Monday, July 8, 2019

We've moved!

We have been looking for a more flexible "editor" platform, and chose Word Press.
We will escape the confinement of Long Island and its problems, and tackle a more National agenda.
The new format will be in an essay, OP/ED type of style.

Please come check it out!

Monday, June 3, 2019

Down to "The Northport" - Delay, Deny, and hope you die!

Pictures don't lie!
This video is an investigative report from January, 2017. Can anyone tell me, with a straight face, that what was true back then isn't still true today?

- left click on link, then left click on "go to link".

From VA's National Secretary, "Robbie" Bobbie Wilke, to VISN 2 director, Joanie "The Wicked Witch" McInerney, all the way down to our own little toxic waste dump at "The Northport", and Antonio "Dirty" Sanchez, "Chatty" Cathy Cruise, Charlene "The Charlatan" Thomesen, Eddie "The Sleaze" Savarese, Levy "Cast-A-Spella" Spellman, David "The Gift From Above" Evangelista, Oscar "The Grouch" Prue, Hussein "The Horrible" Foda, and so many more, everyone is in lock-step with the company line.
We are watching, very intensely, the outcome of community care access that will be sanctioned by "The Northport" for the 150,000 some odd Veterans here on Long Island. 
Initial reports are coming in that state only one Urgent Care facility has been contracted by VA New York Harbor. Word is that the contracted facility is in......New Jersey. 
We will report on whether this facility is a standalone or part of a larger "corporate" contract. If it turns out to be a standalone situation, please enjoy your unreimbursable trip to Jersey! 

Here are the equations that drive this shit-show: [ VA math! ]
1.    (plan to exclude) x (number of Veterans) = (no healthcare available)
                       ($$$ cost savings)

2.    (no healthcare available) = (larger management year-end bonuses)


Feds probing Veterans Affairs hospital for malpractice, forged records after vet files formal complaint and sues

And guess where Gary Zambito went to get his Veteran healthcare: 
"The Northport"!


DOWN TO “THE NORTHPORT” - Another “don’t ask; don’t tell" situation:
VA Nurses are not included in the “22 per day” number of Veteran suicides; even though, many VA Nurses are also Veterans. 
The nationally quoted number of 22 comes from the roughly 30 States who report these statistics. The remaining States do not report.
VA, in particular, goes out of their way to list obvious suicides by any other name to save face so their numbers don’t blow the roof off. 
Our society, in general, seems to have trouble dealing with and/or admitting the contributing factors that surround suicide. 
VA seems to lead on this evasion by a country mile, and they are bending over backwards to stretch their lead.

The following article is about actual "working" Nurses; not about the "pencil-pushing" Nurses!

Nurse Suicide: Under the Radar
Mental health of nurses often overlooked, with tragic consequences
by Shannon Firth, Washington Correspondent
MedPage Today May 09, 2019
With this article, MedPage Today begins a series on suicides among nurses, investigating the reasons, reactions from colleagues, and what can be done to prevent them. Some individuals' names have been changed or withheld at the request of family members.

Below is an excerpt of a long detailed article. 
Please open the link provided to read the entire article. 
This is serious stuff!
In late November 2018, a nurse in Southern California took her own life.
"Dana" arrived by ambulance, unresponsive, at the emergency department where she had worked for nearly 20 years, and was cared for by her own colleagues before a transfer to a nearby hospital's critical care unit. Three days later, Dana was declared brain-dead. She was 47.
"She would walk by and give you a big smack on the ass, like 'Good morning. I'm here,'" said Naomi Kelley, RN, a nurse colleague.
Despite sometimes seeming frazzled when she arrived for work -- wet hair, coffee in hand -- Dana was able to make people smile, feel listened to, and feel validated, remembered Kelley.
"She had such a radiance that I kind of always looked forward to working when I saw her there, because she just, she was such a bright personality," said Rhonda Simpson, RN, another one of Dana's colleagues.
Dana had spent the week before her death with her family at the beach celebrating Thanksgiving.
It was "business as usual, family as usual," said her brother Luke. They had gone to town, shopped together, cooked together, and ate dinner together. Dana seemed happy, he said.
She had no known clinical depression, Luke said, and was not receiving treatment for any kind of substance use problems.
Quiet Decision
In the ICU, it was clear that Dana had suffered brain damage. Clinicians waited 3 days to determine the extent and whether recovery was at all possible.
Luke, an emergency room physician, told MedPage Today, "I've never seen anyone survive like that. ... I wanted to have some hope and my family wanted to have hope."
Within a few days, the means to her suicide and a suicide note were found. Her access and knowledge of healthcare were instrumental. (Suicide prevention experts recommend that media reports on individuals' suicides not get into specifics, to prevent copycat attempts; however, opioids were not a factor in Dana's death.)
Her note "was all just stuff that sounded like someone who is in such a state of hopelessness," her brother said."


The actual suicide numbers are getting so enormous that VA is now engaged in dumping the whole kit and caboodle in the lap of the US public. VA is obviously throwing in the towel. They have failed epically on this topic, and they know it. Their plan is to not admit their culpability and blame Veterans and the US public.

This is a sad ending, for a healthcare system that could have been a model for the entire Nation. 

We refer you to the MISSION Act to discover that VA’s new community care program is nothing more than a fraud.
                 VA News Release
The U.S. Department of Veterans Affairs' (VA) Office of Mental Health and Suicide Prevention (OMHSP) and VA Midwest Health Care Network (Veterans Integrated Service Network [VISN] 23) has been working with academic researchers from the University of Pittsburgh's Program Evaluation and Research Unit (PERU) to spearhead a community-based program as one of many efforts aimed at lowering the rate of Veteran suicide.


Nonprofits Struggle to Reach At-Risk Veterans Who Shun VA Services


And, this, from "Dirty" Sanchez's last duty station!

Veterans Affairs employee fired for refusing to support firing a whistleblower


You’re Fired – San Juan VA Director DeWayne Hamlin Terminated



VA Ready to Roll Out Mission Act Program on June 6 But Expect Glitches: Officials



Friday, May 31, 2019

DOWN TO “THE NORTHPORT” - One more time - with feeling!

VA Will Soon Let You Go to Civilian Urgent Care Doctors

29 May 2019 / | By Jim Absher

Got a sore throat or a sprained ankle and don't want to go to a Department of Veterans Affairs hospital? Got sick at 8:00 on a Friday night and don’t want to wait until Monday to see a VA doctor? A new VA program may be for you.
Starting June 6, 2019, the VA will offer medical care to eligible veterans at selected civilian urgent care facilities nationwide.
This is an expansion of the VA's Mission Act, which itself was an expansion of the Veterans Choice Act. The Choice Act was passed in 2014 as the result of highly publicized problems with veterans not being able to get appointments at VA hospitals in a timely manner.
Under this new expanded program, veterans are eligible to get limited urgent care from civilian doctors regardless of how close they are to a VA facility.
If you are enrolled in the VA health care system and have received VA medical care within the last 24 months, you should be eligible for this program. However, you should contact your local VA medical facility before visiting a civilian urgent care provider. Only certain services and providers are covered under this new benefit. If you visit a provider that isn't part of the program, or you get medical treatment that isn't covered under this program, you may end up paying out-of-pocket.
You don't have to go to a civilian doctor if you don't want to. The VA says that most of its locations, including hospitals and community-based outpatient clinics, offer same-day services for most situations.
Once the program has begun, you should contact your local medical office to check your eligibility. Or you can call (866) 606-8198. You can also find civilian community-care locations near you at
One way this program differs from regular VA medical care is that you may have to make a co-payment to see the civilian doctor. The amount depends on your VA Priority Group and how many times you visit civilian doctors each year. Typically, you get three free visits each year.
Co-Payments for Office Visits
  • Priority Groups 1-5. There is no co-payment for the first three visits during a calendar year. For all subsequent visits, the co-payment is $30.
  • Priority Group 6. If the visit is for medical treatment related to combat and chemical exposures such as Agent Orange; contaminated water at Camp Lejeune, NC; Gulf War Syndrome, etc., as well as some mental illnesses, there is no co-pay for the first three visits during a calendar year. For all subsequent visits, the co-payment is $30. If the visit is not related to these conditions, the co-payment is $30 per visit, for all visits.
  • Priority Groups 7-8. The co-payment is $30 per visit.
There is no co-payment for any Priority Group for flu shots.
Co-Payments for Prescriptions
If you get a prescription from an urgent care center, you should fill it at a VA network pharmacy. If you go to an out-of-network pharmacy, you will have to pay the full price at the drug store and then file a claim with the VA to get your money back.
If you are given a prescription for what the VA considers routine or maintenance drugs (such as blood pressure or cholesterol drugs), you will have to get those filled by the VA.
Some veterans may be required to make a co-payment for medication. Prices are based on your Priority Group, as well as the type of drugs prescribed. For details, see
When the benefit starts, you will be able to contact the VA Health Resource Center for questions related to urgent care co-payments at 1-877-222-VETS (8387).
© Copyright 2019 All rights reserved.

What appears above is what Veterans are supposed to be getting; by Law. But....


Go sign up for this and see what they tell you. Be very careful about how you approach this topic with “The Northport”.

The last thing they want is for Long Island Veterans to start handing in bills for healthcare outside their network.

Just before “Chatty” Cathy Cruise was deposed by Tony “Dirty” Sanchez, she put her CBOC plan in place to beat the MISSION Act.

Officially the MISSION Act  goes into effect
this coming Thursday,
and it is fully funded this time around.


Tuesday, May 28, 2019


May 7, 2019

Hutchinson Dubosque, Jr.                       2326570
10 Woolsey S                                        P100T5466
Huntington, NY 11743-2641
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[Redacted for National security reasons]

Your Enhanced Options for Care Through the Department of Veterans Affairs (VA)

You're killin' me.

Dear Veteran:

VA is focused on providing you with an excellent experience every time you trust us with your care. To do so, we use an integrated health care system with internal and community elements.

A landmark law, the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act (MISSION Act) of 2018 strengthens VAs ability to deliver the best care and services at VA sites and in the community. 
Yes....we are!

It helps VA deliver trusted, easy to access, high quality care at VA facilities, virtually through telehealth, and in your community. That means you get the care and services you need, where and when you need them. This letter and the enclosed brochure are the first step in educating Veterans about the changes VA is making under this new law.

Here is what you can expect:
       A single, simple VA community care program, that puts you at the center of your VA health care decisions
       Expanded eligibility criteria for community care, including new access   standards
       Easier scheduling of appointments in VAs community care network
       A new urgent/walk-in care benefit through a network of walk-in retail health clinics and urgent care facilities
       Continued strong relationships with VA providers and staff who provide your care and will facilitate access to the community care network

You won’t be qualifying for this program on Long Island, so just remember...

No...we're not!

We are excited about these changes that will strengthen VA care and care obtained through our community partners. The changes empower you to find the balance in the system that is right for you. As we implement the MISSION Act, you should continue to talk to your VA health care team or scheduler to get the care you need. Our goals are to make sure you know what is available to you, and that care and services are easy to access. Please see the enclosed brochure for additional details.
If we weren't laughing,
we'd be cryin'.

If you have questions about your health care benefits, visit or contact your nearest VA medical facility for information.
Dr. Stone "Cutter"

Absolutely zero community providers have been contracted to deliver this care on Long Island. Don’t believe it, yet? Go ahead and submit a bill from an Urgent Care visit. See what “The Northport’s” response is.



S. 154, VA CLEAR Act of 2019

Senator Jon Tester, Ranking Member of the Senate Committee on Veterans’ Affairs, introduced S. 154, the Department of Veterans Affairs Contract, Leadership, and Ensuring Accountability and Reform Act of 2019, or the VA CLEAR Act of 2019.

The bill will allow VA to establish measures for contractors that help it oversee implementation of the VA MISSION Act and other large contracts that are vital to ensuring the quality of care for our nation’s veterans.
Contracts would need to include: measurable metrics to assess performance; a plan of action and milestones for provision of services; safeguards to ensure a minimal level of quality offered by the contractor; appropriate measures for awards or incentives; and a requirement that the service provider document performance using information technology so the VA Secretary can ascertain the quality of services rendered.

For larger contracts (those worth more than $2 billion), VA must submit to Congress justification for the contract and how it intends to pay for it in future years. Such contracts will also be reviewed by both VA’s Inspector General (IG) and the GAO- Government Accountability Office - to ensure the contractor is meeting the performance metrics in its contract. [Some of you may remember that little $54 Billion award to OPTUM, United Health Care’s logistical management division.]

The Act also requires an independent third party to review VA’s financial processes and actuarial and estimation models and for VA to submit any requests for funding outside of the normal budget process at least 45 days before the program requiring funding is affected along with justification for the needed funds. 

The bill would grant the IG with subpoena power over individuals associated with contract work under review who are not federal employees and require VA to provide centralized records on all Administrative Investigation Board reviews and referrals of clinicians to state licensing boards.
VA has not clearly established performance measures for quality or access to contractors in its proposed regulations [remember the cost overruns in Denver, CO?].

See DAV comments about VA’s proposed regulations on access and quality standards here.  As VA begins to implement the VA MISSION Act-its new broad authority for community care-and develops its integrated community care network, it must have comparative information from VA and its community providers that allows it to make clinical decisions in the best interest of veterans.

Please use the prepared email or write your own letter to your Senators to ask them to cosponsor the VA CLEAR Act of 2019.

Thank you for your support of the Commander’s Action Network and America’s disabled veterans.

As stated before on this blog, you are on your own, now. Go in good health, because that VA you’re so enamored of isn’t going to be there for you on this.

Seems our 5th hospital director in 3 years brings a little history with him here to “The Northport”. We’ll be getting into that sooner than later!
And, yes, he already has a nickname.

[That’s my girl.]