Veteran Homelessness: VA execs..can you spare 400 million?

According to military.com, the VA paid out $400 million dollars in bonuses last year.  What would happen if that money went to homeless Vets instead?

While the VA reports that they have reduced homelessness by 12%, I remain skeptical because the VA has a tendency to manipulate the numbers, like this.

But, let’s assume for a moment, that the VA is correct that 75,000 Veterans are homeless on a given night.

Let’s make a further assumption.  Let’s assume the VA has a change of heart, and decides to award benefits to these 75,000 homeless Vets, instead of paying that money out to VA executives for great performance, and also used the other $ 100 million they committed to help homeless Vets.

Instead of paying out $400 million in bonuses, and another $100 million to “communities that help Vets” The VA could award each of 74,400 homeless Veterans a  40% disability rating, and still have money left over from the 500 million.  This would not cost taxpayers a cent, but instead VA executives would not get a bonus and “communities that help Vets” would not get any money to help Vets.    Maybe these communities would not need money to help Vets  if 99.2 percent of homeless Vets  had an income to help themselves.

For those of you who like math, thats 74,400 Veterans times $ 560 per month for a 40% disabled Veteran,  times 12 months in a year equals   499.9 million dollars.

Professor Linda Bilmes suggested something very similar in her 2007 testimony to congress.   That is, she pretty much suggested simply immediately paying Veterans their disability and then auditing some to ensure accuracy, rather than have the Veterans wait in a million man long line for benefits.

Posted in Complaints Department, Guest authors, vA news | Tagged , , , , , , | 6 Comments

VIETNAM MILESTONES

The latest on Leon, too

22-year-old Army Sgt. Steve Flaherty  made it home 43 years before his mail did. The fact that Secretary of Defense (and Library of Congress thief) Leon “sticky fingers” Panetta has now started trading “artifacts” with the DRV makes me want to puke. They are no better than Jane “better Red than dead” Fonda. The treatment and murder of our pilots should never be forgotten. We still have untold numbers who were captured in Laos who have never been accounted for.  Do we have to buy them back, too?

Posted in Milestones | Tagged , , , , , , | Leave a comment

FOOTLOCKER–DEWAT

DEWAT— (DEactivated WAr Trophy) –def.  A weapon or munition, which, by being rendered inert or by damage, is no longer functional. Permission to keep and possess same is at the discretion of the Commanding officer (MACV directive 1966).

And if you were up-country on the other side of the fence, you could send these out in the diplomatic pouch from the U.S. Embassy at APO Seattle 96243 (96546). I tried it just to see if I could. This arrived at Mom’s house in Alexandria, Va. two weeks later. Notice the impact damage from the 5.56X45 mm NATO round. #1 apparently transited through the upper chest of the bearer and still exited with enough energy to almost penetrate the  firing mechanism-even at 160 yards. Round #2 fired from about 40 yards penetrated the handle and unfortunately damaged the grip-not to mention the hand of the gentleman holding it.

My son used to tote this around when he and his friends played war in the early 90’s.  It certainly raised a few eyebrows and had concerned mothers calling Cupcake to ask if she knew her eight year old son was running around unattended with an RPG  2 and a fistfull of bottle rockets.

Notice the rich mahogany furniture on the barrel and what’s left of the handgrip.

All that damage by a  .22 calibre-sized bullet one and a half football fields away.

Posted in From the footlocker | Tagged , , , , , | 4 Comments

53% ERROR RATE IN PERSPECTIVE

Re  Joe Average Vet’s post on a 53% error rate just at the SDRO. I have had vast volumes of private mail on that subject and 40+ hits every day since it was posted. Let us put this in perspective. A noted Veterans attorney (mine) emailed me last night and posited the “what if?” question that sits on our lips unspoken. Trust a rainmaker to see it in true perspective.

What if …

GEICO’s gecko stood up and said in that inimitable bogus Aussie accent that they were extremely proud of the fact that they were able to resolve claims for the most part in 585 days with an average error rate that rarely exceeded 53%-at least at their San Diego office, but that they were unwilling to extend that claims resolution time to their Oakland and Seattle regional offices?

United Airlines proudly announced that its aircraft safely took off and landed at their destinations 47% of the time and they were actually striving to improve that a bit due to passenger dissatisfaction with the exceedingly high number of aircraft accidents resulting in fatalities?

Premera Blue Cross made a TV commercial wherein they touted their doctors and medical staff were generally successful in resolving 47% of all emergency room visits to the satisfaction of the patients and apologized profusely for the others who had untimely outcomes that resulted in permanent disabilities including death?

Ford Motor Company came forth and said they stood behind their solid record of 47% of cars and trucks sold actually being road worthy and explained that Pintos were an unfortunate aberration that they were actively working on to reduce?

The New York Solid Waste Refuse Utility put up billboards that pointed out they invariably picked up at least 47% of all garbage weekly, admitted occasionally missing some but were analyzing their practices and hoped at some time in the future to improve sanitation practices to avoid further incidents of the Plague?

Your vet attorney, who agreed to take your case, bragged that his win/loss record was 47%/53% but not to worry because virtually all his peers had similar statistics and that he was taking remedial law classes to improve that average?

Your wife, who you adore, said she was faithful to you for the most part 47% of the time,  had minor transgressions which she  couldn’t  explain but was making a concerted effort to eliminate them and apologized for the large number of STDs she inflicted on you?

Your general contractor building your $799,950 custom dream home announced after breaking ground that his price estimates were generally spot on 47% of the time and that he had the ultimate confidence the foundation subcontractor, who similarly had a win/win record of getting  houses plumb and level 47% of the time, would succeed in doing so on yours sometime in 2013 ?

I could go on but the gist of this comparison is fairly obvious as my attorney friend pointed out. How is it that a Government agency tasked with the important job of ensuring its citizen soldiers are properly remunerated, cannot accomplish it in a timely manner and get the decision correct more frequently than 47% of the time? We live in America where anything is possible… except timely , correct compensation for injuries and diseases more often than not documented in the medical records of those individuals.

vA would have you believe that it is a very complicated process fraught with complications, the likes of which we have no idea. That each claim is so unique it requires endless rounds of prognostications and reexaminations to ascertain the Veteran is not simply trying to scam the system?  Keeping in mind Veterans are constrained by a finite life span, endless examinations of chicken entrails and tea leaves  are slowing the process down. I might also point out that there appears to be a finite number of chickens available for these Ouija board exercises in the vA’s budget. With a one million plus backlog, Tyson ought to be making money hand over fist down in Arkansas with shovel ready jobs for chicken manure  technicians. This would also have a nice rebound effect on unemployment and reinforce the concept of  the Trickle Down Theory of  Economics. Properly instituted, tea futures will go through the roof. The prospect of increased Ouija® board and Magic 8 Ball® sales is a given with 57 VAROs.

We know many things now. vA opted to stay in the dark, paper-file ages for decades past when their peers came forth from their hovels and built digital file records in new, improved buildings. These peers even had the foresight to equip themselves in the process with operable smoke alarms and sprinkler systems where they store those records. The vA system of claims decisions is archaic and unworkable based on the fact that they have been taking aeons to decide simple claims for as long as I can remember.  Granted, my experiences are more recent-only going back as far as 1989 so this can hardly be considered aeons from a geological perspective.

The constant drumbeat of excuses, mea culpas and promises to do better if given the resources and funds falls on the deaf ears of Veterans. Having been granted these requested assets, the problem stubbornly persists. Illuminating a government problem obviously does not solve it. Unless, of course, you throw more money and personnel at it. Again… and again and again and again…. Gosh, does this sound redundant?

I submit that the vA is a perfect candidate for shovel-ready jobs. The need is there and it doesn’t require years-long EPA reviews and endless lawsuits from the Sierra Club. According to the vAOIG, the feasbility studies are complete. Press “Print”.

Posted in Complaints Department, VA BACKLOG | Tagged , , , , | 2 Comments

FOOTLOCKER–HOME SWEET HOME

Ah. The M-4 Poncho-a veritable me casa tu casa for six months of the year twice. I went through two monsoons because I stayed an extra year. This device caused me to lose untold pounds like those plastic sweatpants and matching tops As Seen On TV©. Remember them? Sweat those pounds off. Being inside this during a torrential downpour was no panacea for staying dry when it was 88 degrees out.

This was a reissue of a used one but was perfectly functional. I got it May 21st, 1970. It’s born on date was 19 April 1966  as stamped on the front side. It must have been in the bottom of my duffel bag when I returned. I’ve taken it up to 8.500 feet hunting in Wyoming and it kept me dry there, too. In the freezing cold, you can light a propane torch between your feet and make a miniature hot house. Combine three and make a tent with a floor.

They doubled as a stretcher in a pinch.

Posted in From the footlocker | Tagged , , , , | Leave a comment

VETS SEEM TO HAVE MORE HCV

Here are some high-falutin’ government studies that confirm what we were beginning to suspect.

PubMed Results

Item 1 of 1    (Display the citation in PubMed)

1. Am J Gastroenterol. 2002 Jul;97(7):1813-20.

Spectrum of disease in U.S. veteran patients with hepatitis C.

Nguyen HAMiller AIDieperink EWillenbring MLTetrick LLDurfee JMEwing SLHo SB.

Source

Department of Medicine, Veterans Affairs Medical Center, University of Minnesota, Minneapolis 55417, USA.

Abstract

OBJECTIVE:

Hepatitis C virus (HCV) infection is more prevalent in U.S. veterans attending Veterans Affairs Medical Centers than in the general population. The purpose of this study was to examine the risk factors, psychiatric and substance abuse conditions, and severity of liver disease in veterans with HCV.

METHODS:

The medical records and liver biopsies of 206 consecutive patients with HCV attending a multidisciplinary medical/psychiatric chronic hepatitis clinic and who met eligibility criteria for interferon alpha-2b therapy were reviewed.

RESULTS:

The mean age was 46.5+/-6.8 yr and 77% were Vietnam-era veterans. Risk factors included i.v. drug use (64%), blood transfusion (15%), and cocaine use (9%), and were unknown in 12%. The average estimated duration of disease was 24+/-7.6 yr. A history of alcohol abuse or dependence was identified in 80% of patients. Psychiatric illnesses were present in 60%, the most common being depression and posttraumatic stress disorder. Overall, 89% of patients had documented psychiatric and/or substance abuse diagnoses. Severe fibrosis (stages 3-4) was present in 32% and severe inflammation (grades 2-3) was present in 71% of biopsies. Psychiatric and substance abuse diagnoses did not correlate with severity of liver disease. A total of 145 patients (71%) were prescribed interferon-based treatment. The overall virological sustained response rates were 16% after interferon monotherapy and 28% after interferon/ribavirin therapy. Reasons for not receiving interferon therapy included minimal fibrosis on liver biopsy (37 patients [18%]), worsening medical conditions (nine [4%]), and worsening psychiatric and substance abuse problems (14 [7%]).

CONCLUSIONS:

Advanced fibrosis is common in this cohort of veteran patients with chronic hepatitis C, and the overwhelming majority of these patients have psychiatric and/or substance abuse diagnoses. Despite these comorbidities, the majority received interferon therapies in the context of a multidisciplinary clinic. These data emphasize the importance of hepatitis C care that includes linkage of medical care and psychiatric services.

PMID: 12135041 [PubMed – indexed for MEDLINE]

and this as well:

PubMed Results

Item 1 of 1    (Display the citation in PubMed)

1. J Clin Gastroenterol. 2008 Jan;42(1):97-106.

Outcomes of a Hepatitis C screening program at a large urban VA medical center.

Groom HDieperink ENelson DBGarrard JJohnson JREwing SLStockley HDurfee JJonk YWillenbring MLHo SB.

Source

Department of Medicine, University of Minnesota, Minneapolis, MN, USA.

Abstract

GOALS:

To determine the outcomes of implementing clinical care guidelines for Hepatitis C screening, evaluation, and treatment in a large urban Veterans Affairs Medical Center.

BACKGROUND:

Little information exists regarding the actual outcomes of institutional screening programs for Hepatitis C.

STUDY:

Retrospective review of all patients tested for Hepatitis C at the Minneapolis Veterans Affairs Medical Center from January 1, 2000 to December 31, 2001. Logistic regression was used to determine factors related to successful referral and treatment.

RESULTS:

During this period 36,422 unique patients were screened for Hepatitis C virus (HCV) risk factors, resulting in 12,485 HCV enzyme-linked immunoassay antibody tests. HCV antibodies were positive in 681 (5.4%) patients and 520 (4.2%) were HCV-RNA-positive. Of HCV-RNA-positive patients, 430 (83%) were referred, 382 (73%) attended the Hepatitis clinic, and 232 (44.6%) received liver biopsies. Patients referred had significantly fewer comorbidities, known marital status, and greater prior clinic attendance than those not referred. Overall, 124 patients with established fibrosis received antiviral therapy (32% of patients attending clinic or 24% of viremic cohort). White race, fewer major medical problems, and age less than 60 years predicted antiviral treatment. Sustained virologic response occurred in 46 (37%) of treated patients (9% of the viremic cohort). Patients with a sustained virologic response include 17 patients with stage 3 to 4 fibrosis.

CONCLUSIONS:

This screening and referral program resulted in 73% of HCV-RNA-positive patients attending a specialty Hepatitis C clinic and 24% of those most likely to benefit received antiviral therapy. Measures to increase referral, engagement in care, and antiviral treatment are needed.

PMID: 18097298 [PubMed – indexed for MEDLINE]

How much did it cost to discover this is what concerns me. I’d rather see the money spent on the Vets. Multitasking demands I visit my Facebook page once a month and mine it for nuggets as below.

Posted in HCV Health, Medical News, vA news | Tagged , , , , , , , , | 2 Comments

REAL LIFE DARWIN AWARDS

This (or most of it) from members Paul and Leigh.

Take 1 (one)

Add 1 (one)

Stir gently with

®

Introduce .45 ACP round into boot being careful to miss steel toe (like that might have helped):

Serve with a side of EMT and depart for quick trip to Emergency room.

Take pictures before departure for bragging rights as to who wins the Darwin Award .

$6,328.81 for ambulance and Emergency room visit – Mastercard.

Bragging rights? Priceless.

Posted in Humor, Medical News | Tagged , , , , | 2 Comments

HUCKLEBERRY FARM’S SURPRISE

Every once in a while you have one of those “Awwww! How cute is that?” moments even if you’re a guy. My friends Chip and Julie took in a glue factory horse and she’s gorgeous with bad feet. One of her eyes is brown, the other cerulean blue. It’s rather disconcerting-like Marty Feldman’s were. The last thing they expected was a twofer. Nevertheless, Jewel wasn’t lazy and fat. She was pregnant. The farrier said she needed to go on a diet. So they cut back her c rations and started exercising her for short trots around the property. Look what showed up.

Now imagine if both your eyes looked like that. Ladies and gentleman Vets, I would like the pleasure of introducing you to last week’s latest edition of the 2012 Mustang-the son of Jewel.

Is that too cool for school or what?

Posted in Food for the soul | Tagged , , , | 2 Comments

THE 20,000 FT. TEST

I always got a bang out of B-52 milk truck drivers. They’d belly up to  the stag bar and regale each other with their “mission”. As in “There we were at Angels 20 and we cut lose. The gooks never knew what hit them. ” What were they thinking? That the bombs might miss the ground? What can you see at 20, 000 feet above mean sea level? In a word? Nothing.

As a corollary, in the construction industry, many contractors have that laissez faire attitude. It has many iterations with the 20,000 ft. test being just one. Variations are the five mile, five minute warranty, the six foot rule and “You can’t see it from my house” rule. The six foot rule is the most amusing. A contractor will cut a small diameter stick six feet long and keep it handy.  When they do the walk through on a new home, he’ll employ it to show he doesn’t have to fix a blemish by proving from six feet away that it is invisible to the naked eye. This is written into the contract innocuously such that most would not ascertain the significance of it.

Similarly, the VA enjoys flying at this exalted altitude or employing their six foot stick too. The reason being is so they can misconstrue what it is that anyone with an ounce of intelligence could extrapolate from incoming correspondence. Let’s look at Member JM’s predicament.

JM has been in contact with me for several months. He doesn’t have HCV but that does not preclude my giving him advice on how to do this. A claim is a claim and VA manages to hamburger all of them to some degree. He was visiting a sister site for Vets and was rudely brushed off by some of their moderators. I won’t mention which site but it’s the one with the pink peggy logo. JM’s problem began with his denial following an October 2010 filing for his knee (right). He can no longer stand and work for prolonged periods of time and finally opted to take Uncle Sam up on his promise of care in the event he was injured playing war. Uncle Sam, as you will read below, said “Well…not exactly”.

Where this gets humorous (if such a thing is possible when you’re broke and almost homeless) is what ensued afterwards. JM filed a NOD and the vA decided it was a reopen of a new claim. Nevermind that he still had eleven months to file the NOD on the existing claim. Hell, no. He must want to file for a reopen! When he tried to straighten out that error in March via an IRIS, he got the “Roger. We copy you want to reopen the finally denied old claim for the right knee”. Again, we’re still within the one year window for his NOD and now he has three claims running for the same right knee. I know what you’re thinking. He’s one of those Thalidomide babies from the sixties with three right knees. Wrong. JM is much younger and is a product of the 9/11 krewe.

Below are some of the documents he sent me that prove his chronic, permanent condition. Of course, when traveling at 20,000 feet, it’s difficult for vA to read these documents. That is, assuming they want to read them. 

Here’s the IRIS.

 Discussion Thread
 Response via Email Via Email (Department of Veterans Affairs) 06/01/2012 06:02 PM
Dear Mr. JM:This is in response to your inquiry to the Department of Veterans Affairs (VA) dated May 15, 2012.We apologize for the delay in responding to your inquiry. We have received a large volume of inquiries recently, and are making every effort to respond to them as quickly as possible.We received your compensation claim on March 26, 2012.It’s open and in the initial stages of processing. We’ll be reviewing your claim to determine if additional information is needed. If so, we will inform you of what we need.At your regional office of jurisdiction, the Development Phase is completed on most claims on average in 162 days.Your claim’s Development Phase began March 26, 2012. However, the length of time it takes to complete the Development Phase of a claim depends on several factors, such as the type of claim filed, the availability of evidence needed to decide a claim, and the VA’s pending workload. A claim may take longer in this phase based on any one, or a combination of the factors mentioned above.There are two additional phases: the Decision Phase and the Notification Phase.

However, at this time, we are asking your regional office of jurisdiction to provide verification of your claim status. Therefore, we have forwarded a request for information to them. Once we receive a reply to our request, we will contact you via this inquiry system to advise you of our findings.

We apologize we are unable to provide you with an immediate answer to your question, and appreciate your patience as we research this matter.

In regard to the receipt of your request to expedite your claim due to financial hardship, and to revoke your power of attorney; our records do not indicate receipt of these documents. However, this does not mean we are not in receipt. Please be aware, it may take up to 75 days for documentation you send us to be processed and entered into our electronic information systems. Please allow sufficient time for this process to take place, then contact us again for the status of receipt.

Thank you for contacting us. If you have questions or need additional help with the information in our reply, please respond to this message or see our other contact information below.

Sincerely yours,

Donovan W. Thompson
National IRIS Response Center Manager
sdm

JM responded thusly:

[===> Please enter your reply below this line <===]

I want to make it clear that I have filed  a NOD for my claim dated october 2010 (within the year time period allowed from denial).  I have not asked for a new claim.  I intend to preserve the original claim date of october 2010. since it apparently does not exist from the feedback I am getting I have resent it. I also want to make it clear that the VSO does not have power of attorney over me and anything they do is without my consent.  The only new claim that I have filed is for my Back which was sighned certified mail as recieved RRR april 6,2012, along with another NOD letter, and also revoction of POA from the VSO.  I filed this NOD regarding my oct 2010 knee claim becuase the reason for denial directly contradicted the evidence given to the VA.  The denial said there was no evidence of disability, yet my army medical documents provided clearly and specificaly referd to my chorinic disabilty due to injury in 2005.  They stated this specificaly in plain english with a diagnosis,on a  documenation of injury, profile and memarandum for medical discharge.  This was all current at the time I filed for cpmensation and I am currently being treatd by the VA for this .   Furthermore the Dr at QTC did not do a medical exam on me.  He gave me an xray and did not do the exam that he said he did in his write up which also conflicted with my army medical records.

If any of you wondered why we have this interminable delay at the vA, this will set your mind at ease or raise your hackles. It’s classic proof of Murphy’s law. It can, and indeed did, go wrong. Unfortunately for JM, vA has decided to play the “We’re so confused we cannot figure out what it is exactly that you want. Could you please clarify what precisely it is you are trying to say in English? We’re here to serve you but we simply can’t help if you don’t tell us.”

This is a classic old ploy vA has used for decades and it has fallen into disuse until now apparently. We may see more of this with the backlog reaching epic proportions. Prepare for a tsunami of  correspondence purposefully torqued out of context soon from the masters of doublespeak. The good news. It will only take 162 days this time to  deny it even though they already have all the paperwork!

P.S. By the way, thanks for leaving your SSN and DOB on those documents, JM. I just ordered a set of golf clubs on your new Mastercard. Cost? About $899.00 . Improvement to my golf game? Priceless.

Posted in All about Veterans, Gulf War Issues, VA BACKLOG, vARO Decisions | Tagged , , , , , , | 1 Comment

HCV AND THYROID CANCERS

Member Randy of Colorado fame has found something we all perhaps suspected but had no conclusive proof of. Our member Chase, who just received an new liver, Robert in southern California and of course Randy, all suffer from either  active or long term issues from this. Chase actually had extensive surgery to save his life and arrest the cancer.

Enter Randy at 0300 in the morning-sleepless and roaming the internet in a quest for more knowledge. As he put it in his email ” Sleep is highly overrated”. I concur. Many’s the time I have been sleepless in the near environs to Seattle due to the off the wall effects of HCV fatigue. Getting up in the middle of the night to do research is beneficial as there are no distractions. The downside is returning to bed at 0500 and sleeping for half the morning until 1100. But I digress. Here is some interesting research which corroborates what we probably already suspected but were unable to point to.

If your eyes have finally seen better days, click on it twice to magnify it. Use the bars at the bottom and the right to manipulate it to view.

Posted in HCV Health, Medical News | Tagged , , , , , , , | 1 Comment