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Paul Sullivan

Tuesday, 17 April 2007
Kussman’s Failure
Posted By Paul Sullivan at 9:13 AM
 

The Walter Reed scandal spread from the Pentagon to VA this week after senators confirmed VA failed to tackle their end of the bureaucratic nightmare at the military’s premier hospital. 

The VA’s Michael Kussman bears personal responsibility for failing to act for nearly three years, causing untold thousands of veterans around the country to wait months and sometimes years without benefits.

Here’s a chronology behind the Walter Reed fiasco.

• October 2001: The first casualties from the Afghanistan War begin arriving at Walter Reed.

• July 2002: VA stops outreach programs to advise veterans about VA healthcare and disability benefits, thus opening up hospital beds for George W. Bush’s invasion of Iraq the next Spring.  Instead of increasing capacity to assist veterans, VA seeks ways to limit access to care.

• March 2003: Additional casualties from the Iraq War begin pouring intoo Walter Reed.

• August 12, 2003: The Wall Street Journal breaks the Walter Reed scandal, reporting on the terrible treatment Jason Stiffler received.  “Mr. Stiffler's story shows the human toll when critical benefits judgments are delayed, and the confusion veterans and their families often feel when they're forced to confront bureaucracy. It also illustrates some of the flaws in the $60.4 billion veterans agency, and how those problems could prove overwhelming as veterans of the conflicts in Afghanistan and Iraq start to enter the VA's rolls.”

• August 2003: VA Secretary Anthony Principi acts immediately, forms a “Seamless Transition Task Force” and places VA social workers and claims counselors at Walter Reed and Bethesda National Naval Medical Center.

• August 2004: Complaints surface from patients at Walter Reed, and VA Task Force co-chair Michael Kussman orders a Focus Group study of problems at the hospital.  The report said wounded, injured, and ill service members were "frustrated, confused, sometimes angry" about the bureaucratic nightmare.

• January 27, 2005: Salon reporter Mark Benjamin writes the first of more than a dozen investigative journalism articles about Walter Reed, “Whether it is the lack of protective armor for troops in the field or, now, wounded troops paying for food, complaints from soldiers have shed an unflattering light on how the military bureaucracy takes care of its troops. And they have prompted accusations that the Pentagon is fighting the Iraq war on the cheap, no matter what the cost to soldiers.  Salon works with veterans’ advocate Steve Robinson on a series about Walter Reed.

• May 13, 2005: While fighting two wars, the Base Realignment and Closure (BRAC) Commission recommended that Walter Reed be shut down, demoralizing staff and effectively ending base maintenance.

• March 29, 2006, VA’s Frances Murphy states that, some VA clinics do not provide mental health or substance abuse care, or if they do, “waiting lists render that care virtually inaccessible.”

• From 2001 through 2007: Medical personnel and staff who assist with service members transitioning from the military to civilian status as veterans are slowly removed from Walter Reed and deployed to war.

• January 16, 2007: Iraq War veteran Jonathan Shulze kills himself after family says he sought VA medical care three times, even going so far as to say he was suicidal.  VA places him as number 26 on a waiting list.

• February 19, 2007: The Washington Post reports on the Walter Reed scandal, repeating many of the shocking problems first outlined by Salon’s Mark Benjamin.

• April 4, 2007: George W. Bush nominates VA’s Kussman to be in charge of more than 200,000 VA employees and all 1,400 VA medical facilities.

• April 12, 2007: VA’s Kussman states under oath that he knew about the Walter Reed Focus Group study in 2004.  VA Secretary Jim Nicholson testifies that he learned of the study the day before. Nicholson tells senators under oath that he has not yet told the White House that  Kussman was fully aware of the scope and depth of the problem in 2004.
Kussman said Department of Defense officials participated in the Task Force.  However, Kussman failed tell senators who he gave the report to, when he gave it to them, and what he did to reduce the bureaucratic nightmare at Walter Reed.

• By April 2007, nearly 40,000 wounded, injured, and ill are evacuated from the Iraq and Afghanistan war zones.

• Of the 1.5 million Americans sent to the Iraq and Afghanistan wars, about half are expected seek VA medical care and file VA disability claims.  Since the first press report in August 2003, the Administration has failed to clear the paperwork jungle faced by hundreds of thousands of new war veterans.

Do you think Kussman should be promoted after he admitted he knew about the Walter Reed fiasco?  Should he and VA be investigated because VA still doesn’t have enough mental healthcare professionals to screen and treat the hundreds of thousands of Iraq and Afghanistan war veterans returning home with traumatic brain injury and mental health problems?

 
Posted By Paul Sullivan at 9:13 AM
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Replies - Post A Comment
20 Sep 2007
Send an emailRoland Dell - View my profile
Walter Reed Army Medical Center

I am an Army Reserve Technician injurred in the Line of Duty (Drill Weekend). My PEBLO representative was releived from duty this past week, as WRAMC has left alot of RESERVIST "in the wind" as far as medical retirements, councilling ect, are concerned. Many Reserve service members injurred in the LINE of DUTY have NO DIRECT access to TRICARE they are only permitted coverage under a LOD injurry report that must be hand carried to there Military Treatment Facilities. It took me personnally over two congressional investigations, the ladder being from Senator John McCain to get a response from the Army at WRAMC. I was fortunate, I had the Navy work on me, and continue to try and contact the Army PEBLO for two years. Many other Reservist (in all services) are still awaiting military care, on an average of a two year wait. The Wounded Warrior Program, is desighned to assist Combat wouded veterans at WRAMC, this is fantastic but what about the rest of us that did not make it into country? TRICARE Reserve Select is suppossed to be manditory by this October; so I am guessing if you do not fit into that window you may still experience problems with representation. Why can't the Wounded Warior program provide a page to those Reserves injurred in the Line of Duty? This would not deminish any of the care for Combat wounded veterans, and would provide an avenue for alot of us to be represented at Walter Reed. Respectfully Submitted, SSG R.T. Dell
27 Apr 2007
Send an emailKathy Gulbranson
Everyone seems to think that the problems with VA health care were started by/with the current administration, and that is certainly not the case. I am no expert on the issues, but my husband, Vietnam vet, had heard so many stories--even from a doctor who had practised at the Los Angeles VA hospital, that he wuld not consider usig his 100% coverage for which he was eligible. While there are many wonderful and dedicated personnel, the incompetent and disinterested ones are allowed to continue. Civil service rules and potential lawsuits seem to preclude their removal or even discipline. There is a huge difference in the quality of care and assistance in parts of the country where the fast-disappearing work-ethic still prevails, e.g. Fargo, ND and St. Cloud, MN. I don't see a lot of hope for change until some sense of ownership and accountability can be instilled at the level of patient services.
20 Apr 2007
Send an emailPaul Sullivan - View my profile
Mike, I agree, advocates like you and me must address the root causes of VA's failure to assist veterans. I’ve identified four root causes. First, until Veterans for Common Sense blew the whistle on Walter Reed and VA problems, the broad public in America didn’t know about the deep and serious challenges veterans face. Second, the current administration opposes increasing spending on "social" programs. Third, the Administration opposes mental healthcare for our veterans on a philosophical basis - they think veterans should just "get over" the war. And, fourth, the Administration appointed incompetent cronies to key positions to carryout their mission to block access to care. The answer advocates must take is to use the press and Congress expose the VA's failed policies – and that means we must name names. Then we must remove the political appointees behind those failures. If, after we shined a spotlight on the crisis, we only fixed the broken policies without removing the people in charge, then nothing would change. That's why we must continue to highlight the problems, change the policies, remove those who failed, and keep the spotlight shining on veterans’ issues.
20 Apr 2007
Send an emailjoel carter - View my profile
kussman should be made to resign his job. put someone in there that can get things straitened out.the v.a. also needs to raise the amounts,that veterans get on their monthly checks.
19 Apr 2007
Send an emailMichael Woods - View my profile
We could all sit back, yell and point fingers in different directions about whos fault all of this mess is. But to fix this huge problem we have to get to the root of its cause, and fix it. This is a huge problem that has been around for so many years. ( put off helping veterans until you forced to do so ) Until we change that mind set or unwritten policy we will continue to see these same types of problems continue to repeat themselves.
17 Apr 2007
Send an emailSusie Kinzie - View my profile
heck of a job, brownie.

isn't that really the basic crime of this whole administration? loyalty and cronyism are rewarded, and competency and decency are disdained, and even punished. thanks for your advocacy, paul. good to have some one with some scruples there.
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