May 31, 2014 in Nation/World

VA secretary steps down

Obama calls Shinseki criticism distraction from fixing problem
Lindsay Wise And James Rosen McClatchy-Tribune
 
Associated Press photo

Eric Shinseki pauses before speaking to the National Coalition for Homeless Veterans on Friday in Washington.
(Full-size photo)

WASHINGTON – President Barack Obama announced Friday that he had accepted Veterans Affairs Secretary Eric Shinseki’s offer of resignation after determining that the political furor surrounding the growing VA scandal had become a distraction.

“We don’t have time for distractions,” Obama said. “We need to fix the problem.”

The president was under mounting pressure this week from lawmakers on both sides of the aisle to let Shinseki go after the number of VA health care facilities under investigation for manipulating patient wait-time data jumped from 26 to 42. The news underscored the nationwide scope of the crisis.

Shinseki and Rob Nabors, a White House official the president temporarily assigned to work with the VA, confirmed to Obama in a meeting Friday morning that their own audit had found misconduct at more than 60 percent of 216 VA clinics and hospitals across the country.

“This is totally unacceptable,” Obama said at a news conference afterward. “All veterans deserve the best. They have earned it. Last week I said that if we found misconduct, it would be punished, and I meant it.”

The president stopped short of blaming Shinseki for the VA’s woes, which predated the retired four-star general’s tenure. He said he accepted Shinseki’s resignation “with considerable regret.”

Shinseki was frustrated that the manipulation of scheduling data and delays in medical care at VA facilities didn’t get reported up the chain of command, Obama said.

“I think that’s the thing that offended Secretary Shinseki the most during the course of this process,” the president said. “I think he’s deeply disappointed in the fact that bad news did not get to him. And that the structures weren’t in place for him to identify this problem quickly and fix it.”

While Obama asserted Friday that the scheduling problems at the VA were “not something we were aware of” until recently, more than a decade’s worth of reports from the VA’s own inspector general and the Government Accountability Office identified the issue repeatedly in dozens of audits, as well as in testimony before Congress.

Even before the wars in Iraq and Afghanistan, the VA couldn’t meet the agency’s 30-day appointment standard, the GAO reported in 2001. The report said “excessive waiting times for outpatient care have been a long-standing problem.”

Since then, numerous other GAO reports and a total of 18 audits by the VA Office of Inspector General documented scheduling irregularities similar to those reported last month at the Phoenix VA Health Care System, where 40 veterans on a secret wait list allegedly died waiting for care.

The reports found VA schedulers kept “informal waiting lists” and routinely entered the wrong requested appointment dates into the system, making wait times appear shorter than patients actually experienced.

Auditors blamed inconsistent training and high turnover of the VA’s 50,000 schedulers, an outdated computer system and a lack of staff dedicated to answering telephones. The VA pledged to fix the problem, but last year another GAO study reported that VA schedulers still were not reporting appointment dates correctly.

Tom Tarantino, policy director of Iraq and Afghanistan Veterans of America, said one reason Obama and Shinseki could claim they didn’t know the full extent of problems at VA facilities lies in financial incentives for hospital and clinic heads to cover them up.

“The problem is that people at the VA think it’s OK to lie to their headquarters and it’s OK to lie to their patients so they can get their bonus money,” Tarantino said. “They’ve been getting away with it for a very long time.”

Obama defended Shinseki’s commitment to veterans on Friday as “unquestioned” and praised him for helping to reduce veteran homelessness, improve services for women veterans and cut back on the VA’s record backlog of disability claims.

“I do think it’s up to the president now to replace him with someone who is actually going to do something to fix this,” said Jeff Hensley, a former Navy fighter pilot and Iraq veteran from Frisco, Texas.

Jimmy Wehrle, a 91-year-old World War II veteran from Carmichael, California, whose monthly $1,000 pension was cut without warning, said the new VA chief should replace its civilian workers with former service members who better understand the needs of veterans.

“Here it is the end of the month and I’m trying to pay the bills, but I haven’t got the money to pay them,” Wehrle said. “When you get World War II veterans to wait on answers, you’re waiting for them to die.”

Obama suggested Friday that the VA’s troubles might be rooted in a lack of resources, and he said Congress may need to increase funding to the agency.

Obama has long pushed for higher spending for the agency. During his presidency, the VA budget jumped 68 percent, from $91 billion in 2008 to $153.8 billion in 2014. Obama asked Congress for a record $163.9 billion for the VA in 2015.

But veteran service organizations say Obama’s 2015 budget proposal for the VA still falls at least $2 billion short – and they complain that the VA hasn’t wisely spent the money it’s been given. They say it needs to hire more primary medical care providers to serve a surge of 1.4 million new patients in the past five years.


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