolutely as the public moneys for the public benefit, and not for the purposes of any individual or party.” ~ Dorman Bridgeman Eaton

Public trust remains the single most important and least discussed aspect of American culture and American politics, mainly because public trust is the most misunderstood concept.  Public trust has been intentionally misunderstood (plasticized), so it can be perverted and challenging to understand.  Yet, public trust comes down to one thing and is revealed through an easy test in its most simple form.  Would you leave your home and children alone, under the supervision of any person holding public office?  If the answer is yes, they hold your public trust.  If the answer is no, why are they in office?

Using President Madison’s quotes above, no one in a position of public trust should be “trusted” without verification, scrutinization, and they should be held accountable for their decisions made while in office.  Missouri is the “Show-Me State!”  I possess a “Missouri Mindset,” show me you have done the job correctly.  Show me; you are transparent in doing the job you were elected to perform.  Show me you can be trusted.  I am willing to give anyone a chance at leadership, but they had better show me they can do the job!Daniel S. Lamont Quote: "Public office is a public trust." (9 wallpapers) - Quotefancy

Under the heading of trust and show me comes an important principle, and President Madison elaborates this principle simply, eloquently, and precisely.

I cannot undertake to lay my finger on that article of the Constitution which granted a right to Congress of expending, on objects of benevolence, the money of their constituents.”

Find me that article of the US Constitution.  If you cannot find that, then the Federal, State, and City governments need to get out of taking money through taxes and giving money to people who have not earned it.  Welfare belongs to charity groups and religions, not governments!  Pork barrel spending is anathema to good order and discipline and should be shunned and shamed.  Consider with me the plethora of laws that have been invented to control society just because of the government welfare programs.Soulful Musings: Don't Tell Me, "Show Me"

Food controls, including price controls, control what, when, and how much a farmer can grow, how a farmer can grow, and much more.  These controls include legalized theft of a farmer’s goods which the supreme court has upheld.

Dairy, farm, and rancher controls for grain, meat, and milk.  Then when the government has too much in store, they force price-controls, forcing dairy and ranchers out of business in support of large commercial production facilities at the expense of smaller and medium-sized operations.  Labeling laws that unfairly punish smaller and medium-sized establishments.

Larger governments manage programs through bureaucrats and bureaucratic inertia that are abused at every potential opportunity and are not scrutinized adequately for waste, fraud, and abuse.  Where systems and operations are regularly gamed to keep the benefits rolling in at the expense of society, taxpayers, and those needing assistance cannot receive assistance due to the gamesmanship and fraud of others.Show Don't Tell - Working Writers

I am all for helping people learn how to help themselves, using charity programs and religious outreach.  But, taxpayer dollars should NEVER be spent in helping one person at the cost of another person!

The following has caused many a discussion in my home.  I hope it will cause many a conversation in your homes.  May those discussions be heated, be full of lovely disagreement, and be full of fiery opinions.  For in the spirited debates come ideas and solutions that work.  Invite people who disagree with you to dinner, and may the food and conversation be a delightful experience and a gustatory wonder!

In framing a government, which is to be administered by men over men, the great difficulty is this: You must first enable the government to control the governed; and in the next place, oblige it to control itself.”

What is the discussion in my home centered upon, “How does a citizen ‘oblige a government to control itself?’”  I will offer a couple of suggestions here.  Feel free to refute my recommendations with your own in the comments below.  Better still, suggest more ideas for topics of discussion.  I am not the only person with ideas, and we need every person to help “oblige” the government to control itself!

      1. Be an informed electorate! – The one thing a politician fears or should fear more than a ballot box is an informed electorate. Do you know why the politicians preferred Dewey’s system of functionally illiterate stooges to the informed electorate of the early 1900s?  They could get away with robbing the citizens blind!  When the citizenry is not informed, they become property, bought and sold as chattel (cows, goats, sheep).  Doesn’t this make you angry that your elected leaders and the unelected Hollywood elite think of you this way?Andragogy - LEARN
      2. Scrutinize government and demand transparency! – It is your government. Tell me something, if your neighbor went across town and graffitied buildings, broke windows, burned property, and defecated on private property, then told the authorities that you had paid him to do these acts, would you be a little concerned?  If your neighbor did these things and used your hard-earned money to pay for these crimes, would you want revenge and a criminal charge levied against your neighbor?  These are the actions of your government; why does the government get a pass?  Your name is on the check, right beside mine, claiming full financial responsibility for the actions of our intermediaries, the government.Quotes On Government Control. QuotesGram
      3. Gather with like-minded people, teach each other, learn from each other, and teach your children WHY! – Every tin-pot dictator in history has captured children, taken them from hearth and home, and “educated” them away from parents to influence the next generation. Today, we call this “education,” “state-run schools,” using “laws,” and obligations as “good parents” to shame and force parents to send their children into re-education camps.  Want to freak out the government; change the next generation!Patriotism

Finally, President Madison provides two pieces of advice for living in the American Society worthy of knowing and on-boarding.

      • Knowledge will forever govern ignorance.”
      • The circulation of confidence is better than the circulation of money.”

Consider a parable.  Give a person a fish, and he eats for a day.  Teach a person to fish, and he eats for a lifetime.  Teach a person to fish and sell his wares, and his children build a prosperous society.  Knowledge will always govern ignorance, but knowledge and confidence build nations!  I do not want to build small communities; I want to rebuild the American Nation, a free nation under God, with liberty and justice for all.  I cannot do this alone; our forefathers did not undertake this task alone.  It took every member of the 13-original colonies to shake off tyranny and oppression and then build America.

Knowledge Check!It will take every single American citizen, and every single person desiring to be an American citizen to rebuild America, after all the damage intentionally done to her by the political leaders, secret societies, and bitter haters who have abused American generosity and then wanted to protect their pile by destroying America.  America has been abused by countries foreign, and enemies domestic, corporations foreign and domestic, and individuals who have paid large sums to watch America burn.  Do you understand better now?  Is the mission clearer in your mind?  Is the task ahead more urgent and more desirable?  What are your next steps?

© 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.

Blood is Blood – The Logic is Flawed!

Exclamation MarkLast night, during one of my frequent periods of wakefulness, a headline blew my mind, “There is no difference between blood and blood – Horowitz removes restrictions on gay men donating blood,” as reported by the Jerusalem Post.  Using this logic, then going maskless is not a problem, and being vaccinated or not vaccinated is not a problem either, for blood is blood.  Worse, consider the ramifications; the safety and integrity of the blood supply have been a critical problem from the first day humans realized we could take blood from one person and put it into another person successfully.  Mistakes in the integrity and safety of the blood and blood product supply cost people their lives!

I am not here to discuss the political aspects of this move.  The Health Minister of Israel (Horowitz) will be measured and weighed by his electorate for good or ill.  How and when the Health Minister will be measured and weighed will be up to the people in Israel, and I hope they will choose wisely.  I have no further comments on the political side and wish Israel the best of luck on this issue.

However, on the practical aspects of blood and blood product, safety and security, I have a LOT of concerns and have some authority, knowledge, and ability; thus, I will speak to this issue.  As I begin, I will state, again for the record, I do not care about your bedroom choices (hetero-, homo-, etc.), keep them to yourself and your legal age of consent consenting partner, and I could care less.  However, medical professionals should know some risks as they handle body fluids, especially when donating those fluids for others to use in an emergency.

Pin on Signs and SymbolsDuring the 1980s, both the American Red Cross and the Canada Red Cross Society suffered blood tainted scandals due to insufficient testing of, knowledge of, understanding of, and the dimensions inherent to donating blood and blood products where sexually transmitted diseases were concerned, especially AIDS/HIV.  AIDS/HIV was not the only sexually transmitted disease that crossed through blood transfusions, Herpes, Gonorrhea, and many more all had their times in the spotlights as diseases making their ways into donated blood and thence into patients without risky lifestyles, who contracted these diseases after receiving transfusions of blood or blood by-products.  The first cases were noticed in the US Military, where patients started having problems with these sexually transmitted diseases after being wounded and receiving life-saving blood or blood by-products and then catching an infectious disease.  Even Malaria has records of being passed through blood and blood by-products, so just presuming that sexually transmitted diseases are the only diseases to worry about is not acceptable.

Claiming “blood is blood” is the height of exaggerated ineptitude for a political cause.  Yes, red stuff oozing from a mammalian host can generally be typified as blood, but not all blood is the same, nor is all blood equal.  This is why monkey blood is not harvested for use in humans, why Ape blood is not transferred into elephants, and human blood has a letter classification system.  Whale blood cannot be used in dolphins, nor is it compatible with human use; thus, claiming “blood is blood” remains a thoroughly ignorant comment of the highest magnitude!

The 17th AnnualGive the Gift of Life Holiday Blood Drive | B104 WBWN-FMTake a minute, those of us who lived through the 1980s health scares and blood scandals.  By the way, that is plural for a reason; blood scandals keep happening because blood security and integrity and politics do not mix, and every time some politician thinks they can mix safely, we have another blood integrity scandal, and people die!  Do you want to take the risk of being in an auto accident, being rushed to a hospital, receiving blood or blood by-products, and coming home with a transfusion disease?  What about dialysis patients who regularly receive blood or blood by-products; do you want to add another worry to your list of health concerns when receiving care?

Sign Donation Blood Heart Donor Icon Stock Illustration - Illustration of icon, design: 79488667Now, suppose the findings on a medical record were being made public, and the patient’s rights trampled, where disclosure of lifestyle risks kept that person from donating blood and were being published. In that case, I might believe there was a “rights” concern to be vocal about.  However, this is not the case, and refusing a population with known high risks for passing multiple communicable diseases through all types of body fluids, from donating said fluids to the general population, is just sane and common sense medicine.  It is not discriminatory to exclude those who choose a higher-risk lifestyle to participate in specific activities where the health and welfare of the general population are concerned.Blood Donation Sign Wall Poster Background Material, Love, Blood, Donation Background Image for ...

Case in point.  If I travel to Thailand, whether I engage in the sex trade or not, I am refused from donating blood for a specific period after I return home, and I will have to pass a blood test before my blood is accepted at the blood bank.  Plus, because I prefer to give plasma, I will have to prove I am clean twice before I can give plasma again.  This is not discriminatory; this is a safety precaution to protect the rest of the blood and blood by-product supply from contamination.  Now, if I engaged in the sex trade in Thailand, I would be banned indefinitely from donating blood, regardless of condom usage, and the remarks would be permanent across the entire records of the Red Cross.  All because the threat is too great to risk allowing this heterosexual male access to donate blood and run the risk of contaminating it with a disease from Thailand.  I know people in South Korea, who caught unique diseases during the Korean War, who cannot return to the United States, ever.  The United States made this decision not to run the risk of contaminating America with what they caught.  Not discrimination, simple public health policy.

Knowledge Check!Now, we return to the crux of the argument.  If “Blood is blood,” then being vaccinated does not matter because blood is blood and public health and safety are not issues where communicable or infectious diseases are concerned.  If this is correct, why do we still have COVID restrictions?  If blood is not blood, why bow to political pressure on something that is definitely not a political but a medical safety issue?  Politicians and those who cling to the government for an answer to every single problem cannot have this issue both ways.  Either blood integrity and safety is a medical issue where common sense practices trump individual rights for the common good and safety of donating life-giving fluids, or life requires taking risks, and we can shut down the regulatory boards and panels, reducing the costs of medicine.  I am all for reducing the size and cost of government; while I might not argue fully for making all those cuts in medicine regulation, a choice needs to be made and then supported.  Choose wisely!

© 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.

“All Power is … Derived From The People.” – The Consent of the Governed

cropped-2012-08-13-07-37-28-1.jpgIf you are browsing a second-hand bookstore and come across the book “We, The People: Great Documents of the American Nation” by Jerome B. Agel, I recommend picking the book up and adding it to your library.  I have not found a better book discussing the founding documents of this great American Republic.  It is historically accurate, provides insights, and is a treasure of wisdom and knowledge.

A phrase in the Declaration of Independence has always captured my imagination and held fast to my mental processes.  “Governments are instituted among Men, deriving their just powers from the consent of the governed.”  It has always been understood that men invented governments for the ruling of other men.  Rome was a perfect example of this principle, and in writing down the laws, the first attempt at a moral government responsible to the people was attempted.  However, it is the second part of that phrase that we are discussing, “deriving their just powers from the consent of the governed.”

Consider this principle for a moment. First, governments have just and unjust powers, and second, the powers originate with the consent of the populations agreeing to be governed by the government.  Czarist Russia is an excellent example from history where the people had enough and began looking around for a new government.  That the people were hoodwinked and communism was imposed upon them remains one of the great tragedies of the last century.  In less than 100-years, Russia went through two incredible government upheavals is mentally incredible to consider.Plato 2

Unjust powers of government are those powers governments assume where the people have not granted them consent of the governed.  When governments take enough of these powers upon themselves, the population’s revolution, anger, and frustration are the only outcomes possible.  Worse, the governments are breaking their laws and the trust of those who elected them, proving that the most dangerous person is an honest person betrayed.

Bobblehead DollAll of which is mentioned as we discuss the origin of the philosophy of the consent of the governed in American jurisprudence.  Virginia, 1776, The Virginia Declaration of Rights prefixed the Virginia Colony’s constitution and was written by a reluctant statesman and largest landowner, George Mason.  In sixteen statements on government and the rights of man, we find the consent of the governed and the need for controls on government pertinent to our day and time!

      1. “All men are by nature equally free and independent, have certain inherent rights, … namely the enjoyment of life and liberty, possessing property, and pursuing and obtaining happiness and safety.”
      2. “All power is vested in, and consequently derived from, the people; that magistrates are their trustees and servants, and at all times amenable to them.”
      3. “Government is or ought to be instituted for the common benefit, protection, and security of the people. … A majority of the community hath an indubitable, unalienable, and indefeasible right to reform, alter, or abolish it, in such manner as shall be judged most conducive to the public weal.”
      4. “No man, or set of men, are entitled to exclusive or separate emoluments or privileges from the community.”
      5. The state’s legislative and executive powers are separate from the judiciary, and the operatives return to being citizens after their respective terms in office, in accordance with the laws of the land. [Edited for brevity]
      6. Contains three principles of import:
          • Elections should be free and open to all.
          • Property cannot be taxed or deprived for public use without consent.
          • Those elected are bound to the same laws as the citizens.
      7. “All power suspending laws or the execution of laws by any authority without consent of the representatives of the people is injurious to their rights and ought not to be exercised.”
      8. Deals with a criminal trial, due process, speedy trials, a jury trial, and a unanimous jury.
      9. Deals with fines, bail, and cruel or unusual punishments.
      10. Deals with search and seizure requiring evidence of a crime and the need for a warrant to be based upon evidence or not to be granted.
      11. Holds sacred the rights to a jury trial, including for disputes between two people over non-criminal issues.
      12. Holds sacred the power of the press as a bulwark of liberty, and restraining the press is an action of despotic governments.
      13. Details that standing armies in peacetime should be avoided and a well-regulated militia is proper and natural for the defense of the state. Important to note, “the military should at all times be under strict subordination to, and governed by, the civil power.”
      14. Demands uniform government that applies to all people.
      15. Declares that “No free government, or the blessings of liberty, can be preserved to any people, but by a firm adherence to justice, moderation, temperance, frugality, and virtue, and by frequent recurrence to fundamental principles.”
      16. Declares that “Religion, or the duty we owe to our Creator, and the manner of discharging it, can be directed only by reason and conviction, not by force or violence, and therefore all men are equally entitled to the free exercise of religion according to the dictates of conscience, and that it is the mutual duty of all to practice Christian forbearance, love, and charity towards each other.”

Let’s Discuss

Are we in trouble? We didn't do it!!!
Are we in trouble? We didn’t do it!!!

In opening the discussion, one of the most egregious and despicable actions witnessed every year is the failure to follow the strictures of a peaceful society as required in the 16th statement, to practice the “mutual duty of all to practice Christian forbearance, love, and charity towards each other.”  Having been a student of religion, I have found no religious stricture, in any organized religious teaching, to living in harmony with others by practicing forbearance (tolerance, patience, and kindness), love (respect, kindness, gentleness, meekness, all unfeigned), and charity (service) to those in our society.  Atheists, this includes you; it is time to live in harmony with others and stop the lawfare.  If someone is not violently demanding you adhere to their religion and religious tenets, then leave them alone!

I Find the following extremely important to the news developed, especially over the last two weeks.  “No free government, or the blessings of liberty, can be preserved to any people, but by a firm adherence to justice, moderation, temperance, frugality, and virtue, and by frequent recurrence to fundamental principles” [emphasis mine].  Let’s break this down:

      • Justice: Decency to all as a behavior of equality and commitment to moral rightness.
      • Moderation: This is all about not going to extremes, being restrained, knowing the boundaries and staying within limits, and being reasonable and approachable.
      • Temperance: While primarily used in drinking alcohol, this also applies to any behaviors where self-restraint, moderation, and expressions or observance of temperate behaviors are required.
      • Frugality: Besides being a good steward of other people’s resources, being frugal requires being sparing, prudent, economical, thrifty, and reserved.
      • Virtue: Requires moral excellence, modesty, personal dignity, goodness, and conformity to a standard of righteousness.

Knowledge Check!These are fundamental principles of liberty and the foundation upon which government is built and sustained.  How often do you hear politicians discussing these terms, returning to these principles as terms to write laws worthy of printing for society or as standards for scrutinizing the government agencies?  What did we observe in government this week that adhered to any of these fundamental principles to America or any other government succeeding in the past week?  Does anyone argue that Gov. Cuomo’s actions in New York were virtuous?  Were the CDC Director’s edicts frugal, temperate, moderate, or just?  How about the reaction by Congress to the mandates by the CDC?  Did they perform their jobs to scrutinize the legislative branch using these principles?

Now, some will decry that this is a document solely for the Commonwealth of Virginia and does not apply to the entire United States.  Yet, I would counter that the principles and language of this document are interwoven into the Declaration of Independence, the US Constitution, the US Bill of Rights, and every other founding document and US State Constitution.  Thus, why could we not use The Virginia Declaration of Rights as a template to benchmark and measure the performance of politicians and bureaucrats?Image - Eagle & Flag

Fundamental principles do not age, expire, or possess a shelf-life.  Hence, knowledge of the fundamentals empowers action by the electorate to change, correct, and demand government adherence, for we are the owners of our representative government.  We, the electorate, need to teach these fundamental lessons to the politicians, then demand they adhere and hold accountable the bureaucrats to the fundamental principles of liberty, or we all lose this precious government of the people, by the people, and for the people, where the consent of the governed is respected.

© 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.

Paul Harvey – Detestable VA Chronicles for Week Ending 07 Aug 2021

Bobblehead DollPaul Harvey is a hero of mine.  I miss his voice on the radio.  He exuded a calm demeanor, regardless of the terror, the trials, and the terribleness of the news reported and discussed.  I do not have Paul Harvey’s sense of calm.  When I heard about the beheading of a woman in America, in broad daylight, by an illegal immigrant who has been on a one-man crime spree from El Paso to Minneapolis since 2007, my cherub-like demeanor took a tremendous hit.

The Department of Veterans Affairs (VA) – Office of Inspector General (VA-OIG) reports on a couple from Kansas who are flat out despicable, faking blindness to increase disability payments from the VA and Social Security.  Frankly, I hate liars and thieves and agree to the restitution ordered, but I do not agree that the couple deserved probation.  Stealing benefits should come with more than simple probation and restitution.  Where is the community service in distinctive clothing and sandwich boards declaring they are thieves?VA 3

However, this couple represents a symptom, not the disease of the VA and Social Security specifically, and the Federal Government generally.  When leaders act reprehensibly, criminals will test the system to find weaknesses and attempt to benefit from leadership failures.  The disease of poor leadership has far-reaching consequences, and criminal activity is not unexpected.  Who is addressing the disease?  When will the citizens of America receive justice to see the healing of the illness that has captured the government?

Military Sexual Trauma

I-CareImperative to understanding, Military sexual trauma (MST) experienced while serving in the military affects both women and men with potentially severe and long-term consequences. Psychological trauma, such as MST, also increases the risk of physical health conditions such as cardiovascular disease, stroke, and diabetes.  The Veterans Health Administration (VHA) requires that each facility has a designated MST Coordinator with at least 20 percent of their time dedicated to protected administrative time.  For the record, “protected administrative time” is the time required to be spent on administrative duties, writing clinical notes, ordering supplies, scheduling appointments, administrative responsibilities, and so forth.

In 2018, the VA-OIG discovered just how detestable and deplorable the VBA’s processes and procedures were for military sexual trauma (MST).  Having been a victim of MST, this issue is of particular interest to me, and I continue to follow this issue closely.  I wish I had some encouraging news on this issue, but the VA-OIG found:

“… Processors did not always follow the updated policies and procedures. VBA leaders did not effectively implement the VA-OIG’s recommendations and did not ensure adequate governance over military sexual trauma claims processing. The VA-OIG concluded that VBA was not properly implementing the recommended changes.”VA 3

In 2016, when claims were being improperly and prematurely denied, the problems were considered a lack of training, a lack of policy, a lack of procedures, and comprehensive guidance was needed.  In 2018, additional training and guidance were needed, time, and leadership were recommended, even though claims were still improperly and prematurely denied.  In 2021, it is now blatantly obvious we have a systemic failure of leadership at the VBA to process claims in a manner that is conducive to good order and discipline!

On the same day, this investigation was released, the VHA investigation results for MST coordinators were released to the public.  I bet you can guess what was found, but let’s allow the VA-OIG the opportunity to detail the failures:

The VA-OIG conducted a national survey and interviews to evaluate MST Coordinators’ duties and perceived challenges.

            • 80% of the respondents reported having been assigned at least 20 percent or more of protected time.
            • 39% reported inadequate resources to fulfill MST Coordinator administrative responsibilities.
            • The VA-OIG found that insufficient protected administrative time, role demands, insufficient support staff, and inadequate funding and outreach materials challenged MST Coordinators’ ability to fulfill role responsibilities.
            • The VA-OIG found that MST Coordinators who reported more dedicated time than other MST Coordinators did not necessarily serve at facilities with higher numbers of patients in MST related care.”VA 3

Did you catch that final point?  Resources are not being adequately provided based upon patient load to locations where veterans need care.  Another symptom of leadership failure, being designed into the organization as a policy and working procedure, meaning this is designed incompetence!

Knowledge Check!Here’s the biggest rub, a veteran can be receiving care from the VA for MST at the VHA and still be denied MST on a VBA claim.  I have not heard it working in reverse where a claim is being paid, but the VHA refuses care, but given the failures of the VA as an organization, I would not be surprised to learn this was occurring.  How do I know that care can be provided for MST and not be allowed on a claim?  I am among a number of MST victims, all-male, who have been regularly denied VBA claims but are receiving care for the psychological harm.  Veterans talk to each other.  I have heard the stories of fellow veterans being attacked, assaulted, molested, drugged, raped by male and female attackers, and heard how the VBA had revictimized them.

What’s worse, MST leads to PTSD, and people are suffering PTSD from a number of traumatic events not receiving care or benefits because the VA refuses to acknowledge these problems.  Admitting a problem is the first step in addiction programs; well, it is also the first step in healing leadership failure, and the VA is suffering from dynamic leadership failure at every level!  Know a veteran whose story needs to be told, refer them to me; let’s get this information out.  I am sick to death of the VA getting away with murder.

Programs and Inspections

VA SealThis week, the final three emails from the VA-OIG reflected a VISN wide comprehensive healthcare inspection (CHIp) conducted virtually, a VAMC/VAHCS CHIp conducted in Spokane, Washington, and a program report on the failures in the Veteran-Directed Care Program.  The most interesting finding in the CHIps was how short the leadership teams had worked together, a month, and how many open positions for leaders there were, more than half.  Talk about glaring symptoms of leadership failure, were the leadership teams broken up from employee turnover?  If so, did the employees retire, or were they retired to avoid criminal convictions?  With all the investigations for fraud, as discussed on these pages frequently, I can only guess how leaders churn in a VAMC/VAHCS/VISN.

Believe it or not, the Veteran-Directed Care Program is full of faults, problems and is suffering from a lack of leadership as the program balloons.  Color me shocked!  Surely, somewhere in the VA, if only to screw with the gods of perversity and Murphy their prophet, there must be a functioning and well-led program, department, office, etc.Angry Wet Chicken

It is so absurdly depressing to catalog these failures of leadership week after week and never see any improvement.  We see increasing failures, we observe heightened criminal activity, there is undoubtedly raised awareness of needs and moral distress in abusing veterans, but where is the improvement towards achieving excellence?  Where is Congress in scrutinizing the legislative branches, officers, and leaders?

If a congressional representative can order the VA-OIG to investigate the MST Coordinators, which they did, where is Congressional action on the results?  Surely this is not too difficult a question to ask.  Better still, where is Congress?  I have now reached out to all the elected Federal officials in Arizona, Texas, and New Mexico.  Texas, because that is where I have been forced to receive care from.  New Mexico because I now live here.  Arizona because I was physically injured by VA employees there.  The amount of interest received has been less than zero!Angry Grizzly Bear

How can interest be less than zero, you ask.  Well, while I have not received any response to my original complaints, I have received a TON of marketing materials about how those congressional representatives “Care about veterans, the community, pets, animals, and America.”  Maybe, not always in that order, but absolutely with less sentiment than I have for the weeds growing on my sidewalk!  Thus, I ask again, with all sincerity, where is Congress in scrutinizing the government?  I demand to know the “Rest of the Story!”

© 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.

It IS ALL About Leadership – More Shameful VA Chronicles

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

Abominable Enabling – More VA Chronicles of Shame!

Knowledge Check!Before I begin, please allow me to emphasize a key idea, “This is your government!”  Your tax dollars are paying for these shenanigans, and the bureaucrats do not fear you.  I have written some odious critiques in my time about the VA and other government agencies.  My cataloging these incidents does no good unless everyone in America becomes full of righteous indignation and DEMANDS Action through their elected officials!

The Department of Veterans Affairs – Office of Inspector General (VA-OIG) has been super busy this week, and my email box has been chock full of reports.  The VA-OIG reports begin in New Mexico, Albuquerque, where finally the VA-OIG has investigated some of the many complaints and is finally stating what the veterans and active-duty military have been saying for a long time, the NMVAMC leadership stinks!Raymmond G. Murphy

As a patient in Albuquerque VAMC, during the June 2018 window of investigation, I can affirm the integrity of the problem but seriously doubt the VA-OIG conclusions.  I was an employee of the Albuquerque VAMC in June 2018, so I know the leadership involved personally, and I guarantee the problem goes deeper than a lack of training.  The Albuquerque VAMC is fraught with leadership dysfunction, misfeasance, malfeasance, and intentional systemic problems.  Yes, the VISN 22 leaders were advised, and no, the VISN 22 leaders did nothing! There’s no surprise there; VISN 22 is one dead veteran from a major scandal that will make the death list scandals look like a minor nuisance.

From the VA-OIG report, we find the following:

The VA Office of Inspector General (VA-OIG) conducted a healthcare inspection to evaluate allegations that Community Care consults were completed in June 2018 without scanning and attaching available clinical results to patients’ Veterans Health Administration (VHA) electronic health records (EHR).”  “The VA-OIG substantiated that in June 2018, Community Care nurses were completing consults without scanning and attaching clinical documentation to patients’ EHRs.”  “The VA-OIG determined that Community Care nurses lacked a comprehensive orientation and training program. The Chief of Community Care did not verify adherence to consult-related VHA requirements or conduct regular reviews and improvements for departmental performance deficiencies. Additionally, Community Care performance monitoring addressed consult processes before patients receiving care but did not address the consult completion process or identify non-compliance with VHA policy before 2019.”VA 3

Let me break this down; primary care providers sent orders for community care, community care would be delayed, then to clear the backlog, the nurses doing the ordering would pencil-whip the documents claiming that care had been received, canceling the orders of the primary care provider.  Then the patient and the primary care provider would have to start the process for community care all over again.  Wasting time, money, and other resources, the facility leaders and VISN leaders refused to address the deficiencies and correct the problem.  The problems with community care existed before I arrived in Albuquerque in 2016 and continue without stop after this VA-OIG inspection.  I met with providers who had not been paid for years because the community care program was poorly managed and led.  Thus, the leadership enables people to break the trust, break the law, commit fraud, waste, and abuse, then collectively blame the problem on a lack of training, which is designed into the processes as incompetence.

QuestionI keep asking for the politicians and Washington VA Leaders to rip the scab off VISN 22, expose the wound to sunshine disinfectant, and drain the pus for the good of the VA body.  Yet, nothing ever happens, and the leadership continues to get away with abusing veterans, killing veterans, and destroying veterans.  Shame on you, political and administrative leaders!

Speaking of wounds needing sunshine disinfectant, the VA-OIG reports that “Mende Leone, 37, pleaded guilty to misappropriation of a federal benefit by a fiduciary.  As her uncle’s appointed fiduciary, Leone stole at least $151,000 of VA benefits intended for him.”  Continuing to prove that after the VA, families are the second most dangerous entity to the health and support of veterans.  Despicable crime indeed!Plato 2

Unfortunately, the third most dangerous entity to a veteran is the state government where they reside.  California moved very quickly to scoop up money after a veteran died.  At the same time, the Department of Veterans Affairs – Veterans Benefits Administration (VBA) was foot-dragging on deciding on awarding fiduciary control for the veteran in a long-term care facility.  Proving once again, if you want to see government in action, waive money in their faces, and watch them kill each other to obtain someone else’s funds.

The clowns at any circus in the world would make better administrators of the VA than those currently in power positions!  For the second time in as many months, the VA-OIG reports that unreliable information (the politically correct way to say they lied) was blamed for billions in cost overruns on IT infrastructure costs to the VA.  “… the Office of Electronic Health Record Modernization (OEHRM) estimated information technology (IT) infrastructure upgrade costs [but was not] in accordance with established VA standards and Government Accountability Office guidance.  The two $4.3 billion infrastructure upgrade estimates reported to Congress were not reliable and, because of incomplete documentation, determining the accuracy of the estimates was not possible. The VA-OIG also found VA did not report to Congress other IT upgrade costs of about $2.5 billion because OEHRM did not include costs other VA agencies would bear. OEHRM also did not update the cost estimates it provided to Congress.”VA 3

Yet, the US President continues to push to throw more trillions of dollars at the VA when they cannot correctly handle the billions already appropriated to upgrade their IT infrastructure.  The VA-OIG report, just for this farrago, is estimated at $11.1 Billion.  Einstein is famous for claiming that doing something over and over again and expecting different results is the epitome of insanity.  Maybe, it might be time to scrutinize the VA, fire some people, and get actual private-sector employees to fix the bureaucracy and obscene malfeasance in government!Apathy

The following investigation remains ongoing, and those indicted remain innocent until proven guilty in a court of law by a jury of their peers.  However, the investigation needs to be reported for the criminal activity and the lack of leadership that enabled the crimes accused.

Lisa M. Hoffman, 48, of Orange, New Jersey, is charged by indictment with one count each of conspiracy, theft of government property, and theft of medical products.

According to documents filed in this case and statements made in court:

From October 2015 through November 2019, Hoffman was a procurement officer at the VAMC. She used her authority to order large quantities of HIV prescription medications to steal the excess. After the medications arrived, Hoffman waited until co-workers were out of sight and removed them from the VAMC.

Once Hoffman stole the medications, she met her associate, Wagner Checonolasco, aka “Wanny,” generally at Hoffman’s residence so that Hoffman could provide the stolen HIV medications to Checonolasco in exchange for cash. Hoffman and Checonolasco used an encrypted messaging application to plan and execute their thefts and sales of the stolen HIV medications, including arranging for the medications-for-cash exchanges. After obtaining the stolen HIV medications from Hoffman, Checonolasco sold them. During the conspiracy, Hoffman and Checonolasco stole approximately $10 million worth of HIV medications belonging to the VAMC” [emphasis mine].

Where were the other employees and the hospital leadership during this crime?  When I received US Government property, I had to account for every penny, show the receipts, and held to general inspections verifying my veracity.  The supply officer lost $20.00, claimed I had spent the money, and I had to prove my innocence using documentation and a full property audit before I was cleared of the missing money.  You cannot tell me that the leadership and other employees magically are not culpable for their complicity and failure to perform their jobs.VA 3

For example, upon receipt of property, there is an inspection to verify everything purchased arrived.  Then when delivered to different stations, another audit is conducted to ensure nothing disappeared enroute.  If something comes up missing, there is another audit and inspection, as well as a host of paperwork involved in correcting deficiencies and proving where the property went.  Prescription drugs are held to a higher standard with greater penalties for those involved in missing drugs.  Thus, I ask again, where was the leadership who enabled this criminal behavior?  Where were the nurses who noticed missing drugs on inventory lists?  Where were the fellow employees in this scheme?

Multiple reports are circulating that the head of the viral, fungal meningitis outbreak from 2012, Barry Cadden, is being resentenced with stiffer penalties.  As a reminder, “In 2012, 753 patients in 20 states were diagnosed with a fungal infection after receiving injections of MPA manufactured by NECC, and more than 100 patients died as a result.”  Cadden was resentenced to 174 months in prison, forfeiture of $1.4 million, and restitution of $82 million.  Frankly, I still think the sentence is too light; but nobody asked my opinion on sentencing!Gavel

Finally, in our discussion on obscene enabling by VA Leadership, the following VA-OIG reports on COVID preparedness, lessons learned, and the preparation for a pandemic.  Under the heading, “Identified Trends Among VISN 19 Respondents’ Comments on Facility Readiness and Response,” we find “All need to practice infection control protocols (wearing masks and washing hands).”  Are you kidding me?!?!  You are a hospital; hand washing should be second nature and the first line of defense, not the patient wearing a mask.  The VA-OIG gathered this data from VISN 19, which includes the following VAMC’s:

        • Aurora, CO
        • Cheyenne, WY
        • Fort Harrison, MT
        • Grand Junction, CO
        • Muskogee, OK
        • Oklahoma City, OK
        • Salt Lake City, UT
        • Sheridan WY

Having been a patient in three of these VAMC’s I find it highly distressing that hand washing and wearing masks in a hospital setting is a “trend” of “readiness and response to a pandemic.”  How were you delivering care previously?  Why is handwashing suddenly a new activity?  How many patients were endangered by a lack of handwashing?VA 3

I have been a patient in two different VA Hospitals where the nurse routinely pulled off the finger of their glove or did not glove at all, to remove blood, use sharps to give shots, and a host of other activities.  I reported these behaviors as “concerns for patient safety,” and my concerns fell on deaf ears of the leadership.  Now, I see a VA-OIG inspection relating that hand washing is suddenly vital to delivering care, and I have to ask these questions.  Of the eight collated responses from local hospitals, proper hygiene protocols are mentioned in 6.  So, how were you delivering care before the pandemic?

Pigeon RevengeStill, the VA-OIG refuses to investigate the lack of written operational procedures, policies, and mandates for enforced mask-wearing, especially when the mask prohibits or makes unsafe the patient’s breathing.  Why was there no acceptable workaround to see patients with shortness of breath without a forced mask?  Why were patients refused care under EMTALA?  Why are VA Police Officers allowed access to private patient HIPAA-protected information? Fundamental questions about the rights and protections of patients who continue to be violated by the VA Leaders enabling harassment and harming patients, and the VA-OIG remains MIA.  I find this very glaring!

© 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.

Weep America! – The VA Leadership is Becoming Worse! – Part 3

I-CareIn the less than 10-days since I last wrote on the Department of Veterans Affairs (VA), the Department of Veterans Affairs – Office of Inspector General (VA-OIG) has dumped more than ten inspection results over the last three days into my inbox.  Not a record, but the recorded actions are certainly hitting record lows.  Worse, the culture of the VA remains unchanged, even through all the recorded crimes and indignities the veterans suffer under.  Recording and summating the crimes of the VA is so depressing, mainly because of the failure to reform.  But, a little depression will not slow or halt the reporting of these detestable actions of the VA!

The first VA-OIG investigation is more of a report on criminal proceedings concluding with sentencing.  A total of five people, including one VA Employee, have been stung in this investigation.  How thrilling to see accountability and justice served cold!

Francis Engles of Bowie, Maryland, was sentenced to 30 months in prison and ordered to pay $150,000 in restitution for defrauding a VA program dedicated to rehabilitating military veterans with disabilities. As the owner of Engles Security Training School, Engles falsely represented to the VA that his company was providing veterans with months-long courses when, in fact, the school offered veterans far less.”

February 2019, four other individuals were sentenced in related cases following their guilty pleas. First, James King, a former VA employee, was sentenced to 11 years in prison for committing bribery, defrauding the VA, and obstructing justice. Second, Albert Poawui, the owner of Atius Technology Institute, was sentenced to 70 months in prison for committing bribery. Third, Sombo Kanneh, Poawui’s employee, was sentenced to 20 months in prison for conspiracy to commit bribery. Finally, Michelle Stevens, the owner of Eelon Training School, was sentenced to 30 months in prison for committing bribery.”VA 3

Apparently, bilking the GI Bill is a regular fraud opportunity, and the VA employees need to be held more accountable for the loss of these funds!  The GI Bill is a precious commodity and sometimes the only lifeline for a soldier for retraining while awaiting the VBA’s decisions. Therefore, stealing these funds should come with more substantial sentences, more accountability for the employees in the know of fraud, and scrutiny from elected officials!

For the next story, we have several crimes co-occurring; the most egregious is reporting to have been a veteran, fraudulently obtaining benefits, and then trying to use veteran status for preferential contract awarding.  The VA-OIG reports:

Robert S. Stewart, the former owner of Federal Government Experts LLC in Arlington, Virginia, was sentenced to 21 months in prison with three years of supervised release for making false statements to multiple federal agencies in order to fraudulently obtain multimillion-dollar government contracts, COVID-19 emergency relief loans, and undeserved military service benefits.”VA 3

I know the Supreme Court of the United States (SCOTUS) has declared that lying about military service is a freedom of speech issue and not a crime.  However, stolen valor continues to make me sick, and the liars should lose all US Constitutional Rights, as well as be sentenced to punishment most vile!  Having served twice (US Army and US Navy), having been deployed to S. Korea (US Army) and the Persian Gulf (US Navy Multiple Times), stealing valor infuriates me into a raging juggernaut!  I hate liars and thieves, but to steal valor from those deserving goes above and beyond being just a liar and thief, and the conduct deserves punishment most vile!  No, I am not apologetic in taking this stance either!  Burn the American Flag; I disagree with SCOTUS again and becoming a raging juggernaut!  There are lines you do not cross with impunity, and if you cannot scream fire in a crowded theater as “Free Speech,” then acts of stealing valor or burning the American Flag are reasonable restrictions!

I do agree with Justice Oliver Wendell Holmes’ statement:

The ultimate good desired is better reached by free trade in ideas — that the best test of truth is the power of the thought to get itself accepted in the competition of the market, and that truth is the only ground upon which their wishes safely can be carried out.”Angry Grizzly Bear

But stealing valor and burning the American Flag is not “free trade in ideas,” and I support social shaming as part of the punishment most vile for these lepers of society!  Before you burn the Flag or steal valor, serve in uniform, watch a military funeral as a dependent, and then let’s talk about reasonable and valid restrictions upon “free speech!”

Another case, another criminal act, only this time, I am left asking, “How long has this individual been doing business with the VA?”  Regardless, as this is an ongoing case, the following firstly applies: “The charges in the indictment are merely accusations. The defendant is presumed innocent unless and until proven guilty.”  From the VA-OIG report:

Muhammad Z. Aabdin of Bronx, New York, was indicted for offering bribes to a VA contracting officer in exchange for the award of VA contracts for personal protective equipment.”VA 3

It will be interesting to watch this case and future (potential) investigations occur.  However, I have several questions needing to be answered, and the report does nothing to aid in answering the questions raised in the defendant’s arrest and the grand jury indictment.  More to come as the VA-OIG and the US Attorney produce information.  May the US Attorney NOT allow a plea deal!

The VA-OIG has often investigated improper fiscal practices at several VA sites for the VBA, the VHA, and the National Cemeteries.  I could almost quote the following investigation results, only differing on how much money is involved.

The VA Office of Inspector General (VA-OIG) conducted a review to examine whether VA’s Maryland Health Care System appropriately managed purchases and payments for medical equipment and supplies. Fiscal oversight of purchase cards and internal controls governing the use of overtime were also reviewed. The VA-OIG found ineffective processes, internal control weaknesses, and inadequate oversight in five areas: 1. The healthcare system and the Enterprise Equipment Request (EER) portal need improved controls for approving equipment purchases. 2. Healthcare system staff and the prime vendor should prepare timely and accurate planning information to ensure adequate supplies are on hand to fill orders. 3. Even though no inaccurate inventory payments were identified, VA’s inventory system needs controls to ensure correct recording of supply units and costs. 4. The healthcare system purchase card program requires closer monitoring to ensure purchases are authorized and supported by documentation. 5. The healthcare system should strengthen its overtime payment controls to ensure supervisors verify overtime hours were completed before approving timecards for payment.  The VA-OIG team also identified more than $5 million in questioned costs related to identified issues such as undocumented or unapproved purchases” [emphasis mine].VA 3

I have heard the term “Criminal Stupidity” and often wonder when “Criminally Designed Incompetence” will become adopted into common vernacular.  I am so fed up with the excuses, the missing money, and the abuse of taxpayer forbearance by bureaucrats; I could rip my hair out and scream until my voice gives out! But, unfortunately, both actions do absolutely nothing to correct the problem and would make me miserable.  The VA has problems with criminals without and stupidity masked as “designed incompetence” within, and the solution continues to be leadership!

Gravy Train 2What adds fire to my mental processes on criminally designed incompetence, the VA-OIG has two other investigations in my inbox on the need to strengthen fiscal controls, , and more correctly track accounting practices.  Under current legislation, if a private business accounted for their money like the VA, they would be shuttered, and criminal charges levied!  Yet, somehow, the elected representatives cannot apply the same accounting behavior standard to a government agency, as they mandate for private companies!  Anyone else thinks we need stronger demands for scrutiny of government agencies?

Plato 2Adding more fuel to the fire for the IT/IS Departments of the VA, the VA-OIG discovered that the VA still cannot regularly and appropriately log records into its own electronic health record systems!  Are you surprised; as a patient, I know I am not surprised at all.  Worse, the lack of medical records being properly handled influences (negatively, of course) how the VBA makes decisions on claims!

The Office of Inspector General (VA-OIG) evaluated whether VA’s community care staff accurately uploaded records for non-VA medical care to veterans’ electronic health records. Veterans receive non-VA care based on certain criteria, such as the distance from the veteran to the nearest VA facility or the wait time for a VA facility appointment. Records for non-VA care enable Veterans Health Administration (VHA) providers continuity of care and inform treatment decisions. The audit team found that staff at six of the seven VA medical facilities reviewed did not always index, or categorize, these records accurately. Inaccurate indexing of medical records poses a risk to veteran care. It increases the burden on the VHA staff who locate and correct the errors, reducing their time for other tasks. The team reviewed 209 veterans’ mental health medical records that VHA community care staff indexed between April 1, 2019, and September 30, 2019, and found 108 indexing errors for 92 veterans. (Some veterans’ records had more than one error.) Errors included using ambiguous or incorrect document titles, indexing records for non-VA care to the wrong referral or veteran, and entering duplicate records. These errors occurred, in part, due to inadequate procedures, training, quality checks, and quality assurance monitoring and a lack of local facility-level policies.”VA 3

Of course, training and local policies were blamed for the failure to log records properly!  These are automatic designed incompetence excuses that appear every single time the VHA fails, the VBA fails, or they both make significant life-altering decisions for veterans, and the VA-OIG investigates!  The VBA claims it is my duty to ensure outside providers send records to the VA in a timely manner.  The VHA claims they have the documents the VBA wants, and they should read the file.  Who is inconvenienced, not the VHA and the VBA, the veteran?  The person who cannot even look at his digital file without a “Freedom of Information Act” (FOIA) request and 30-45 days of waiting, and even then, the document is heavily redacted for privacy!  Whose privacy, I wonder, the providers, the employees, or the veterans?  Because I guarantee the VA is conducting serious CYA on the records produced!  Let alone IT’s continued failure to protect the veteran from identity theft or IS to protect the files from being accessed without reason by employees.Apathy

May 2021 was a tumultuous month for the VA and the VA-OIG.  If you would like to review how tumultuous or think you might have missed an article or two reporting the VA’s designed incompetence, feel free to review using the following link.  Frankly, I want to see action taken based upon the investigations to clean house, more fully scrutinize the VA, and improve the veteran experience at the VA.  But, I do not tell you how to think or feel about an issue. Instead, I report and summate and leave the rest to you!VA 3

As always, I report and summate upon the good and bad.  If you are a citizen of Indiana or receive your care from either Fort Wayne, Marion, or through the Northern Indiana Health Care System, please count yourself lucky, and pass on the praise to the VAHCS employees.  The VA-OIG conducted a comprehensive Healthcare Inspection and found, “The VA-OIG’s review of the system’s accreditation findings, sentinel events, and disclosures did not identify any substantial organizational risk factors” [emphasis mine].  While improvements can still be made, this is HUGE news, and the Northern Indiana VAHCS leadership team needs to be back-slapping and congratulating their employees.

Knowledge Check!Thus, my sincerest congratulations go to the Northern Indiana VAHCS, and heaps of shame and scorn remain served cold to the ineffective leadership and useless employees of the VA in general!  America, we should weep, for the VA is not alone in the government agencies in providing world-class detestable service, abuse of the customer (taxpayer), and skirting accountability and responsibility through designed incompetence!  But, when we are done weeping, it is time for action!  Changing the elected representatives, demanding higher scrutinization with actual penalties for failure, and insisting upon fiscal restraint equivalent to the private sector!

© 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.