Seeking answers

VA failures rub salt in vets' wounds

Legislation hopes to improve current standards in system

By Vic Vela
Posted 6/15/14

George Claggett was a Marine who lived by his own definition of karma.

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Seeking answers

VA failures rub salt in vets' wounds

Legislation hopes to improve current standards in system


George Claggett was a Marine who lived by his own definition of karma.

The Vietnam veteran believed that treating others well wasn't about reciprocation; rather, it was a belief that his goodness would show up elsewhere, even if he wasn't the one reaping the benefit.

It's a good thing that Claggett wasn't expecting anything in return for his actions toward others, or for fighting in a war of which many wanted no part, because karma wasn't there for him during the last months of his life — much of which was spent in frustration over his dealings with the Department of Veterans Affairs.

"It was hell, absolute hell," said Michael O'Brien, a close friend and Claggett's power of attorney, when asked what it was like dealing with the VA system.

According to O'Brien, Claggett would spend several weeks just trying to schedule an appointment to see a doctor at the VA hospital in Denver. When he would finally obtain appointments, he would sometimes have to wait for hours to see a doctor.

Claggett, of Denver, also waited several weeks to receive lab results of a tumor that contributed to his death on May 2. He was 66.

"It just seemed like all he was doing was waiting," O'Brien said.

Claggett's story is one of many that have surfaced in recent weeks regarding systematic failures and corruption within the VA department.

"I am absolutely stunned, particularly as a combat veteran, that this agency that's entrusted to meet our obligations for those who served in uniform can be so incredibly incompetent... and be so corrupt," said 6th Congressional District Rep. Mike Coffman, a Republican who served in the Iraq War.

Last week, Coffman joined every other member of the House in voting for a bill that aims to address some of the issues that have caused veterans like Claggett to receive substandard care from their government.

The legislation is a start, say members of Congress, to restructuring a government-run entity that has been failing its soldiers for a very long time.

"I am so angry and disappointed," said Rep. Ed Perlmutter, a Democrat who represents Colorado's 7th Congressional District. "There are too many stories like that."

Seeking better options for vets

Last week, the House gave unanimous approval to the Veterans Access to Care Act. The bill requires that the VA send veterans to private health providers when the department is unable to provide care within 14 days.

The legislation would also ban bonuses for VA employees and puts in place greater oversight over the department's operations.

The bill comes on the heels of a federal audit that shows that more than 57,000 veterans have waited at least three months to see a doctor, while others who asked for appointments never received one.

Other findings have shown that VA employees — whose bonuses are tied to wait time reductions — falsified reports to hide information about long wait times. Reports have also shown that veterans died awaiting treatment.

The scandal led to the resignation of department director Eric Shinseki.

Coffman and Perlmutter believe that the legislation will go a long way in helping veterans receive better care, without having to deal with unreasonable — and sometimes life threatening — waits.

"At the end of the day, it will allow the VA to have a much better system to allow vets options they don't have now," Coffman said.

Coffman, who is the chairman of the Oversight and Investigations Subcommittee of the House Veterans Affairs Committee, added an amendment to the bill that sets aside money to pay for court costs that could come as investigations into the scandal continue.

Coffman said that employees who were falsifying reports out of motivation for bonus pay could end up facing criminal charges.

"There are veterans who have died as a result of manipulating these appointment wait times for financial gain," Coffman said. "To me, that's not just a matter of firing people. (It includes) the possibility of criminal charges."

The bill is one of several efforts to change the VA system. Acting VA Director Sloan Gibson has also spelled out a list of reforms that he would like to see made.

Perlmutter said the VA's "arteries have hardened" over the years, due to a culture that has preferred to sweep problems under the rug while hoping that no one notices.

"There's more of a 'protect your turf, protect your fanny' mentality," Perlmutter said. "There's so many good people, but there's others who are protecting their reputation. That's really a problem within the system."

The Senate passed a similar bill the same week. It's likely that the two chambers will come to a consensus on a singular piece of legislation in the coming weeks.

The wounded warrior

O'Brien said that the last year of Claggett's life was spent in grave sickness. He was too sick to work. He often had blood in his urine, lost an unhealthy amount of weight and was also suffering from Post Traumatic Stress Disorder that often brought on flashbacks.

O'Brien said that he tried to set up appointments for weeks and when he was finally successful in obtaining one, Claggett waited for more than an hour to see a doctor — who never showed up.

Claggett's peace finally came during the early morning hours of May 2.

"I gave him some morphine the night before and woke up at three in the morning and I saw immediately that he was gone," he said. "And the son of a bitch had a smile on his face."

Claggett left O'Brien the little amount of money he had at the time of his death to give to the Wounded Warriors Project, an organization that provides services to wounded veterans.

O'Brien said it wasn't in Claggett's nature to "advocate for himself" that he was a Vietnam veteran who deserved better treatment for serving his country.

"My question is, why does a Marine have to advocate for care so he can die with a little dignity?" O'Brien said. "Why does he have to push a system to get him aid that we should be bending over backwards to give?"


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Thank you, Vic. Like all people, he was a complicated guy. But, our Denver VA did not treat him well. He did come to the point where he just wanted to go. But, that war had played a role in his pessimistic outlook. He had suffered with depression for years... It was survivors guilt that killed him. I'm convinced of that. However, when he approached the one family he had in this world.... The military... The va. They told him he "was fine." Look at you! You have a job... You shaved today. We have people who look much worse than you. His response when they denied him coverage for obvious PTSD symptoms? "I don't want to take resources away from fellas who had it worse than me."

There was one memory in particular that haunted him. He was an artillery specialist. When those guys died, according to George, it happened at two in the morning... Mortar fire... Hunkered down in their hooches. He said it was terrifying. He could not sleep through the night. He always woke up at about two AM. During Tet, however, they got pushed off their hill. I think he said it was hill 54. He and his buddies hunkered down in the ravine below their works. All they had were m16s and some grenades. "Michael, I looked up on that hill and their were battalions of north Vietnamese. We were all dead. We started saying good bye to one another. "

Two months before he died, he texted me. It was two in the morning. "I was there again... I was saying good bye to my buddies."

He did not understand why he had survived when others had not... Good men, he told me.

It ate him up. It killed him. And his family... The Marines... His best connection to that institution abandoned him. Shameful.

Monday, June 16, 2014

Again I ask, why should a proud Marine corporal, a combat-hardened Viet Nam vet, have to rely upon his ability to advocate for himself for services that should've been graciously rendered? Why?

Tuesday, June 17, 2014

This is what Corporal Kyle Carpenter said today, (yet another proud Marine) when receiving the Medal of Honor:

"After the ceremony, Corporal Carpenter said he would wear the medal on behalf of his fellow Marines. “As the president put the Medal of Honor around my neck, I felt the history and the weight of a nation,” he said in a brief statement. “I will wear it for those who have been wounded on distant lands who still continue to fight in battle, and through long and difficult days of recovery here at home. And for those who have given it all, I can never express in words what you mean for this nation.”

Friday, June 20, 2014

One last little story: when Vic Vela reports that George's last appointment with his primary care physician was a total bust, it is the truth. His doctor's name was Selena Jain. After delivering some groceries to George, I noticed blood in his toilet. He had never told me about it. I called and called and called to let dr. Jain know. She finally set an appointment for two weeks later. It was this appointment she missed. We waited in her office for as long as George could stand it... Between an 1:15-1:30, i forget. Five hours later, dr. Jain calls, "It's a shame Mr. 'Clad-jet' couldn't make it to his appointment today..." I stopped her mid sentence... "Two things you got wrong with that in that statement, woman: first, his name is Claggett. That you don't know how to say his name speeds volumes. Have you not been his primary care physician for more than two years?! Second, we were not the no shows... You were!"

Her reply... "Oh."

Saturday, June 21, 2014