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.

The Perils of a Toxic and Inert Workplace Culture

DutyDandira (2012), in an epic discussion on the origins of organizational cancer, discussed how communication, among other things, breeds organizational cancer.  The author stated what should be obvious, but the government remains oblivious to government agencies and the body’s organizational cancer.  “Responsibility and authority: (the CEO/Executive Chief) he should have the power to hire and fire, especially those who continue to follow the old system of playing political games at the expense of the organization” (Dandira, 2012, p. 191).  Again, while the following is using the Department of Veterans Affairs (VA), the examples spread like thick peanut butter, or bathtub scum, across all government agencies and NGOs.

Wasting TimeFrom the Department of Veterans Affairs – Office of Inspector of General (VA-OIG) reports, we find:

Michael Wibracht of San Antonio, Texas, the former owner of several construction companies, defrauded the United States by obtaining government contracts under programs administered by the Small Business Administration for which neither his nor his co-conspirators’ companies were eligible. One co-conspirator, Ruben Villarreal, also of San Antonio, pleaded guilty on Nov. 20, 2020, to participating in the same conspiracy. “The defendants conspired to fraudulently obtain multi-million dollar government contracts under a program designed to benefit service-disabled veterans,” said VA Inspector General Michael J. Missal. “These guilty pleas send a clear message that individuals and companies who defraud the government contracting process for service-disabled veterans will be held accountable.”

VA Inspector General Michael J. Missal, you are 100% incorrect!  Holding third-party contractors responsible for defrauding the VA does not “send a clear message,” nor will any of the actual problems be addressed; hence the fraud will continue, and the taxpayer and veterans will continue to suffer.  A little research into this story reflects that no VA Employees, who had to have been aware of the schemes and aided and abetted the schemes, have been held accountable for dereliction of duty.  Thus, the fraud will continue, and frankly, I wish you would learn this particular lesson!

VA SealDandira’s (2012) point is the hinge upon which fraud will or will not continue, does the executive heads at the hospital, VISN, and D.C. levels have the power and authority to act?  No; they do not, because Congress refuses to grant this power, while also refusing to scrutinize the government properly!  A convoluted mess that should have already been resolved, but the bureaucrats prefer designed incompetence and inertia to perform any work to improve the culture and accountability to the American Citizen and veterans.

Speaking of a culture needing work, the VA-OIG reports:

Matthew Pizarro, 32, of Stoughton, Massachusetts, was sentenced to 10 years in prison and eight years of supervised release for distribution of fentanyl, one count of distribution of 40 grams or more of fentanyl, and one count of possession with intent to distribute 28 grams or more of crack cocaine. Pizarro was indicted in October 2018 and has been in custody since his arrest in August 2018.”

LookSpeaking to the cultural problems allowing for criminal behavior to be accepted as part of the VA’s normal daily operations, consider visiting the following link.  That link will take you to incidents of failure to correct the criminal and toxic culture at the VA starting from 2013.  Not that the culture began in 2013, but that is as far back as the VA is willing to admit the culture extends from.  For example:

Lisa M. Hoffman, 48, a former pharmacy technician at East Orange VA Medical Center in New Jersey, was charged with stealing more than $8.2 million worth of HIV medication. Hoffman used her position to order, then steal, large amounts of HIV medication, which she later sold to an associate for cash.”

Detective 3While the last two examples of toxic culture include individuals, I am always impressed with the lack of integrity and the language games to spin a VA-OIG investigation report to more favorably report a Charlie-Foxtrot!  The VA-OIG investigated the use of virtual appointments for primary care during the COVID Pandemic.  Here’s the issue, before the pandemic, the only people regularly using virtual appointments were the psychologists treating individual patients who had the technology.  My Primary Care Provider (PCP) refused to use virtual appointments until last March.  Even then, my current PCP refuses to diagnose, treat, or even answer general health questions using virtual appointments.  The last three appointments using virtual technology have been technological disasters where the sound cut off and on, the picture cut off and on, random noise was broadcast, and nobody can explain how secure the technology is and how it meets HIPAA requirements.  The VA-OIG is crowing and magnanimous about the growth of virtual care appointments using VA Video Connect (VVC) in the VA.

Worse, the virtual appointments using the VVC technology do not come with technical support, so the veteran is left trying to fix connection issues without guidance and assistance.  Training for the VVC technology is either missing or obsolete, and frustration is the only regular VVC technology product.  Go ahead and crow VA-OIG; the veterans stuck using this garbage should have been part of your survey, and the fact that you refused to obtain the veterans’ input tells much about how respectful the VA is about their patients!

InertiaHere is a real-life example of a toxic culture with inert actors in action. It is reminding me of those “Priceless” MasterCard commercials from a few years back!

This management advisory memo identifies potential risks associated with the Veterans Health Administration’s (VHA) efforts to expedite adding new staff to meet increased demand caused by the COVID-19 pandemic. The VA Office of Inspector General (OIG) recognizes the tremendous pressure to hire staff to meet unprecedented needs quickly. To achieve VHA’s goal of bringing all new employees on duty within three days of making a tentative offer, VHA has modified or deferred tasks such as fingerprinting, background investigations, drug testing, credentialing, and preplacement physicals. The potential risks identified by the OIG may threaten VHA’s ability to safeguard veterans’ sensitive information and ensure its workforce is suitable for serving patients at VA medical facilities. The OIG organized these potential risks into three categories: (1) employees who do not have a completed fingerprint-based criminal history check may gain access to sensitive information and controlled substances; (2) delays in processing fingerprints add to a backlog of investigations; (3) onboarding tasks are deferred—such as drug testing and credentialing—that is not being centrally monitored to ensure completion. If realized, these risks could damage the trust veterans have in VA, keeping their information secure and meeting employee suitability standards; this memorandum raises issues for VHA to consider in determining whether vulnerabilities and related processes warrant further review. These include possible changes to centralize governance of deferred actions to improve oversight.”

Scared Eyes!Who says the veterans trust the VA to keep their data secure?  I am amongst thousands of veterans who annually have to track our identity because the VA continues to lose data through the most elementary methods.  Worse, the government is a sieve of escaping personal data from the VA to the OPM; the government keeps losing data.  These VA articles keep mentioning designed incompetence, want to see designed incompetence in action, “VHA has modified or deferred tasks such as fingerprinting, background investigations, drug testing, credentialing, and preplacement physicals… which is not being centrally monitored to ensure completion.”  Change processes, probably never even wrote down the procedures, and then refuse to monitor for completion.  Whiskey-Tango-Foxtrot on that Charlie Foxtrot, over!  Please excuse the military axiom; I am mentally blown away that this was approved, put into operation, and then left alone to fester!  When it is discovered that more criminals and nefarious people were hired, who gets the blame; nobody!  It will be COVID-19’s fault, not a mindless and spineless drone!

Detective 4I am personally aware and have reported both on this blog and to the proper authorities (not that they ever cared or did anything), the HIPAA, EMTALA, and other legal abuses of veterans in several VA Hospitals.  Without improvements in operations and providing authority to clean house for those in leadership positions, the VA’s problems will only worsen.  Please be aware; it is not for the lack of money or technology to pinpoint abuses and problems with employees; it is all the inertia of the leadership towards action and the toxic culture which allows and encourages pushing the boundaries that are killing the VA.  The VA requires a cancer operation, where the potential killing growths are removed and the body allowed to heal—healing through better leaders, better-written procedures and policies, and improved communication chains that promote catching the problems before the VA-OIG!

Reference

Dandira, M. (2012). Dysfunctional leadership: Organizational cancer. Business Strategy Series, 13(4), 187-192. doi: http://dx.doi.org/10.1108/17515631211246267

© 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: Hypocrites, Liars, and Thieves Edition

Boris & NatashaThe pattern left to the reader in the story of Dr. Jekyll and Mr. Hyde is one of foremost importance to what we are witnessing in democratically governed societies the world over.  If ever a time was presented when the people need to know and then act, that time is now.  I intend to start the conversation on liars, thieves, and hypocrites with clarity, example and offer for your consideration patterns that spot the deceit.  Once deceit is spotted, it is as glaring as a bloodstain on a white satin dress.  You cannot look past that mark!

What is a Hypocrite?

Hypocrites are those who wear masks of decency and outward morality, but live lives of deception, believing that, like Dr. Jekyll, they can live a double life and never be discovered.  From James’s New Testament writings, we find that “A double-minded man is unstable in all his ways” (James 1:8).  According to Webster, a hypocrite is one who practices hypocrisy.  According to Webster, those who practice hypocrisy are living, “the practice of claiming to have moral standards or beliefs to which one’s own behavior does not conform; pretense.”  To Nathaniel Hawthorne goes the last word on hypocrites, “No man (person) for any considerable period can wear one face to himself and another to the multitude, without finally getting bewildered as to which may be the true.”

What is a Liar?

DetectiveAccording to Webster, a liar is a person who tells lies.  Lying is defined by Webster as, “an intentionally false statement.”  Is the distinction clear; the liar knows the truth and intentionally misleads the audience, always for personal gain.  From William Shenstone, we find an eternal truth, “A liar begins with making falsehoods appear like truth, and ends with making truth itself appear like a falsehood.”  The pattern detailed by William Shenstone is precise and speaks to one of the most deceitful practices of all, making truth appear as a falsehood to sell a bunch of lies.  As a kid, I was often told that the devil will tell you one truth to help you believe a thousand lies.

What is a thief?

According to Webster, a thief is “a person who steals, especially secretly or without open force; one guilty of theft or larceny.”  During my undergraduate degree program, another student would regularly plagiarize my weekly posts as their own work, then had the temerity to try and claim I was plagiarizing them.  I had a habit of posting the weekly posts the first day of the new week, the timestamps on my posts proved my work was mine, and the student eventually disappeared from my cohort.  Plagiarism is a fancy word for intellectual property theft.  Plagiarism used to get politicians kicked out of politics, except the current Commander in Chief is a well-known plagiarizer. He is being honored with keeping his job and getting promoted beyond his maximum level of incompetence.  The fraudulent president, Biden’s first act in office, was to plagiarize President Trump on COVID response, vaccine response and belittled President Trump for doing the right thing.

LookWhy is this important?

The story of Dr. Jekyll and Mr. Hyde speaks volumes on issues being combatted right now.  Dr. Jekyll had conquered himself; his person was morally upright, had integrity, and had a worthy reputation.  But, then drugs came along, and the drugs made Mr. Hyde, who was evil incarnate.  Eventually, the drugs would no longer bring back Dr. Jekyll, and Mr. Hyde conquered, and Dr. Jekyll was destroyed.

All my life, I have been told, “Honorable people do not get into politics, and politicians never work at honest labor.”  Yet, I cannot help but ask, “Why are people who lie, thieve, and practice hypocrisy allowed to represent anyone?”  It was 1987-1988, while watching the presidential race get whittled down to Bush I and Dukakis, I heard Jesse Jackson and Al Gore one night talking, and thought I would not invite these people into my home, why are they allowed to run for president?  Over time this thought has returned, in one election between two particularly vile election choices (Obama and Romney) I was told to “Hold my nose, lift my skirts, and vote for Romney as the ‘lesser of two evils.”  I am happy to report, I voted for Donald Duck!

I will not give my permission to represent me, e.g., my vote, to someone I would never invite into my home as a guest.  I have had to learn to research candidates, research issues, use critical thinking, and even then, make mistakes.  Yet, I know that when we, the electorate, stand together and refuse the thieves, liars, and hypocrites a political office, we are better as a nation, a state, a county, a city, and a community.

Andragogy - LEARNExamples:

New York City Mayor De Blasio ordered COVID, infected patients, into long-term care facilities (nursing homes). The numbers are finally coming to light that 13,197 additional COVID patients were created, where 4080 died!  The mayor has refused responsibility for these deaths, pain, suffering, and increased medical costs.  The mayor of New York City has consistently lied throughout the COVID/Government Panic; people have died, resources wasted, and the person most responsible refuses accountability.  Thus showing Mayor De Blasio is a liar, a thief, and a hypocrite!

Big Tech, for several years now, has been actively engaged in intentionally misleading consumers.  When Facebook’s thought police remove data that asks honest questions as misleading, the consumer is being lied to.  When LinkedIn edits posts arbitrarily and refuses First Amendment rights to everyone, all consumers using LinkedIn are being stolen from, lied to, and LinkedIn proves it is a hypocrite.  Due to political leanings, Twitter illegally suppressing First Amendment rights to President Trump over a trumped-up charge is lying, stealing, and acting as a hypocrite!

November 2009, the Climate Research Unit became “Climategate,” ripped the scab off the festering wounds called Climate Change.  The emails released showed how statistics were employed to lie, cheat, steal, and then the hypocritical scientists claimed that their lies were truth.  Except, a lie cannot be a truth, and making a truth appear as a lie, does not change the lie into a truth.  By gaming the peer-review process, climate science lies have been peddled, and politicians have gotten rich off climate lies and climate lawfare.  I am not claiming that humans could not be better stewards of resources.  I am arguing that draconian government mandates are never the answer to changing behaviors of individuals.

The Duty of AmericansThe hinge upon which the lies, thieves, and hypocrites will eventually hang.

How does a person tell a liar from a truth-teller; the person’s intent.  How do you know a person’s intent; observe them.  Are their actions producing good results, or are they producing poisoned fruit and hurting others?  Intent is a legal term, and the following is essential as we observe for consequences of actions, words, and results.

What are the 3 types of intent?

The three common-law intents ranked in order of culpability are malice aforethought, specific intent, and general intent.  Malice aforethought is a special common-law intent designated for only one crime: murder.  The definition of malice aforethought is “intent to kill.”  Specific intent is the intent to bring about a particular result, do something other than the criminal act.  General intent is simply the intent to perform the criminal action.

Consider the following, Bill Engvall tells a story of his little toddler boy walking over to the sleeping cat and kicking the cat.  When questioned, the little boy claims, “It was an accident.”  Yet, the keen observer watched him walk across the room and intentionally kick the cat.  Last summer, Speaker Pelosi (D) deliberately refused, for political gain, to collaborate with other lawmakers and pass COVID Relief legislation.  Essentially refusing to perform her most basic job as a Congressional Representative.  Speaker Paul Ryan (R) intentionally refused to pass a budget, and the government was shutdown.  Intentions are the actions we take, regardless of our words, that prove where our priorities are and how we think about our jobs.

Detective 4Consider the following headline from NPR, “After Record 2020 Turnout, State Republicans Weigh Making it Harder to Vote.”  The title itself is misleading, the article is very biased, and voting problems go deeper than the fraud and misfeasance witnessed in November 2020.  The 2020 primaries were a disaster!  The 2018 election cycle was a farrago.  The 2016, 2014, 2012, 2010, 2008, 2006, 2004, 2002, 2000 elections cycles have steadily worsened in fraud, idiocy in counting, technological blunders, and intentional theft of elections.  Hence, NPR’s intent is to employ smoke screens and mirrors to obfuscate and denigrate, lie, cheat, steal, and be hypocrites of the fact that the only people who receive help from poorly performed election processes are Democrats!  As a media channel, NPR’s job is to keep people confused so the charade of elections can continue. They are proving intent to harm and be hypocritical.

How does a person fight back?

  1. Learn the candidates, look past the makeup, the façade, and the media representations.
  2. Ask tougher questions. In order to learn, we must ask questions and never be satisfied with answers.
  3. When we teach others, we learn more perfectly.  As we learn more perfectly, we are inspired to teach more.
    • Who do we teach, ourselves, our families, discussions with friends, and writing down your thoughts on a blog are all good and useful methods for teaching, to power better learning.
  4. Start locally, clean up local politics first. Thus, get involved with the city council, the mayor, the county board, the school board.  Demand to be heard.
  5. Support good people around you, support the efforts to learn, support your neighbors as they begin to explore that which is familiar to you.
  6. Stop allowing the media and politicians to separate, classify, divide, and name. I am an American!  That title is sufficient!

Image - Eagle & FlagAmerican – A(h) Me I Can!

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

The Department of Veterans Affairs: The Liars and Thieves Edition

I-CareIn December 2019, I witnessed an employee of the Department of Veterans Affairs, Hospital Administration, create rules to inconvenience a veteran, lie to a veteran, obfuscate, and generally mock a veteran.  The incident included the employee threatening the veteran with throwing away documentation, the primary care provider needed because the veteran was not mailing the forms to the doctor as the employee demanded of the veteran.  The veteran must travel and thought dropping off the forms would be acceptable; until he met this employee.  23 January 2020, I was the veteran being lied to, and my “cherub-like demeanor” evaporated faster than dew in a July sun.  For the December incident, I signed my name to a letter going to the Hospital Director Andrew M. Welch, written by the abused veteran, and testified that I witnessed the treatment this veteran received.  To the best of my knowledge, no action was taken by the hospital leadership where this employee is concerned, I asked.  A copy of this article will be sent to hospital leadership.  If any additional information comes available on this issue, I will write an addendum and update this article.

23 January 2020, 1505-1510, I went to my primary care provider’s clinic at the Albuquerque, New Mexico VA Hospital.  I had another appointment, was early, and went to ask why I am receiving letters claiming the primary care clinic is “having difficulty” contacting me.  The employee is titled “Advanced MSA,” which means they are a Medical Support Assistant who has been promoted.  For my other appointment, I have received two text messages, one automated call, and three appointment emails.  For my next appointment, 24 January 2020, I have received two text messages, one automated call, and three emails.  For my appointment in December 2019, I received two text messages, one automated call, and three emails.  I regularly receive calls from other clinics in the VA Hospital.  My cellphone has voicemail, and the voicemail is regularly checked and responses made.  Yet, the MSA claims, “I have tried calling you, and you do not have voicemail.”  I checked my recent calls, and showed the MSA where I had not received any calls from the VA on the days indicated, and asked why I can receive all these other calls from the VA, including the text messages, but only his calls are not showing up.  The MSA then became intransigent, resolute, and adamant, raised his voice, and told me our conversation was done.  After observing the ways and means of this VA employee over the course of many months previously, I wonder, “how many other veterans are not being contacted in a timely manner, while this person lies, cheats, and steals?”

Quality of FindingsUnfortunately, this is the standard, not the exception for the MSA’s in the HAS (Hospital Administration Services) Department, led by Maritza Pittore, at the Albuquerque VA Hospital.  I have witnessed multiple MSA’s committing HIPAA violations through record diving, gossiping about veteran patients, acting rudely, ignoring veteran patients and their families to complete conversations, and refusing to do their jobs.  As a point of fact, one assistant director one told me, “if what the VA does was replicated by a non-government hospital, they would be closed down and sued.”  While employed from June 2018 thru June 2019, I brought this to the attention of the leadership, including multiple emails and voice conversations with Maritza Pittore, Sonja Brown, and several other high-ranking leaders and their assistants, all to no avail.  I have had nursing staff tell me confidentially that they cannot do anything where the MSA’s are concerned because “it’s none of their business and outside their job duties.”  Yet, the VA continues to proclaim the MSA, the Nurse, and the doctor, along with the patient, are a “healthcare team.”  Upon being discharged, without cause, reason, or justification, I brought this information to the OIG, my congressional and senate representatives, among many others, all to no avail.  The level of customer service, especially at this VA Hospital, is far below the pale because the leadership refuses to engage and set standards for customer service, with enforced penalties. I-CareMore to the point, the employees mimic the customer service they receive from the leadership team.  Thus, even though the Federal VA Office has launched “I-Care” as a customer service improvement initiative, the customer service in this hospital continues to fall and will continue to fail until the leadership exemplifies the standards of customer service expected.

As a dedicated customer service professional, I have offered multiple solutions to the continuing problems veteran patients experience in the Albuquerque VA Hospital at the hands of the MSA’s and other front-line customer-facing staff; but the suggestions all continue to fall upon deaf ears.  I do not paint all the MSA’s and staff as liars, thieves, and cheaters, because there are some great people working at this VA Hospital.  Unfortunately, the rotten apples far exceed the good workers by multiple factors and powers, to the shame of the leadership team who continues to ignore the problem, deleting emails, and generally lying when placed on the spot about the problems.

An example of this occurred recently where a member of the staff of a congressional representative asked about communications sent from an employee to the Director of VISN 18, with carbon copies being sent to Maritza Pittore HAS Director, Ruben Foster MSA Supervisor, and Sonja Brown Associate Director of the Hospital.  None of those emails “magically” exist when asked for, and the verbal conversation included outright lies, misdirection, and complete fallacies.

Since the VA-Office of Inspector General (VA-OIG) continues to appear disinterested, I can only ask, “what does a person do to see action taken to correct the problems, right the abuses, and bring responsibility and accountability to the employees of the Federal Government?”  President Trump is providing great leadership, VA Secretary Wilkie is doing a good job and needs more help, but the elected officials in the House and Senate refuse to do their job, and the middle management of the VA is entrenched, obtuse, and inflexible.  The US Media treats veterans’ issues as a punchline to a bad joke.  Still, the problem worsens; still, the abusers maliciously treat people abhorrently; and still, those placed in leadership positions stall, obfuscate, and hinder.

My treatment at the VA Hospital in Albuquerque includes being physically assaulted by an employee, my medical records perused by, and then gossiped across at least four separate clinics, and still that MSA remains employed.  In fact, this employee was promoted for her “good work and dedication to helping veterans.”  I am sick and tired of the poor treatment, the harassment, and the vindictiveness served to veterans of all types, sizes, and colors, at the hands of petty bureaucrats as they visit the Department of Veterans Affairs.  The Albuquerque VA Hospital is one of the most egregious examples of bad behavior and nepotism in the country and it is past time the leadership was replaced and the assaults and crimes brought into the sunshine for some “sunshine disinfectant.”

cropped-snow-leopard.jpgUpdate to this article, 10 May 2020: By the first week in April 2020, the Advanced MSA in the clinic was moved to a less customer-facing post and a new MSA hired.  The quality of that individual was never experienced due to relocating.  The supervisor of the MSA was not very interested in correcting the problems and that showed when I visited with them while trying to obtain an appointment that the Advanced MSA refused to schedule.  Change must come to the VA!

© 2020 M. Dave Salisbury

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