Comparing the disastrous, dysfunctional and damaged Veterans Administration (VA) to Disneyland only makes sense in Fantasyland. Such was a key component of the message conveyed by, and that apparently was important to the latest Secretary of the VA – Bob McDonald. He was speaking at a Christian Science Monitor breakfast in Washington, DC just days ago when he tried to downplay wait times veterans must endure to obtain medical care from the VA, using a comparison with Disney. To everyone’s horror, except apparently the Secretary or his speechwriters and supporters (Daffy, Daisy, Pluto, Dopey and Grumpy), the blow back has been swift and loud, as it should be. Let me allow you to decide. Here is his full statement:
“When you go to Disney, do they measure the number of hours you wait in line? Or what’s important?” “What’s important is what’s your satisfaction with the experience.” “And that’s really the kind of measure I want to move to”, he said.”The days to an appointment is really not what we should be measuring”. “What really counts is how does the veteran feel about their encounter with the VA”, he said. McDonald continued to say that the “create date” metric, which measures how long a veteran has to wait from the moment they first ask for care, is not a “valid measure” of wait time. In March, the Government Accounting Office released a report citing delays in treatment for newly enrolled veterans.
Days to an appointment DO matter if you have a time critical illness. Call me crazy, but that’s kind of a basic thing we learn in med school. Just sayin!
One has to wonder what on earth the Secretary been doing these last 2 years in terms of revamping the VA. One has to hope he is not resting all the hopes and fears of wounded and damaged veterans on how a veteran “feels” about his or her encounter, on the off chance they can obtain medical care before the coroner is called. OK that was maybe a tad harsh. But seriously – 2 years on the job, with tons of cash at his disposal, and still the VA fails too many veterans on a daily basis. And these are people who NEED help. Secretary McDonald – this isn’t rocket science. Come on…three guys with slide rules and prehistoric computers brought back Apollo 13 from over 100,000 miles in space in less than a week. You had 2 years to institute change that would matter. Yet you are still relying on more studies? Give me a 100 billion dollar budget, and I would wager 10 of my best med students could come up with serious, effective solutions quicker.
Although not a newsflash to readers at FSM, the VA has been fraught with problems for years, with cover ups galore, and a government only too happy to toss more money at the issues instead of insisting upon real change. In recent times the dysfunction has become all too deadly for far too many veterans. Yet we continue to toss money at the VA without better outcomes. Consider for a moment that the annual budget for the VA is over $160,000,000,000. That’s the equivalent of 16 Donald Trumps, or several US states combined. But what has this largesse purchased for our vets? According to the NY Times and other sources, estimates as high as 100,000 veterans are denied critical services in a timely manner. And when anyone has the temerity to put restrictions or expectations for better outcomes as conditions for funding, the usual suspects cry injustice (government unions, politicians).