For those of us who have been struck by the high rhetoric-to-fact ratio in the uproar over alleged misconduct at the Department of Veterans Affairs, Monday brought a needed infusion of hard data in the form of a department-wide audit.
Alas, the document confirmed preliminary findings by the department’s inspector general about bad service, and the covering-up thereof, at VA health centers around the country. More than 57,000 former troops have been waiting at least 90 days for their first VA medical appointments; 14 days is supposed to be the limit. About 13 percent of VA schedulers surveyed told the auditors they had been pressured to fudge records to make wait times seem shorter. Such practices are “sufficiently pervasive,” the audit noted, to warrant a complete overhaul of VA’s entire performance management system.
The audit landed on Capitol Hill at about the same time that Senate Veterans’ Affairs Committee Chairman Bernard Sanders, a Vermont independent who caucuses with Democrats, and Sen. John McCain, R-Ariz., were unveiling a bipartisan proposal to fix what ails the VA. In one respect, it’s a modest improvement over legislation that’s already passed the House with an overwhelming bipartisan majority. Unlike the House bill, which would purportedly instill “accountability” at the VA by allowing the secretary to fire or demote senior career officials pretty much at will, Messrs. Sanders and McCain have agreed to provide an appeals process — albeit a far more truncated one than civil servants ordinarily enjoy, with a review board required to rule within three weeks. But it still is not enough protection against politicized scapegoating.
In addition, the Sanders-McCain proposal would allow vets who can’t get an appointment at the VA within 30 days to seek care elsewhere, at government expense; however, this promising effort to relieve the backlog would expire after only two years. There’s $500 million to help the VA fill its roughly 400 vacancies for doctors and other health-care providers — proving that, in a pinch, you can always get bipartisan agreement to spend more money without offsetting tax increases or spending cuts. And the bill authorizes the leasing of 26 new VA facilities in 18 states.