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Tuesday, March 06, 2007
Dean Barnett :: Townhall.com Columnist
The disgrace of Walter Reed is indefensible
by Dean Barnett
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For conservatives, feeling besieged by the national media comes naturally.

Take Ann Coulter's little speech at CPAC last week where she called John Edwards a "faggot." After the incident, the national media pounced. Republicans were ordered to renounce Coulter, something the top tier of presidential candidates quickly (and rightly) did.

Simultaneously, many conservatives instinctively circled the wagons around the gránde dame of conservative shock "humor." They whined about how unfair it is that Bill Maher can offer assorted televised idiocies each week to an indifferent nation, but let Ann Coulter say one little slur and it becomes every talking head's favorite controversy du jour. Distrustful of a national media that they think is out to get them, many conservatives supported Coulter during her hour of self-induced crisis. The underlying matter of whether or not she deserved their support (she didn't) failed to penetrate the thinking of these fiercely tribal people.

The revelations regarding the conditions at Walter Reed Hospital are of course a story of an entirely different magnitude. Nonetheless, the thought of Henry Waxman brandishing subpoenas while The New York Times writes partisan editorials might make a lot of Republicans reflexively circle the wagons around the once again besieged Bush administration.

This is an urge that Republicans and conservatives should suppress. What happened at Walter Reed is a national disgrace, and leaves an unerasable blemish on the Bush administration. To pretend otherwise would do a disservice to our returning soldiers who have suffered at Walter Reed. The disgrace of Walter Reed is indefensible; a significant conservative or Republican movement to defend it will beg the inference that the conservatives doing so have sold their souls for partisanship.

The Walter Reed General Hospital opened for business in 1909, named for Maj. Walter Reed, who discovered that mosquitoes transmitted yellow fever. In 1977, the modern incarnation of the Walter Reed Medical Center came into being. The hospital has 5,500 patient rooms and is built around a network of courtyards. Every patient room has a view of the outside.

Walter Reed has long been the flagship of U.S. military hospitals. That's why the revelations of the last couple of weeks have been so astonishing. Some of the physical conditions in the facility were disgraceful. In building 18, the epicenter of the scandal, 80 recovering soldiers had to endure soiled rugs and moldy rooms. When the workers finally arrived last week to clean things up, they had to wear protective masks.

And then there were the bureaucratic nightmares. Stories of veterans being treated with callousness, neglect and incompetence are as numerous as they are infuriating. Soldiers who sought additional treatments could get neither timely nor appropriate responses from the facility's dysfunctional operators. In short, our warriors who served our country so nobly were treated in an unforgivably shabby manner.

It is to Secretary of Defense Robert Gates' credit that he has acted so quickly, efficiently and, yes, ruthlessly to set things right at Walter Reed. Gates' course has been a wise one. His firings have been more than symbolic. Both the general in charge of Walter Reed and the secretary of the Army have tendered their resignations. This is a welcome indication that, at least as far as this matter is concerned, "accountability" won't be limited just to the lowest member of the hierarchy that it can be plausibly pinned on.

Even wiser has been Gates' insistence that Walter Reed become an open shop for members of Congress. Without limitations, congressmen and senators can make their own investigations of what went wrong there. While many members of congress from both sides of the aisle will probably use this as an opening for a particularly tasteless photo-op while they deliver a prefab speech of righteous indignations, Gates still has done the right thing. In every sense of the term, Walter Reed had become a fetid mess. If ever a crisis needed the disinfectant that sunshine provides, it's the present one at Walter Reed.

As far as the Bush administration is concerned, longtime supporters (like myself) can only be shaking their heads in dismay and disgust over this scandal unless they've instead opted to man the partisan barricades. Taking care of our veterans, especially at a time of war, should have been a top priority. Being the flagship of all military hospitals, one would have thought that Walter Reed was providing outstanding service.

As has been the case too often with the Bush administration, we can only wonder how this has happened. Surely taking care of our veterans and recently returning soldiers was a priority for the administration. But if those were ranking priorities, how could the administration have done such a wretched job of tending to them?

For the Bush administration, the only available explanations for the disgrace at Walter Reed are that tending to our wounded veterans was a low priority, or that tending to our wounded veterans was a high priority and yet the administration was too inept to get it right.

Neither scenario puts the administration in a positive light.

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About The Author

Dean Barnett blogs almost daily at HughHewitt.com. He has also been a frequent contributor to the Weekly Standard's online edition, The Daily Standard. He can be reached for comment at soxblog@aol.com.

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where are the liberals now?
who said there was no mention of Walter Reed at townhall?

National Disgrace as Harbinger
...of the perils & ptfalls of socialized medicine. If this is the best we can do for those to whom we owe so much, why would a government regulated health care system for the entire population (excluding Congress, of course who would naturally opt out as they have from our social security sustem)be any better?

What's new??
People act as if this finding at Walter Reed is something new. Let me reassure you that it is not. I have been a doctor in training during the Vietnam wars and saw the condition that soldiers were exposed to on returning. They were bad then and in all subsequent wars.

Soldiers returning from our wars are often told that they war expected to replace the equipment that was damaged in battle or worn due to use.

If they are not injured then their quarters are usually worse than those depicted in the pictures taken of Walter Reed.

As to the care at VA, my advice is to eliminate the VA system completely. With the money buy each soldier and his family the best insurance policy available. We would come out with a savings to the taxpayer and the soldier would get world class care.

Indefensible Disgrace of WR
We are talking about a disgrace AT Walter Reed, not THE disgrace OF Walter Reed.

The full-throated outrage of many of those professing outrage is, in many cases, outright hypocrisy. There are more people outside Walter Reed trying to cover their rear than inside. Where were the politicians? All of them had access to the Hospital and many took advantage of their "concern" for Iraqi wounded to make a statement, usually lambasting Bush or the war. Note that the oversight committees of Congrss have turned their duties over to young Tierny and others with relately clean hands.

Administration officials, pundits, reporters, congressional committees responsible for funding operations at Walter Reed and other military and VA hopitals--institutions and individuals throughout the land are bobbing and weaving and slandering a great institution and its' people because of an indefensible part of the institution.
"Fire them all" and keep the current rules, laws, and operating procedures put in place by DOD and the congress and you can look forward to a future of indefensible situations. Thousands upon htousands of veterans and active duty personnel have received expert and caring service over the years and many have not. Let's not throw the baby out with the bathwater. We might replace some committee chairs in Congress as we go after officials at Walter Reed and the administration.

Indefensible Disgrace of WR
We are talking about a disgrace AT Walter Reed, not THE disgrace OF Walter Reed.

The full-throated outrage of many of those professing outrage is, in many cases, outright hypocrisy. There are more people outside Walter Reed trying to cover their rear than inside. Where were the politicians? All of them had access to the Hospital and many took advantage of their "concern" for Iraqi wounded to make a statement, usually lambasting Bush or the war. Note that the oversight committees of Congrss have turned their duties over to young Tierny and others with relately clean hands.

Administration officials, pundits, reporters, congressional committees responsible for funding operations at Walter Reed and other military and VA hopitals--institutions and individuals throughout the land are bobbing and weaving and slandering a great institution and its' people because of an indefensible part of the institution.
"Fire them all" and keep the current rules, laws, and operating procedures put in place by DOD and the congress and you can look forward to a future of indefensible situations. Thousands upon htousands of veterans and active duty personnel have received expert and caring service over the years and many have not. Let's not throw the baby out with the bathwater. We might replace some committee chairs in Congress as we go after officials at Walter Reed and the administration.

What's new??
David is absolutely correct with his comments. Being an active duty servicemember myself, the best thing that we could do is to scrap the whole Military Health System and have the Federal government let servicemembers and their families go see civilian doctors and specialists. This would allow for more choice and faster service. Base this system on the system that the Congress grants its members and it would be much fairer.

A first hand perspective
OK. Some of you may have a problem with what I say at the end of this but I encourage you to take it to hear. In my 31/2 months at Walter Reed, I received some of the very best care that I have ever received. The blame is not entirely on the administration. The large part comes on the contractors and maintenance workers and the soldier who is in charge of those individuals. In too many places there is a stream of unnecessary paperwork that has to be filed to get anything done, and then it takes a few weeks for someone to come out and say, "yep, that needs to be fixed" and then another few weeks before someone finally gets the job done.

Another point I would like to make. During war time it will always be more difficult to provide #1 facility to all soldiers. When you have so many soldiers coming in and going out, it is sometimes difficult to get everything done. I know that some are going to fall through the cracks and get stuck in unnecessary situations due to a mix up in paperwork. It happens everywhere. Not to mention that some of these soldiers contribute to the conditions themselves and do nothing to change them.

As for those who are complaining that they are not getting the proper care or that they have to wait for their appointments. One reason is lack of attention to detail, as well as the lack of taking a little initiative in getting things done. Some of these soldiers expect everything to be done for them and just sit and wait. I have met too many soldiers who, once they get discharged, get to caught up in the trips and activities offered, that they forget about their health until it becomes a problem. That and they tend to sit around and just soak up the money they are getting paid without having to do anything but have a good time. I could go on but I do not want this to get to long as it probably already is.

Ann Coulter
Ann Coulter did NOT call Edwards a Faggot. If you did not understand what she said you need to learn more about her. She was making a joke about rehab for someone that used the word as most think it is "qu@@r". She was merely suggesting that he was a "GIRLY MAN" not a qu@@r.

Scrap the system
I could agree with that, but we would still need a few facilities tht would specialize and that set themselves aside for military and veterans. But not funded by the Gov't, let the free market do it's job.

phoneman
are you on the right thread?

Fiasco and Bush
After the Clinton impeachment debacle, I have refrained from using that word.

When GWB was first elected, I knew he would be a bad president, but not this bad. He would serve out his term and the country would go on.

But the debacle at Walter Reed...

He is the Commander in Chief. These are his men who are coming home in pieces, who will never be what they were before they trusted him and answered his call for troops. These are men and women who put Patriotism, Duty and Honor above personal safety.

There will be creeps from the right who will apologize for him and say he was so far removed he couldn't know. Ann Coulter will spew some hate filled insult about them getting a free check for the rest of their lives. Maybe Bush's mom will say how well its turning out for them.

Anyone who is not insulted by the Walter Reed fiasco to the level of impeachment is not an American and a sorry excuse for a Human being.

Walter Reed is not the main problem
I agree with almost everything posted above, but the Walter Reed Army Hospital is not the sole cause of the problem.

Having spent several years as a logistician in the Medical Service Corps of the Army I can tell you without reservation that the problem lies in two places.

(1) The Surgeon Generals office which totally controls the funding for these medical facilities. It is decided by that offce which hospitals get money and for what the money is to be used to do. That includes the maintainence of all facilities. The local hospital must get authorization from the Surgeon General's office to use funds allocated for their facility. This includes even the funding for medical equipment and other like items.

(2) The Congress routinely cuts Class 8 Funds (Medical Funds) that are to be used by the Surgeon General. They cut those funds so the remaining funds can be used for the various "entitlement" programs.

VA Hospitals are notorious for their ineptitude at doing their job. VA is a government bureaucacy and takes excessivly long times to see patients. That is partially because those who really do not deserve treatment at the VA are the ones who want the most care, from colds to whatever. It takes me from two to three months to get an appointment to have my hearing aids checked and new ones ordered when the currant ones are in need of replacement. The VA system is socialized medicine and should be replaced by a system as outlined in some of the above posts.

And before Vietnam too
Daddy has been in and out of hospitals for 30 years and after one experience with the VA when he first came back from the War, he says he would never return to their care if his only other choice was dying in the yard. I don't think President Bush is to blame for a situation that began before he was born and that has been steadfastly ignored until the present day.

I do note though that as soon as it did hit the fan, he and his folks moved promptly to do something about it and he's not making any CYA speeches or trying to blame a Vast Left Wing Conspiracy, is he?

Can you imagine what we'd be hearing if this mess had been discovered during a Kerry Administration? Or perhaps with Bubba "Ah Hate Thuh Milliturry" in command? And by the way, why WASN'T it discovered on his watch? Was that because, oh, maybe, the militurry was not even on his radar at all, except as target practice for his scornful cadre of hangers-on?

My point being that point made in the sign that hangs on the Factory Floor:

FIX THE PROBLEM. NOT THE BLAME.

Bleeding Heart
Once again someone from the left that has no idea about what goes on in the military and hates the President more than they can stand, that can only say that he should be impeached. I don't even know why I am wasting my time with you. So please, humor me, call me un-American. Then go back and read my screen name, and then read my previous post. I then hope you will crawl back into your hole and rot. You people are so frickin' blind it's beyond hystarical. even if he knew, how bad the BUILDING, note I say Building not buildings, was. it still would have taken a long time to fix. Also note Phoneman's post.

Good on Dean
I have posted twice on the absense of Townhall comment on Walter Reed. I think this story broke, what, three days ago? Four days ago? Dean Barnett is rapidly becoming one of the few decent human beings on Townhall. Doubtless that means he will soon become a hate figure for most posters... never mind at least he has the decency to take a stand. Townhall editors should be ashamed that it took them so long to comment. But hey, tough to bash liberals over this one so probably best ignored, eh?

Bush, Repubs/Cons Self Destruction...
you I should be grinning from ear to ear at the turn of events for President Bush and his Republican cohorts..The utter arrogance, conceit, boorishness & bullying tactics are now reaping their just rewards. The Republican Party is in disarray and it just keeps getting worse for them.

RepubsCons lose control of Congress with dems gainting control of both houses at midterms.

Ann Coulter shows her "conservative stripes" with her "joke" about Dem prez candidate John
Edwards, which erupts in a furror even among
conservative..Guess what? Coulter thinks the reaction to her insult is "funny"

Then those "support and dont insult our troops"
repub/cons display how much they "really care"
about them with their ugly display of aftercare
at Walter Reed Hospital which is being reported as indicative of VA treatment of Iraqi veterans as a whole.

And Finally Scooter Libby is found guilty of 4 of 5 counts.

I'm resisting as much as I can from smiling and enjoying the repubs self destruct..lol

the system, not the leadership
I can hardly believe Dean would pen an editorial without his conservative conscious tugging at his pen to question whether a government-run system that is immune from lawsuits, isn't required to make a profit, and is staffed by employees that are virtually impossible to fire would produce anything different.

And shouldn't he have shown how this illustrates exactly what Hillary-care will bring?

I think we should give the administration credit for trying to institute more accountability into the DHS post 9/11 but the Dems threw a hissy fit at the idea that government workers might have to be held accountable.

Gates could fire the entire leadership and the problem would still be there anew. Just watch "Born of the 4th of July." Oliver Stone knew this in 1989.

Finally a conservative commentator...
... with the decency to see the mistreatment of our wounded veterans as the national disgrace it truly is.

Gates has earned this liberals respect by reacting to it in the way that any decent American should. He was exactly right to start sweeping house at the top of the chain, not at the bottom. What a breath of fresh air after so many years of Rumsfeld shifting blame as low in the chain of command and as far away from himself as he could!

Thank god we have a democratic majority in congress and a free press or this would have continued to be swept as it was under the republican congress for years. Don't forget the republicans had years in the majority when they could have performed proper oversight of the VA (you'd think they would during a war) and made sure that the budget included what was needed to give our veterans the support they need.

For those appologists of the Bush administration who defend Bush's and the republicans unpatriotic behavior, remember that WR is only the tip of the iceberg. No one is disputing that the trauma care at WR is the best in the world. The real problem is what happens to these injured veterans AFTER they leave the in patient facilities and become out patients. Or, heaven help them, they are discharged and sent back to their local VA hospitals.

I am sure it is likely that Vietnam and WW II veterans were treated badly, too, but not this badly. And even if they were, that is absolutely no excuse for an administration for whom this elective war in Iraq has been their defining mission. Like everything else in this war in Iraq, the wounded are the victims of the total incompetence and lack of planning that is the hallmark of the Bush administration.

Let's hope Gates and the democrats in Congress can get some real traction to clean the mess up. Our wounded veterans should not have to wait for a new President before they are treated with the respect and honor they deserve.

VA
Just a little note on the VA. No they aren't the greatest facilities in the country, but they are getting better. The bggest problem in this whole thing IS the GOVERNMENT. I don't care how much money you thow at it, it won't help that much. The problem is that a good number of employees of the VA are there for the job, there just to get their paycheck, they really don't care about the people they are there to help. There is a big difference in what can happen when people really care about who they are there to help. This fact goes even beyond Gov't jobs. It is a rising trend in our country and in almost any industry where you have employees do not take their job seriously and are not there to do the best job that they can for the consumer. And people want the Gov't to take over darn near everything?

One more question, and this for my liberal friends out there, What's your answer to the problem?

Walter Reed Medical Center
As a Vietnam Veteran I am OUTRAGED!! Outraged that none of the great defenders cared enough about my generation to cry about the same and worse treatment of Vietnam veterans. So do excuse me while I get on with my life.
Look Kiddies this is nothing new. Welcome to reality. This country has historically treated it's Service Personnel and Veterans like crap! It's cheaper that way. The only possible exception could be in the treatment of the "Greatest Generation" and they certainly didn't deserve it.
We love to fight wars as long as we win quickly and it doesn't cost to much. Well guess what! Modern wars are expensive wars, while they are being fought and after the fact.
Decide what you are willing to pay, then pay it and live with the results and consequences!

We want a Modern 21st Century Professional Military. But then the idiots are only willing to pay for a Revolutionary War Pay system, Retirement System and Health and support system.
What a joke!

1Leg,phoneman
I have said before that it seems unless you are active-duty,pior service or have someone you know in the service, during peacetime, The military is taken for granted and ignored. Just like phoneman said, funds for medfacs were alwyas being cut for some other entitlement. I feel the care I rec'd was pretty darn good. No medical facilities are without faults. And, 1leg, it is soooo true that it takes legwork to get yourself taken care of. Those pi**ing and moaning many times are as you describe. I curreently have a friend utilizing the system after 20 years! Suddenly some injury pops up from her service and wham...50% disabled pay,school,etc...Ticks me off to say the least.
When you separate, you get a physicals,dental exams and The SGLI insurance...not to mention all the other benefits. But how many actually take advantage of that? They don't because it's work...Right onthe money, both of you.

The Post Office Hospital
People are outraged at the VA and their hospitals. No one seems to realize that it is impossible for government to perform well in any long-term endeavor. Those who know what Adam Smith meant by the "Invisible Hand," know that the invisible hand doesn't function in government. We have the glacially slow Post Office, NASA (the vaunted space program recently grounded by hail-stones), the IRS, the stodgy Parks Service, the Corps of Engineers which was supposed to maintain New Orleans' levies, and , well, the Congress. Can I rest my case? We rage at the VA and will probably allow Mrs. Bill Clinton to nationalize health care so we can all rest well at VA hospitals. The Federal Government can't even win wars. During the last 57 years, America hasn't won a war which lasted for more than 5 days.

my opinion
The ONLY people qualified to talk about the situation at Walter Reed are those who have been there. Speak of your experiences - good and bad.

All others, including me, should shut up, stand aside and LISTEN. (For Once)

MarkMcLemore:
Thank you for distilling the argument to its essential elements. Government cannot do anything as efficiently as the private sector, except things that do not lend themselves to competition. How many sewer and water lines can you run to a single home, or how many different police or fire departments can serve the same neighborhood, or how many different roads can we run?
That is not to say that the private sector is perfect. (Think Enron). But those private examples rarely live long in the face of competition. Name me one government created entitlement program in the last 50 years that was created to cure a particular civil ill, that has not made more people ill and deserving of that programs entitlements? Name one mismanaged entitlement program that went the ways of Enron? Most poorly run government institutions are rewarded with larger budgets as if more money will cure them.

Milton Friedman's dictum that "whatever you subsidize you get more of, and whatever you tax you get less of" comes to mind. Social security and Medicare are broke, but Blue Cross/Clue Shield, Humana, and other private insurers are doing quite well thank you.

The disgrace at Walter Reed
Two things concern me about the way this news is being treated. My first concern is that it is being laid solely on the Bush administration, when in fact it appears that if the conditions are that bad, it could be a long-time disgrace, connected to -- dare I say -- the previous Democrat administration. Secondly, I think the public needs to be educated about who staffs this facility. My guess would be you will find a lot of unionized incompetent federal employees that no on can get rid of. I may be wrong, but I sure would like to know. We need a whole lot of honesty here, and the public is not getting it from the main-stream media. Surprise, surprise.

Running a Business
First of all I did serve in the Air Force so I did get to see military hospitals. Not that that should make a difference.

To the person who made the Clinton connection comment. You're kidding right? This administration has been in charge for 6 years. At what point are the governmental problems that are happening going to be the Bush administration's problem.

Comment - How many of you are aware of the fact that the Department of Defense (the administration) had put Walter Reed on the base closure list? When that happens how readily do you think funds are available for normal things such as maintenance to remove mold? (Not a lot!)

What I don't understand is the removal and replacement that has happened here.

You take someone who has been in a job six months and fire him. How many of the problems do you think HE created over the last six months? You then replace him with his predecessor? This is the individual that I would be looking at for the most responsibility for these problems. Huh?

Do any of you here see this differently?

Mies is right
Military hospitals and VA facilities have had problems like Walter Reed's for a long time. Thank your veterans for putting up with it. But THANK YOUR CONGRESS for causing it in the first place.

Medical care for wounded veterans gets shorted because defense funds have to go first for warfighting -- training and equipping the active. When there's not enough to fund and operate hospitals better, look to Congress. I actually feel for the CG who resigned from Walter Reed. He inherited problems that won't go away any time soon -- it just happened to him at a politically-charged time.

The federal government can't pay for anything until Congress authorizes money first. Congress is responsible for the problems at Walter Reed. I refuse to listen to any member of Congress bloviate about what anyone else should have done there. Congress is wholly, entirely, 100% responsible.

And yes, Vietnam vets are a great generation of servicemen who should have been treated much better by their nation.

Bleeding Heart Liberal
Stop talking out both sides of your mouth!!! If you believe they are really "his troops" and only he is responsable, you should have no problem with him sending more of "his troops" to Iraq and lettig "his troops" stay as long as he wants.
What happened at WR is a terrible thing. So lets fix it. Terrible things happen. It is called life. I do not want to make light of it but I also do not thing we should over react. The typical liberal thing to do is point fingers and play the name gain. Ignore the problem of to much redtape and create more legislation(redtape) to make sure it does not happen again.

We keep seeing symptoms of the same problem expressing itself all over the place. The government is to big and too inefficient to deal with individuals. No system is perfect but there are bad, good, and better systems. Fixing WR is like taking an asprin when you have a brain tumor. It may help in the short but not in the long.

We also need to look at WR and see how the government cares for the sick and make sure we do not go to iniversal health insurance.

Having a new system in place that regulates lawsuits against MDs that is governed by elected term based judges and protected from Insurance interference is a step n the right direction.

Is this new?
Got to wonder why everyone is so surprise the VA system is such a mess, including Walter Reed Hospital. Its only been this way since 1950 or so.

I remember my dad telling us stories about the mess he encountered at VA hospitals after returning from KOREA. He vowed never to return, but eventually swallowed his pride and returned for treatment in the 1985. After a three day stay he declared he'd rather die then stay and home he went. True to his word he died at home within 6 months.

As mentioned by drewrush the current VA system is simply the consequence of a mature socialized medicine system. If the democrats have their way everyone BUT the government will get the medical care that the VA currently dishes out.

dogjudge
Your right, it does not make any sense. When WRAMC came up on the BRAC I couldn't believe it. And they think that they will have more room at Bathesda when Walter Reed sits on 13+ acres. They should be doing the opposite if anything. Who knows what some of these idiots are thinking. We need to replace all the current politicians with people who care about getting the job done and do not care about how long they can stay there.

Walter Reed Mess
Can't defend that,or the system that floats the mess... But I'm not comfortable turning it over to private enterprise for a long list of reasons. I think of it this way,an intity buys in and takes over all or part of the system. That intity is sold and bought several times over several years and eventilly winds up in the hands of Communist China,or some company that is a holding company of OBL. You can't say there will be laws to prevent that because you don't trust the government that has ran the current system. So where are we? And what do we do? Folks this has been a problem for a long...long time. Many presidents have come and gone and all have not adressed this problem. GW is in the scorching light because we are at war. And rightly so. How about this, we don't just throw money at it. We make damn sure oversight is long painful and very intense. Seniority,rank everything is out the window. If you dont do your job your gone with no severience pay parachute, nothing. For a time every facility should be inspected as barracks in boot camp, with the attitude of the drill instructor portrayed in the movie FULL Metal Jacket.Results of said inspections should be available for public viewingat anytime. Perhaps this would begin to show some sincerity to those in charge of fixing this abortion.This may post several times, I can't seem to because the server is busy

Blaming socialised medicine and Clinton
I find it extraordinary but sadly predictable that people on this thread are attempting to deflect responsibility for conditions at Walter Reed on "socialised" medicine and even Clinton. So anyone but the current administration. Listen up - regardless of what has gone on at Walter Reed before; regardless of how military medicine is managed and paid for; regardless of your desire to defend Reublicans at all costs - this HAS happened on your shift. Making excuses, blaming Democrats... all of that adds insult to the injuries that will already scar these young people for life. I would be just as mad if this had happened when Clinton was in charge, if any Democrat was in charge. But they aren't - the Republicans are. So take it on the chin and stop making excuses.

Critical Bill, you are right...
And also everyone remember that Congress had all the years that this war has been going on to perform their constitutional oversight and make sure that everything was geared up and working smoothly for our injured veterans.

What did they do? No end to the parade of republicans (and yes democrats too) from congress who would show up for photo opportunities supporting the injured troops from their districts. But while they were there, knowing how poorly everything about this war was planned and executed by the government did ANY (again republican or democrat) do ANYTHING significant to make sure these problems were not happening or if they became aware of them were fixed? I do not think so.

Now ask yourself WHO brought all of this to the attention of the people and forced the administration to DO something? It was the Mainstream press, starting back in 2004. WHEN did the mainstream press gain some traction on this and get anyone to listen to them? In 2007 AFTER the republicans got kicked out and the democrats gained control and began taking their oversight responsibilities seriously.

What should we conclude from this other than that the republicans were happy to keep a lid on this story and sweep it under the rug as long as they were in charge. I will bet that they made sure no one was able to raise this issue in congress while they held all the positions of power.

The democrats don't deserve to get off the hook either. I cannot believe that they did not get letters and calls from veteran consituents and spouses telling them about these problems. While they may not have been able to force the issue in congress, they at least could have raised holy heck about it, especially prior to the 2006 elections. But for whatever reasons they either chose to keep their eyes closed or to do nothing.

Another reason why everyone, especially injured veterans, should be on their knees thanking god that the democrats control congress now!

1LEGWARRIOR
Losing your leg is a tragedy, but it does not invalidate my claim or make yours superior. I am glad you feel you had reasonable treatment. That was then, this is now.

It is predictable that in war you will have casualties. This administration has done its best to downplay those casualties. They have shown what wonderful care they get immediately after the trauma. And, they get outstanding immediate trauma care. No one denies that. It is the on-going care that has broken down,

As a statement of fact, without insult intended to anyone, the KIA in Iraq would be 3 to 4 times higher if our current troops had the same level of trauma care we had in Viet Nam. The wounds in this war are much more deadly than mine.

These men and women have survived, and you do not go halfway in their care and treatment. You do not put roadblocks in the way of treatment. To put any onus on the WIA for their lack of care is obscene, cowardly and un-American.

I am tired of a CINC who is never responsible for anything. That SOB deserves impeachment for this gross incompetence.



right subject, wrong perspective
I'm glad attention is finally being paid to poor conditions some troops are enduring, and the poor administrative attention some are receiving.

I'm an army doc that has worked at most of the major military medical centers over the past 15 years, including Walter Reed, and a recipient of life-saving surgery in a military hospital. I can say that right now the media is looking at a splinter in the toe of the system with a magnifying glass, when there are some shotgun holes that need to be taken care of.

1) Yes, building 18, a very small portion of outpatient housing across the street from the hospital campus, is in terrible shape in parts. The army could do well to implode it. Not the big issue.

2) Some soldiers face very unnecessary hurdles administratively, and as a result suffer inexcusable delays. A big issue.

There are several underlying problems that need to be fixed at Walter Reed and most military medical centers I've worked at:

Colonels and Generals earn their promotions in the administrative system by taking the business approach of developing 'cost savings' and 'efficiencies'. Often, this means doing more with less, especially when it comes to the costly resource of personnel. There are shortages of nurses, social workers, and therapists of all stripes throughout the system. The other financial pressure results from the yearly belt tightening seen at the hospital level, despite increasing workloads.

For Walter Reed, a unique issue is the District of Colombia. The ability to hire or fire anyone, or build any structures, is incredibly constrained. The clerical staff throughout the years essentially feel they are entitled to their positions, are impossible to fire as DoD civilian personnel, and essentially just suck up oxygen without doing their jobs.

A great unspoken reason for closing Walter Reed is that the campus in Bethesda is actually much larger, and the system would not be constrained by the DC contracting and hiring laws. In my humble opinion, the new Walter Reed Regional Medical Center should be built as soon as humanly possible in Bethesda, and not wait until 2011. A large rehab center similar to the Center for the Intrepid in San Antonio should be built right next to it in Bethesda immediately.

Rules need to be changed to allow for the immediate firing of all personnel underperforming. The primary measure would be easy- write down the license plate numbers of all the cars that leave at 4pm or earlier, and give a stern warning to those that leave before 5pm. Mandate 6 day workweeks. Immediately increase the pay of those valuable civilian personnel who do their jobs admirably and to attract new hires away from the private sector.

All of this will cost a great deal of money- but as the American public has been given a taste of by the Washington Post, you get what you pay for.

People, get the facts
Commenters here need to be reminded of a couple of things:

(1) Walter Reed is not administered by the VA, but by the Army. While the VA may have its problems (and I don't doubt that it does), this is not relevant to the Walter Reed story.

(2) Walter Reed went down the tubes following the BUSH administration's decision to privatize its operation. When that happened, you had a mass exodus of people familiar with, and expert in, the operation of this facility. Operations were outsourced to a private contractor over Army objections, and this is the result we got.

Conservatives are fond of letting the free market take care of everything ...and the less government involvement, the better. Both the Katrina response and Walter Reed show the folly of this rigid thinking. Believe it or not, sometimes the government (in the right hands, that is) CAN be a force for good.

Walter Reed data
Walter Reed has been a train wreck for decades. The main hospital building is millions of dollars behind in maintenace costs. Building a new building is limited due to height requirements, historical buildings, transportation issues, security, and environmental compliance. Moving to Bethesda will allow for construction of larger buildings and will be closer to METRO.

The IAP contract was for base operations and was actually part of Instalation management Command. All Army facilities are scheduled to be maintained by contractors.

Nothing new
A decade ago my wife worked at Walter Reed as a research assistant. guess what? Many of the facilities were every bit as run down and filthy as they are today. This is hardly a Bush administration scandal. It goes back to Clinton, and the first Bush, and probably back to 1907, if we look hard enough. There is nothing new in there being serious shortcomings in the medical facilities provided for the military, and to blame whatever administration is in power is absurd. They are to blame, but no more than all the previous administration who did nothing to correct situations every bit as bad.

Halfway there
Barnett is right that there is a problem. But he has to think more about the cause.

"Surely taking care of our veterans and recently returning soldiers was a priority for the administration." -- There is no evidence of this. They've requested cuts in VA funding over and over. They've put (heckuvajob) cronies in charge of the VA.

Bottom line: they talk about supporting the troops, but they only support the war, not the soldiers who fight it.

Beware the WR snapshot of socialized med
Many of us who have been in the military health care system, the VA, plus some civilian care over the years are well aware that government healthcare is, over all, inferior to profit based civilian care "on the outside". In other words...America doesn't want government funded Hillary Care, Bush's Nanny State, or Pelosi's Granny State, etc, whether they know it or not.

I am glad that the spotlight is now on Walter Reed, which actually looked ancient 20 years ago, but thank goodness it is not the norm.

However, our Troops who have sacrificeid so much for us deserve the best, what ever it costs. Of course, I also believe that too many of our Troops will continue to be needlessly injured and worse, thanks to Bush's over-lawyered PC BS "rules of engagement". He, we, owe our military troops better, in every respect.

Walter Reed & George Bush
In 2001 The Heritage Foundation provided President Bush with a blueprint on how to change the federal government by staffing it with politically loyal appointees, regardless of whether they had expertise in the job or not. In fact, the paper specifically recommended that loyalty be put ahead of expertise. (Read this for yourself: "Taking Charge of Federal Personnel" is online.) With a philosophy of privatizing, rewarding political supporters by giving them managerial jobs in agencies where they may know nothing, and forcing out careerists who, in many cases, are both competent and experienced, the Bush administration has managed to mess up the Iraq reconstruction, Katrina, and Walter Reed all in six years. An audit of Reed found that government could run the facility at less cost, but the Bush administration reversed these findings and awarded a large contract (I believe I heard on TV $120 million) to IAP Worldwide Services, run by two former Halliburton executives. And I did not know until tonight's TV that IAP was the company that performed so poorly trying (but never quite succeeding) to deliver ice to New Orleans after Katrina. Or that IAP has recently cut down Reed's maintenance staff by two-thirds.

The issue is not a simple one. VA hospitals have been famously bad for decades. But the blanket belief that all federal employees are incompetent and all private contractors are brilliant has now been shown to be a fallacy. I hope that the Waxman hearings expose this. Using government jobs as payola to reward political pals is bad enough, but when those jobs are supposed to be doing disaster relief and taking care of our wounded veterans, it is despicable.

To Uncle Max
You say only a person who's been there is qualified to speak? Well, then I guess I'm semi- qualified. I was only on the Reed campus once, but I worked a couple of blocks from there for years. The neighborhood is basically terrible. My office had cockroaches and the alley where I parked my car had rats. It should come as no surprise that Reed, an old facility, scheduled a few years ago for closing, and located in a semi-slum of DC, would be a disgusting mess. Where was the oversight? My guess is that there was the same kind of gentlemen's agreement to keep bad news under wraps that we saw in the Mark Foley scandal. Fortunately the see-no-evil Republican Congress is no longer calling all shots. And I have yet to hear one single conservative acknowledge that the Washington Post (aka liberal America-hating Al Quaeda-loving traitorous commie rag) did a good thing by exposing the Reed situation (or that Salon had already exposed it two years ago).

Meals at Military Hospitals
Kimberly -

Military Hospitals have charged service members and their dependents for meals since 1980.

In 1986 when my second child was born, it cost me $7.90 a day for my wife to eat hospital food. Yum.

In 2000, when I had surgery, it cost me $14.30 a day, to eat hospital food. Yum.

The "squalor" you describe, eventually happens at all facilities, military or civilian, if sufficient funding is not provided.

This situation goes back decades as Congress has continuously chipped away at funding for Walter Reed and other military and VA hospitals.

For example, in 1984, San Diego's Balboa Naval Hospital was known locally as Balboa Butcher-shop. It took significant activism to get Congress to appropriate money to fix or build new facilities.

If you must blame someone, blame Congress, from about FDR's time onward.

It is Bush's fault that Congress has caused the government to grow disproportionate to available funds. The money spent on pork (Congressional allocations to an individual's home state) has gone up, to be sure mostly in (D) states.

It is Bush's fault that our southern border is a joke. That said, and I disagree with just about everything that Bush has allowed to happen on his watch, some light on the subject....

It wasn't Bush's fault that the Clinton Administration refused to sign the Kyoto Accord.

It wasn't Bush's fault that Saddam refused to abide by the UN Resolutions requiring him to disarm.

And it isn't Bush's fault that this was swept under the rug by the hospital administrators.

Your song is getting old and worn out. But,
as always Kimberly, you provide a little slice of sunshine.

Pappy Michael, Kimberly
STFU!!! "Prove it,facts,links"!!! Sanctimonious bit**,er, I mean, monkey!!
You just pretend to give a rat's a** about the troops so you can spew your hate. You are the most myopic individual I have ever not had the pleasure of meeting. You make me physically sick on your moral high horse as long as it means you can point your finger in the direction of the right.
Again, I''ask you...Where the he** were you with all your support of the military and the mission during peacetime? Huh? Where? In your effing cave, taking it for granted and now you simply dump your guano all day, everyday.
And, FYI...The military healthcare system changed to Tri-care some years ago, and yes sometimes they do have to pay...especially dependents. It isn't like it was when alot of us served in the eighties.

Go back you your cave Monkeygirl...you and MGB.

Ode to Monkeys...
"Screaming Monkey Syndrome" (Kimberly, et al, now- as described by GunnyG)
That is, they arrive...
they scream loudly...
flail about spectacularly...
flings poop in every direction...

and then retires to the cave...

And my poem of understanding the "Screaming Monkey Syndrome"(by Nee, revised)

See the monkeys in the cave,
all night waiting to rant and rave
Will they screech, will they scream
We know they will, but we can dream
See the monkeys in the cave,
Oooh to scream and rant and rave!

Pappy Michael
I didn't mean the stfu to you. Hit the post button before I gave you kudos on yourpost to Monkey girl....sorry,sorry Sorry!!

Bleeding Heart Liberal
Just in case you happen to look at this again. It was not "Then" that I was there. It only just over a year ago.

army doc
Sensible comments from people who actually know what they're talking about often seem to be ignored in these comments. Just wanted to thank and commend you for weighing in. You've made a difference.

YEP!
YEP!

Visit: (OsiSpeaks.com) or (OsiSpeaks.org).
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