Monday, March 05, 2007

Walter Reed is Military, Not VA

Associations of the horrible conditions and lack of oversight at Walter Reed Military Hospital with the Veterans Administration Hospital System are erroneous, points out Ezra Klein:
The VA system has made remarkable strides in the past decade, and is now the best hospital system in the nation, beating out such gold standard institutions as the Mayo and Cleveland Clinics. As Phil Longman writes, "A RAND Corporation study published in the The Annals of Internal Medicine concludes that the VA outperforms all other sectors of American health care in 294 measures of quality. In awarding the VA a top prize in 2006 for innovation in government, Harvard's John F. Kennedy School of Government gushed that "While the costs of healthcare continue to soar for most Americans, the VA is reducing costs, reducing errors, and becoming the model for what modern health care management and delivery should look like." The military hospitals, sadly, have not enjoyed the same rennaisance.
Some apologists for privatizing government functions are painting the problems with a broad brush across government-funded medical care in general. As has been pointed out, Walter Reed's problems seem to start with privatization; and perhaps the horrid treatment of soldiers might be traced back to the way the Department of Defense has been run for the past 6 years.

1 comment:

  1. We need to be careful to differentitate between the Active Service Hospitals and the Veteran’s Administration. There are major differences.

    I am currently a resident in a Veteran’s Home after having undergone treatment through the VA for PTSD and Depression, long overdue some 40 years after the Tet Offensive that cap stoned my military 2nd tour in Vietnam with a lifetime of illness.

    My blog has attracted the stories of many veterans such as myself and other sufferers from PTSD who were victimized by elements of society other than the VA system of medical and mental treatment. I, for one, became trapped in the Military Industrial Complex for 36 years working on weapons systems that are saving lives today but with such high security clearances that I dared not get treated for fear of losing my career:

    http://rosecoveredglasses.blogspot.com/2006/11/odyssey-of-armaments.html

    When my disorders became life threatening I was entered into the VA System for treatment in Minneapolis. It saved my life and I am now in complete recovery and functioning as a volunteer for SCORE, as well as authoring books and blogging the world.

    When I was in the VA system I was amazed at how well it functioned and how state of the art it is for its massive mission. Below is a feature article from Time Magazine which does a good job of explaining why it is a class act:

    http://www.time.com/time/magazine/article/0,9171,1376238,00.html

    I had state of the art medical and mental care, met some of the most dedicated professionals I have ever seen and was cared for by a handful of very special nurses among the 60,000 + nursing population that make up that mammoth system. While I was resident at the VA Hospital in Minneapolis I observed many returnees from Iraq getting excellent care.

    I do not say the VA system is perfect but it is certainly being run better on a $39B budget than the Pentagon is running on $494B.

    We have bought into the Military Industrial Complex (MIC). If you would like to read this happens please see:

    http://www.vanityfair.com/politics/features/2007/03/spyagency200703

    Through a combination of public apathy and threats by the MIC we have let the SYSTEM get too large. It is now a SYSTEMIC problem and the SYSTEM is out of control. Government and industry are merging and that is very dangerous.

    There is no conspiracy. The SYSTEM has gotten so big that those who make it up and run it day to day in industry and government simply are perpetuating their existance.
    The politicians rely on them for details and recommendations because they cannot possibly grasp the nuances of the environment and the BIG SYSTEM.

    So, the system has to go bust and then be re-scaled, fixed and re-designed to run efficiently and prudently, just like any other big machine that runs poorly or becomes obsolete or dangerous.

    This situation will right itself through trauma. I see a government ENRON on the horizon, with an associated house cleaning.

    The next president will come and go along with his appointees and politicos. The event to watch is the collapse of the MIC.
    For more details see:

    http://www.rosecoveredglasses.blogspot.com

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