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Politics : I Will Continue to Continue, to Pretend.... -- Ignore unavailable to you. Want to Upgrade?


To: Sully- who wrote (25931)3/12/2007 4:20:18 PM
From: Sully-  Respond to of 35834
 
Free Walter Reed

The wounded deserve more than political recrimination.

The Wall Street Journal Editorial Page
Saturday, March 10, 2007

The reports of poor conditions at Walter Reed Army Medical Center have set off a political firestorm. It remains to be seen whether the system that created the problem is capable of fixing it.

The Walter Reed facility is located inside the District of Columbia. While the press reports have been dramatic, it strains credulity to think these problems are suddenly news to Congress and all its staff, the executive branch, the Pentagon (across the Potomac), the rest of the Washington press divisions or servicemen and their families.

So now Congress is holding hearings, the White House is setting up an independent commission and Vice President Dick Cheney has pledged "there will be no excuses, only action." Arguably "only action" is a federal-government oxymoron. The action so far has consisted of firings and recrimination. If this continues, the incentive for anyone in government to think innovatively about Walter Reed will fail.

Not surprisingly, the story beneath the Walter Reed mess is a morass. It is government, in its inevitable sprawl, working at cross purposes with itself. For starters, Walter Reed is scheduled to shut down in 2011 as part of the base-closure commission process. No surprise that resources going into Walter Reed would not rise under this circumstance.

Meanwhile, President Bush has proposed spending $38.7 billion on military health care in the coming year--double what the military spent in 2001. Over the past six years the military has expanded health coverage for reservists and for military families and has added a more generous prescription drug benefit.

What has happened is that for more than a decade military health care has shifted away from long hospital stays in favor of increased outpatient care, mirroring the private-sector trend. The military and the entirely separate Department of Veterans Affairs--which itself spends tens of billions of dollars on health care--have shuttered large in-patient facilities and opened hundreds of outpatient clinics.

By and large this has been for the good. The military in fact is a pace-setter in medical procedures to treat the severely injured; it drives advances in prosthetic limbs, trauma care and reconstructive surgery. Approximately 98% of those wounded on the battlefield who reach a hospital survive. Consider the following comparison: The ratio of those wounded to killed today is seven to one; in Vietnam that ratio was closer to three to one. And the VA is excelling at outpatient care. The Rand Corporation recently found that on nearly every measure of quality of care--preventive services, follow-ups, chronic care--VA patients receive better care than most civilians.

But the problems are real and significant.
The military provides health care to more than nine million people. The VA runs the largest unified health-care program in the country to cover an additional five million people. It's predictable that patients will get lost inside a government system this vast. In recent weeks veterans from the Korean and Vietnam wars have stepped forward to tell their own stories of fighting the health-care bureaucracy.

More than three million people eligible for cheap prescription drugs through the VA are opting instead to pay a little extra for Medicare drug coverage. Why? Because, as a Manhattan Institute study recently found, only 22% of the most important drugs released in recent years are covered by the VA.

These manifest problems will now tread water while we await the president's commission, Congress's hearings and on into the darkness. We have some shorter-term ideas to get help where it's needed.

For starters, free the patients captive inside this system. Congress should give these wounded soldiers vouchers to pay for out-patient care anywhere in America they wish--near home and family, at innumerable state-of-the-art rehab facilities, at specialized care institutions. Army word-of-mouth would quickly transmit data on best care, location, cost and family support. The professionals and staff in these places would move heaven and earth to help the service men and women.

To make this work, give a primary role to nonprofit foundations. The Fisher House program of comfort homes for families is perhaps the most famous. There are others more than willing to help.

Certainly the government needs to right its own battered programs. But in the meantime, let the American people--the world's greatest reservoir of medical, financial and volunteer skills--at last get involved helping those who've been fighting on our behalf in Iraq and in the war on terror.

opinionjournal.com



To: Sully- who wrote (25931)3/15/2007 12:29:44 AM
From: Sully-  Respond to of 35834
 
    If the general "in charge" can't fire the people not doing
their jobs, I don't know why he is being held responsible
for them not doing their jobs.

In Washington, it's always the year of the rat

By Ann Coulter
Townhall.com Columnist
Wednesday, March 14, 2007

Democrats have leapt on reports of mold, rats and bureaucratic hurdles at Walter Reed Army Medical Center as further proof of President George Bush's failed war policies.

To the contrary, the problems at Walter Reed are further proof of the Democrats' failed domestic policies -- to wit, the civil service rules that prevent government employees from ever being fired. (A policy that also may account for Robert Byrd's longevity as a U.S. senator.)

Thanks to the Democrats, government employees have the world's most complicated set of job protection rules outside of the old East Germany. Oddly enough, this has not led to a dynamic workforce in the nation's capital.

Noticeably, the problems at Walter Reed are not with the doctors or medical care. The problems are with basic maintenance at the facility.

Unless U.S. Army generals are supposed to be spraying fungicide on the walls and crawling under beds to set rattraps, the slovenly conditions at Walter Reed are not their fault. The military is nominally in charge of Walter Reed, but -- because of civil service rules put into place by Democrats -- the maintenance crew can't be fired.

If the general "in charge" can't fire the people not doing their jobs, I don't know why he is being held responsible for them not doing their jobs.

You will find the exact same problems anyplace market forces have been artificially removed by the government and there is a total absence of incentives, competition, effective oversight, cost controls and so on. It's almost like a cause-and-effect thing.

The Washington Post could have done the same report on any government facility in the Washington, D.C., area.

In a typical story from the nation's capital, last year, a 38-year-old woman died at the hospital after her blood pressure dropped and a D.C. ambulance took 90 minutes to pick her up and take her to a hospital that was five minutes away. For 90 minutes, the 911 operator repeatedly assured the woman's sister that the ambulance was on its way.

You read these stories every few months in Washington.

New York Times reporter David Rosenbaum also died in Washington last year after being treated to the famed work ethic of the average government employee. Rosenbaum was mugged near his house and hit on the head with a pipe. A neighbor found him lying on the sidewalk and immediately called 911.

First, the ambulance got lost on the way to Rosenbaum. Then, instead of taking him to the closest emergency room, the ambulance took him to Howard University Hospital, nearly 30 minutes away, because one of the "emergency medical technicians" had personal business in the area.

Once he finally arrived at the hospital, Rosenbaum was left unattended on a gurney for 90 minutes because the "emergency medical technicians" had completely missed his head injury and listed him as "drunk" and "low priority."

Months later, the deputy mayor for public safety told The Washington Post that "to the best of his knowledge, no one involved in the incident had been fired."

No one has any authority over civil service employees in the nation's capital. Bush probably lives in terror of White House janitors. The White House bathroom could be flooding and he'd be told: "I'll get to you when I get to you. Listen, fella, you're fifth on my list. I'm not making any promises, just don't flush for the next week."

It's especially adorable how Democrats and the media are acting like these are the first rats ever sighted in the Washington, D.C., area. There are rats in the Capitol building. There are rats in The Washington Post building. Bush has seen rats. But let's leave Chuck Hagel out of this for now.

On "ABC News" last year, a CBS radio reporter described a rat jumping off the camera in the White House press briefing room in the middle of a press conference. (And a shrew sits right in the front!) The Washington Post called the White House press room -- located between the residence and the Oval Office -- "a broken-down, rat-infested fire trap." During David Gregory's stand-up report on MSNBC about the damage done to Republicans by conditions at Walter Reed, rats appeared to be scurrying on the ground behind him.

Instead of an investigative report on the problems at Walter Reed, how about an investigative report on what happens when the head of janitorial services at Walter Reed is told about the dirt, mold and rats at the facility? If it's before 2:30 in the afternoon and he's still at work and he hasn't taken a "sick day," a "vacation day," a "personal day" or a "mental health day," I predict the answer will be: "I'm on my break."

The Democrats' response is: We must pass even more stringent rules to ensure that all government employees get every single break so that public-sector unions will continue giving massive campaign donations to the Democrats.

This was, you will recall, the precise issue that led to a partisan battle over the Homeland Security bill a few years ago: Whether employees at an emergency terrorist response agency could be fired -- as Republicans wanted -- or if they would be subject to civil service rules and unfireable -- as the Democrats wanted.

HELLO? HOMELAND SECURITY? THERE'S A BOMB IN THE WELL OF THE SENATE!

Sorry, not my job. Try the Department of Public Works.

When Republican Saxby Chambliss challenged Democrat Max Cleland in the 2002 Georgia Senate race, he ran an ad attacking Cleland for demanding civil service protections for workers at the Homeland Security Department. Naturally, Republicans were accused of hating veterans for mentioning Cleland's vote on the Homeland Security bill.

Now that the Democrats are once again pretending to give a damn about the troops by wailing about conditions at Walter Reed, how about some Republican -- maybe Chambliss! -- introduce a bill to remove civil service protections from employees at Walter Reed and all veterans' hospitals? You know, a bill that would actually address the problem.

And don't worry about the useless, slothful government employees who can only hold jobs from which they cannot be fired. We'll get them jobs at the EPA and Department of Education.


Ann Coulter is the legal correspondent for Human Events and author of Godless: The Church of Liberalism .

townhall.com