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Shinseki's Resignation

Old 05-31-2014, 01:00 PM
  #21  
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I've had nothing but bad luck at my local VA. Have to wait for 2+ months to see a Dr for anything, personally if I'm going to the Dr I need to be seen in a couple of days, maybe a week tops. I mean in two months whatever is wrong either has run its course or is much worse. I have multiple problems that need to be addressed and they want a seperate appointment for every one of them, with the same Dr, just so he can refer me to a specialist and i get to wait another 2+ months. Wait times are ridiculous, have to be early for my appointments soI can wait on the Dr for a minimum of 45 minutes. With this being said, the actual care is top notch, but getting the care you need is like pulling teeth. It is almost like they make it a pain in the ass so you just leave and pay out of pocket somewhere else.
To be fair though these Drs see way too many paylteints and are understaffed.
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Old 05-31-2014, 01:37 PM
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why did not the IG at VA uncover these problems????

was the General the kind of boss that you could not take a problem to? There ARE bosses like that.
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Old 05-31-2014, 02:15 PM
  #23  
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Originally Posted by jagerhunchback View Post
all you need to know about the v.a. from the damn few!!!


http://rhinoden.rangerup.com/the-dam...-wizard-of-va/
That was the funniest shit I've ever seen. +1 good sir.
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Old 05-31-2014, 06:38 PM
  #24  
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Originally Posted by camnbo View Post
Grunt, you're VA sounds fantastic. I think I'm safe saying that yours is the exception. I believe the system could work on a very widespread basis. It is handicapped, however, by the same forces that tend to exclude efficiency and common sense from all Federal government run programs; politics, greed, and political correctness. So even at its best it could only get so good. In your accounts above describing your private world medical care, please remember one thing: VA docs and hospitals are, for all intent and purpose, exempt from malpractice litigation. They don't have to hunt for zebras (an expression in medicine used to describe looking for obscure or rare causes of problems). They can play the odds like we would all like to. If in the private world we miss the zebra while treating what is 90% likely the cause of your ailment, it's hello lawyer.
You speak much truth sir, much truth!!!!

My training included a VA rotation in Med School and Residency....wow some of the things I've seen and heard.
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Old 05-31-2014, 08:28 PM
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When will we learn the guvment cannot run anything without screwing it up. Maybe it needs to be run privately. Pay the doctors, nurses etc. enough so there is incentive for them to work at the VA hospitals. These are our veterans for Christ sake they were all willing to give their lives for their country. Until it's fixed veterans should be able to go to the hospital or doctor of their choice and the guvment picks up the tab.
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Old 05-31-2014, 08:41 PM
  #26  
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Originally Posted by edwardh1 View Post
why did not the IG at VA uncover these problems????

was the General the kind of boss that you could not take a problem to? There ARE bosses like that.
Sad detail edwardh1,

The IG has reported this issue in 2005, and again several years later.

The only reason this issue is in the news is a physician, now retired and immune from retribution, reported his suspicions to the papers in AZ. The story has run since then.

This is not a new VA problem. The only remaining question now is how the government (congress/pres/VA) will sweep this under the rug again.

Until VA leadership will have some skin in the game (never) and be held accountable, nothing but political posturing will result. Until management at VA can hold their staffs accountable, nothing will change.

Frankly, VA employees, by and large, want to work. Management by decree is the unfortunate reality. Decrees and mandates don't get anything done. More caregivers and less management is the answer.

The problem with VA is summed up by an adage I often report:

"Everybody did their job!!!! Nothing happened."
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Old 06-01-2014, 09:05 AM
  #27  
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You want to fix the issue. It is REAL SIMPLE!

Quality Docs and a lot of them.


That fixes the system. Pay in the Va sux. Not only for docs but everyone else except the admin. The problem with admin is they hire non educated internals that don't know crap. But hey buddy ol pal we will Taylor this job description so u will be the only person to qualify. They do that with very specific internal training.

American good physicians can't afford to work for the Va. So we get foreign docs the vets can't even understand. They take a month a year off to go home so as not to pay income tax. Get a foreign chief of staff in a particular facility and the rest of the new docs will be his nationality. It really sux. I see it with my own eyes.


Pay the docs a real wage hire enough of them and 95% of these problems go away.


Problem is administration gets offices redone, halls painted, ac's that are new get replaced. Constant facility upgrades, when we need GOOD DOCTORS. BUT THE VA WILL NOT PAY FOR THAT!!!!!!!

Really pisses me off!
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Old 06-01-2014, 09:11 AM
  #28  
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Originally Posted by camnbo View Post
Grunt, you're VA sounds fantastic. I think I'm safe saying that yours is the exception. I believe the system could work on a very widespread basis. It is handicapped, however, by the same forces that tend to exclude efficiency and common sense from all Federal government run programs; politics, greed, and political correctness. So even at its best it could only get so good. In your accounts above describing your private world medical care, please remember one thing: VA docs and hospitals are, for all intent and purpose, exempt from malpractice litigation. They don't have to hunt for zebras (an expression in medicine used to describe looking for obscure or rare causes of problems). They can play the odds like we would all like to. If in the private world we miss the zebra while treating what is 90% likely the cause of your ailment, it's hello lawyer.
Thanks I guess I assumed all the extra tests were just for more money for their pals. I never thought of the liability CYA angle.....
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Old 06-01-2014, 09:21 AM
  #29  
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I was in the Army from 62' until 64' and served 13 months in Korea on the DMZ. I was shot at and missed..............To this day the DMZ is not a good place to be. I was a young officer in charge of a Recon Platoon and we went to the range to fire the big guns (90mm) on our M48 tanks. Standing out on the decks of the tanks My ears would ring and to a degree it was painful.

About 10 years ago I ran across a guy at a Astros game that was in Korea with me and he was wearing glasses and a hearing aid from the VA. I told him that he was not hurt and that there was no way he could get benefits. He said just go down and apply and they will give you this stuff.

About 6 months later I decided to go to the VA to get my hearing checked. I met with a Black Lady in admissions. She was one surly bitch.......8 weeks later I get a letter from the VA that I made too much money and did not qualify.............

So the VA is a social program dependent on your income. If you are poor then you qualify but if you have some money you do not. I often have wondered if the Gook that shot at me on the DMZ was aware of my income.
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Old 06-01-2014, 09:24 AM
  #30  
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As long as it is run by the government money will continue to be wasted it will be staffed by inadequate personell doctors will not be paid enough to want to work there. You can bet the guvment won't give up control. The people handling the money will only cry they need more. This White House hasn't fixed anything yet and they aren't about to. Our Vets deserve so much more.
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Old 06-01-2014, 09:30 AM
  #31  
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Originally Posted by Picaroon View Post
I was in the Army from 62' until 64' and served 13 months in Korea on the DMZ. I was shot at and missed..............To this day the DMZ is not a good place to be. I was a young officer in charge of a Recon Platoon and we went to the range to fire the big guns (90mm) on our M48 tanks. Standing out on the decks of the tanks My ears would ring and to a degree it was painful.

About 10 years ago I ran across a guy at a Astros game that was in Korea with me and he was wearing glasses and a hearing aid from the VA. I told him that he was not hurt and that there was no way he could get benefits. He said just go down and apply and they will give you this stuff.

About 6 months later I decided to go to the VA to get my hearing checked. I met with a Black Lady in admissions. She was one surly bitch.......8 weeks later I get a letter from the VA that I made too much money and did not qualify.............

So the VA is a social program dependent on your income. If you are poor then you qualify but if you have some money you do not. I often have wondered if the Gook that shot at me on the DMZ was aware of my income.


Well that's not entirely true.

Its not based on income if you are deemed to have 30% or over disability. You just didn't get hurt bad enough!
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Old 06-01-2014, 02:00 PM
  #32  
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Originally Posted by LI Sound Grunt View Post
Thanks I guess I assumed all the extra tests were just for more money for their pals. I never thought of the liability CYA angle.....
That's a valid assumption, Grunt. That certainly still happens to some degree, but the days of drug companies fleecing docs for writing scrips for their meds are long gone. And, at least in our community, the only way another doc will continue to refer or consult to others is if that consultant truly helps em out of a bind and handles their patients appropriately.
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Old 06-01-2014, 02:19 PM
  #33  
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Originally Posted by CARV View Post
It's just government. Waste, fraud, and abuse are the norm. Obamacare will be different though
It's just medical care. Waste, fraud, and abuse are the norm.
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Old 06-01-2014, 02:25 PM
  #34  
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Originally Posted by Seacat FL View Post
It's just medical care. Waste, fraud, and abuse are the norm.
Sadly SeaCat, you have a very valid point. The underpinnings of waste, etc. in the VA system are very different from those in the private world. See my above posts.
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Old 06-01-2014, 02:32 PM
  #35  
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Originally Posted by LODI QUACKER View Post
You want to fix the issue. It is REAL SIMPLE!

Quality Docs and a lot of them.


That fixes the system. Pay in the Va sux. Not only for docs but everyone else except the admin. The problem with admin is they hire non educated internals that don't know crap. But hey buddy ol pal we will Taylor this job description so u will be the only person to qualify. They do that with very specific internal training.

American good physicians can't afford to work for the Va. So we get foreign docs the vets can't even understand. They take a month a year off to go home so as not to pay income tax. Get a foreign chief of staff in a particular facility and the rest of the new docs will be his nationality. It really sux. I see it with my own eyes.


Pay the docs a real wage hire enough of them and 95% of these problems go away.


Problem is administration gets offices redone, halls painted, ac's that are new get replaced. Constant facility upgrades, when we need GOOD DOCTORS. BUT THE VA WILL NOT PAY FOR THAT!!!!!!!

Really pisses me off!
Lodi, certainly, the pay keeps good docs away from the VA, but I can tell you, even if the pay at the VA were close to what I make now, I'd still be hesitant because of all the bureaucracy and government bs that goes along with it. However, with the way things are going and reimbursement going down the crappa in the private world, even the VA is starting to look attractive, just to escape the liability angle.
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Old 06-01-2014, 02:46 PM
  #36  
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Hate to run agenst the grain, however my local VA hospital does an exceptional job, deserves a gold star for great, considerate service.

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Old 06-01-2014, 05:56 PM
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And thats what I hear a lot of also. Zero issues with our facility but lack of quality physicians is an extreme problem. Money makes the world go round! Pay so you have quality people wanting to work for the Va. Pay the most! A couple of extra computer programs is not enough to keep good people run off if the money is there for the good people. There is a website that u can view the salary of any govt employee. Look at the salary v/s the salary of a specialist or clinician in the private sectors. You will be amazed at the salary of these guys. They can't buy a new top tier 36foot cc without going into debt. That's bs.theses guys are taking care of our soldiers.

I don't even see prior service docs working for the Va. Like I said mostly foreigners.
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Old 06-01-2014, 05:59 PM
  #38  
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They were advertising a Dr position at my local VA, pay was $75-85,000 a year. No thanks.
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Old 06-01-2014, 06:08 PM
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Originally Posted by ncummins View Post
they were advertising a dr position at my local va, pay was $75-85,000 a year. No thanks.
exactly!!!
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Old 06-01-2014, 06:11 PM
  #40  
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Originally Posted by NCummins View Post
They were advertising a Dr position at my local VA, pay was $75-85,000 a year. No thanks.
Interesting. Historically, their pay was lower, but you had to factor in no malpractice insurance, no overhead, etc, etc. I don't know if they helped with the staggering student load debt or not.
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