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Thursday, March 15, 2007
Michael McBride :: Townhall.com Columnist
The legacy of Walter Reed's failings
by Michael McBride
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While the over-staged drama of Congressional hearings will continue to dominate the Walter Reed story for weeks to come, there are some real cautions for our Congress and media before they jump in and help the military “solve” the problems at Walter Reed.

The problem is fairly simple. The staff at Walter Reed was caught derelict in their duties.

I am sure that while Democrat led Congressional hearings, and the bent media coverage find some way to prove that the President planted the black mold in the hospital, they will be missing a couple of points.

Military medicine is BIG medicine. It, combined with VA operations, are enormous “businesses” that are currently not efficiently managed or effectively led. Managing a tentacled behemoth is no small task, and it must be left to professionals…managers, not doctors. These entities should not be “led” by tenured physicians with some weekend MBA. They need to be led by professional and experienced leader/managers. Not efficiency experts, and accounting fanatics, but thoughtful managerial professionals used to leading large, diverse organizations or corporations.

In the case of the military hospitals, they need to be led by experienced line officers that have earned management degrees outside of military channels. This is the same approach that is taken with the variety of military post-graduate schools, including its War Colleges and its variety of specialized degree programs. But these should be line officers, not doctors trying to extend their careers outside of their operating room duties. It would be even better that any facility that handles the combat wounded, be managed by line officers that were themselves, previously wounded.

This new style of hospital leader would be tied to their patients in a way that would ensure, that in the execution of the primary purpose of their existence, these facilities would be hallmarks of excellence, not paragons of medical mediocrity. Be still moaning doctors…you, as with your educational brethren, have had your chance as manager/leaders, and have failed miserably. Now you get to do business the military way; the way in which “leaders” accomplish their missions, or are rightfully relieved of duty.

The military’s medical services and the VA need to get themselves in shape immediately. They need to meet recognized standards, and sustain them. This is accomplished by getting the cronyism out of the VA, and putting line officers in charge of our military facilities…with no apologies. Changing the leadership strategy for hospital management will be unwelcome by medical professionals, but this change is absolutely critical, if we are to ensure that our wounded are dealt with in the interested and respectful manner that they deserve.

Doctors and dentists in the services and the VA are there for one simple reason, to provide care to our wounded servicemen/women…ALL else is secondary. Failing to accomplish this in the middle of a protracted war is a grievous failing that the Army must atone for, and that all other facilities must guard against…assuming they would pass muster today. For those that wish to keep your jobs, refocus on what is important, and put our wounded as your number one priority…all else pales.

You lost focus at the worst possible time. There is no excuse. It is time for a drastic change.

The services should also move to end charitable campaign solicitations from our service members that do not support military related programs. Through the Combined Federal Campaign, only a fraction of the millions our service members contribute finds its way back onto our bases. This type of charitable campaign should be re-focused to serve only the very specific needs of our service members. This could easily include higher end items or advanced care that our services may not able to provide; such as extended or advanced physical therapy, hi-tech prosthetics, and advanced reconstructive surgeries.

We are missing an opportunity to support “our own” by shipping millions of charitable dollars off our bases each year…it is time to cut off the flow, and call in our marker from those charities that have thrived over dozens of years from the donations of our servicemen and women. Continued...

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About The Author
Michael E. McBride retired as a Major from the Marine Corps and blogs at http://www.mysandmen.blogspot.com.

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Walter Reed and those responsible
What everyone fails to mention is that this fiasco is indicative of the way our country operates now - both government and business. There are NO standards anymore. Hospitals, restaurants and other public places are filthy. Those responsible for the upkeep look at these jobs as welfare and spend most of the time leaning on a mop and talking on a cell phone. "managers" are too lazy or fearful to take any action lest they make someone mad or violate some vague "diversity" rule. Government jobs for political payback, nepotism and special interest group set-asides don't help either. When you are protected in your job (like politicians and civil servants) it's easy to kick back and BS all day. Government bean counters and those that control the money (contract managers) have little interest in the outcome of their expenditures just so long as ALL the money was spent and the rules were followed. These people care little about the result. So what do you expect? The culture in this country today is "don't hurt anyone's feelings" and "I have a right to this job". If this doesn't change, we're going down the tubes - soon.

Walter Reed: The Obvious Lesson
Michael McBride has clearly absorbed the obvious lesson of the Walter Reed scandal:

"If you want to see what universal, government-backed health care will look like … look at Walter Reed."

Why is it that the national “news” media and our elected “leaders” are having such difficulty comprehending something so blindingly obvious?
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