Tag: Viet Nam

Too Many Patients, Too Few Doctors

buy discount cialis online go Cross posted from The Stars Hollow Gazette

go The recent scandal about the possibility of patient deaths, long waiting lists for appointments and falsified data in the Veterans Administration run hospitals across the country has it roots in a very obvious fact: too many patients and too few doctors.

go here At the heart of the falsified data in Phoenix, and possibly many other veterans hospitals, is an acute shortage of doctors, particularly primary care ones, to handle a patient population swelled both by aging veterans from the Vietnam War and younger ones who served in Iraq and Afghanistan, Congressional officials, veterans affairs doctors and medical industry experts say. The department says it is trying to fill 400 vacancies to add to its roster of primary care doctors, which last year numbered 5,100. [..]

accutane online href But the inspector general’s report also pointed to another factor that may explain why hospital officials in Phoenix and elsewhere might have falsified wait-time data: pressures to excel in the annual performance reviews used to determine raises, bonuses, promotions and other benefits. Instituted widely 20 years ago to increase accountability for weak employees as well as to provide rewards for strong ones, those reviews and their attendant benefits may have become perverse incentives for manipulating wait-time data, some lawmakers and experts say. [..]

watch The precise role incentives and performance reviews might have played in falsifying waiting-list data remains unclear. In Phoenix, the inspector general’s office said, investigators plan to interview scheduling supervisors and administrators to “identify management’s involvement in manipulating wait times.”

But documents suggest that using the data in annual performance reviews may be commonplace. One review for a Pennsylvania veterans medical center director showed that a significant portion of the director’s job rating was tied to “timely and appropriate access,” which would include waiting times for doctor appointments. One of those goals would be met only if nearly all patients were seen within 14 days of their desired appointment date – a requirement not found in the private hospital industry.

While greed may well be part of the problem, it all stems directly back to the influx of new patients and the lack of primary care physicians to manage their cases. According to the article, primary-care appointments have increased 50 percent over the last three years while the department’s staff of primary care doctors has increased by only 9 percent. There are only so many hours in the day.

The other issue for doctors in the VA system is the pay disparity with the private sector.

V.A. primary care doctors and internists generally earn from about $98,000 to $195,000, compared with private sector primary care physicians whose total median compensation was $221,000 in 2012, according to the Medical Group Management Association, a trade group.

Privatization is not the solution. The private sector is no better equipped to handle to large influx of patients, especially patients with special needs that stem from the wars. It is also wildly unpopular with veterans and veterans groups. The Republicans in congress have other ideas because they perceive the VA as socialized medicine which they hate.

The Republican Party Has a VA Problem, Too: Privatization Isn’t Popular

By Brian Beutler, cialis generico lo trovo in farmacia The New Republic

In light of the GOP’s decision to fold the Veterans Affairs scandal into a broader ideological crusade, I noted on Wednesday that in seeking redress, liberals shouldn’t lose sight of the fact that the GOP’s answer to every administrative blunder is to dissolve whatever program or agency screwed up. The unspoken corollary is that, by using the VA scandal as a narrative building tool, they’ll face pressure to put up a “small government” alternative to the VA that would be a better deal for actual veterans. And that carries risk, because the Republican alternative is unpopular. And yet

 

The chairman of the House Veterans Affairs Committee is calling on the Obama administration to permit veterans waiting for care at VA hospitals to seek treatment outside that system, if they want.

   Rep. Jeff Miller, a Florida Republican, called on President Barack Obama to issue an executive order that would allow those veterans to act on their own and charge the government for outside care.

As Brian pointed out, when Mitt Romney suggested that veterans be given vouchers, he was vehemently criticized by veterans. Romney, being the political coward, did an immediate reversal, proposing instead spending more money as demand increased. How liberal of him.

MSMNB’s Rachel Maddow did an extensive report on the VA crisis, highlighting the problems within the military medical care system and the new details outlined in the V.A. inspector general’s interim report. She also had interviews with Paul Rieckhoff, founder and executive director of the Iraq and Afghanistan Veterans Association and Senator Bernie Sanders, Chairman of the Veterans’ Affairs Committee.


I don’t believe that firing Secretary of Veterans’ Affairs Eric Shinseki is the solution. The solution is hire more doctors and that would require making the position more competitive with the private sector.  

McCain and the POW Cover-up

The “war hero” candidate buried information about POWs left behind in Vietnam.  

Included in the evidence that McCain and his government allies suppressed or sought to discredit the story that American POWs were left behind is a transcript of a senior North Vietnamese general’s briefing of the Hanoi politburo, discovered in Soviet archives by an American scholar in 1993. The briefing took place only four months before the 1973 peace accords. The general, Tran Van Quang, told the politburo members that follow url Hanoi was holding 1,205 American prisoners but would keep many of them at war’s end as leverage to ensure getting war reparations from Washington, which never came.

Imagine.  1,205 POWs left to rot in the caves and prison camps of Viet Nam while Haliburton bills US tax payers for monogrammed towels.  

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Raise Hell for Molly Ivins

In this video, Molly Ivins speaks about Americans who are slackers, failing to defend the most magnificent political document anyone on this planet has been heir to.

This address was recorded over two years ago. The stakes are higher now: It is the eleventh hour for America.

Here’s a recording of a “Raise Hell for Molly Ivins” memorial service for Molly held in January.

What are YOU doing to help America and save the Constitution? What would Molly do?

Stop waiting. Get out the pots and pans. soft viagra buy online purchase Raise Hell for Molly Ivins.

http://www.raisehellformollyiv…

“Bring Out Your Pots & Pans!

Help organize an action in you home town! We are just regular folks with jobs and all of life’s pressures, but we feel a need to speak out and do what we can. Please join our Raise Hell campaign by banging pots and pans for peace, and using every peaceful means including the Internet, phone and fax to let the LOCAL office of your Congressional Representative know – on the 3rd Friday of every month – that the war must end NOW and no attacks on Iran!

If you cannot attend a physical protest, please WRITE, TELEPHONE, FAX and EMAIL your LOCAL Congressional Representative’s office on that day!

Network

Network with local organizations and individuals is your area. Let us know about your efforts, and send us your pictures to help inspire others; we will post on the website. We will also help you network with others in your area as well as statewide and nationally. Contact us at: info@raisehellformollyivins.org

Download Flyers and Signs

Go to our section of print-ready materials for flyers and signs that you can use as is, or modify for your locality,

Send Letters and Emails to Congress

See our Congressional contacts and Sample Letters for complete info.

Volunteer!

We need BLOG and Internet enthusiasts to get the word out; researchers to gather congressional info and more; website content development and programming support; and other assistance to build the campaign.

Donate!

We’re making a difference, with a simple, low-cost approach, but it does take hard cash to make the most of our collective efforts!

RAISE HELL FOR MOLLY IVINS CAMPAIGN

Email: info@raisehellformollyivins.org

Phone: 1-925-787-3354 ”

Below the fold, a fun video from the Pots and Pans Brigade.  

The Agent Orange Court Decision

Many are aware of the decision handed down on Friday by a Federal Appeals Court in New York. The court ruled that the Vietnamese plaintiffs could not pursue claims against Dow Chemical Company, Monsanto and nearly 30 other companies for ailments caused by the use of herbicides which

the plaintiffs appealed a lower court decision that dismissed a civil suit seeking class-action status on behalf of more than 3 million Vietnamese people against the chemical companies.

The lawsuit contended that agent orange caused ailments, including birth defects and cancer.

The United States has maintained there is no scientifically proved link between the wartime spraying of herbicides and the claims of dioxin poisoning by more than 3 million people in Vietnam.

By 1983, 9170 veterans had filed claims for disabilities that they said were caused by Agent Orange. The VA denied compensation to 7709, saying that a facial rash was the only disease associated with exposure.