Speaker Pelosi – Enough is ENOUGH!

Bird of PreyThere comes the point where every person reaches their penultimate point.  They can take no more, stand no more, and allow no more abuses to be heaped upon them by others.  On 30 August 2021, when Speaker Pelosi (D), Speaker of the US House of Representatives, refused to show up, refused to recognize, and refused to participate in a moment of silence for the 13 service members lost in Afghanistan, my moment arrived.  I am thoroughly done, and I am here to describe what that means!

  1. I will not edit my diet to fit a “woke culture!”

CommitI love fried chicken, watermelon, BBQ ribs, and peanut butter and jelly sandwiches on white bread.  I have been eating this way my entire life; I will not change just because some dweeb is projecting their racism onto food.  Food cannot and should never be labeled as “racist.”  I love grits and fried eggs, with cheese and gravy, or biscuits and hashbrowns.  I am a huge fan of fried okra and pork.  I enjoy a bowl of hominy and honey with a bit of butter and cornbread.  Bring on the food, leave the politics on the porch!

  1. I will not disrespect every police officer just because some person gets shot.

Is there the potential possibility that a bad police officer could have slipped in and will abuse their power?  Absolutely, and it has been my displeasure to have met a couple of these abusive and detestable bastards in my time.  I call them out, just like I call out those who abuse their position in any other profession.  But, I am done with seeing every police officer branded as bad when a precinct somewhere else in the world makes a dumb call, makes a poor decision, or is Monday-Morning-Quarterbacked by a bunch of bureaucrats who never wore a badge.  I have met too many great and good police officers to see all of them slandered by the media and the politicians for the statistical anomalies that come with a demanding job and the political misfeasance that is part of the risks in their profession.Thin Blue Line

I will add another piece of important information to this list, fail to listen to a police officer and get shot; you have no sympathy from me, EVER!  A police officer demands to see your hands and has reason to believe their life is in danger; you need to listen and obey first, talk and spout stupidity later.  Acting on a police officer’s demands in executing their duties is called being a responsible citizen, the first job a person has to law and order in society.  As a citizen, you must listen to authority, even if you do not like that authority or disagree with that authority.  Hence, it is not the police officer’s fault if you refuse to do as instructed and get shot in the process.

  1. Rioters, Looters, Anarchists – You Are Terrorists, and I will treat you as such!

LICThere is no such thing as a violent protest.  You are either protesting (peacefully) after having obtained the proper permits and in accordance with the laws, or you are terrorists hell-bent on destroying society.  There is no middle ground, and I refuse to bend on this issue, regardless of the media’s claims!  When you begin looting, burning, acting violently, this is the time to call in the military.  The rules of engagement include returning violence equal to or greater than the violence shown to restore law and order: no police, military response, and open fire.  Law and order is the police’s job.  Terrorism is the military’s job, and those who survive receive a terrorist trial in a military tribunal.

  1. Consent of the Governed. Rejected!Patriotism

America is a Constitutional Republic (if we can keep it).  Speaker Pelosi, you have breached public peace and no longer deserve my consent to hold your title and office as Speaker of the US House of Representatives.  More to the point, until you are removed from office and held accountable for treason and other crimes, you are held in contempt and do not deserve any title.  Nancy, go home!  My consent to be governed has been withdrawn!  Take your president, the fraudulent and senile Joey and Jill, the useless Kamala, and your good buddy in the Senate Patty with you.  Fly commercial; I refuse you the right to use my taxpayer-funded transportation!

  1. Rights, freedoms, liberties all come with obligations and responsibilities!

Your “right to free speech” comes with moral obligations, responsibilities, and you are accountable for what you say.  The Supreme Court has made this clear in many a case law, and it remains incumbent upon the citizenry and the politicians to learn this lesson.  Screaming nonsense is not allowed, and a “college safe place” will not protect you from a genuine ass-whooping when behavior correction is needed.  Nancy, your vile and deprecating speech borders on treasonous and criminal as you have promoted violence on your political enemies, frankly that you have escaped the law is atrocious and needs rectification!  That you are third in line to become president means you are held to a higher standard, and that you have failed to live to that standard reflects poorly upon yourself, your party, and this country!  Well, as a citizen of this country, I reject you!The Duty of Americans

I reject the “Gang of Five” who have followed maliciously in your footsteps and prospered under your pernicious tutelage.  You have poisoned enough minds and hearts during your Congressional career, and it is time for you to be held accountable for your crimes, audacity, and reprehensive behavior!  You have dodged the obligations and responsibilities of your office long enough.  Since you have gerrymandered your congressional district to guarantee re-election ad nauseam ad infinitum, it is time the citizens outside your community hold you accountable in front of a judge and jury.

Knowledge Check!Nancy, you sent the military to Afghanistan.  You continued to send the military to Afghanistan as political decisions.  You hold the blood of the slain, the sweat of the military sacrifice, and the tears of the families, and you cannot ever shake this responsibility!  For you to act in such a deplorable manner is cause for removal and public shaming, at a minimum.  But with your ego and arrogance, simple public shaming will not teach the lesson you need to learn.  Thus, Nancy, I hope to be there in person when a judge hands down a sentence of guilty, and pronounces your punishment of community service in distinctive clothing, wearing a sandwich board declaring your crimes, and watch you pull weeds on a chain gang, scrubbing graffiti, and picking trash.  Then, maybe, will the enormity of your crimes come home to 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.

Compliance Problems and Dead Veterans – More Shameful VA Misconduct Chronicles

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

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

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

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

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

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

The VA-OIG claimed the following:

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

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

Meaning, I do not believe your lies!

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

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

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

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

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

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

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

Let’s talk about some realities of mental health.

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

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

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

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

References

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

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

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

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

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

NO MORE BS: Statehood for DC – A Total Waste of Time!

Angry Wet ChickenAnother legislative session, another brain-dead idea passed off as needed, fair, and necessary, and wholly without merit.  Gosh, I am fed up with the time wasted by both the U.S. House of Representatives and the U.S. Senate.  Speaker Pelosi (D) is pontificating about the U.S. House passing (again) legislation to make the District of Columbia a state.  Except, Speaker Pelosi (D) never saw a liberal idea she didn’t immediately love, embrace, and wholeheartedly support, so nothing new in this news.

President Biden (no surprise here) backs the idea he has previously not supported as a Senator.  Color me shocked!  What did not surprise me was racist and belligerent commentary on the house floor during the debate.  It seems, every time someone with a (D) after their name can play the race card, the race card gets thrown down.  No objectivity, no specificity, no reason, logic, only plain emotion, malice, and stupidity!  Man, the use of the race card has gotten ridiculous.  Read Rep. Jones’s (D) comments, and feel free to laugh at the stupidity!  Plain ol’ public scorn should follow commentaries like the statements Rep. Jones (D) made, including mockery, shunning, and shame!

On the issue of race, the 2019 Census estimates 46% of D.C.’s residents identify as “Black,” and 46% identify as “White.”  Leaving a mere 8% of the population to fill all other ethnicities and races.  Yet, Rep. Jones (D) wants to make D.C. becoming a state a race issue.  Queue the mocking laughter and public shaming!Calvin & Hobbes - Irony Hurts

One of the issues brought up for making the District of Columbia a state was the amount of taxes they pay.  Personally, I laughed at this argument!  Still laughing; not sorry!  How long has the District of Columbia elected mayors who have done nothing but tax and spend; almost forever!  Taxation without representation is a dead issue when you elect tax and spenders into office.  As I was told as a kid, “You made your bed, now sleep in it!”  Think I might be wrong, understand the following:

No Republican has ever been elected mayor since D.C. home rule began in 1975. The DC Republicans have had no representation in the D.C. Council since Carol Schwartz left office in 2009. As of January 7, 2019, there are 30,001 registered voters affiliated with the Republican Party of the District of Columbia” [emphasis mine].

It appears to me, thou doth protest too much, and consequences hurt!  One-party rule is never a good idea, but the District of Columbia has embraced one-party everything and is suffering accordingly!  Please note, I am not claiming the Republicans could rule any better, but I am arguing that one-party rule is NEVER a good idea!

What is the issue?

Detective 4The District of Columbia keeps petitioning to become a state.  The U.S. Constitution provided for a federal district under the exclusive authority of the U.S. Congress; D.C. is therefore not a part of any U.S. state.  Since this is a U.S. Constitutional issue, it will require all 50-states to ratify a change to the U.S. Constitution, not simply the wasting of time and resources of the U.S. House of Representatives.  But, as they say on the Home Shopping Network, “There’s more.”  With 34 US States never having been made states properly, according to the US Constitution, and their lands remain under “Federal Government Control,” I do not see DC being a state that big of an issue!

The District of Columbia is a unique federal district of the U.S. The Government of the District of Columbia operates under Article One of the United States Constitution and the District of Columbia Home Rule Act, which devolves certain powers of the United States Congress to the Mayor and thirteen-member Council.  The District of Columbia Home Rule Act was a compromise back in the 1970s to allow more self-rule to D.C. while still being within the boundaries of the U.S. Constitution.  While the District of Columbia Home Rule Act caused some pretty wild protests, this was expected as a compromise between Congress and the local D.C. residents.  All the adults know that a good compromise leaves everyone upset.  How effective has the District of Columbia Home Rule Act been; well, look at the before and after economics, and the problem becomes loud and clear.  Taking us back to why I am still laughing and still not sorry!

For the lawyers in the house, the District of Columbia Home Rule Act is a quagmire of legal jargon and directionless logic like no piece of legislation it has ever been my displeasure to review.  If you can make sense of the District of Columbia Home Rule Act, please I.M. me directly, for I have questions and need answers.  Thank you!Apathy

Alert!

Dont Tread On MeToday’s chicanery in the U.S. House of Representatives was not the first time a piece of legislation making D.C. a state has passed the house.  I doubt this will be the last time our tax dollars are wasted on passing frivolous legislation on a U.S. Constitutional issue that will be passed in the U.S. House of Representatives.  Have any of the elected officials in the U.S. House or Senate read the U.S. Constitution, US Bill of Rights, or other founding U.S. documents?  I figured those with (D) had read their Marx and Keynes, but they were not elected to act like Keynes or Marx!

© 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.