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Veterans Affairs Bungles Spending on New Mental Health Programs
December 05, 2006 1:53 PM
The Department of Veterans Affairs did not allocate all of the hundreds of millions of dollars that was to go to additional mental health initiatives for veterans, nor did it follow how the money it did allocate was being used, according to a new report issued by the Government Accountability Office.
In 2004, the Secretary of the VA approved a new mental health initiative to close the gaps in mental services available for veterans.
"Some of the service gaps identified by the VA were in treating veterans with serious mental illness, female veterans, and veterans returning from combat in Iraq and Afghanistan," according to the report.
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Following that plan, the VA said that $100 million in additional funds would be allocated for mental health services in 2005 and $200 million in 2006. According to the report, however, the VA failed to allocate millions of dollars of those additional funds two years in a row.
In 2005, the report says, the VA failed to allocate $12 million of the $100 million because, according to the VA, "there was not enough time" to allocate the funds before the end of the fiscal year. The report also adds that some medical centers that received funds were also not able to spend them before the fiscal year ran out.
Part of the problem, according to the GAO, is that the proposal process used to allocate funds to different medical centers is very time-consuming.
"If they don't start at the beginning of the year and do it aggressively, they just won't have enough time to allocate all the funds," said Laurie Ekstrand, a director on the Health Care Team at GAO. "We were hoping they would have done better in '06, but they just didn't."
In 2006, the reports says that $42 million of the $200 million that was supposed to be allocated for mental health funding never left the VA.
One veterans' group leader said today that there is an ongoing demand for mental health services that is not being met.
"We know full-well the high demand for mental health services for troops returning from Iraq and Afghanistan," said Paul Rieckhoff, Executive Director of Iraq and Afghanistan Veterans of America. "This money was allocated to help meet that need, and it should be used as such. There are thousands of men and women who come home from war and are told they need to wait months for a counseling appointment at the VA. That is unacceptable."
Another problem, according to the report, was that in some cases the medical centers were not instructed to spend the money that was allocated on the new mental health initiatives.
"Some of this money could have been spent on mental health initiatives," said Ekstrand, "but if they weren't told to do so, then it could have been spent on anything."
The VA issued a statement saying the mental health care is amongst their highest priorities. "VA continues to develop new programs and enhance existing ones to support and treat the mental health care needs of our nation's veterans. VA will also continue to work with Congress and other stakeholders to ensure the vital resources needed to support these programs are available and used wisely," said VA spokesman Matt Burns.
December 5, 2006 | Permalink | User Comments (6)
Something big needs to be done with the VA - they have always been worthless and inept. I am a veteran myself (US Army, 1975-78) and it breaks my heart to see the young (wounded, disabled) vets get screwed by the same government they swore to defend. The VA needs an overhaul - throw out all of the deadbeats, then hire top-notch business executives to run the VA like a business. This country owes a huge debt to all the veterans and it's high time the VA started doing its job to pay that debt.
Posted by: Elaine | Dec 6, 2006 3:33:57 PM
How many veterans are killed each year from pure VA bungling? You'd be surprised.
Posted by: larry | Dec 6, 2006 8:29:16 PM
For those Americans who believe the country should go with a single-payor, government-sponsored health care system, this is a snapshot of what you will get.
Posted by: Keith | Dec 7, 2006 2:13:53 PM
WOW ! !
our soliders go fight in a war, they die they get shoot and the VA still knows just how to screw them even more. Put a President in office that will put a fire under the VA. The VA seems to be against the US soliders and for the greed of money for their pockets only. Maybe the VA is ran by the United Nations!
Posted by: Brian | Dec 8, 2006 12:37:24 PM
I was a VA psychiatrist for 20 years and I can tell you from first hand experience that the Dept of Veterans Affairs and the administration of the individual hospital for which I worked are rife with lazy, self serving, incompetent, and venal bureaucrats. Dedicated physicians and nurses may work in VA medical centers but they allow themselves and their professional principles to be totally subjugated to the bureaucrats. The stories I could tell... Maybe I will.
Let's start with the Mental Health Money mentioned above. I guarantee you it will be spent by bureaucrats trying to create the impression of doing something but in fact the main decision makers will have no real interest in and no useful knowledge of Mental Illness or Mental Health. There will be countless study groups, committees, etc. which will meticulously ignore the Medical knowledge of experienced clinicians because it threatens their power. Many of these Bureaucrats regard soldiers as ignorant victims and war as always unnecessary! The VA may respond to the criticism about the Money not being utilized by some sanctimonious media campaign - I love the word "initiatives" - no money will reach the Veterans and their doctors.
The above reader is right - VA Care is is Hillary Care and it is a rancid bureaucratic degeneration of the Medical profession and Doctor-Patient relationship. It is about the quest for totalitarian government, not about "Health Care."
Posted by: William Beatty MD | Dec 8, 2006 9:13:28 PM
Why doesn't this surprise me? The VA seems to have a Jekyll/Hyde personality;sometimes they are very,very good, and at other times, they are horrid. I have been going to the Perry Point VAMC for years and I shudder at the amount of pure waste of taxpayer money I have seen there over the years.
Posted by: Bill | Dec 9, 2006 9:06:29 AM
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