Headlines broke in April surrounding an investigative report that revealed 40 veterans had died waiting for appointments at the Pheonix Veterans Affairs Health Care System. Further examination affirmed that this was not a singular instance, but rather a widespread case of bureaucratic corruption.
Between the falsification of waiting lists, the retaliation against whistle blowers, and VA Secretary Eric Shinseki’s resignation, all eyes have been on the VA the past few months. Should it come as a surprise, then, that numerous commissions, GAO investigations, hearings, and IG reports previously spoke to the inefficiencies of the VA? Nothing was done about this deep, institutional problem until it was too late.