Aug 26, 2014 - UnrestrictedSummary: This is the final report addressing allegations of gross mismanagement of VA resources, criminal misconduct by senior leadership, systemic patient safety issues, and possible wrongful deaths at the Phoenix VA Health Care System. The OIG found patients at the Phoenix VA Health Care System experienced access barriers that adversely affected the quality of primary and specialty care provided for them. Patients frequently encountered obstacles when patients or their providers attempted to establish care, when they needed outpatient appointments after hospitalizations or emergency department visits, and when seeking care while traveling or temporarily living in Phoenix. In February 2014, a whistleblower alleged that 40 veterans died waiting for an appointment but the whistleblower did not provide us with a list of 40 patient names. However, we conducted a broader review of 3,409 veteran patients identified from multiple sources, including the electronic wait list, various paper wait lists, the OIG Hotline, the U.S. House Veterans Affairs Committee and other congressional sources, and media reports. We were unable to assert that the absence of timely quality care caused the deaths of these veterans. This report includes case reviews of 45 patients who experienced unacceptable and troubling lapses in follow-up, coordination, quality, and continuity of care. read more>>>
Tens of Thousands of Veterans have died over these decades of, by those 99% served, Poser Patriots, ignoring and denying the many issues from Test Vets to PTS to Agent Orange to Gulf War Syndrome to recent Burn Pit Contamination's and that's an extremely short list, and now those served are recognizing deaths in these recent 'scandal?' times. Which were finally being addressed by the Shinseki Veterans Administration and with help from this entire Executive Administrations Cabinet when then can under their charges, certainly Not By The Peoples Reps In Congress or State Legislatures, obstructing in the budgets needed!!
Congress and those served they represent, especially the House, continues doing nothing, including blocking anything the Executive branch tries!!
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