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Witnesses Testify to Battles with Walter Reed Bureaucracy
American Forces Press Service ^ | Fred W. Baker III

Posted on 03/05/2007 4:02:21 PM PST by SandRat

WASHINGTON, March 5, 2007 – Army leaders are committed to improving the service’s health care systems for wounded servicemembers and their families, top officers told the national security subcommittee of the House Committee on Oversight and Government Reform today.

The committee held a meeting at Walter Reed Army Medical Center here to gather facts behind problems reported there that have tarnished the once-stellar reputation of the Army’s top medical facility.

Part of the problem, Vice Chief of Staff of the Army Gen. Richard A. Cody said, is that policies and rules governing many of the health care systems have not been updated for as many as 50 years and have been put to the test by the last five years of war.

“Soldiers and staff are faced with the confusing and frequently demoralizing task of sifting through too much information in too many interdependent decisions and bureaucracies,” Cody testified.

Cody said top officials are reviewing the reported problems and already have identified some personnel problems that need to be fixed.

“Our counselors and case mangers are overworked, and they do not receive enough training,” he said. “We do not adequately communicate necessary information, and our administrative processes are needlessly cumbersome and, quite frankly, take too long.”

Cody also cited problems that are being fixed in the medical holding units where so many of the outpatient problems have been reported in recent weeks.

“Our medical holding units are not manned to the proper level, and we do not assign leaders who can ensure proper accountability, proper discipline and well-being of our wounded soldiers, … and our facilities are not maintained to a standard that we know is right,” Cody said.

Many problems now are being corrected, Cody said, but some will require congressional support. He pledged to work with the secretary of defense to report back to the committee changes that require congressional support.

“We will do what is right for our soldiers and our families. They can be assured that the Army leadership is committed and dedicated to ensuring that their quality of life and the quality of their medical care is equal to the quality of their service and their great sacrifice,” Cody said.

Dressed in a decorated Army blue uniform, with a patch over his left eye, an emotional Staff Sgt. John Daniel Shannon told the subcommittee today that he just wants leave center’s outpatient system. He cited his own a two-year pattern of neglect, bureaucracy and lack of patient advocacy.

An injured Iraq war veteran, Shannon’s account kicked off nearly five hours of testimony, which included wounded servicemembers, family members and top ranking Army officials.

With her eyes staring upward to avoid spilling tears, the wife of a wounded Army soldier told committee members that her husband’s first case manager at the center “treated him like a dog” at times and that the system was set up to protect the interests of the Army.

“We need to turn it around. We need to fight for the soldier,” said Annette McLeod, the wife of South Carolina Army National Guardsman Cpl. Wendell McLeod. He suffered brain and back injuries while serving in Iraq after being hit by the door of a moving semi-truck.

Subcommittee chairman John Tierney opened the hearings saying that the problems recently aired in the news media are not new, but that complaints of “bureaucratic indifference” have been heard for several years.

Tierny conceded, though, that the medical staff at Walter Reed is dedicated and professional. Tierny said he thought the problems stemmed from “institutional indifference, not individual commitment.”

Most of the testimony centered on a broken, bureaucratic personnel system and overworked and under-trained caseworkers with other woven-in themes of pay problems, administrative delays and incompatible medical computer systems.

Coming to light for the first time during the testimony was the possible impact of the Base Realignment and Closure process and the recent conversion of government-provided services to contracted services at the hospital. Army officials testified that skilled civil service employees worried about losing their jobs have left the center, at times dropping staffing amounts by nearly half.

Officials testified they’ve had difficulty recruiting to fill the positions because the center is scheduled to merge with National Naval Medical Center at Bethesda, Md., in 2011. In addition, many of the services were moving to contractor-provided services.

Chief of Staff of the Army Gen. Peter J. Schoomaker, said he was “extraordinarily angry and embarrassed that we would have a Building 18,” referring to the building cited in Washington Post reports on mold- and rodent-infested living conditions.

He said he supported the firing of Army Maj. Gen. George W. Weightman, the medical center’s former commander. Schoomaker’s brother, Army Maj. Gen. Eric B. Schoomaker, will become the commanding general of the North Atlantic Regional Medical Command and the medical center, the Army announced March 2.

Army Spc. Jeremy Duncan testified before the committee that the living conditions varied widely among outpatient soldiers, depending on the building assigned. “Building 18 was like the ghetto,” he said, but it had television and video games. He said he has now been moved to Building 14, which is nicer, but doesn’t have a television and video games.

In the past few weeks, progress has been made in the living conditions of soldiers, Duncan said. “They are trying to make it better. I will give them that. It’s going to take them a while to do that,” he said.

Kiley testified that all but six soldiers have been moved out of Building 18. It is planned for a complete renovation, he said. The command is overhauling its system to add case managers, improve communication and speed up the paperwork process, he said.

In addition, officials are reviewing both of the complex and lengthy medical and physical evaluation board processes.

Schoomaker was asked bluntly by a committee member, “How do we know it’s going to change?”

“Because we’re going to change it,” Schoomaker said.

Army Secretary Francis J. Harvey resigned March 2 in light of the problems at the center. Weightman was relieved of command March 1.

Biographies:
Gen. Peter J. Schoomaker, USA
Lt. Gen. Kevin C. Kiley, USA

Related Sites:
Walter Reed Army Medical Center



TOPICS: Culture/Society; Government; US: Virginia; War on Terror
KEYWORDS: battles; bureaucracy; frwn; va; wrmc

1 posted on 03/05/2007 4:02:24 PM PST by SandRat
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To: 91B; HiJinx; Spiff; MJY1288; xzins; Calpernia; clintonh8r; TEXOKIE; windchime; Grampa Dave; ...
FR WAR NEWS!

WAR News at Home and Abroad You'll Hear Nowhere Else!

All the News the MSM refuses to use!

Or if they do report it, without the anti-War Agenda Spin!

2 posted on 03/05/2007 4:03:21 PM PST by SandRat (Duty, Honor, Country. What else needs to be said?)
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To: SandRat

Our soldiers deserve the best because they are the best.


3 posted on 03/05/2007 4:04:51 PM PST by sine_nomine (The United States...shall protect each of them against invasion. Article IV, 4. US Constition)
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To: SandRat

Just an example of what the general public would get if the US ever goes with socialized medicine.


4 posted on 03/05/2007 4:09:55 PM PST by vetsvette (Bring Him Back)
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To: sine_nomine
When private enterprise is not involved where folks actually compete for business quality doesn't seem to matter much and things that normal folks would normally take care of fall by the way side.
I'm sure no one has any malicious intent or an I don't care attitude but this kind of crap happens when the government is in charge.
This story could probably be turned around as an argument against socialized medicine.
Any thoughts?
5 posted on 03/05/2007 4:12:03 PM PST by cjmae (Sanity was not equally distributed)
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To: SandRat
One winters night in North Carolina I was standing at the end of a chow line. The cooks had brought us food in the field. It was raining hard and you had to keep your mess kit upside down to keep it from filling with rain. The temperature was near freezing.
Two figures come behind me to join the line and I turn to talk to them and see that they are officers. I told them that it was just enlisted trainees and sort of implied they should go up ahead. One was a captain, the other was a Lt. Colonel. The Colonel said they wanted to be last to make sure the even the last troop got a good meal, which they were going to eat. The Colonel was Nick Rowe who had spent five years as a guest of the Viet Cong. That officer knew what it meant to be an officer.
6 posted on 03/05/2007 4:15:13 PM PST by Leisler (REAL ENVIRONMENTALISTS WALK.)
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To: vetsvette

amen!


7 posted on 03/05/2007 4:16:03 PM PST by cjmae (Sanity was not equally distributed)
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To: vetsvette

amen!


8 posted on 03/05/2007 4:16:05 PM PST by cjmae (Sanity was not equally distributed)
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To: Leisler

Hmm. Last time I did that, a C130 flew over our heads and dumped red dye on us, a couple of seconds after I finally got the Hot-A's.

GAS! GAS! GAS!

Ah, well. LOL.


9 posted on 03/05/2007 4:23:43 PM PST by patton (Sanctimony frequently reaps its own reward.)
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To: Leisler
Yep "Five Years to Freedom" Nick Rowe. Have his book. He was later gunned down in the PI by Islamofacists from Mindanao.
10 posted on 03/05/2007 4:25:41 PM PST by SandRat (Duty, Honor, Country. What else needs to be said?)
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To: cjmae

I would like to see the VA system turned over to private enterprise and made competitive.

The government should protect our borders, defend our country, issue mail and money, and not much else. The government should not wipe every nose in the land.


11 posted on 03/05/2007 4:36:20 PM PST by sine_nomine (The United States...shall protect each of them against invasion. Article IV, 4. US Constition)
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To: vetsvette

Bingo.


12 posted on 03/05/2007 4:50:14 PM PST by Eric in the Ozarks (BTUs are my Beat.)
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To: vetsvette
Just an example of what the general public would get if the US ever goes with socialized medicine.Absolutely. And check out what Neal Boortz had to say about that today:

THE WALTER REED STORY IS ABOUT YOU!

13 posted on 03/05/2007 4:58:27 PM PST by John123 (Dick Morris predicts Hitlery will be the worst president ever... I will now light myself on fire)
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To: SandRat
I truly believe one of the main problems with Customer Service is the hiring of people who are non military or have no connection with a military family member. Most rude staff I have encountered have no connection to the military at all, thus not appreciating what these military members have given.
14 posted on 03/05/2007 5:04:30 PM PST by WesternPacific
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To: sine_nomine
The VA system is a classic "single-payor" health system, and is a perfect example of the problems with global government budgeting of healthcare. The VA ends up training something like 20% of the country's physicians, and conducts a large percentage of medical research. They own huge amounts of property and lots of expensive to maintain and substandard buildings.

With all the political graft, multi-mission creep and pork-barrel in the VA, care can easily get side tracked, even while we pour 3x the amount of money into it.There are many dedicated people there, who don't make much money, but it is amazing black-hole of funding, even while vets go wanting on benefits.
15 posted on 03/05/2007 5:05:19 PM PST by Wiseghy ("You want to break this army? Then break your word to it.")
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To: Wiseghy

I heard from a doctor friend that they used to wrap the plastic IV tubing around their waistes to sneak it out of the VA hospital and over to Yale New Haven. Only the VA hospital could afford it. At Yale they were piecing together glass tubing.

Your comments are wise. I wish more people knew this.

Health care needs competition, not a monopoly.


16 posted on 03/05/2007 5:15:48 PM PST by sine_nomine (The United States...shall protect each of them against invasion. Article IV, 4. US Constition)
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To: sine_nomine
I haven't heard any one talk about it but I feel this is a good opportunity to expose what can happen when the government is involved in our health care system.
Booo socialism!
17 posted on 03/05/2007 5:57:30 PM PST by cjmae (Sanity was not equally distributed)
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To: cjmae

Ted and Hillary would have done it right, they suggest.

Ted had the Big Dig. That went 10 times over budget before a concrete mass fell on a woman and killed her dead.


18 posted on 03/05/2007 5:59:40 PM PST by sine_nomine (The United States...shall protect each of them against invasion. Article IV, 4. US Constition)
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