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 While Phoenix officials masked months-long wait times to try to
achieve two-week targets used for salary and bonus awards, some
veterans experienced "clinically significant delays" in care,
according to the Department of Veterans Affairs' inspector general,
an internal watchdog.
But in its final report on the Phoenix problems - the first of many
uncovered this year at the VA - the inspector general said it could
not substantiate an allegation made by a whistleblower that 40
veterans had died while waiting for care.
"While the case reviews in this report document poor quality of
care, we are unable to conclusively assert that the absence of
timely quality care caused the deaths of these veterans," the report
said.
The watchdog has found that manipulation of appointment data is a
"systemic problem" around the country, and has since opened up
investigations at 93 other facilities.
The problems are weighing on Democrats ahead of November midterm
elections, including in North Carolina, where President Barack Obama
spoke to veterans on Tuesday, vowing to fix the issue.
The Phoenix report documented 45 cases where "unacceptable and
troubling lapses" in care affected veterans, 28 of whom experienced
"clinically significant delays" in getting treatment for a range of
medical, surgical and mental health issues. Six of those patients
died.
In one case, a veteran in his 40s with a large brain tumor waited
for six months to see a doctor. Another veteran with prostate cancer
had to wait eight months for surgery, the report said.
A homeless veteran with soaring blood sugar levels was seen at a
Phoenix veterans' hospital but was not admitted, and the VA was not
aggressive enough in arranging a quick follow-up appointment, the
report said. After several visits to non-VA emergency rooms and
hospitals, he died eight weeks later.
Vermont Senator Bernie Sanders, the chairman of the Senate Veterans'
Affairs Committee, said he was "relieved" the report did not find
patients had died because of delays.
But the chairman of the House Committee on Veterans' Affairs,
Republican Jeff Miller, said the report "paints a very disturbing
picture."
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"We have seen no evidence that the corrupt bureaucrats who created
the VA scandal will be purged from the department’s payroll anytime
soon," he said.
The investigation found that while about 1,400 veterans were on
official electronic waiting lists, more than 3,500 additional people
were on hidden wait lists.
"These veterans were at risk of never obtaining their requested or
necessary appointments," the report said, noting that the officials
who ran the Phoenix facilities were aware unofficial lists existed.
The scandal prompted former Veterans Affairs Secretary Eric Shinseki
to resign in May.
In a statement included with the report, new Veterans Affairs
Secretary Robert McDonald apologized to veterans and said the
department was moving to fix the problems.
Speaking to the American Legion's national convention in Charlotte,
North Carolina, Obama said his administration would "get to the
bottom" of the issue and "do right" by veterans.
"Misconduct we’ve seen at too many facilities with long wait times
and folks cooking the books is outrageous and inexcusable," Obama
said.
(Reporting by Roberta Rampton; Editing by Sonya Hepinstall)
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