[Congressional Record (Bound Edition), Volume 160 (2014), Part 6]
[Senate]
[Pages 8482-8483]
[From the U.S. Government Publishing Office, www.gpo.gov]




                             VA HEALTH CARE

  Mr. CORNYN. Madam President, the steady trickle of allegations 
surrounding abuses of our veterans has turned from a trickle into a 
monsoon. It seems every day that goes by there is an additional bad 
news story about appointment lists that have been cooked to look like 
the waiting times were not as long as they were, allegations such as 
those at the Veterans Administration hospital in Phoenix, where 
allegedly there were secret waiting lists where 40 veterans died 
waiting to get health care, and the secret waiting list was being 
created to make the backlog appear not as serious as it was.
  As we discuss and debate all the numbers on wait times and backlogs, 
it is important as always, whenever we are talking about statistics and 
numbers, to remember these are real human beings and these are our 
veterans with real individual stories.
  They represent people such as Dale Richardson, who is a Vietnam 
veteran from East Texas who died of cancer after reportedly waiting 2 
months to hear back from the VA about scheduling chemotherapy 
treatments. They represent people such as Thomas Breen, a Navy veteran 
who, similar to Mr. Richardson, died of cancer after a 2-month period 
in which he reportedly waited in vain to hear back from the VA about an 
appointment time. They also represent people such as Edward Laird whose 
story was written up in the Los Angeles Times this last weekend. Mr. 
Laird is a Navy veteran, age 76, who discovered a couple of unusual 
marks on his nose, and so he went to the doctor at the Phoenix VA 
hospital to get it checked out, and according to the Los Angeles Times, 
the doctor said he needed a biopsy, but it took almost 2 years before 
Mr. Laird was allowed to see a VA specialist, and when he finally did 
get to see the specialist, he was told that the biopsy was unnecessary 
and so it wasn't done.
  Mr. Laird found it hard to believe, but that is what they told him. 
Unfortunately, by the time he got the VA hospital in Phoenix to agree 
to see him--the situation with his nose which he could tell as simply a 
layman had gotten worse--Mr. Laird was ultimately diagnosed with cancer 
and literally half of his nose had to be taken off because of cancer.
  As Mr. Laird told the Los Angeles Times: ``I have no nose, and I have 
to put an ice cream stick up my nose at night so I can breathe.''
  I will just mention one other story from the Phoenix system. Earlier 
this month a woman named Kim Sertich told the Arizona Republic that her 
father received such poor care at the Phoenix VA that she was forced to 
pay for private care until he ultimately died in 2011. In her own 
words, she said:

       Whenever anyone asked how my father died, I say, ``From 
     being in the VA hospital.'' The icing on the cake is when I 
     received a letter of condolence from the hospital, and they 
     had the wrong name for my dad.

  It is obvious from anecdote to anecdote, from the drip, drip, drip 
that then turns into a flood, there is something terribly wrong with 
the health care and the way the Veterans Administration is 
administering 589,000 claims, with more than half of them backlogged, 
according to the standards and criteria of the Veterans Administration.
  We have known that the backlog has been a problem for years. Indeed, 
we have tried to come together in a bipartisan way and legislatively 
through the national defense authorization bill, where we added money. 
We have added resources to the VA system. Obviously, we have not gotten 
to the bottom of the problem. Part of it, I am afraid, is systemic, and 
some of it, sadly, is part of the bureaucratic culture at the VA, where 
accountability is unknown. You don't get credit for doing a good job. 
You don't get demerits for doing a bad job. There is no accountability, 
and this is what you get without accountability.
  Not only is the VA system failing to provide our military heroes with 
reliable health care that they deserve, there are also news reports 
that the VA across the country has been falsifying appointment data in 
hopes of covering up wait times. Sadly, some of those allegations have 
come from my State. We have allegations of data manipulation of these 
appointment times in Austin, where I live, and Harlingen, in South 
Texas, and San Antonio and Waco.
  For that matter, a former VA doctor named Richard Krugman told the 
Washington Examiner that up to 15,000 VA patients in South Texas were 
either denied colonoscopies--of course, those are cancer screening 
examinations--or they were forced to endure long, pointless delays. Dr. 
Krugman fears that many of those patients simply died awaiting their 
cancer screening or awaiting treatment. If the problems at the VA are 
just a fraction as serious as what they appear from the news reports 
that we see day in and day out or the stories I recounted today, if 
they are a fraction as severe as what they appear to be, we have a 
national scandal of the highest order.
  Let's be clear about what is happening. U.S. military veterans are 
literally dying because of bureaucratic failures and in some instances 
bureaucratic fraud. There is simply no excuse for what reportedly 
happened in Harlingen, Phoenix or in any of the cities where veterans 
or veterans officials have made their allegations. Yet it disturbs me 
that I am not sure the President is taking this with the requisite 
urgency. Apparently it is in the talking points to say, when somebody 
raises this scandal--I think Jay Carney said the President is mad as 
hell. That is what Eric Shinseki said when he testified before the 
Senate Veterans' Affairs Committee last week, but that is, frankly, not 
good enough. We need less rhetoric and more action.
  For starters, the President has still not demanded the resignation of 
the person in charge of the Department of Veterans Affairs. We all 
admire General Shinseki for his service in the U.S. Army, but he on his 
watch has presided over some of the biggest scandals at the VA in 
history. It is painfully clear, no matter what you think about General 
Shinseki--and I admire him for his service in the Army, but it is 
painfully clear the VA needs a fresh new set of eyes, new leadership, 
in order to recover, reform, and regain the confidence of America's 
veterans.
  President Obama still stands by his VA Secretary while nothing seems 
to be happening. Yes, we read about where there is an audit here, audit 
there, but we need top-to-bottom review and reform and we need to see 
the VA once again regain America's confidence.
  It is not just me who is saying this. One of the largest veterans 
affairs organizations in America, the American Legion, has called on 
Secretary Shinseki to step down and new leadership to be appointed.
  Here is just another example of the administration's unserious 
response to this scandal. The person who has been nominated to serve as 
the VA Under Secretary of Health, Dr. Murawsky, currently oversees a VA 
health care

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system in Illinois that was recently rocked by all-too-familiar 
allegations of secret waiting lists. I note that Dr. Murawsky spent 2 
years as the direct supervisor of Sharon Helman, who worked in the 
Great Lakes Health Care System before becoming Director of the Phoenix 
system. As we all know, Ms. Helman was placed on administrative leave 
after the Phoenix VA was charged with creating secret waiting lists of 
its own.
  For these reasons I asked President Obama to withdraw Dr. Murawsky's 
nomination. We need a clean break. We need new leadership, a fresh set 
of eyes, and we need a sense of urgency in what is a growing scandal. 
As I said a moment ago, if even a fraction of these failures and abuses 
were true, it would represent a national scandal of the highest order. 
It is not enough for the VA Secretary to say, I am ``mad as hell.'' 
That doesn't solve anybody's problems. That doesn't fix what is broken 
in the VA health care system. What America's veterans want and deserve 
is bold reform and new leadership. President Obama has the power to 
make that happen, and it is long past time for him to use it.
  I yield the floor.

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