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Thursday, May 22, 2014

22 May 2014 –
The Veterans Administration:  Entrenched Incompetence
My experience with the VA spans fifty years.  My father was wounded in WWII and never fully recovered.  The VA finally warehoused him at the hospital in Fort Harrison, near Helena, Montana.  He died in March 1963, at age forty.  At my young age, only once was I able to visit the day room of my father’s ward.  I watched disabled patients hobble around the room or sit motionless looking out the window.  I asked an orderly who these men were.  He said that they were WWII and Korean War veterans waiting to die.  No one, it seemed, was helping them, or my father, to live.  I vow to never die in a VA hospital. 

In 1978, I took my young family to Helena, Montana, to visit my mother.  I got sick and since I was in the Air Force, I went to Fort Harrison to see a doctor.  I was admitted instead of helped.  I spent the night looking out the window from the same floor where my father had died fifteen years before.  That night, an old veteran died in the bed next to mine.  In the morning, I went to take a shower as staff moved his body.  Apparently, I missed the doctor’s rounds as well and had to run him down in the stairwell.  I told the doctor I felt much better and that I was going to leave the hospital immediately whether they gave me my clothes back or not.  He shrugged and said I could leave.  My wife picked me up at the front door an hour later.  I vowed to never stay another night in a VA hospital.

In December 2008, my wife and I were in Denver visiting our son and his family.  My wife developed a serious infection, and we learned that the Fitzsimons VA Hospital handled all weekend emergency cases for active-duty personnel and their dependents.  At nearly midnight, over eight hours after entering the not-so-busy emergency room, my wife was finally seen.  With no apologies from any of the staff, my wife finally got her prescription.  I will never again go to a VA hospital emergency room under my own power.   

In September 2009, I retired from the Air Force and applied to the VA for a service-related disability.  I was told that final adjudication would take six months.  After nine months, a form letter told me it would take another six months.  Eight months later, another letter told me that I must resubmit all my paperwork.  Finally, 13 months later, 2 ½ years after my first submission, my disability was approved.  It is a slight one, so I receive little extra money in my retirement check.  The concrete result is that I now weep for my long-suffering compatriots who await just compensation for the serious disabilities that prevent them from providing for their families.  How many of them have died and will die waiting for the VA to help them?  I vow I will not die waiting for the VA to do its job.  

None of the VA’s problems are new.  They are a systemic risk in any government-provided service, even where the leaders may be good and decent people.  Indeed, only high performance standards and constant oversight keep the evils of government bureaucracy from calcifying the process. 
 
It is always a question of leadership.  We now need leaders who will jam their fingers into the chests of entrenched bureaucrats and demand performance or resignations.  We need leaders with the moral courage to risk their careers to care for those who risked their lives to fight our nation’s battles.  We need those who look at their jobs as callings—as rescue missions for their compatriots.  We need leaders the mention of whose names makes self-serving bureaucrats tremble.  Leaders, not managers. 


Neither the present VA hierarchy nor the administration that appointed them has shown such courageous leadership.  Also, such moral courage certainly won’t be found in the administrators of the upcoming civilian version of the VA—the murderous monster rising out of the radioactive bog called Obamacare.  Paraphrasing President Nixon as he described the coterie of generals who ran the Vietnam war:  There wasn’t a General Patton among them.  Now, as then, we need a Patton.  In the White House and in the VA.  Until then, I repeat my vow:  I refuse to die in a VA hospital.  Send comments to Mac Coleman at mac.coleman.colonel@gmail.com.