The Deadly Kid Pot Epidemic in Colorado

Is there a guilty party in this problem? Who deserves the blame? Does the benefit of increased tax revenue outweigh the deaths and other criminal activity or the influx of pot tourism where people are sleeping in the streets and claiming social welfare benefits? Are employers having issues with quality hiring or quality of work output by their workers? How about the high students getting a good education or even attending class? Is Colorado able to compete with other states in the realm of business and commerce?

Report: Colorado Pot an ‘Epidemic’ Among Kids

Sure, we wanted it legalized, but didn’t think kids would want any!

By Trey Sanchez, TruthRevolt:

The results are in, and according to a report by the Rocky Mountain High Intensity Drug Trafficking Area, Colorado children are using marijuana at a much higher rate than ever before and are experiencing an increase in hospital visits, school suspensions, and even death.

It’s gotten so bad, the co-founder of an advocacy group called Smart Colorado has called child and teen use of marijuana an “epidemic.”

“Kids have no idea how dangerous or harmful Colorado’s pot is,” Diane Carlson said.

Here are the numbers in the report via CBS Denver: 29 percent increase in emergency room visits, and a 38 percent increase in hospitalizations during retail marijuana’s first year. Eleven percent of Colorado’s 12 to 17 year-olds use pot — 56 percent higher than the national average. It also cites a 40 percent increase in drug-related suspensions and expulsions — the vast majority from marijuana. The study cites a significant increase in marijuana-related traffic deaths.

The culprit according to Carlson? Its commercialization, she said, adding, “Marijuana might have been legalized in our state; it did not have to mean massive commercialization and promotion of marijuana use.”

Some parents who use medical marijuana have previously complained that its packaging could look attractive to children. In one instance, a mother complained that her hash dose called “Bruce Banner Wax” was contained inside of what looked like a colorful rubber bouncy ball from a vending machine. This was brought to the maker Boulder Pharma’s attention and they pulled the product from their shelves.

Other parents are complaining about the influx of marijuana ads popping up all over the state and how that intensive marketing is affecting children. One parent told CBS Denver that he came home to find his 13-year-old son unconscious, gray, no pulse, and no breathing after what he says was a marijuana overdose. Luckily, he was resuscitated by his father.

And high school-aged users and dealers are balking at the numbers that indicate 60 percent of students use marijuana regularly at certain schools, saying that number is “way low.”

Carlson agrees, saying her organization has heard from “hundreds and hundreds and hundreds of parents throughout the state” with stories like this father and son.

Bernie Sanders Donors: Labor and Shady

The top donors for Bernie Sanders are labor unions and organizations.

PACs rule campaigns today, of this there is no exception. Candidates are called to tow their lobby line for money and access. Bernie loyalists have a dark side, a criminal side.

New filing raises more questions about shady pro-Bernie Sanders group

Sanders campaign has decried Americans Socially United super PAC

PublicIntegrity: Americans Socially United, a super PAC that recently received nearly $50,000 from James Bond actor Daniel Craig, has submitted its first official campaign finance report to the Federal Election Commission.

And it’s a mess: The report from the group that claims to support presidential candidate Sen. Bernie Sanders is riddled with anomalies and raises as many questions as it answers.

The filing by Americans Socially United — whose founder, Cary Lee Peterson, has a history of financial and legal problems and is a wanted man in Arizona — came nearly seven weeks after the mandatory report was due and a week after the Center for Public Integrity raised questions about the super PAC’s operations.

The money from Craig appears to have come at a critical time for Americans Socially United, as the super PAC’s new report states it ended June about $50,000 in the red.

The new report further indicates Americans Socially United had raised about $100,000 from its formation in February through the end of June, although the exact amount is unclear.

That’s because one section of the report lists the super PAC’s total receipts as about $91,000, while other figures indicate it collected about $114,000.

Americans Socially United also states in its report that it refunded a significant portion of the money it collected. But the exact amount is again unclear.

One section of the report states the super PAC refunded about $54,000 in total to donors. Yet another indicates that that number is higher — nearly $80,000 — including $50,000 from a foreign national identified as Alejandro Fernandez of La Paz and $25,000 from a second foreigner simply identified as Anthony Rice.

Only U.S. citizens and green card holders are allowed to donate to federal candidates and political committees.

The report includes the names of about 30 donors but failed to provide federally required information about their addresses, employers and occupations.

Other donations were returned because Peterson’s super PAC got the money by mistake. Some contributions were intended for Sanders’ official campaign, the filing indicates.

Until recently, Americans Socially United listed the names of more than 500 people on its website who had donated, or pledged to give, to the group.

When contacted by the Center for Public Integrity, several of them said they thought they were contributing to the official campaign committee of Sanders, who has himself disavowed all super PAC support as he challenges Hillary Clinton for the Democratic Party presidential nomination.

The Sanders campaign — which has itself collected $2,700 from Craig — even sent Americans Socially United a cease and desist letter in June demanding that Peterson curtail his operation.

Peterson has largely ignored the letter’s demands, which include taking down his social media pages and websites, which include BetonBernie.com, BetonBernie2016.com, PledgeSanders2016.com and SociallyUnited.org.

Among the super PAC’s biggest expenses during its first months of existence? Media, although the filing doesn’t offer many details.

Americans Socially United paid a company called EMW Services about $24,500 for “media services,” according to the report.

Two other donors — one from Naples, Florida, and one from Montreal — are listed as making in-kind contributions to cover five-figure media expenses.

Americans Socially United also paid $4,875 to Peterson’s own company — Robert Peterson Fields Associates — for unspecified “professional services” and spent about $2,500 on airline tickets, rental cars and hotels.

Reached via email, Peterson declined to comment for this story.

In a statement included with his super PAC filing, Peterson said he has been a “target of cyber-industrial sabotage and alleged acts of criminal syndicalism committed by specific financial service providers, a financial institution, web service providers and independent contractors.”

Earlier this month, Peterson declined to comment about the two active warrants out for his arrest in Arizona. Both stem from Peterson failing to appear in court for misdemeanor cases, including a disorderly conduct charge and an “extreme DUI” conviction.

Peterson has also routinely run afoul of creditors, as the Center for Public Integrity recently reported.

He most notably stiffed Dow Jones & Co. out of nearly $170,000 after one of his companies failed to pay for advertisements in the Wall Street Journal.

Moreover, Peterson’s been evicted twice from apartments in Texas in recent years for failing to pay rent.

Peterson told the Center for Public Integrity earlier this month that his past run-ins with the law were not relevant to the work he’s doing now — and that he started Americans Socially United because he’s just a fan of Sanders.

“You don’t need to look back on my past,” Peterson said. “I’m going out there trying to make a difference.”

Campaign finance watchdogs have raised concerns about Peterson’s activities, and the FEC has already told him that his group could face “civil money penalties, an audit or legal enforcement action” for his tardy campaign finance filing.

Ann Ravel, the Democrat who currently serves as the FEC’s chairwoman, told the Center for Public Integrity that she couldn’t speak directly to the actions of Peterson or his super PAC, as the agency does not comment on organizations that it might be actively investigating.

But she expressed general concerns about what she calls “sham PACs,” which primarily exist not to support a political candidate or cause, but the personal bank accounts of the people running the super PACs.

She also issued a warning to people to people considering making a contribution to a super PAC they don’t know much about.

“Make sure the organization you’re giving to is fulfilling the purpose for which you’re giving money,” Ravel said. “It would behoove people to talk to the actual candidate’s committees first” if they’re unsure about a super PAC purporting to support the candidate.

Matthew Petersen, the FEC’s Republican vice chairman, said that in general, people who want to contribute to a candidate’s campaign committee should take care to ensure they’re sending their money to the correct place.

“You really need to be sure to read the disclaimers that indicate whether a committee is an authorized committee” of a particular candidate, Petersen said.

He also said the FEC itself could also review the effectiveness of its regulations and guidance on how unauthorized committees may — or may not — incorporate political candidates’ names into their own.

Save for a few narrow exceptions, super PACs and other political committees are barred from using candidates’ names.

But the FEC hasn’t aggressively enforced these provisions, and a number of groups — chief among them pro-Carly Fiorina super PAC Conservative, Authentic, Responsive Leadership for You and for America, which routinely goes by CARLY for America — have seemingly danced on the fuzzy line between what’s legal and what’s not.

Peterson has also created seven other political committees this year, including several with seemingly official sounding names such as the Congressional Committee on Cuban Affairs and the Congressional Committee on Eurasian Affairs.

None of those groups have yet to file their mandatory mid-year campaign finance reports that were due on July 31.

***

When it comes to standing with government employees, Bernie Sanders in solidarity of increasing the minimum wage. He joined the strike.

RT= Russia Today=Bigger Propaganda

I have always been suspect of this site….you?

UK watchdog raps RT for biased reports

LONDON — RT, the state-owned Russian news channel, was reprimanded by Britain’s communications watchdog Monday for airing biased and misleading reports on Ukraine and Syria.

Ofcom found “significant” breaches of U.K. broadcasting rules in three separate programs screened by RT last year. It ordered the news channel to broadcast statements correcting two of the reports, but stopped short of imposing a fine.

With the latest findings, RT has been found in breach of U.K. regulations 14 times since it began broadcasting a decade ago.

RT, formerly Russia Today, has been increasingly prominent in Britain in recent years, advertising itself as an alternative to the dominant news providers.

Some lawmakers and broadcasters are nervous about its growing influence, amid concerns that it peddles the Kremlin’s view on foreign policy matters.

Margarita Simonyan, RT’s editor-in-chief, said the network was “shocked and disappointed” at Ofcom’s findings. RT had submitted lengthy defences of the programs.

One of the breaches related to a program screened in July last year, The Truthseeker: Genocide of Eastern Ukraine, which aired claims that Ukraine’s government and military were committing atrocities in the east of the country, where the government is in conflict with pro-Russian separatists.

The 14-minute report drew parallels between Ukraine’s military and the Nazis. It concluded with a denial from Ukrainian officials that the government had committed atrocities, but this was insufficient for the program overall to appear impartial, Ofcom found.

Another episode of RT’s Truthseeker series, broadcast in March last year, which accused the BBC of “stunning fakery” in a report on the use of chemical weapons in Syria, was also found to be in breach of U.K. regulations.

RT misled viewers by implying that an official public investigation into the BBC report had uncovered wrongdoing, Ofcom said. The BBC was not treated fairly or given a chance to respond to the allegations, the regulator found.

“Ofcom found that RT broadcast content that was either materially misleading or not duly impartial,” the regulator said. “These are significant failings and we are therefore requiring RT to broadcast two clear statements on our decision which correct these failures.”

*** The next question is what about al Jazeera? In 2011, Cliff Kincaid of Accuracy in Media penned a piece on RT. In part:

Russia Today, an English-language channel provided in the U.S. and other Western countries, is funded by the Moscow regime of Vladimir Putin, a former KGB officer, and recently hired an alleged Russian spy who is in the process of being deported from Britain.

Her first “story” for RT was to complain that Western governments have a “habit of lashing out at other countries for not listening to their people, while blithely ignoring public opinion on their own doorsteps.”

Russia Today has been described by Konstantin Preobrazhensky, himself a former Soviet KGB officer who defected to the West, as “a part of the Russian industry of misinformation and manipulation” designed to mislead foreign audiences about Russian intentions. He says Russia Today television utilizes methods of propaganda that are managed by Directorate “A” of the Russian Foreign Intelligence Service. He explains, “The specialty of Directorate ‘A’ is deceiving world public opinion and manipulating it. It has got a lot of experience over decades of the Cold War.”

In trying to attract and confuse an American audience, RT regularly features Marxist and radical commentators in the U.S. such as Noam Chomsky, Gloria La Riva of the Party for Socialism and Liberation, Carl Dix of the Revolutionary Communist Party, and 9/11 “inside job” advocate and radio host Alex Jones.

DNA Tests Prove U.S. Getting Punked by Refugee Resettlement

Recent Somali immigrants Nur Ali, right, and his wife Mahado Mohamed, left, sit with their six children Shukri Shukri, from left, 9, one-week-old Ifrah Shukri, in her mother's arms, Ugbad Shukri, 7, Hafifa Shukri, 4, Antar Shukri, 10, and one-year-old Ikra Shukri in their apartment at Mary's Place transitional apartments in downtown Minneapolis. The family arrived in the United States four months ago, first landing in Connecticut before coming to Minnesota.

New Somali refugee arrivals in Minnesota are increasing

After a dip in 2008, a second wave of Somali refugees is arriving in the state. But with fewer family ties, this group faces a new set of challenges. 

Tales of the state’s large So­ma­li com­muni­ty had in­trigued them back in the Ken­yan ref­u­gee camp where they had mar­ried and had five chil­dren. Now, a So­ma­li man they met in Hartford told them all re­cent ar­ri­vals head to Minnesota, home of “Little Moga­dis­hu.”

After a major dip in 2008, the year­ly num­bers of new So­ma­li refu­gees in Minnesota have re­bounded stead­i­ly. The num­ber of So­malis re­set­tled in the state has more than trip­led in four years. As resettlements nationally have picked up, more So­malis are also arriving here after brief stints in other states — often trading early support from resettlement agencies for the company of more fellow Somalis.

“You tend to go some­where you can con­nect,” said Mo­ha­mud Noor, the head of the Con­fed­er­a­tion of So­ma­li Community in Minnesota. “Be­fore peo­ple even ar­rive from Af­ri­ca, they know they are com­ing to Minnesota.”

But without the Twin Cities family ties of earlier arrivals, these newcomers often can’t lean as heavily on longer-term Somali residents. Mary’s Place, a Minneapolis home­less shel­ter, has be­come ground zero for fami­lies like Ali and Mo­ha­med’s. Somali participation in the state’s public food assistance program doubled in the past five years. Meanwhile, the Minneapolis School District, its So­ma­li stu­dent en­roll­ment up 70 percent since 2011, launched eight class­rooms with in­struc­tion in both Eng­lish and So­ma­li to help new­comers catch up.

In some ways, Ali and Mo­ha­med have had a steep­er learn­ing curve than So­malis who set­tled in Minnesota in the 1990s and early 2000s. The cou­ple spent their en­tire a­dult lives in tents at Ken­ya’s sprawl­ing, over­crowd­ed Hagadera ref­u­gee camp. They didn’t have fam­i­ly or close friends who re­set­tled in America be­fore them, and their no­tion of life in the Unit­ed States was forged out of camp leg­end.

“We al­ways used to think when you come to America, you have a lot of mon­ey and life is re­al­ly easy,” Ali said through a trans­la­tor. “We have been sur­prised.”

Ali and Mohamed are part of a new wave of Somali refugees. Until 2008, the state resettled only refugees reuniting with family here.

But that year, DNA tests showed only about 20 percent of ap­pli­cants in a ref­u­gee fam­i­ly re­u­ni­fi­ca­tion program, most of them from Af­ri­ca, were ac­tu­al­ly re­lated to their stateside sponsors. The program was sus­pend­ed, even as So­malis ar­gued a broad­er defi­ni­tion of fam­i­ly was as much a factor as fraud. The num­ber of new So­ma­li ar­ri­vals plum­met­ed, from a high of more than 3,200 in 2006 to 180 in 2009.

Mean­while, more strin­gent back­ground checks for refu­gees in 2010 snarled the ap­pli­ca­tion proc­ess. Lar­ry Bart­lett, the U.S. Ref­u­gee Ad­mis­sions program di­rec­tor, says the stream­lin­ing of se­curi­ty checks since and the re­sump­tion of the fam­i­ly re­u­ni­fi­ca­tion program in 2012 led to the re­cent in­crease in So­ma­li ar­ri­vals — a trend he ex­pects to con­tin­ue in the next few years.

In the fis­cal year that end­ed in Sep­tem­ber, Minnesota wel­comed al­most 1,050 So­ma­li refu­gees ar­riv­ing di­rect­ly from Af­ri­ca, most of them with­out fam­i­ly ties to the state. Na­tion­al­ly, 9,000 So­malis were re­set­tled, up from about 2,500 in 2008.

No ‘out-migration’

The ex­act num­bers of So­malis moving to Minnesota from oth­er states are hard to track. But there’s little doubt their ranks have swelled, too. The federal Office of Ref­u­gee Resettlement com­piles partial numbers showing about 2,620 total ref­u­gee ar­ri­vals from oth­er states in 2013, up from 1,835 two years earli­er — making Minnesota the state with the high­est in-mi­gra­tion by far.

“This has al­ways been an is­sue for Minnesota,” said Kim Dettmer of Lutheran So­cial Service, one of the ag­en­cies that helps re­set­tle refu­gees who come di­rect­ly to Minnesota. “We have in-mi­gra­tion. We don’t re­al­ly have out-migration.”

Af­ter ar­riv­ing from Kampala, U­gan­da, Ayan Ahmed and her nine chil­dren, ages 4 to 18, spent six months in Phoe­nix. There, Catholic Charities had lined up a fur­nished four-bed­room home for the fam­i­ly and a neu­rol­o­gist for Ahmed’s eld­est son, who is blind.

But then, some fi­nan­cial sup­port Ahmed re­ceived as a ref­u­gee was about to dry up, and she wor­ried about cov­er­ing her $1,200 rent. Most So­ma­li fami­lies she met in Phoe­nix were longtime resi­dents, the strug­gles of ad­just­ing to a new coun­try long behind them. They urged her to go to Minnesota and raised mon­ey for the plane tick­ets.

Ahmed, who is staying at Mary’s Place, says local Somalis have picked up groceries and takeout food for her, and lent a compassionate ear: “Some days, I feel I stayed in Mogadishu.”

Challenges for newcomers

Ali, a five-month preg­nant Mo­ha­med and their kids ar­rived in Minneapolis four months ago with­out a de­tailed plan. They had used up most of their ref­u­gee cash pay­ments for the plane tick­ets.

At the air­port, they met a So­ma­li cabdriver who of­fered to drive them to Village Market, a So­ma­li mall in south Minneapolis. The fam­i­ly went to the mosque in­side the mall, prayed and asked for help. A So­ma­li fam­i­ly agreed to put them up for the night and took them to Mary’s Place the next day. There, the couple, their five older children and new­born daugh­ter sleep on three bunk beds in their tidy a­part­ment.

In some ways, things are look­ing up: Ali is tak­ing Eng­lish class­es and re­cent­ly found a full-time job as a butch­er in a ha­lal mar­ket. They have health in­sur­ance and food stamps. But they have found they can rely only so much on local So­malis, who are busy with their own lives. And saving up en­ough mon­ey to move into their own place is an elu­sive goal that weighs heav­i­ly on Ali.

With lim­it­ed ties to the local So­ma­li com­muni­ty, re­cent So­ma­li ar­ri­vals face a new set of chal­len­ges. Community lead­ers say it used to be un­think­a­ble that a So­ma­li fam­i­ly should land in a home­less shel­ter: New­comers could in­voke the most tenu­ous fam­i­ly con­nec­tion to move into famously hospitable So­ma­li homes in­def­i­nite­ly.

But these days long­er-term resi­dents re­cov­er­ing from the re­ces­sion might balk at put­ting up com­plete strang­ers. Mean­while, af­ford­a­ble hous­ing for large fami­lies is scarce, es­pe­cial­ly in Hennepin County.

Ironically, community activists such as Abdirizak Bihi say, these newcomers might need more support than earlier arrivals. Many have spent most of their lives in makeshift camps such as Qabri Bayah in Ethiopia, with basic amenities and limited access to formal education.

When these refugees move too soon after arriving in a different state, they get cut off from resettlement agencies there responsible for finding homes and jobs for them. Noor, whose group tries to assist newcomers with navigating the transition, says the fed­er­al gov­ern­ment needs to do more to dis­cour­age this early migration. At the U.S. State Department, Bart­lett says staff members strive to honor refu­gees’ host city pref­er­ence. Some refu­gees even sign a docu­ment af­firm­ing they are going to the city where they want to stay.

“The prob­lem with mov­ing quick­ly is that the bene­fits don’t al­ways fol­low you,” Bart­lett said. “We re­al­ly try to im­press that upon them.”

Adjusting to the influx

Mary Jo Cope­land, the found­er of Mary’s Place, says as many as 60 of the shel­ter’s rough­ly 90 units are oc­cu­pied by So­ma­li fami­lies, gen­er­al­ly re­cent ar­ri­vals from Af­ri­ca by way of an­oth­er state. Cope­land, who hired two So­ma­li-speak­ing ad­vo­cates to help the fami­lies with job- and a­part­ment-hunt­ing and more, says these resi­dents have im­pressed her: They take Eng­lish class­es, keep their apart­ments im­mac­u­late and save up ev­er­y­thing they earn work­ing at day cares, gro­cer­ies and cab com­panies.

“You name the state, they are from all over,” she said. “As soon as they move out, oth­ers move in.”

The num­ber of So­ma­li adults and children who participated in the state’s fam­i­ly cash as­sist­ance program jumped 34 percent from 2008 to 2013, to 5,950. At the same time, food as­sist­ance participation increased 98 percent, to 17,300 adults and children, which does not include U.S.-born Somalis. Census numbers place the Minnesota Somali community at more than 33,000, a count Somali leaders say underestimates its size by tens of thousands.

The Minneapolis School District responded to a ma­jor up­tick in new So­ma­li stu­dents by launching the NABAD program, an ac­ro­nym that’s also a greet­ing in So­ma­li. The dis­trict is al­most 10 percent So­ma­li this fall. The new class­rooms — two last year, eight this fall af­ter prom­is­ing early re­sults — fea­ture an English language learn­er teach­er and a So­ma­li-speak­ing aide. Students spend a school year there be­fore join­ing the main­stream.

At Andersen United Community School, teach­er Stephany Jallo and her third- through fifth-graders re­cent­ly went over a pic­ture book called “Nabeel’s New Pants,” about a group of kids who re­ceive clothes as gifts to wear for the Is­lam­ic hol­i­day Eid. At each of Jallo’s ques­tions, hands shot up. Oth­er stu­dents looked to Ham­di Ahmed, a visit­ing co-teach­er, who trans­lat­ed into So­ma­li.

Jallo says four of her 20 stu­dents came with no for­mal ed­u­ca­tion, but most are mak­ing rapid prog­ress: “I have no doubt I have fu­ture doc­tors, law­yers, teach­ers and sci­en­tists in my class.”

Ali and Mo­ha­med’s kids also have ac­a­dem­ic catch­ing up to do. These days, the par­ents wor­ry about af­ford­ing win­ter coats, an a­part­ment and fur­ni­ture. But when they see their kids crack­ing open their home­work min­utes af­ter get­ting home — the glass facade of Tar­get Field gleam­ing be­yond the kitch­en win­dow — Ali and Mo­ha­med’s faces fill with hope.

Entire VA System Broken, Moment of Reckoning

Eric Shinseki could not fix it, Robert McDonald cant fix it, $60 billion cant fix it. The culture, the bureaucracy and leadership is at issue, either take it out of all government hands or put it into the Department of Defense. It may save a life or it may or it may restore a life.

Either way, a solution is at hand, the WILL to do it must be reckoned today.

VA Needs ‘Systemwide Reworking,’ Independent Report Finds
Congressionally mandated independent review of Veterans Affairs health-care system identifies widespread problems

WSJ: A sweeping independent review of the Department of Veterans Affairs health-care system made public Friday shows the multibillion-dollar agency has significant flaws, including a bloated bureaucracy, problems with leadership and a potentially unsustainable capital budget.

More than a dozen assessments—from analysts including Mitre Corp., Rand Corp. and McKinsey & Co.—show that the Veterans Heath Administration, the health-care arm of the department known as VHA, is still plagued by long-standing issues, including unsustainable costs in the future and a system that veterans find tough to navigate.

The assessments, weighing in at more than 4,000 pages total, were mandated by the Veterans Access, Choice and Accountability Act, commonly known as the Veterans Choice Act, a more than $16 billion emergency funding measure passed last summer in the wake of a systemwide scandal at the VA that led to the resignation of a number of top officials, including then-Secretary Eric Shinseki. They appear to restate, more thoroughly, many issues that have been previously identified. The assessments will be used by the Commission on Care, also mandated by the act, which is tasked with presenting the VA and Congress a comprehensive reform plan in early 2016.

“The report bears out collectively what I have seen individually, what I have seen in my role as chairman over the past nine months,” said Sen. Johnny Isakson (R., Ga.), chairman of the Senate Committee on Veterans’ Affairs. “There is a huge focus on some glaring deficiencies that need to be addressed.”
Mr. Isakson said the VA suffers especially from a system saddled with a number of different departments that can’t effectively talk with each other, as well as a number of vacancies in leadership positions that need to be filled, though he said the department has been working to correct a number of issues.

“VA is undergoing a radical transformation,” the department said in response to the findings, pointing out a number of efforts to address problems highlighted in the assessments. “VA will work with Congress, veterans service organizations, veterans, and other stakeholders on the recommendations outlined in the Independent Assessment Final Report. VA will especially work closely with Congress on those final report recommendations that specify specific congressional action needed to implement.”

The assessments found VA care outperformed non-VA care by many measures but also showed a system that needs even more change.

“The independent assessment highlighted systemic, critical problems,” the report said. “Solving these problems will demand far-reaching and complex changes that, when taken together, amount to no less than a systemwide reworking of VHA.”

With an annual budget of some $60 billion, 1,600 health-care sites and 300,000 employees, the VHA says it is the largest integrated health-care system in the U.S. Last year, nearly 6 million veterans were treated in the system.

The reports portray the VA as a huge operation that has become difficult to steer and permeated by a bureaucratic system plagued by mismanagement and inconsistent care from hospital to hospital.

“It’s pretty bad for VHA, it’s pretty stinging,” said a senior staff member of the Senate Committee on Veterans’ Affairs. “There’s nothing in here that has surprised me, but seeing it all in one place is probably the hardest thing.”

“They’ll push out a directive and they won’t follow-up to see how it’s implemented,” the congressional staffer said, adding that a large number of leadership positions in the organization remain unfilled or staffed by interim employees.

The report shows that the central office has grown 160% over the past five years, yet key leadership positions down the chain remain empty. More than half of the executives in the organization are eligible for retirement and could leave at any time, which could create even more leadership gaps.

The lengthy and critical reports come as the VA faces questions over whether it should allow more veterans to go outside of the system to receive private care. Recently, according to the assessments, health care obtained outside of the VA accounts for about 10% of VHA expenditures. The Veterans Choice Act of last year was built in large part around funding this type of care.

Questions about further privatization were highlighted recently when Ben Carson, a leading Republican presidential candidate and physician, suggested the VA make a push toward privatization and elimination of the VHA, its health-care delivery arm.

Earlier this week, a number of major veterans groups sent an open letter to Mr. Carson stressing the need to keep the VHA solvent.

The assessments released Friday unfavorably compared the VA’s management style to a number of private health-care providers like Kaiser Permanente.

Sen. Isakson said the Veterans Choice Act, which allows veterans more leeway in seeking care outside the VA, was an emergency measure and not something meant to steer the VA down a privatized path. “The Choice program, contrary to what everyone thought, was not a sinister program to privatize the VA.”

Robert McDonald, who took over as VA secretary last summer, has been praised by many in Congress as well as most major veterans groups for his efforts to reform the VA and his willingness to listen to patients and workers. But he has also been criticized for things like moving too slowly in firing underperforming employees and not supporting efforts to create an environment where employees can point out wrongdoing in the department. Mr. McDonald has said multiple times in the past that he is forcing out bad actors as quickly as possible.

“As a general matter, the president has made it a priority to ensure that America’s veterans are getting the kind of health care and benefits they have so richly earned,” White House press secretary Josh Earnest said Friday, saying he had not seen the substance of the report.

Mr. Earnest said that some of the reforms at the VA have already begun to show progress in improving care.

“But the president, Secretary McDonald and other senior officials at the VA are not going to rest until we have accomplished our goal of making sure that all our veterans are getting the kind of care that they deserve, on time,” Mr. Earnest said.

On Thursday, the U.S. Office of Special Counsel, an independent federal watchdog tasked with protecting government employees, especially whistleblowers, sent a letter to President Barack Obama criticizing what they said was the VA’s reluctance to take disciplinary action against officials responsible for inadequate patient care.

“I have identified recent additional cases in which the VA confirmed serious misconduct brought to light by whistleblowers, yet failed to appropriately discipline responsible officials,” said Carolyn Lerner, the head of the office. Her office criticized the VA for punishing whistleblowers while not punishing those who engaged in misconduct.

“Over the past year, the Department of Veterans Affairs has worked closely and in good faith with the Office of Special Counsel to correct deficiencies in the department’s processes and programs to ensure fair treatment for any whistleblower who raises a hand to identify a problem, make a suggestion or report what may be a violation in law,” the department said in a statement.

Access to VA care has increased dramatically since the mid-1990s, the report said, as changes in policy opened up the system to include not just combat-wounded veterans but many others who have served. Former Secretary Shinseki pushed to have veterans take advantage of their benefits and increased access to those like Vietnam veterans exposed to Agent Orange.

Although the VA has other departments, including a benefits arm, the VHA accounts for nearly 90% of the department’s discretionary budget and employee base. While the total population of veterans in the U.S. peaked around 1980 at 30 million and has declined since then, according to the report, demand for VA care has been steadily increasing as greater numbers of vets take advantage of benefits. The number of enrollees and patients isn’t expected to peak until 2019.