VETERANS BENEFITS ADMIN CALLS IN ORDNANCE ON POSITION

VeteransAdministration.12755109_stdIn the last decade, I have been fascinated by just how long it takes to have your number called in VA Poker. In the pre-VBMS days of 1989, it took from July to October to get the shiny onion skin denial. I had a BVA denial in my hot little hands by March 15, 1992. In 1994, it took from April Fool’s to November 7th to get my lovely blue sheet and thirty more days to get the SOC on January 7th, 1995. Things moved right along back then. All-paper c-files. Manual readout of the M 21 in paper as well. Who could improve on a system like that?

I had even theorized, as I did on a “fully developed Appeal” at the BVA, that eventually, VA would sink up to its axles someday in paper or gigabytes of information.  At that time, and not a moment before, they would finally call in outside support. Remember, they couldn’t even integrate a common computer system with the Dept. of Defense to smooth the transition from military service to Veteran status. All these years their in-house IT gurus kept regurgitating bandaids and fixes to XP to keep it alive twenty years longer. They succeeded. Unfortunately, everyone knows the back door in by now and can enter and “remodel history” as they did when they were caught in flagrante delicto in Gene Groves VACOLS files down in DC. Getting into VISTA at VA is childsplay for a good hacker now.

downloadVA’s newer computer systems carry forward the same myopic need vs. size misconception like looking through a pair of binoculars backwards. Bandwidth is the name of the game these days and VA prefers to use two wires and Morse code. One of the primary reasons VBMS isn’t catching air and making claims as fast as a speeding bullet is that all-critical response time. Now throw in about four more computer systems, all antiques like CAPRI, and hum Jeopardy Music. I swear the 1990s “dial-up” internet connections of old were faster.

My Daddy (and probably quite a few others) used to say “To a hammer, everything looks like a nail.” If you or I were stuck in an electronic jungle of antique programming, we’d motor on down to Office Depot and have some snot-nosed pimple popper sell it all to us. We’d smartly get the number for tech service to the tech weenies. If you’re VA, ostensibly you’d put in a call to 3M or Xerox and say “What’s the best way? Better yet,  how much would it cost for you to build it?” Bids would go out. Promises would be made and gifts would be exchanged in Vegas. In the twinkling of an eye, a robust, viable VBMS would have emerged that could digest even my 10,078 pages (and counting) of c-file in a gigasecond. Room for add ons would be like a empty gymnasium instead of a walk-in closet. But we’re talking VA here- as in “Obfuscate endlessly until the truth can no longer be denied and then ask for more money to fix it (again).”

VBMSApparently, Secretary Bob was finally apprised that not only was VA not going to be able to fire their way to excellence, but that VBA  was never ever going to hire their way to mediocrity either. After USB Allison Hickey’s failed deadline lo these 40 days past, the defecation has finally contacted the rotary oscillator. The in-house IT gurus, ably led by former Maj. Gen. (ret) Robbie Worley, are finally texting each other- #VASESLIVESMATTER. No more bandaids. No more patches. No more fixes. No more M 21 1MR Amended (improved as of Feb. 2016) computer guides to lead you a denial. Shit or Get Off the Pot Day finally arrived and the boys were found constipated with poor solutions.

JIM DANDY TO THE RESCUE

CSRASo what should my wondering eyes come across on some backwater right wing conspiracy site? Yessiree, Bob. Secretary Bob is letting the contract out for a new “improved”  VBMS because VA’s ain’t working folks. Using the new VBMS toilet plunger at the VAROs to push DBQs and FDCs along at lightspeed has now simply resulted in a call to Roto-Rooter® to take it from there.

Here’s the article on it. If it was any more sparse, we’d need an electron microscope to view it. I’ve never heard of CSRA let alone SRA International  but apparently the Government has. Makes you wonder who made the call. What’s even more interesting is how much did it cost in wasted man hours and stupidity/micromanagement to realize they were in over their heads?

SRA International will inevitably repair the system.  Look for a new, improved VBMS to deny even more efficiently and in less time than before. Expect a spate of new VBMS-oriented forms to emerge in mass quantities. Failure to use the correct one will result in rejection of the form until it is filled out and entered correctly. DBQs will be constructed for every disease/injury known to man. Vets will have to hire Sherpas to find their way. Nonadversarial will be the banner logo.

From the news blurb

SRA staffers in Kentucky and Georgia will work to convert the benefits claims into digital content and help mail handler services upload the huge volumes of files into the Department of Veterans Affairs’ benefit management system.

Shooo doggies. This is going to be a fun show. VA’s been remodeling since 2009. Wonder what kind of aces these fellers have up their sleeves?

Posted in Gulf War Issues, KP Veterans, M-21 info, Medical News, Nexus Information, VA Medical Mysteries Explained, vA news, vARO Decisions, VARO Misfeasance, VBMS Tricks | Tagged , , , , , , , , , , , , , , , , , | 7 Comments

VA SMC (t)– YOU’VE LOST THAT GIVING FEELING

imagesThe other day I read a front page story written by Tacoma News Tribune military writer Adam Ashton. The article is superb in what it conveys but lacks the linkage the two Veterans’ wives were so desperately looking for. Both of them had lost their tax-free $1275.00 a month  Personal Caregiver Stipend or what is also called the post 9/11/2001 PCAFC caregiver rate. They were tearing out their hair looking for the link staring them right in their faces.

The PCAFC is twofold. It also allows entry into special help from VA Medical Centers. I suppose that has a dollar value but how much is immaterial to this discussion. What is of import is the frank admission by both of the women that their husbands now had jobs. 

A caregiver is one who provides nurture, daily household chores, shopping and the like for someone with horrific agoraphobia or avoidance issues. These Vets are only comfortable in their own home environment and rightfully so. It’s like a gigantic woobie blanket on acreage. If your neighbors aren’t close , you feel more protected in Fort Livingroom. The key word here is “at home”.

But, on the other hand, if the spousal unit, be it a he or a she, who is the caregivee-i.e. recipient of the caregiver’s services- departs Fort Livingroom and takes a job as a medical technician or library clerk, then the doctors of psychiatry and neurology may get the misguided impression that these Veterans are slowly beginning to meld and reintegrate with society again. It may be due to all those mind-bending medications or it may be all those Kumbaya group therapy hug sessions paid off. That, too, is immaterial. At the VA, they are results-driven. Whatever works to improve the Christmas bonus payment is the order of the day.

Now we have two financially disenfranchised caregivers who are at a loss to decypher this conundrum. Mr. Ashton did them a disservice by not pointing out the obvious. I note this phrase which I was not aware of regarding PCAFC:

From the beginning, the money was not intended to be a permanent benefit and the program’s creation stipulated that the VA occasionally would reassess patients.

Naturally, VA always is always busy reassessing our disabilities. We are also allowed to be covered by 38 CFR §3.344 and its five year codicil. Being a sporting man, I’d give fair odds that the VA schedules a re-evaluation of the medical necessity for a caregiver just about every 4 years and a few months max in order to avoid conferring permanence on the PCAFC rating.

PCAFC GROWING LIKE OCTOMOM

I note Mr. Ashton cites statistics showing this program is growing like Octomom. That disturbs me. Certainly, I have no objection to the whole concept of caregivers, regardless of the age-discrimination clause that fences out any Veteran before 2001. Where I feel the misery begins is that the VA never communicates this lack of permanence to the recipients. Often, we grow dependent on the extra payments and this causes great hardship on Veterans when a third of a monthly payment suddenly evaporates. I base this on the $1,275.00 added on to a normal 100% at $3,017.00 a month. A Vet with two kids to feed could end up on food stamps with this severe a cutback-or worse. If they are given no warning in advance, they cannot plan for the future.

Whether the qualifying Veteran returning to the workforce increases the income above the lost compensation payment was not discussed. Naturally, if employment negated the loss or even increased household income above the stipend, the lost income from the VA would become a moot point. Nowhere was this discussed. Sadly, this article seems to revolve around two Veterans’ spouses who now face the prospect of going back to work themselves as opposed to taking care of their husbands at home. I don’t envy them a bit.

This story seems to strike an odd chord with Vets I talk to. Why provide a stipend for this if the compensation is temporary at best? Why not grant it on a fixed time grant and ask for recertification annually? Biyearly? In other words, why clothesline a Vet after three or four years of the caregiver payment right out of the blue- assuming he didn’t know that all the exhortations from the VA Psychiatric Peanut gallery shouting “Yes you can!” should include”until you get a job.”

PCAFC = TDIU on Steroids

This is just like TDIU on steroids. You get 100% PLUS this valuable gift inside with the candy called PCAFC. You can go live in the country and cut down all your trees. You can be fit as a fiddle physically and just be uncomfortable around folks. I get that. I’ve been there and still am uncomfortable being in a large crowd.  I cut down most all my trees, too. Doesn’t everyone? I’m not some treehugger. Hell, trees are big money around here in my Bugtussle town. Mostly, it gives you a deeper field of view for shooting.

The problem arises just as it does on TDIU. If you exhibit the ability suddenly to make money working, then there has to be some VA quid pro quo. It’s like being on Social Security. If you start making money, you are no longer retired. If you make too much, they come and take some of what they pay you away. Why on earth this needs to be explained is unimportant. The financial shock wave that occurs is often sudden and traumatic.

But wait, here comes that valuable teaching moment… Avoid even volunteering for the Food bank. Now you know how to keep your caregiver stipend. Raise chickens and sell organic eggs. Get goats and sell goat’s milk. Buy a steer every spring and tie a rubber band around his winky plumbing. In 12 months you have prime rib for sale and to eat. Cool beans, huh?

download

Posted in Reductions in rating, SMC, Tips and Tricks, VA Medical Mysteries Explained, vA news, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , , , , | 1 Comment

VA ART IMITATES VA HUMOR 9 MONTHS LATER

VA ringknocker

VA ringknocker

It’s not often when Veterans humor, driven by long waits and endless appeals, drives us to hypothesize on what (or how) a possible “rocket docket ” appeals system might coalesce in the minds of the Grand Poobahs. Veterans of all stripes, as we all too painfully know now, have once again been asked to move to the back of the New bus. Those three year adjudications at the Regional Offices now seem like lightspeed next to the new and improved VBMS BVA appeals system which somebody forgot to order. This unexpected phenomenon is the face of “the recent reinvention of how we do claims at the New VA”.

Notice the date/time stamp on my humor was April 22, 2015- over nine months previous. “Imitation is the sincerest form of flattery imaginable.” my mother once said. “Let them entertain the idea they birthed it. We know differently.” Simple as that.

In order to eliminate the backlog for certification and appeal permanently, however, Ms. Eskinazi proposes the new Fully Developed Appeal or FDA for short. FDAs can also be decided within 125 days with 98% accuracy as soon as the VBA can run it up the flagpole in the Federal Register. VA will propose that Veterans, through their VSOs, summarize, in 300 words or less, why they think they should prevail. Their lay testimony will be accepted without regard to credibility, they are free to opine medically on their symptoms and in all cases the benefit of the doubt will be employed assiduously as it always has in the past. Since most Veterans and their representatives are functionally illiterate, most will not need all three hundred words to communicate their desires. In fact, few, if any VSOs, will actually see any change in the process except for the accelerated time to a decision. This is a win-win for all.

Nine months ago that was tongue-in-cheek humor but trust your VA to cut the Gordian Knot of interminable delay. This is something everyone can get behind, right? It’s like a Veterans Charity. All the money goes to the Vets, right? Here, we have a problem and the solution is simple. Let the Vet have his say, regardless of how outlandish the story and keep it simple stupid for everyone. File a Notice of Disagreement at the BVA, maybe get a BVA video hearing to make it look like a genuine dog and pony show, 125 Days. 98% accuracy. Bring in the guys with the funny hats from the VSOs.  What could possible go wrong? Nonadversarial. Veteran-friendly. Benefit of the doubt. It’s like a full-meal-deal piping hot in just minutes at the drive thru window. Everyone gets closure, right?

HOW WOULD THEY DO THAT?

VLJ signature stamp

VLJ signature stamp

Well, gee I don’t reckon there’s a big problem if you get a couple of them signature stamps so’s the staff attorneys and the judges can all be stamping denials at the same time. Anyone can see this little efficiency alone could cut months or even years off the delay. If you could teach them to insert the paper and mail the Big Brown Envelope, or BBE as we Vets know it, there’d be another month or more. Kinda reminds me of Homer Simpson’s monkey Mojo. You could teach him anything.

I guess the boundary where dismay turns to ironic humor is where you find it. We’ve been insulted, guaranteed relief down to the year, promised three-month decisions with almost flawless accuracy, and none of these pipe dreams have come to fruition. In fact, the same exact system which presently is denying 85% of claims eerily resembles the same pre-2014 15-month wait for the very same 85% denial statistic.  Develop to Deny is the wormdrive gear of the VBMS.  The old one to two-year process with in-depth VA hands-on duty to assist in obtaining evidence is gone. Vets are instructed to obtain it all themselves for the Fully Developed Claim or FDC. Disability Benefits Questionnaires are crunched down to a “yes” or “no” where a “because” or “due to” is needed. And lastly, the most egregious. VSOs are letting the VA make the nexus link and failing to inform the Veteran of the need for a truly independent one.

Telegraph that from the Regional Office level as a confirmed  denial and send it up to the new, improved VBMS  BVA site. With no further development (read IMO), a new denial is inevitable and fully expected by VA. Bingo. No more backlog. Except….

downloadAgain, Occam’s Razor posits the simplest explanation is invariably the correct one. Given the proclivity of Veterans to appeal to the BVA currently, what could possibly dissuade them from going on to the Court of Veterans Appeals? Outside those hallowed gates at 625 Native American Avenue NW are members of the storied National Veterans Legal Services Program (NVLSP). These Law dogs are just standing around waiting for you to ask them to represent you absolutely free. How long do you think that knowledge is is going to go unnoticed?

Last year, the CAVC’s caseload expanded yet again.  Last month and again several days ago, the CAVC recalled two of their retired judges to deal with the tsunami of claims arriving daily. The volume of Extraordinary Writs is continuing right through the roof. 4,888 claims arrived in all of 2015. One of them, #15-112 was mine. Using the monthly volume already for January 2016, as of tonight, 400 cases are already docketed at the CAVC. I’d guess in reality there are 25-30 more awaiting their anointment with a number as we speak. Multiply that times 12 and you get into a skinny 5,000. I don’t see how Moorman and Greene are going to be enough. That’s eleven judges total.

All Veterans really want or strive for is to gain what they bargained and signed for on Induction Day  [__/__/____.]

Posted in BvA Decisions, Humor, vA news, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

HADIT RADIO SHOW THIS PM AT 1800 HRS (L) EASTERN

haditlogo2007A great show is planned on Waiver of Review in the First Instance of new and material evidence submitted at the Board of Appeals level. You do not want to miss this one. Technique is everything nowadays and the latest tricks are helpful during this period of excessive backlog. Currently, the BVA has 444,000 appeals in the queue that they are willing to admit to. I suspect the number, were it to include all the appeals in a holding pattern at VAROs, would easily exceed twice that number.

Please join Jerrel, JBasser and myself this evening for a new show heavy on technique an full of the usual humor.

The call in number remains

347-237-4819

Please dial one (#1) if you wish to talk to us.

We’ll also be discussing the new documents and the need to use the latest with the little boxes on them. VBMS is getting mighty picky about how they record the data. If you send the older versions in, you get the leper treatment and six months later it comes back requesting you submit on the new forms.

Capture22

 

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States that have sent presidents to the White House

Which of our 50 states have actually sent people to the White House? Wikipedia lists and maps present birthplace and primary state affiliations of former presidents.  Can we make any quick predictions based on the birthplaces (not where raised) and primary state affiliations of the current leading candidates?  Sure, why not?

 USA_states_presidents_birthUS_Presidents_by_state_of_primary_affiliation

The best birthplace states are Virginia and Ohio followed by Massachusetts and New York. Tiny Vermont boasts two native-born presidents: Chester A. Arthur and Calvin Coolidge although both were affiliated with different neighboring states (New York and Massachusetts) and were Vice-Presidents first. Surprise (!) presidents, so to speak. (Texas and North Carolina also have two presidents each.)

Primary affiliations are somewhat different.  Let’s assign some numbers now.

Trump has never held an elected office and he’s financing his own campaign.  But he’s affiliated with the New York primary this year so he gets 6 points and 4 points for birthplace (like Van Buren, Fillmore, Roosevelt and Roosevelt).

Sanders also gets 4 points for being born in New York and 2 points for being affiliated with Vermont for 6 points.

Hillary Clinton was born in Chicago, Illinois.  That gives her 1 point (Reagan).   She moved to New York and was a U.S. senator, so add 6 points.

Ted Cruz was born in Canada.  No points.  The legality of his bid is being challenged.  But he gets 3 points for his Texas affiliation (L. B. Johnson (D), Bush and Bush).

Marco Rubio was born in Florida so zero points; a U. S. Senator for Florida gives him zero points.

New York City consists of five boroughs, (Brooklyn, Manhattan, Queens, Staten Island, and the Bronx) and is also the birthplace of Theodore Roosevelt (Manhattan).  Sanders was born in Brooklyn and Trump in Queens.  Even though NYC is a mega city, I think Sanders and Trump should get an extra point for sharing a birth city with Roosevelt.

Keeping it very simple, Trump gets 8 points.   Sanders gets 7  points.  Clinton gets 7 points. Cruz gets 3 points–if he’s legal.  Rubio gets zero points.

So if historical patterns prevail, right now, based on birthplaces and primary affiliations alone, either Trump or Sanders, two natives of New York City, and independents, may face off after all the primaries are over and done.  Or Trump could tackle the Clinton family.

Pundits R US?  Nah.  Anything can happen.  But history is interesting.

Posted in General Messages, Guest authors, Humor, Uncategorized | Tagged , | 2 Comments

Revisiting VA dental care

money-48103_640

image: Pixabay Public domain

We’re dealing with dental insurance decisions again because I chipped a front tooth and my old Marine needs a tooth capped.  We purchased the cheapest VADIP group plan when it was first introduced–the Delta VADIP plan for my husband (non-Champa spouses are excluded) for one year.  Then we upgraded to the High Option Metlife which was more liberal.  

Neither of our dentists are in-network and mine is really pricey.  So we just purchased a secondary policy that will give us in-network rates and co-ordinate benefits with Metlife.  The good news is that there is no waiting period for major services because we’ve continuously had dental insurance for over a year.  The bad news is that we’ll be paying about $250 a month for the two plans. That’s a crazy figure but our expected 2016 dental out-of-pocket costs would be worse with co-pays and deductibles due at time of service.  Ugh!

Looking ahead to 2017, I’m pretty darn sure my spouse falls under the Class VI (LINK to FACT SHEET).  Or consult the VETERANS HEALTH ADMINISTRATION DENTAL PROGRAM/VHA HANDBOOK 1130.01 2013.

Class VI. Any Veteran scheduled for admission or who is receiving care under chapter 17 of title 38, U.S.C., may receive outpatient dental care if the dental condition is clinically determined to be complicating the medical condition currently under VA treatment. Eligibility for each episode of dental care will be predicated on referral and consultation, followed by a decision based upon clinical judgment. The goal is to provide focused care to treat only the oral conditions that are complicating impact the clinical management of the medical condition currently under treatment. This classification includes medically necessary dental care for Veterans receiving care for Military Sexual Trauma under Title 38 U.S.C. 1720D.

Last year, my spouse asked his MN VA PCP for a referral to get classified by the Dental Services via Secure Messaging.  The doc called him, told him NO, and muttered some BS.   We are hoping his new VA PCP (VT) will follow the rules and give a referral so the VA Dental Service Chief can review his medical records, and make a decision.  If classified, he’d keep private dental insurance for preventative/filings and use the VA for expensive “focused” services they might approve (see page 10 in Handbook) (b).

…Focused dental treatment is generally limited and may include supportive periodontal therapy, endodontic therapy, restorative dentistry, and oral surgical procedures…

Pre-VA dental classification exam, why not bring a nexus letter and some solid research to the classification exam with you to support how, for example, your dry mouth/oral disease case is related related to your VA meds or conditions. Think of it as a C & P exam. (Looking at some BVA dental claim denials, the dental examiners have a funny habit of not seeing any evidence of dry mouth etc…) If denied an appropriate classification, it might be worth it to file a NOD.

In our case, could my spouse get Non-VA Dental services?  Maybe under the new geographic inaccessibility concept mentioned in the Handbook (beginning on page 16 Link below).   (The nearest VA Dental Services is about 105 miles away from our house.)

With approval, veterans could see a general dentist of their choice, who accepted VA payments, or be referred to a dentist in a “Federal resource”.  It’s not clear if that would include dental care at a Federally Qualified Health Center (LINK) or (LINK hrsa).  These centers bill on a sliding scale, receive federal grant money and are good to know about.

dentist

Reading VA form 10-2570d, (LINKPDF Dental Record Authorization and Invoice for Outpatient Service) would turn any dentist off.

skull

Non-VA Dental Care Secrets Revealed in the Handbook? No, not really. Image: Open Clip Art

NOTES & LINKS:

VA Handbook dental 2013  VA dental 2013 (attachment on 2nd page).

  • Any Veteran eligible for dental treatment on a one-time completion basis only and who has not received such treatment within 3 years after filing the application must be presumed to have abandoned the claim for dental treatment. (see Title 38 CFR §17.164)

 

  • SC PTSD–No automatic Class III dental for you.  Really?  Is this a good idea?  Painful teeth wouldn’t directly impact PTSD or vise versa?  Class III.   “…However, there is no provision granting eligibility for dental care under this classification in case of the opposite relationship, where a medical condition (e.g. Post Traumatic Stress Disorder (PTSD), may be contributing to a dental condition (e.g bruxism) because the dental condition identified is not professionally determined to aggravate the medical condition.”  (Bruxism is tooth-grinding.)
  • If a non-VA dentist’s fee is over $1,000, trouble ahead.
  • Need a non-VA dental specialist? Forget it.
  • If a veteran doesn’t accept a treatment plan, (take it or leave it care) they will rue the day.
  • The Military Order of the Purple Heart has some VSO training slides online (LINK M-4 Dental Claims) Attachment 2nd page.
  • The Business Office decides who is eligible for VA dental care by statute except for classes III and VI which are decided by the Dental Officers after medical record reviews.

A few questions: When and who in our government decided that our teeth and mouth aren’t a part of our bodies?  Why have they allowed dental insurance scams to go unchecked?

Dental_hygienist

Image: Wikipedia

Why haven’t licensed dental hygienists been able to open their own practices to provide preventative non-VA dental care?

Any veteran out there receiving non-VA dental care?  If so, how did you access it?

Why is it that a VA employee can seek dental care by the Dental Service but if a veteran needs emergency care, and isn’t classified, he can expect a bill ($500)? Don’t we buy them their own federal gold-standard dental insurance which they don’t have to jump through hoops to use.

Posted in All about Veterans, General Messages, Guest authors, PTSD, Uncategorized, VA Health Care, VA Medical Mysteries Explained | Tagged , | 2 Comments

HADIT.COM RADIO SHOW IN 10 MINUTES

haditlogo2007Hadit.com’s Blog talk Radio Show in 10 minutes folks. Mighty interesting subjects today.

The Call in number is :

 

347-237-4819

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GOOD MORNING AMERICA–WAITING FOR THE SUN

Night Flares over Cork & Radar HillFire Mission! Fire Mission! LZ Whiskey Two Papa declares Tango India Charlie.Repeat- Whiskey Two Papa reports Troops in Contact on LZ.

Alpha Six Actual requests immediate Four Deuce Illumination over LZ . MACV Authorization is ”Waiting for the Sun. Repeat -“Waiting for the Sun”. Alpha Six reports Charlie Bravo Sierra is now inside the wire as of 1800 HRS Local. 

 Fire Coordinates are Belfort Road and AC Skinner Parkway. 7th AF TACC will begin close air support at 0700 HRS Local. NOTAM confirms Jacksonville airspace is closed to all air traffic until further notice. Contact Cricket on 272.9 for ingress/egress info.  

Actually, it was CBS Morning Report.

http://www.cbsnews.com/news/wounded-warrior-project-investigation-veterans-charity-accused-of-no-follow-up/

Here’s last night’s initial report.

http://www.10tv.com/content/stories/2016/01/26/wounded-warrior-project-accused-of-wasting-donation-money.html

On the advice of my attorney (this time), I know nuffink.

http://usmclife.com/2015/11/military-spouse-of-triple-amputee-blasts-wounded-warrior-project-in-viral-post/

https://asknod.org/2015/06/09/retraction-and-apology-to-wounded-warriors-project/

The WWP’s response:

Click to access wwp_-_letter_to_cbs_-_1-27-16.pdf

Posted in Veterans Charity concerns | Tagged , , , , , , , , , , , , , , , | 1 Comment

VBMS–ZEROES FOR HEROES

I'm a man of wealth and taste.

I’m a man of wealth and taste.

It’s a good thing my VA researcher in Vermont, Maple Frank, is not named Bernie or there would be all manner of confusion. Frank has his ear to the ground in constant search of Mickey D’s doings at all times. While you can usually go to sister VA websites who are more conspiracy oriented to find out these things, many of the mainline military websites report quite well and keep us informed. They are also more “fair and balanced” in the truest definition of it. 

So Sec’ Bob was up at the Senate moonwalking backwards out of the concept of excellence. He did actually come up with some late, post-Christmas wish list stuff . Nothing pressing. What he did tout was the unfurling of the “Battle Plan”. Most VASECS roll in with the beginning of a new Presidency and camp out for four years here and there extolling their grand new plans. Four years later, it’s lather, rinse and repeat. Sec’ Bob ran this one through the Proctor and Gamble spin test to see where he could improve the production line and turn out more decisions as Allison in Wonderland Hickey foretold of (and promised) in 2014.

Here we are one month into January 2016, i.e. almost 30 days past the magic incantation of 125/98 (125 days from stem to stern on a VA decision with 98% accuracy), and VA blithely begins a new 3-Card Monte game without a Quality Control assessment of the feasibility of VBMS as presently configured. Considering VA invented bean counters, I find it entirely unlikely that they do not have down-to-the-minute VA statistics on anything you want to know about-in real time.

USB Hickey did a splendid job of making the VBMS a reality. With or without her guidance, the inevitable has happened. The new intractable 125-Day metric has almost been accomplished but now there is a frank admission that the goal of excellence promised by Allison is not going to be forthcoming. Missed it by thaaaaaaaaaaaaaaaaaaaaaaaaaaaat much. It was unrealistic and a good catch phrase but let’s move on.

As promised and predicted by us here, the lump in the VA python has merely moved on to the BVA stomach. And due to 98% of the decisions being “correct”, a record 78,000 Veterans appealed their denials claiming there is error or an incomplete record.

The BVA Bottleneck

In 1961, the VA set up the modern BVA system of Veterans Law Judges. There were twenty Boards of three judges each in theory. One was also a Medical Doctor as well and wore two hats. In theory. Due to retirements and never having enough Judges on hand, they began a practice of allowing two judges to sit and even abandon any pretense of independence by also ignoring the requirement for one Judge to have his Medical ticket. In 1992. I got my first one of these rump justice decisions and wasn’t told I could go higher to the COVA.

Capture44

This gives you an idea of how they treated us in 1992. Things haven’t improved. In 1994, due to the burgeoning backlog of decisions and Vets filing appeals, the Board was allowed to shrink to one VLJ with no medical credentials. This was due to the Colvin v. Derwinski (1991) decision at the new Court of Veterans Appeals (COVA). A Judge is not permitted to metamorphose into Dr. Kildare or Ben Casey and make medical suppositions. VA had been doing it for years. My link to my BVA decision above shows I had no doctors on my Board but they nevertheless committed the error. Oddly, we continue to see VLJs make this error or miss it on appeal from below.

Oh Lord won’t you buy me a brand new BVA?

Sec’ Bob is trying to run the same old game plan for the BVA to get rid of the 400,000 appeals with more being stashed into every basement corner at VAROs across the fruitless, winter plain daily. There simply is no more room in the basement at 810 for just the active files. The central filing center up in Bethesda is packed clear to the ceilings and the rest in PODS in the parking lot out back. 400,000 claims and a lot of them still in paper format which got the ugly stepsister treatment in the VBMS transition. Can you imagine how big some of our paper files get when we have 26 years of litigation under our belts?

45 inches high

If this was just one, unique case arriving at the BVA, it would be an anomaly. Imagine all of us who have tried scaling Mt. Olympus for years and years. We all arrive with the same luggage.

The repair order is simple but extravagant. VA would have to make all their staff attorneys acting Veterans Law Judges for about a year or three and let them dispense with the immediate, as well as the future, deluge from the 58 VAROs. In addition, hundreds, if not thousands, of clerks and administrative personnel would have to be hired. The current backlog queuing up at the BVA is not going to dissipate for quite some time. Some Vets went through four deployments and have now been RIF’d (Reduction In Force) at twelve years into a twenty year career and a retirement.  They need medical and are going to put a heavy burden on the VA for decades to come. VA is drowning in Vietnam Veterans, be they  in-country ones or Vietnam-era.

SUPPLY VS DEMAND

Zeroes for Heroes

 

The demand on VA is still exponential. Sec’ Bob’s theory that the lump in the Boa constrictor will pass is wishful thinking. Even if he could weather out a temporary fix with tons of “Acting” VLJs and rocket dockets, hiring two hundred more full-blown VLJs at $173 K/year wouldn’t even staunch the flow. This baby is hemorrhaging far worse than anyone will admit. Punting on fourth and 40 isn’t an option. All the VAROs have done is what was predicted-a huge backlog at the next stagecoach stop-the BVA. Develop the claims to deny them, they did. Yessssss. The raters even nicknamed it “Zeroes for Heroes” and laughed about it down at Saint Petersburg. Did anyone in the VA hierarchy look down from Mt. Olympus and say “Whoa there, Sloan. That’s gonna be like pouring concrete down the toilet. Maybe we should rethink where this VBMS thing is headed.”?

The same, tired outcome once again is the typical ending. Zeroes for heroes. All the hierarchy still have a job administering the interminable backlog. All the bean counters are being paid to predict what we see. All the  VAOIG pukes are running from VAMC to VAMC and making clucking noises.  All the judges are judging away but will have to go on overtime  24 hours a day, seven days a week for the next 10 years. Even hiring two hundred new judges and changing the rules to abolish remands whatsoever isn’t going to drain the swamp. If 70% of decisions coming from the VAROs are defective, deficient or outright CUE, then the backlog at the BVA will only get worse. They may have to bring in every former CAVC Judge to deal with the appeals to the Federal level.

The magic repair order is inconceivable. Imagine letting this out to a subcracker outfit like 3M or Xerox? Hand them a block of 150,000 claims and hire the attorneys on a case-by case fee basis. You can imagine what a truly independent process would look like. All of a sudden, the decisions are free of defect, legally reasoned correctly-and the Veteran wins. The dichotomy that would be revealed compared to the dog and pony circus at 810 Vermin Lane might sink the USS DVA.

VA can no more reinvent themselves than the IRS can. The task is unattainable and even worse- you ‘d have to want to change. VA personnel are quite content in their current nest and really would just like all this to go away-including the heroes. Hiring 100 new VLJs has one hitch. You basically hire them for life. If we reinvent drone warfare, they’re going to have to contract once again into Boards of three or five in twenty to thirty years to keep them all employed and gainfully occupied. Meanwhile, imagine taking 500 million sideways away from the disabled Vets and give it to the powdered bigwigs at the BVA.

Certainly no one in authority at the VA, the BVA or the Acting Undersecretary of VBA can look at us straight-faced and say “Wow. We really in all honesty can say we  did not see this coming or expect that speeding up the millions of claims at the 58 Agencies of Original Jurisdiction would provoke this tsunami of Veteran’s appeals whatsoever. What’s more, we felt the actual 79 Veterans Law Judges we have currently, in addition to 90 “Acting” VLJs  were adequate to the task of keeping up with the expected uptick following the introduction of the Fully Developed Claim process. Laura Eskinazi even gave me her very own personal reassurance herself. What we need here is a shit ton more money, Congressman Miller.Sec Bob

 

 

Posted in VA BACKLOG, VA Health Care, VA Medical Mysteries Explained, vA news | Tagged , , , , , , , , , , , , , , , , , , | Leave a comment

ILP–BOLO VA GREENHOUSE

DSC01492I have a greenhouse they tell me it’s nice

I asked how much but they won’t tell the price.

I write them letters and say I can’t wait.

They IRIS back ‘n say they’re running real late (bom bom bom bom).

I had that dream going through my head last night. You know. The April Fool’s dream where the Postman rings twice and it’s the VA Package with the ADA/Heated greenhouse and instructions on how to set it up…

DSC01495

Dear Mr. Graham,

Bet you thought we forgot about you. Enclosed please find the 21 1/2 inch by 17 1/2 inch by 10 inch high raised ceiling greenhouse with accompanying instructions. It meets all ADA requirements and is extremely accessible from all sides. The clear plastic wrap is of the highest quality and will give you years of service if you take good care of it. Enclosed is the candle for heating. We’ll be mailing more as you need them over the next three years. We realize you did specify a 24 inch by 48 inch but we simply don’t have the funds available to customize each Veteran’s greenhouse. We are forced to buy them in volume to get a discount. We did, however, ensure you received the 10 inch raised ceiling version as you requested. 

Please make sure to inventory all parts. If any are lost, missing or stolen, please stop and call the number listed below.

Please contact us if you need assistance setting this up at our help line (800) 827-1000. One of our trained VA negotiators will answer your call promptly and efficiently and make sure you get what’s coming to you. Enclosed for free with this greenhouse is a matching set of luggage and sea chest compliments of VA for the five-year delay in fulfilling your ILP claims.

 

[signed]

A. Lofgren

Veterans Service Center Manager

006

DeLuxe matching luggage in South Sea Islands “green” theme

008 (1)

Sturdy matching sea chest

I know. It was just a bad dream. Of course, knowing VA, it wouldn’t surprise me for them to attempt this one below just to test my mettle. Come on. I was born on April Fool’s. I’d do it to someone if I was brainwashed into working at VA. I’m damaged goods after fighting 26 years for all this. It does make you wonder what is transpiring  down at the VR&E TOC. I’d give a finger to be a fly on the wall for that discussion.

va-approved-greenhouse

Posted in Humor, Independent Living Program | Tagged , , , , , , , , , , , , , , , | 6 Comments