Do you think this is a fair review of the issue?
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How VA Reform Turned into a Fight Over Privatization - The Atlantic[/h]
https://www.theatlantic.com/politics/archive/2017/07/...va...privatization/533490/
Jul 17, 2017 - How VA Reform Turned Into a Fight Over Privatization. Democrats and service organizations worry that a Republican push to expand health-care choices for veterans will sap money from the ailing federal system. The office of veterans affairs. Charles Dharapak / AP ...
Three years later, attempts by Republicans in Congress and the Trump administration to extend and significantly expand the Choice Program have given these groups and leading Democrats a new worry: a creeping privatization of the VA.
Death by a thousand cuts, after all, one often hears "We have to pay for the Choice program somehow, therefore we're cutting back services and initiating a hiring freeze", both things which actually did happen earlier in 2017.
I mentioned toxic corporate culture in some areas of VA bureaucracy, and it's a valid criticism.
For decades, the VA was indeed the symbol of a moribund and stagnant government bureaucracy more concerned with protecting its gravy than delivering proper care, despite the many dedicated and hardworking medical professionals who have transitioned through the system over the years.
But after several major scandals, and with the help of a GEORGE W. BUSH administration appointee, Anthony J. Principi, a turnaround began in earnest. Although Principi would later become mired in a few corruption scandals of his own later in his tenure, his overall direction and several of his ideas took root and within a year and a half of his taking office, positive trends were visible.
Plenty of longtime career bureaucrats in the system try to buck the efforts to streamline because for them it represents an inconvenience at the very least, or exposure of their own dismal performance.
When every single veterans group out there opposes the trend toward privatization, and expresses concerns over things like
talk that Republicans would tie legislation expanding private health-care options for veterans to an increase in the debt ceiling, it should tell people that maybe those concerns are valid but I get the gut feeling that Ryan, McConnell and Trump and their cronies treat the response from veterans organizations the way they treat climate scientists, except maybe the veterans groups get a pat on the head and a few extra "THANK YOU FOR YOUR SERVICE" utterances.
The many crises that come out the VA ARE LARGELY the fault of Congress after Congress, who treat health care funding for the VA like a political football, and while many Dems can indeed be held responsible, the words "BUDGET CUTS" and "PRIVATIZATION" come exclusively out of the mouths of people who have hatred for government programs in their DNA.
You can't tell me that hundreds of thousands of doctors, nurses, aides, technologists and other medical professionals all harbor a hatred for disabled veterans. It's simply not possible.
You CAN tell me that, left to deal with a spiteful bunch of politicians only seeking a photo op and Potemkin Village style reform, a bureaucracy and upper management will respond accordingly...and I'll buy that for a dollar, and that's what's been happening for the last three or four decades.
Every piece of this is man's bull****. They call this war "a cloud over the land" but they made the weather and then they stand in the rain and say "****, it's rainin'!"
Privatization and all that goes with it aren't my words, or one of my hunches.
Donald Trump and most of his core staff have used the word verbatim many times.
I know from almost six years of experience on the private sector merry go round with my wife that there is nothing out there that can even remotely provide what the VA provides. It needs to be properly funded and FIXED, not shut down, and anyone who says "It can't happen here" hasn't had their ear to the ground. This administration and this Congress have absolutely NO INTENTION of properly funding or fixing the VA. They'd rather see it go the way of what they call "Obamacare".