Soldiers Face Neglect, Frustration At Army's Top Medical Facility

<p>"It looks like the masses of poor, underprivileged, patriotic soldiers we use to fight our wars will continue to receive treatment on par with what Medicare patients get, or worse.</p>

<p>Military medicine is truly an abomination that needs massive and immediate change.....that's why it will not happen."</p>

<p><a href="http://www.washingtonpost.com/wp-dyn/content/article/2007/02/17/AR2007021701172.html%5B/url%5D"&gt;http://www.washingtonpost.com/wp-dyn/content/article/2007/02/17/AR2007021701172.html&lt;/a&gt;&lt;/p>

<p>Instead of reform, military medicine has gone downhill since 1998's Pulitzer's work pleading for change.
<a href="http://www.pulitzer.org/year/1998/national-reporting/works/index.html%5B/url%5D"&gt;http://www.pulitzer.org/year/1998/national-reporting/works/index.html&lt;/a&gt;&lt;/p>

<p>"Our admin/beauracracy only know one thing- how to protect their jobs- not how to do a strong job that serves the average member."</p>

<p>"just how many threads, just how many personal accounts from on the job physicians, just how many newspaper articles, poor patient outcomes, doctors separating etc. will it take until somebody with some big enough clout in Washington gets a big enough clue that something stinks in milmed and its time to sweep the crap out the door and do the right thing???????"</p>

<p>My heart goes out to our servicemen.</p>

<p>From Harvard Medical School:</p>

<p><a href="http://web.med.harvard.edu/sites/RELEASES/html/12_11Landon.html%5B/url%5D"&gt;http://web.med.harvard.edu/sites/RELEASES/html/12_11Landon.html&lt;/a&gt;&lt;/p>

<p>"BOSTON-December 11, 2006 - Patients are more likely to receive high quality of care in not-for-profit hospitals and in hospitals with more registered nurses and advanced technology, reports a comprehensive Harvard Medical School (HMS) analysis published in the Dec. 11 Archives of Internal Medicine."</p>

<p>"Not-for-profit hospitals consistently performed better than for-profit hospitals for each condition, and federal and military hospitals had the highest performance."</p>

<p>By they way, they treat servicemen and servicewomen.</p>

<p>
[quote]
"It looks like the masses of poor, underprivileged, patriotic soldiers we use to fight our wars will continue to receive treatment on par with what Medicare patients get, or worse.</p>

<p>Military medicine is truly an abomination that needs massive and immediate change.....that's why it will not happen."</p>

<p><a href="http://www.washingtonpost.com/wp-dyn...021701172.html%5B/url%5D"&gt;http://www.washingtonpost.com/wp-dyn...021701172.html&lt;/a&gt;&lt;/p>

<p>Instead of reform, military medicine has gone downhill since 1998's Pulitzer's work pleading for change.
<a href="http://www.pulitzer.org/year/1998/na...rks/index.html%5B/url%5D"&gt;http://www.pulitzer.org/year/1998/na...rks/index.html&lt;/a&gt;&lt;/p>

<p>"Our admin/beauracracy only know one thing- how to protect their jobs- not how to do a strong job that serves the average member."</p>

<p>"just how many threads, just how many personal accounts from on the job physicians, just how many newspaper articles, poor patient outcomes, doctors separating etc. will it take until somebody with some big enough clout in Washington gets a big enough clue that something stinks in milmed and its time to sweep the crap out the door and do the right thing???????"

[/quote]
</p>

<p>You should really give credit and cite your sources when quoting people, especially when taking quotes off of other anonymous forums. People may mistake that these quotes come from the articles you cite, when in fact they do not.</p>

<p>I don't claim to know anything about military hospitals, but have experience with one of the Veterans Homes in Illinois, the one in Qunicy to be exact.</p>

<p>My father, a Korean veteran, the outgoing, strong, able-bodied, respected, and successful man of my youth is now a shell of a man suffereing from Parkinson's Disease and dementia. There's a reason this is called "the long good bye."</p>

<p>After many months of medical "emergencies," reseulting mainly from falls followed by hospitalization and rehabilitation, we were forced to find a long term care facility for him, as it was no longer possible for my mom to keep him at home. A heart wrenching decision. He went to live in a private special care facility designed specifically for those with dementia and related disorders. </p>

<p>During this process I stumbled on to the Illinois Veterans Home at Qunicy, IL and went to investigate.</p>

<p>The initial impression was not good. Old buildings on a cold, gray day coupled with a job that I didn't want to do. However, after being given the "grand tour" by a veteran who lives on the grounds in an independent apartment, I was duly impressed and applied for care for Dad. </p>

<p>There was certainly a lot of paperwork to get through, but none of it daunting. There was also a wait of over a year before a spot opened up. The facility is large enough to house many more men than are currently there, but the funding to staff the facility is not.</p>

<p>On another cold, gray day a little over a year later, not too long ago, I took my dad and drove for 2 hours to Qunicy. Much farther away than I would have liked him to be, but things are what they are.</p>

<p>Now my real point is that the people who work there and provide care for our veterans are, indeed, angels here on Earth. Each and every resident at the facility not only receives the care they need exactly when they need it, they are each treated with the utmost dignity and respect, which was not always the case with many of the facilities I investigated. I would have to imagine this is very hard to do day in and day out given the physical and cognitive issues surrounding many of the residents.</p>

<p>So although some of the buildings are old, the Administration building having ricketiy stairs and water spotted ceilings, the old adage about judging a book by the cover certainly applies here. Had I not looked beyond the cosmetics of the facility I would not have found what is the best option for my father; the place where he is safe, cared for, and treated with the respect he deserves. </p>

<p>Having been a contributing member of society for many years, and having served his country during a time of war, he deserves nothing less.</p>

<p>As an aside, I would encourage all of you to find a Veterans home in or near your area. Many of the men (and women) who live in these facilities are economically disadvantaged and the Veterans homes welcome donations of clothes, blankets, visits. The gentleman who showed me around during my initial visit craves fresh fruit, something that is difficult to get in such a setting (and he cannot afford to buy it and doesn't have a car to get to the store anyway) but certainly not rocket science if one simply takes the time. Many are alone and a friend on the "outside" would be welcome. How about Sunday dinner, a trip to the store or a movie? Or, the next time you send boodle to your cadet, send some boodle to a veteran living at a home.</p>

<p>Kate,</p>

<p>Thanks for the reminder. For any potential cadets looking for community service hours, this could be just what you're seeking. </p>

<p>We needed the good news story about the caring Home you found for your father. It's good to hear that there is balance. I wish your father all the comfort possible.</p>

<p>Just so people are aware of the distinctions as I am seeing this confusion in other discussions of this topic. WRAMC is run by the Dept of Defense. The VA hospitals are completely different and run by the Veteran's Affairs Department. The Veteran's Homes as mentioned above are a totally different enterprise.</p>

<p>WRAMC is an embarrasment though.</p>

<p>It is old and dirty and not up to par.</p>

<p>Have you guys get a look at Newsweek this week?</p>

<p>No, is there an article about Walter Reed?</p>

<p>It's a combo.@ all of the healthcare (or lack, as they state) of the servicemembers coming back that are wounded.</p>

<p>A lot of stuff on Walter Reed and poor outpatient care in the news. I think the BBC and CNN have pretty good coverage.</p>

<p>there was a front page article about Walter Reed in the NYtimes yesterday, I think. The general who was in charge of the hospital (a West Pointer :( ) was fired and replaced by another USMA grad. </p>

<p>As I understand, a few years ago Bush decided to close Walter Reed (I suppose in anticipation of few casualties from Iraq) , and so it has been a low priority for funding/maintenance/etc.</p>

<p>I'm not even going to comment on the potential of closing Walter Reed.</p>

<p>I read that the general who is the replacement is the one who let the situation get so bad, and that the general being fired didn't really have enough time to turn things around like he was trying too. Sometimes I wonder...nevermind.</p>

<p>I think asking Secretary Harvey to resign was a rash over-reaction and another example of this administration’s tendency to shoot first and ask questions later. That, after all, is what got us in this situation in the first place – not thinking about the consequences and stresses a long war would put on the ancillary requirements to support a sustained conflict.</p>

<p>Let’s look back 27 months ago to when Dr. Harvey was sworn in. The Army had been without a Secretary for over a year. We were in the middle of a war that the Army was primarily responsible for executing and was under-funded to the point where it represented an historic low as a percentage of the defense budget. The Army’s major modernization program was in jeopardy of being canceled by Congress. Recruiting was falling off the table having missed quarter after quarter of recruiting and retention objectives. And the first week Dr. Harvey was on the job the up-armor issue hits the media.</p>

<p>Since that time funding and procurement changes have been made to quickly up-armor necessary vehicles. The operational budget and sustainment funding are in place. The Future Combat System is being managed and making progress in a fashion that Congress is fully funding the Army modernization and even it critics like John McCain are supporting it now. Recruiting and retention goals are being met. Enhanced safety and lean and six sigma programs have improved the operations of the Army in many ways big and small.</p>

<p>Harvey’s leadership style is to get to the root cause of the problems and make the changes necessary to permanently change things for the better – not just to get past the next news cycle. Kiley was clearly part of the problem, because he never reported up the chain what was going on, and temporarily putting him back in place was a judgment call that at first blush didn’t make sense to the media and pundits who go an inch-deep on everything; which spun up everything else. But if you want to get at the root of the problem you want to be able to get the full cooperation and what knowledge those around while it was going on have before you put in new people to run the improved system.</p>

<p>Would Harvey’s approach been as successful at Walter Reed as it was with Future Combat System and recruiting? We’ll never know. Gates and the Bush will get through this news cycle by shooting the Secretary of the Army and creating a Commission. My guess is that the Commission will come back with a nicely bound report that will get put on the shelf and the President will declare “Mission Accomplished”. </p>

<p>Harvey’s record and service to the Army deserves better than the rash reactions of Gates and Bush.</p>

<p>All too often this kind of thing happens in the business world as well. Too many times its easier to make a change in personnel in order to appear to be "taking action".</p>

<p>As a future Nurse Corps officer, I'm embarassed by this whole situation, to be quite honest.</p>

<p>Cadet0509- I echo that sentiment...as hopeful med officer and political intern.
You have no idea how often the office has to hound places for their policies and paperwork in the name of medical care.</p>

<p>My wife visits many VA facilities around the nation for her work and finds they are night and day between each other as far as staffing, ambiance, cleanliness and attitude. Basically, large hospitals in large urban areas that are in a heavily populated states are a night mare with surly staff, often filthy conditions, war amp soliders in the hallways sitting aimlessly or in gurneys, and often less that state of the art facilities. She guesses it has to do with how much padding and political patronage goes down in terms of staffing and budget. Perhaps corruption. </p>

<p>The facilities in the low population states or in rural areas are state of the art medical facilities with terrific staff and great places to visit and work with. Staff in these locales are gung ho, very serious about their mission and the facilities seem to be state of the art. The lesson, I guess, is if you lose a leg in Iraq from an IED, get yourself posted to a rural Texas or Oklahoma VA - do not go near any near the Boston - Washington corridor or LA-San Diego. Like most off-the-cuff rules I am sure this is meant to be proven wrong with the exception, but it does seem to be a trend that she has observed.</p>