Tuesday | November 21, 2017
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Congress bears much blame for VA’s failures

Eric Shinseki resigned as VA secretary in light of deception at several VA hospitals as some veterans died waiting for care that never came. The U.S. Senate last week negotiated a bipartisan bill to expand care for sick veterans. All’s well at the VA after the outrage about secret waiting lists that kept some veterans from getting appointments for medical care for at least half a year.

OK, that last one is premature because, while lawmakers are patting themselves on the back for quickly addressing the deficiencies and challenges too many veterans face in trying to access care, they are conveniently ignoring the fact they are one of the major problems keeping the VA from doing what it’s supposed to — efficiently, effectively and with compassion.

The Senate took a small, remedial step last week when it reached an aisle-crossing accord. It gives the VA’s acting secretary authority to fire senior officials and expand health care access for veterans who live more than 40 miles from a VA medical facility.

It’s amazing, but true — and by no means limited to the VA — that Congress makes it virtually impossible for the agency to fire, discipline or transfer employees. It’s the downside of the “merit protection” system that lets even incompetent federal staffers languish on the job until retirement.

This is just one of the restrictions Congress has imposed, as outlined recently in the Washington Post by Peter H. Schuck, a former Yale professor who is the author of the book “Why Government Fails So Often, and How It Can Do Better.” The Senate accord loosens the handcuffs a bit, at least at the VA, but as Schuck starkly lays out, hurdles remain that only federal lawmakers can take down:

• Because Congress broadly defined “compensable disability,” the VA is deluged with claims. Disability benefits now extend to conditions that are not service-related, including common conditions that come with age, such as hearing loss and arthritis, but that are not specific to veterans. This contributed to a backlog of almost 900,000 disability claims last year.

• Even as Congress caused more claims to flood the VA, it steadfastly refuses to provide adequate funding to process those claims. Even though the agency added thousands of claims processors in the past few years, it hasn’t been nearly enough.

• Congress allowed the VA’s computerization efforts to lag so much almost 40 percent of its claims files are still done on paper. This makes no sense in the 21st century, and even less because of the lives at stake.

Schuck writes: “The VA’s budget has doubled in real terms during the last decade — this year it is $162 billion, and the White House has requested a 3-percent increase for 2015 — but the congressional veterans affairs committees know that this is not nearly enough to solve the problem of delayed benefits and services, a chronic problem that predated the Iraq and Afghanistan wars.”

Clearly, those two protracted wars made the situation even worse. By all means, the full Senate should approve the accord reached by lead advocates Sen. John McCain, R-Ariz., and Sen. Bernard Sanders, I-Vt. But they can’t do so thinking they solved the VA’s problems. For that, lawmakers must acknowledge their own culpability in the agency’s failures, then knock down those hurdles that keep the VA from fulfilling its responsibility to the men and women who did not fight only to be treated with such flagrant disregard.

— Miami Herald


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