Acting VA Secretary Sloan Gibson visiting Fayetteville VA hospital - Today

Deputy Veterans Affairs Secretary Sloan Gibson (AP Photo/Jacquelyn Martin)
Acting VA Secretary Sloan Gibson is scheduled to meet Thursday with the leadership and employees of the Fayetteville VA Medical Center.
Gibson's visit comes days after the VA this week released the results on an internal audit showing that patients at the Fayetteville medical center wait an average of 29 days for a primary care appointment. New patients wait 83 days.
Officials said the delays were caused by an overstressed system.
Gibson became VA head last month after Eric Shinseki resigned following allegations that veterans died while waiting for care at a Phoenix VA Medical Center.
My Thoughts:
I have been trying to wrap my head around why and how "scheduling appointments" became this huge scandal. Roughly 26 VA facilities have been identified with the Arizona medical center being the focal point of the investigation. The Durham VA here in NC has placed two employees on paid administrative leave for their role in the scheme. Why they were not fired outright is beyond me. Perhaps these two are being used as scapegoats and are truly innocent if so I wish them well - if not they need to accept the consequences of their actions.
The questions that I have are:
- how did they create this network,
- how and when did they communicate with each other and
- who played God with veterans lives as they decided which veterans would get an appointment and which ones would be given the round around.
- what do the people involved at these facilities gain for doing this
My theory: Since the government is always under pressure to cut costs the VA began asking veterans for insurance only a few years ago. Now, someone (or a group) came up with the idea to schedule appointments for veterans with insurance and veterans without insurance get put on the back burner. Therefore, giving priority to veterans with insurance allows the facility to file insurance claims to recoup money for treatment. Needless to say there is no money coming from people who do not have health insurance. This scheme would have had to be put in place by personnel in the organizational hierarchy where they most likely created lists (veterans with insurance/veterans without insurance) which is easy enough to do. Since the VA system already uses codes for procedures and administrative tasks adding another code to identify patients with insurance may have seemed like the norm. Then of course when people feel as if they may lose their job they are not inclined to speak up. Their scheme was compartmentalized so that only a few knew what was really happening including personnel who actually scheduled the appointments. I believe they had to know in order to make this scheme work otherwise there would not be a scandal where veterans have died because they were not given a timely appointment. For the one or group to put this in place perhaps there were other incentives such as kickbacks to their personal bank accounts. Other than trying to gain bonuses by making themselves look good for cutting costs I cannot figure any other reason to do such a despicable thing on what seems to be a nationwide scale. Whenever people commit these type of offenses it is always about money.
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