GAO Report:--VA has been 'cooking the books'!

[Gimpy]

Sept. 20, 2006, 8:18PM

GAO Report: VA and Bush administration underestimated care costs

By JENNIFER TALHELM

Associated Press Writer----- 2006 The Associated Press

WASHINGTON ? The Department of Veterans Affairs and the Bush administrations budget team used prewar data to estimate the cost of caring for veterans from Iraq and Afghanistan, a mistake that contributed to a $3 billion budget shortfall since 2005, government investigators say.


Asked by lawmakers to examine what led to the agency's financial troubles in the last two years, the Government Accountability Office (GAO) said in a report Wednesday that the VA used "unrealistic assumptions, errors in estimation and insufficient data" to project its budget.


The VA failed to estimate correctly the costs for Iraq and Afghanistan veterans party because it could not get accurate information from the Defense Department, the GAO found.


The agency also failed to tell Congress in a timely way that it was struggling to meet its expenses. The problems led officials to make requests for an extra $3 billion in June and July of last year, according to the GAO.


Democrats, who commissioned the report after the funding requests, used it to blast the Bush administration for not adequately caring for veterans of Iraq and Afghanistan. The VA will receive about $31.5 billion to provide health care for about 5.4 million patients this year.


The report is "a stunning indictment of this administration's commitment to our troops," said Sen. Patty Murray, D-Wash.


Democrats called on VA Secretary Jim Nicholson to provide an accurate plan for how it will meet veterans' needs in the future.


"We should not be running a VA system that is going to be short on the funding for health care," said Sen. Ken Salazar, D-Colo.


VA officials said they had not seen the report and were not immediately able to respond to questions. In comments attached to the report, officials said they agreed with the findings and were working to improve.


GAO investigators said the VA knew 2005 would be a tight budget year and attempted to manage the expenses and cut costs. But officials were overly optimistic _ and sometimes plain wrong _ about how effective the changes could be, the GAO found.


One such plan called for the VA to reduce the average daily patient workload in its nursing homes. But the proposal would have required the agency to cut staff and discharge or transfer in a short time potentially thousands of veterans with severe, chronic physical or mental disabilities.


The plan also would have forced the veterans to dip into Medicaid, private insurance or their own savings to pay for care, the GAO found.


Instead, in June 2005, with three months remaining in the federal budget year, the Bush administration requested an extra $975 million from Congress to meet its expenses. That included $273 million for Iraq and Afghanistan veterans.


A month later, the administration asked for another $1.977 billion for the 2006 budget year.


In response, Congress required the VA to provide quarterly status reports. But the GAO review found the agency has left out key information about the cost to treat patients in its reports. The first two were almost two months late and used data that was as much as three months old.


The agency has since attempted worked to improve its estimates and its coordination with Congress and the administration's budget office, said the GAO report. But investigators recommended the agency better explain cost savings from policy changes and that it give Congress more information.

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This really is 'supporting the troops', yeah RIGHT!......sure it is!...............

Here's what some members of the Senate had to say about this latest GAO report concerning last years budget fiasco.

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News Release


Murray calls for a Real Budget based on Real Demands after GAO Report Reveals VA Failures

GAO Report finds that past VA budget planning was based on "unrealistic assumptions, errors in estimation, and insufficient data."


For Immediate Release:
Wednesday, September 20, 2006


GAO Report


(Washington D.C.) ? U.S. Senator Patty Murray (D-WA) today called on Department of Veterans Affairs (VA) Secretary Jim Nicholson to provide Congress with an accurate plan for the health care of America's veterans, a plan based on real numbers and real demands for service. The call comes after the Government Accountability Office (GAO) released a stunning report detailing the VA's failure to provide accurate information for budget needs in fiscal years 2005 and 2006. The report found that the VA and the Bush Administration Budget Team used faulty information when planning for overall health care demands and that it estimated health care costs for service members returning from Iraq and Afghanistan based on prewar data.


"Protecting and taking care of our soldiers is the most basic responsibility for those planning and executing a war," said Murray. "Unfortunately, this report offers a stunning indictment of the Bush Administration's commitment to our troops when they return home from Iraq and Afghanistan."


The GAO report was commissioned to investigate two emergency budget requests made by the President in 2005 for a total of nearly $3 billion. Those Presidential requests came after Senator Murray made a similar request for additional funds based on reports of under-funded services for veterans. The GAO looked into why realistic funding levels were not initially requested by the VA and why additional funds were needed. The GAO report found that the additional funding was necessary because the VA prepared their '05 and '06 budgets using "unrealistic assumptions, errors in estimation, and insufficient data." Specifically, the report found that:


* The VA failed to report the problems they were experiencing to Congress in a timely manner.


* The VA underestimated the cost of serving veterans returning from Iraq and Afghanistan because they used budget information that predates the war.


* The VA used faulty information on when they would see real dollars from proposed cost saving measures.


* The VA in many cases did not have any actual means of implementing proposed cost saving measures.


"This is really about the VA being frank with Congress and the American people about its needs," said Murray. "When the VA plays politics with their budget, America's veterans get shortchanged."


"It's time for Secretary Nicholson to explain how the VA is going to put in place a system that will be able to handle the cost of providing mental health care, reducing patient wait times, and providing for an influx of Iraq and Afghanistan veterans," said Murray. "I have not seen that plan, and today's report certainly does not lead me to believe such a plan exists."


"This independent report once again illustrates a VA that is incapable of preparing a real plan for the care of our nation's veterans," said Senator Murray. "There was no plan when service members were sent off to Iraq and Afghanistan, there is no plan now, and most tragically, there is no plan in place for when they return home."


Senator Murray has consistently called upon Secretary Nicholson to provide Congress with the full scope of the VA's fiscal needs.


In March 2005, after hearing reports from various veterans groups citing long lines for care Senator Murray requested $2.85 billion in supplemental spending to meet the increased demand. In the months after Murray's request, the VA continually misled Congress about the existence of a budget shortfall.


In April of 2005, Secretary Nicholson wrote that he did not "foresee any challenges" that would preclude the VA from providing "timely, quality service." The Secretary also testified in a June 2005 Senate Veterans Affairs Committee hearing that the VA had "an adequate level right now" for mental health. However, those on the front lines of the VA's effort to provide care have not echoed the Secretary's confidence in the Department's ability to provide for Veterans. In fact, as recently as earlier this year, Frances Murphy, M.D., Undersecretary for Health Policy Coordination at our Department of Veterans Affairs, noted that some VA clinics could not provide mental health or substance abuse care to veterans, or if they do, "waiting lists render that care virtually inaccessible."


Senator Murray's 2005 request for $2.85 billion in supplemental funding was ultimately denied by the Republican-led Senate. Shortly after Murray's effort was thwarted, the President's requests provided the funding for the $3 billion budget shortfall that the VA revealed in June 2005.


The GAO report released today was requested by Senators Daniel Akaka (D-WA), Richard Durbin (D-IL), Ken Salazar (D-CO) and Murray. Senator Murray is a member of the Veterans Affairs Committee.

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[Packo]

Gimpy...

The VA has been doing this stuff for years. When I worked for them they were always afraid to ask for enough money. When they became a cabinet position years and years ago, we thought this would help. It hasn't. I just don't get it. Too many appointee's who just tow the line and are afraid to make waves. Problem is....vets drown. Disgusting. We would beg for more therapists when I was seeing 40 to 60 patients A WEEK! This was unheard of for any psychotherapist anywhere. The NASW standard is 4 per day. We were always told...."do quality and quantity". Yeah, right. It almost killed me.

Pack

[Gimpy]

That's another reason we decided to move back down here to the Tampa area.

The Atlanta VA PTSD clinic and anger manangement clinics would have as many as 20 to 30 guys in each group meeting and it would turn into a freakin side show many times and lots of folks never got the opportunity to really address their issues and get the help they needed.

Much better here in Tampa, smaller groups and more counselors. But, now that is changing as we speak. More and more vets are coming in and NO new folks being hired to help with the increased work load!

Just found another article that's relevant to this subject.

Here it is:


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More war veterans suffering from stress


By LOLITA C. BALDOR, Associated Press --September 2006


WASHINGTON -- More than one-third of Iraq and Afghanistan veterans seeking medical treatment from the Veterans Health Administration report symptoms of stress or other mental disorders -- a tenfold increase in the last 18 months, according to an agency study.


The dramatic jump in cases -- coming as more troops face multiple tours in Iraq and Afghanistan -- has triggered concern among some veterans groups that the agency may not be able to meet the demand. They say veterans have had to deal with long waits for doctor appointments, staffing shortages and lack of equipment at medical centers run by the Veterans Affairs Department.


Contributing to the higher levels of stress are the long and often repeated tours in Iraq and Afghanistan. In Iraq, troops also face unpredictable daily attacks and roadside bombings as they battle the stubborn insurgency.


Veterans and Defense Department officials said the increase in soldiers complaining of stress or mental disorder symptoms also may suggest that efforts to reduce the stigma of such problems are working and that commanders and medical personnel are more adept at recognizing symptoms.


"It's definitely better than it was in past generations," said Paul Rieckhoff, executive director of the Iraq and Afghanistan Veterans of America.


Veterans Affairs officials say they have increased funding for mental health services, have hired at least 100 more counselors and are not overwhelmed by the rising demands.


"We're not aware that people are having trouble getting services from us in any consistent way or pattern around the country," said Dr. Michael Kussman, acting undersecretary for health and top doctor at the VA.


Nearly 64,000 of the more than 184,000 Iraq and Afghanistan war veterans who have sought VA health care were diagnosed with potential symptoms of post-traumatic stress, drug abuse or other mental disorders as of the end of June, according to the latest report by the Veterans Health Administration.


Of those, close to 30,000 had possible post-traumatic stress disorder, said the report.


The Government Accountability Office reported in February 2005 that just 6,400 Iraq and Afghanistan veterans had been treated for stress disorders. The office is an investigative agency of Congress.


The VA, he said, has targeted $300 million for post-traumatic stress disorders for 2005-06, and is seeking another $300 million for 2007.


VA facilities largely serve veterans who have ended their military service, but some National Guard and Reserve members returning from the war are using VA facilities because they are closer to their homes.


While veterans groups don't have data on the number of veterans encountering problems with the VA, they said veterans are reporting long delays for appointments at the agency's medical centers.


"If they're going to keep recruiting anywhere near where they need to be, they'd better take care of the young vets, because everyone is watching," Rieckhoff said.


One soldier in Virginia Beach, Va., said he was having a hard time sleeping after he returned from Iraq, and was told he'd have to wait two-and-a-half months for an appointment at the VA facility, said Rieckhoff.


Rieckhoff said the Buffalo, N.Y., veterans medical center gave his organization a "wish list" of needed supplies and other expenses, including wheelchairs, rehabilitation equipment and medical monitors.


"If the VA is going to see 30 percent of the 1.5 million U.S. service members who have deployed to the wars in Iraq and Afghanistan, the VA may expect a total of 450,000 veteran patients from these two wars," said Paul Sullivan, director of programs for the Vietnam Veterans of America Foundation. "This is a very ominous trend, indicating a tidal wave of new patients coming in, and the numbers could go up."


The Defense Department has made mental health assessments and education programs mandatory for active-duty service members returning from the war. There are several dozen combat stress teams working with military units to prevent and identify stress or other mental health issues.


The department has also put a self-assessment screening on the Internet so military members can evaluate their symptoms.


Dr. Joyce Adkins, the Pentagon's director of stress management programs, said there has been a slight increase in the number of service members reporting mental health problems or symptoms.



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It looks like it's going to get worse before it gets better my fellow vets!...........Everyone needs to write, e-mail, or call their Congressional Representatives and their Senators to insist that they FULLY FUND the VAs' budget requirements as outlined in the "Independent Budget" submitted by the Military Service Organizations, ie;---The Disabled American Veterans, The American Legion, The VFW, The Paralyzed Veterans of America, AMVETS, etc..

Because it's obvious that the VA "budgets" which have been submitted by the VA and the Bush administration in the past 5 years are NOT adequate and is hurting the VAs' ability to properly serve and treat all this nations veterans!

[Packo]

Yep,

Seeing more and more around here. Our little VA clinic here in the Naval hospital just added one more doctor, general practitioner. Problem is, we just picked up 900 more veterans to treat. My shrink told me that they are not going to add anyone to help her but a ton of the new patients will need to be seeing her. Looks like it will take them months to get an appointment. And the beat goes on.

Pack