published Tuesday, June 24th, 2014

VA just a symptom of government bloat

  • photo
    David and Marianne Trujillo exit the Veterans Affairs facility in El Paso, Texas. Some Veterans Affairs facilities in Texas have among the longest wait-times in the nation for those trying to see a doctor for the first time, according to federal data. It’s not just veterans who sometimes have to wait for health care. Depending on where you live and what kind of care you want, in parts of the country it’s not always easy for new patients to get a quick appointment.
    Photo by Associated Press /Chattanooga Times Free Press.

You can't pin the entire Veterans Affairs health care mess on President Barack Obama, but it's certainly worsened under his tenure. However, he and every other president who has let one more government-run agency continue to bloat deserves some blame.

Wherever there are large government agencies, there's bloat. Too many employees. Too many people shuffling papers. Too many undeserved promotions. Too many bonuses.

Late last week, it was revealed nearly 80 percent of senior executives at the Department of Veteran Affairs got performance bonuses in 2013. With those numbers, it would stand to reason the department had a really good year in an even better economic climate.

But, with widespread treatment delays at VA centers across the country and what many have called preventable deaths, it would be hard to convince anybody of that.

Rep. Jeff Miller, R.-Fla., during a House Veterans Affairs Committee meeting last week, said about the VA what most people understand is the climate at most large government agencies.

Bonuses instead of being given for work above and beyond the call of duty, he said, are "seen as an entitlement and have become irrelevant to a quality work product."

Other House members in the meeting, Democrats and Republicans, said the government agency suffered from "grade inflation" or had set the bar for performance so low that "anybody could step over it."

The most recent figures show about 10 percent of veterans seeking medical care at VA hospitals and clinics have to wait at least 30 days for an appointment, more than 56,000 had to wait at least three months for an initial appointment, and an additional 46,000 veterans who asked for appointments over the past decade never got them.

Yes, it's a poor way to treat veterans who stood up for the United States in various wars and conflicts. But, chances are, the same bloat, the same undeserved bonuses, the same lack of efficiency could be found in almost every government agency.

Since the Great Recession took hold in 2008, many private-sector businesses cut employees to remain solvent. And with a slow recovery, many of those businesses have realized they can -- and in some cases have to -- continue to get by with fewer employees.

But not the federal government. Since 2008, federal civilian employment is up 160,000 and is expected to reach almost 1.4 million people in 2015, according to the Office of Management and Budget.

The solutions are not easy or quick. Because even if you know that your neighbor, Mabel, does very little work at her federal, state or county agency, that she and her too-large staff do more chattering and talking about the weekend than they do work, you still don't want to see Mabel out of work because she's a single mother with three teenagers.

But consider how many Mabels populate governments across the country.

Federal laws have authorized many of the programs and agencies, and curbing them is a labyrinthian and Herculean task. For the last 70 years, eager lawmakers -- Republicans and Democrats -- have arrived in Washington ready to make cuts and retired years later as entrenched supporters of this program and that.

James C. Capretta, a senior fellow at the Ethics and Policy Center, a visiting fellow at the American Enterprise Institute and a contributor to nonpartisan public policy agency e21, recently suggested a few ways to start.

• Allow time-limited authority for a newly elected president to reorganize domestic agencies and consolidate duplicative programs.

• Tap top IT talent to plot a road map for improved service at high-contact agencies (IRS, Social Security, Medicare, etc.) and give the agencies the resources to make it happen. Meanwhile, the president should be given the authority to eliminate unnecessary duplicative bureaucracy with better performance through online interaction.

• Hire top federal managers for major operational agencies and give them responsibility to improve the performance of the agencies to which they've been assigned. That responsibility would include moving resources within their agencies and going outside the established funding silos that inhibit effective management discretion today.

Washington is highly partisan these days, but one need look back only 70 years to World War II, when then-Sen. Harry Truman led a bipartisan congressional special committee to find and correct problems of waste, inefficiency and profiteering in U.S. war production, to find an example of how things might get done.

That committee, according to historians, saved an estimated $10 billion to $15 billion in military spending and, in turn, thousands of lives of U.S. servicemen.

With the Affordable Care Act, if left in place, likely to engender a much larger version of the VA problems, an efficiency solution like the Truman Committee is needed now.

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Ki said...

Really now, Coop? The VA medical care has"worsen under Obama?" You have such a sense of dark humor. Or perhaps you suffer from selective memory loss. Or maybe, just maybe you're hoping everyone will forget that when The Bush was in office comatose and paralyzed vets had flies, and in some cases maggots, crawling in and out of their mouths, ears and other open orafice? Don't play ALL Americans for fools. Your base maybe easily fooled by your relentless attacks on this president, but the rest of us aren't easily tricked. And handing vet care over to the private sector is not the answer either. We've already tried that and that's why the military decided to care for its own, because care for vets and their family members were so shabby in the past by the private sector. My wife never got her six week follow up care under her "private" doctor when the military had CHAMPUS and after the birth of our second child back in tge 70s. She was turned away because we didnt have the 25.00 copay up front to pay when she went back for her six week follow-up of what had been a high risk pregnancy. She'd not have been turned away by military doctors if she'd been in a town where there was a base hospital near by and military doctors.

June 24, 2014 at 8:34 a.m.
Plato said...

The author is cleverly distorting the statistics to attempt to paint a false picture of a over-growing federal government under the present administration.

The author states: "Since 2008, federal civilian employment is up 160,000 and is expected to reach almost 1.4 million people in 2015, according to the Office of Management and Budget." But in reality, of that number (which is actual 161,000) 150,000 of it is attributable to the Department of Defense and The Veterans Administration. Leaving only 11,000 for all the public service agencies - Agriculture, Health and Human Services, Education etc.

More notable is the fact that according to the Office Of Personnel Management the number of federal employees as a percentage of the population is at it's lowest number since the statistic has been kept - 1958.

You can pull up the actual OMB numbers here:

and the Office Of Personnel Management Chart here:

I certainly agree that there are some administrative and structural problems within the VA that MUST be addressed ASAP, but I'm not sure cutting staff at a time when the number of veterans needing services is dramatically increasing is the right tactic.

June 24, 2014 at 11:52 a.m.
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