Category Archives: Health Disease

VA, Gang-Green-Gate

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Too bad Eric Shinseki left government service at the lowest point of his career, he should have and he deserves a scarlet letter for shame.

Alas, the VA audit report is here, it does virtually nothing to solve what the whistleblowers have revealed.

For reference, the House Veteran Affairs Committee did their job and contacted Shinseki by letters more than once. While letters seem feeble or shallow, they are in fact a part of Congressional record, such that Shinseki could never claim ignorance of the gigantic malfeasance that required and begged for his attention and action.

White House now says the VA is deploying “mobile medical centers,” hiring staff to try to address 57,000 patients waiting for health appointments, this is coming from an audit report.

 

The House passed at least 6 bills in the last several years in an earnest attempt to fix the VA. By virtue of these bills alone should have gained the attention of Shinseki as every government agency has a congressional liaison that keeps pace with all legislative actions. All the legislation passed by the House, arrived in the Senate and well, Harry Reid and of course Senate Veterans Affairs Chairman Bernie Sanders were too busy at lashing out at other matters like the Koch Brothers to take up the measures.

VA death

Given the gravity of the VA and the solutions passed by the House, there is zero excuse for the Senate leadership to claim stupid on the matters, there is a paper trail and congressional record to prove the actions. Both Harry Reid and Bernie Sanders belong before ethics committees for violations, they belong in an investigation by FBI for being complicit in perpetuating death, sickness and actually falsifying government documents.

Where is the outrage? How many moral compasses are broken? What were the DNC’s talking points? Where was Barack Obama? Where was the White House Chief of Staff?

A whistleblower in Arkansas reported a patient choked on his own vomit and died the next day because emergency equipment was not properly stocked at the Department of Veterans Affairs hospital in Little Rock.

Another whistleblower said a patient died from a heart attack at a veterans’ hospital in Maine after the on-duty doctor failed respond to an emergency code, delaying proper treatment for more than two hours.

—-

The Democratic-led Senate Committee on Veterans Affairs failed to hold sufficient oversight hearings into problems at the Department of Veterans Affairs despite Republican demands dating back more than a year to do so.

The VA, moreover, failed to provide the committee with information necessary to address problems, congressional insiders say.

The committee, chaired by independent Vermont Sen. Bernie Sanders, who caucuses with the Democratic Senate majority, held only seven oversight hearings to address problems, three legislative hearings to discuss new bills, and two markups to rewrite legislation in the 113th Congress that began in January 2013.

The committee’s lack of initiative angered Republicans on the committee, who wanted to address health-care issues like the kind that led to secret waiting lists and preventable veteran deaths at the Phoenix, Arizona VA Medical Center.

In Jackson, Miss., seven whistleblowers came forward with allegations that patients’ health was jeopardized by filthy conditions and unread imaging tests like X-rays.

Other practices in Jackson included scheduling patients to see doctors in fictional “ghost” clinics or double booking appointment times, which often resulted in the veteran going unseen.

It got so bad at the Jackson hospital that the Drug Enforcement Administration suspended prescription-writing authority for some of the staff at the facility.

The whistleblowers continue to investigate and report VA issues and yet there have been no immediate solutions offered. But hey the proposed Senate bill includes the construction of a new VA care facility in Hawaii and perhaps as many as 37 more new locations CONUS at a cost of $500 million. Oh, so more places and more money spent but no real method of fighting past the fraudulent paperwork, the secret lists or frankly the smell of disease, gangrene and death?

The outrage must continue and be placed at the feet of the White House and the two stewards of the White House, Sanders and Reid.

Imam’s Don’t Care about Rape Gangs

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It is clear that parts of England are under siege by Muslim men and the respective Muslim leadership and Imans don’t care. It is with some satisfaction that local Christians are taking the fight right to the local UK mosques. Even PM David Cameron and law enforcement is taking notice.

So it is the Muslim Rape Gangs that is but one component at issue and if you don’t think it is not our worry in America, then you are sadly mistaken.

So taking the fight to the Muslim’s front door can be seen here.

Muslim Child-Rape Gangs in Britain

It recently emerged that British police had known for more than a decade that Muslim rape gangs were targeting young girls, but they ignored the evidence of rapes because “they were petrified of being called racist.” Rather than acknowledge that there is a problem, Muslim groups have decided to play the victim card instead. They are working overtime trying to silence public discussion about Muslim sex crimes by branding critics as “far-right racists” and “Islamophobic.” Several of the men on trial in Liverpool apparently told their victims that it was all right for the girls to be passed around for sex with dozens of men “because it’s what we do in our country.”

Chilling testimony can be read here. A full summary of rapes in the UK is here.

Now for America and this is even more terrifying.

 

Muslim Rape

Detroit imam sentenced to 35-50 years in prison for raping girls

Mohammed Masroor, who used to teach Islam to students in Detroit and Hamtramck, was convicted earlier this month on 15 counts in the sexual assaults of three young girls, who were his relatives, in 2000.

The case drew attention because the Wayne County judge handling the case, Michael Hathaway, ruled that victims, who are now adults, and other witnesses could testify wearing the niqab, a religious face veil that covers the entire head except for a narrow slit that shows the eyes. It may be the first time in the U.S. that a judge allowed women to testify while wearing a niqab.

Judges in England and Canada ruled last year in separate cases that women could not testify wearing the niqab. But prosecutors in Wayne County said women in Masroor’s case should be allowed to testify wearing the veil, and Judge Hathaway agreed.

Prosecutors said Masroor used his knowledge of religion to manipulate his victims, who ranged in age from 10 to 13 at the time of the assaults.

Masroor’s attorney, Mitch Foster, has said his client maintains his innocence.

Why Muslims Rape

In Bangladesh in 2011, a 14 year-old girl, who was sexually assaulted by her 40 year-old cousin, received 100 lashes for her “adulterous” behavior. She did not survive her punishment for being a victim. Over the past decade, several hundred women have been flogged in Bangladesh under similar circumstances.

Flogging is the punishment for fornication in Islam, whether the woman had casual sex by choice outside of marriage or was raped. Without four male witnesses or the confession of the attacker, no rape case can be proven, according to Shariah law. So if the victim is “brazen” enough to report the crime, she is thus admitting to having sex, which in itself is a crime if the sex was not with her husband. And in normal circumstances, a rapist would not attack in front of any witnesses, unless they were also a part of the attack. Facing such dire punishments, it is highly probable that most Muslim women would not dare report these attacks, even if they need medical attention.

With such laws, it’s no surprise that rapes have become a part of Muslim culture. During the “Arab Spring” in Egypt, hundreds of women were raped in Tahrir Square by those Egyptians who were glorified in the West as “fighters against the cruel dictatorship of Mubarak” and who then voted for the Islamist Muhammad Mursi and made him the President of Egypt. Then, just 13 months later, those same Egyptians again crowded into Tahrir Square and enthusiastically supported the military coup against Mursi  “for democracy”–  and in just four days raped 130 more women on the way to that democracy.

Sadly no local or federal lawmakers see a pattern of Muslim crimes in America, all the facts are there. Perhaps America needs a like organization to the Britain First Defense Force, our own law enforcement are not allowed to be proactive.

Next Bailout Scandal, Un-noticed

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Shhh, but while the deadly VA mess at 27 medical facilities has taken the oxygen out of the country in recent days, we have missed a hidden bailout with regard to Obamacare. The next lie has bubbled to the surface, so here it is. Barack Obama told us that Obamacare would not cost taxpayers one dime, but last week, it is about to cost us much more than a dime.

Barack Obama once again altered the law and then he lied again….many in Congress are aware as a memo is circulating around members of Congress yet the media for the most part has ignored it. So, here it is for you. We don’t know yet the cost of the subsidies or the bailout….time to start asking bigger questions.

ppaca

 

The Obama administration has quietly adjusted key provisions of its signature healthcare law to potentially make billions of additional taxpayer dollars available to the insurance industry if companies providing coverage through the Affordable Care Act lose money.

The move was buried in hundreds of pages of new regulations issued late last week. It comes as part of an intensive administration effort to hold down premium increases for next year, a top priority for the White House as the rates will be announced ahead of this fall’s congressional elections.

Administration officials for months have denied charges by opponents that they plan a “bailout” for insurance companies providing coverage under the healthcare law.

They continue to argue that most insurers shouldn’t need to substantially increase premiums because safeguards in the healthcare law will protect them over the next several years.

But the change in regulations essentially provides insurers with another backup: If they keep rate increases modest over the next couple of years but lose money, the administration will tap federal funds as needed to cover shortfalls.

Although little noticed so far, the plan was already beginning to fuel a new round of attacks Tuesday from the healthcare law’s critics.

“If conservatives want to stop the illegal Obamacare insurance bailout before it starts they must start planning now,” wrote Conn Carroll, an editor of the right-leaning news site Townhall.com.

On Capitol Hill, Republicans on the Senate Budget Committee began circulating a memo on the issue and urging colleagues to fight what they are calling “another end-run around Congress.”

Obama administration officials said the new regulations would not put taxpayers at risk. “We are confident this three-year program will not create a shortfall,” Health and Human Services spokeswoman Erin Shields Britt said in a statement. “However, we want to be clear that in the highly unlikely event of a shortfall, HHS will use appropriations as available to fill it.”

The stakes are high for President Obama and the healthcare law.

Although more than 8 million people signed up for health coverage under the law, exceeding expectations, insurance companies in several states have been eyeing significant rate increases for next year amid concerns that their new customers are older and sicker than anticipated.

Insurers around the country have started to file proposed 2015 premiums, just as the midterm campaigns are heating up. Obamacare, as the law is often called, remains a top campaign issue, and big premium increases in states with tightly contested races could prove politically disastrous for Democrats.

If rates go up dramatically, consumers may also turn away from insurance marketplaces in some states, leading to their collapse.

Proposed increases in a few states where insurers have already filed 2015 rates have been relatively low, with several major carriers seeking just single-digit hikes. But insurers in closely watched states, such as Florida, Pennsylvania, North Carolina and Arkansas, are still preparing their filings.

“It’s absolutely paramount to keep premiums in check,” said Len Nichols, a health economist at George Mason University who has advised officials working on the law.

The state-based marketplaces, which opened last year, allow consumers who do not get health coverage at work to shop among plans that meet basic standards. Sick consumers cannot be turned away, and low- and moderate-income Americans qualify for government subsidies to offset their premiums.

To stabilize this new system, the law set up a complex system of funds, including one known as the Temporary Risk Corridors Program, that collect money from insurers and transfer it from companies with healthier, less expensive consumers to those with sicker, more costly consumers.

This system was supposed to pay for itself, as does a similar one used to shift money between drug plans in the Medicare Part D program.

But insurance industry officials have grown increasingly anxious about the new system’s adequacy.

Pressure is most acute on insurers in states where healthy consumers were allowed to remain in old plans that are not sold on the new online marketplaces, an option Obama offered to states amid a political firestorm over plan cancellations last year. The president had promised people would be able to stick with their plans.

The renewal temporarily solved a political problem for the White House, but created a new one. Maintaining these old plans kept many healthy consumers out of the marketplaces, making the pool of new customers less healthy and therefore potentially more expensive for insurers, according to experts.

In a series of White House meetings over the last several months, Obama and other senior administration officials have sought to persuade insurance company CEOs to nonetheless hold rates in check, arguing that the marketplaces would stabilize over time.

But with proposed 2015 rates beginning to come in, the administration acceded to industry demands for a clear guarantee that more money would be available to cover potential losses.

“In the unlikely event of a shortfall for the 2015 program year, HHS recognizes that the Affordable Care Act requires the secretary to make full payments to issuers,” the regulation published Friday notes. “In that event, HHS will use other sources of funding for the risk corridor payments, subject to the availability of appropriations.”

That language allows the administration to tap funds appropriated for other health programs to supplement payments to insurers, according to administration and industry officials.

Among congressional Republicans, the decision has raised concerns. “If the program costs more than it brings in, the secretary would be able to divert money intended for other programs,” Republicans on the Senate Budget Committee warned.

Whether the new regulations will be sufficient to control rates remains unclear.

America’s Health Insurance Plans, the industry’s Washington-based lobbying arm, welcomed the administration’s move, saying in a statement that the regulations “provide important clarity about how these insurer-financed programs will work as health plans prepare their rates for 2015.”

In a note to investors this week, J.P. Morgan also noted that the new rules “should improve stability of the exchange market.”

But some insurers continue to warn of bigger increases. Larry Levitt, an insurance expert at the nonprofit Kaiser Family Foundation, cautioned that some consumers may still be in for sticker shock.

“Premium hikes will likely be modest in much of the country,” he said. “But probably not everywhere.”

Shhhhh, Two Other Government Secrets

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Do you ever wonder who your neighbor really is? Do you ever wonder how people actually are allowed into the United States? Do you ever wonder who approves visas for foreigners and what they are doing when they get here?

 

Sheesh:

Item one —>>

WASHINGTON — To those who lost loved ones in the suicide bombing of the American Embassy in Beirut, Lebanon, in April 1983, it is often called “the forgotten bombing” — overshadowed by an even deadlier attack on a Marine barracks at the Beirut airport six months later.

Now, a new book shines a spotlight on the embassy bombing, which killed 63 people, 17 of them American, including eight Central Intelligence Agency officers. One of those was Robert C. Ames, a C.I.A. operative who is the hero of the book, “The Good Spy: The Life and Death of Robert Ames,” by Kai Bird.

Mr. Bird explores Mr. Ames’s shadowy path in the Middle East, where he formed an unlikely friendship with the intelligence chief of the Palestine Liberation Organization and used it to try to draw the Israelis and Palestinians together in peace negotiations.

But in sifting through the long-dead embers from the embassy bombing, Mr. Bird makes a startling assertion: that an Iranian intelligence officer who defected to the United States in 2007 and is still living here under C.I.A. protection, oversaw the 1983 bombing, as well as other terrorist attacks against Americans in Lebanon.

“When it comes out that at least one of the intelligence officers associated with planning these truck bombings is living in the U.S., the relatives of these victims are going to go ballistic,” Mr. Bird said in an interview last week.

“This is a classic intelligence dilemma,” he continued. “When do you deal with bad guys? When do you agree to give them asylum? In my opinion, this goes over the line.”

Mr. Bird, who shared a Pulitzer Prize with Martin J. Sherwin for their book, “American Prometheus: The Triumph and Tragedy of J. Robert Oppenheimer,” spoke to more than 40 current and retired C.I.A. officers, though the agency declined to cooperate with him. He also consulted numerous sources in the Israeli Mossad and in Lebanon, including a Lebanese businessman with ties to the Palestine Liberation Organization.

A spokesman for the C.I.A., Todd Ebitz, declined to comment on Sunday about Mr. Bird’s assertion. “As a general rule, the C.I.A. does not comment on allegations that someone may or may not have worked as a source for the agency,” Mr. Ebitz said.

The disclosures in “The Good Spy” are timely, given that the United States is in a critical phase of negotiating a nuclear deal with Iran. The decision to grant asylum to the Iranian intelligence officer, Ali Reza Asgari, was made by the George W. Bush administration in 2007, Mr. Bird writes, because he had valuable information about Iran’s nuclear program, including that it had built a uranium enrichment facility at Natanz.

Mr. Asgari’s information has since been superseded by new disclosures, including that a second enrichment facility had been built in a mountain near the holy city of Qum. But even now, a critical negotiating issue is how many centrifuges Iran will be allowed to operate at these facilities.

On paper, Ali Reza Asgari would be a treasure trove for the C.I.A. He joined the Islamic Revolutionary Guards Corps soon after the 1979 revolution, and was sent to Lebanon in 1982, when Iran was bankrolling a wave of terrorism against Americans, through its proxy, the Islamic militant group Hezbollah. Later, he returned to Iran and rose to a senior post in the Revolutionary Guards, which oversees the nuclear program.

“He would have the crown jewels,” said Robert Baer, a retired C.I.A. agent who had his own career in the Middle East and spoke to Mr. Bird for his book.

But while Mr. Baer said Mr. Bird’s reporting is persuasive — he said he knows some of the sources the author consulted in the region — he noted that the book contains no smoking gun establishing Mr. Asgari’s whereabouts. Indeed, Mr. Asgari may no longer be in the United States.

Mr. Bird said that when he asked a former senior Bush official about the decision to grant Mr. Asgari asylum, he received a cryptic reply: “At the unclassified level, I cannot elaborate on this issue.” He cited a report in Der Spiegel, the German newsmagazine, that Mr. Asgari twice called a fellow Iranian defector — from Washington, where he had been held in a C.I.A. safe house, and from “somewhere in Texas.”

Stuart H. Newberger, a Washington lawyer who represents victims of the 1983 attack, said he believed the book was accurate, though he could not corroborate the Asgari disclosure himself. He said he had supplied Mr. Bird with trial transcripts and internal government documents he had obtained for his litigation.

“Asgari got a get-out-of-jail-free card because of the Iran nuclear issue,” Mr. Newberger said.

For the Obama administration, Mr. Bird’s revelations could be awkward. Mr. Newberger said it should make terrorism an issue in any negotiation about relaxing sanctions against Iran. But the White House has tried to keep the nuclear negotiations tightly focused on technical questions of Iran’s enrichment capability and international inspections.

“The Good Spy” is a vivid reminder of Iran’s prolific sponsorship of terrorism against the United States — a not-so-distant legacy. In January, Iran’s foreign minister and the leader of its nuclear negotiating team, Mohammad Javad Zarif, laid a wreath at the grave of Imad Mugniyeh, a lethal Hezbollah operative who the C.I.A. believes had an operational role in the embassy and barracks bombings. Mr. Mugniyeh was assassinated in 2008, probably by the Mossad, on information supplied by Mr. Asgari, who acted as his control officer during the 1980s, according to Mr. Bird.

None of this history is helpful to a White House eager to conclude a landmark nuclear deal. “People just don’t want to hear about Iranian terrorism,” Mr. Baer said. “Nobody has the appetite to dig this up. You focus on the battle you can win, which is nuclear.”

For Anne Dammarell, a retired American aid officer gravely injured in the Beirut bombing, Mr. Bird’s book solved a mystery of who masterminded the attack that nearly killed her.

But she said she was not outraged by the disclosure about Mr. Asgari. In the murky world of spying, she said, such trade-offs were sometimes necessary. “Most people understand that deals get cut,” she said. “You can be a very corrupt person and still die in your sleep.”

Item two –>

By JOSEPH FITSANAKIS | intelNews.org
Some of our longtime readers will recall the case of Dongfan “Greg” Chung, a Chinese-born American engineer for Boeing, who was convicted in 2009 of passing US space program secrets to China. The case is arguably far more important than it might have seemed at the time, as Chung was technically the first American to be jailed for economic espionage. Many at the Federal Bureau of Investigation view the Chung conviction as a landmark case for providing clear legal proof of Chinese espionage in the US. Little is known, however, about how the FBI managed to uncover Chung’s espionage activities, which are believed to have gone on for nearly three decades. In the latest issue of The New Yorker, Yudhijit Bhattachargjee reveals for the first time the fascinating background of how the Bureau got to Chung. It did so through another American engineer of Chinese origin, named Chi Mak. Unlike Chung, who was ideologically committed to Maoism and was recruited by Chinese intelligence after immigrating to the US, Mak was an accredited intelligence operative who was allegedly specifically planted in the US by the Chinese. He came to America from Hong Kong in 1979 and worked for California-based defense contractor Power Paragon. He almost immediately began stealing secrets relating to US Navy systems. The FBI first started monitoring Mak and his wife, Rebecca, in 2004, following a tip. The effort evolved in one of the Bureau’s biggest counterintelligence cases, involving elaborate physical and electronic surveillance that lasted for nearly 18 months. During that time, FBI and Naval Criminal Investigation Service agents installed surveillance cameras outside the Maks’ residence, followed the suspects around, and monitored their telephone calls. Eventually, the surveillance team managed to acquire a warrant allowing them to clandestinely enter the Maks’ home and conduct a secret search. The nondestructive entry team discovered numerous stacks of secret documents “some two or three feet high” all around the suspects’ house. Among the findings was an address book containing the names of other engineers of Chinese origin living in the state of California. That, says Bhattachargjee, was the first time the FBI came across Chung’s name. During a subsequent covert entry into Mak’s house, the surveillance team installed a surveillance camera. The information collected from the camera led the FBI to Mak’s younger brother, Tai Mak, who had been living in the US since 2001, along with his wife, Fuk Li, and their two children. It turned out that Tai was acting as a courier, transporting to China various pieces of intelligence collected by his brother. The FBI eventually managed to arrest Tai and his wife at the Los Angeles International Airport as he was preparing to leave the US, carrying an encrypted CD with secret documents stolen by his brother. In 2007, Chi Mak was sentenced to 24.5 years in prison, Tai Mak to 10 years, and Chi’s wife, Rebecca, to three years. The remaining members of the two families were deported to China.

Money, Lies and the White House

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The lure for cover-ups by the White House and issuing edicts to heads of agencies is a farm that incubates and hatches fraud only a daily basis.

Scandals are not only common but expected and there is never a lack of them where in the headlines we find more deception bubbling to the surface with regard to the Veterans Administration.

While we heard last week that the number two placeholder at the VA was Dr. Peltzer had resigned the day after the Congressional hearing on the VA. That is simply NOT true, he in fact submitted his retirement paperwork last year and Barack Obama already selected his replacement as Dr. Jeffrey Murawsky, who in fact comes from the VA located in Illinois, one such location currently in the dragnet sweep of lying and fraudulent actions of at least 11 VA’s across the country.

Now, there is something much worse. It goes back to the Barack Obama/Joe Biden transition team as they made their way to the White House. THEY WERE TOLD THEN ABOUT THE FRAUD AT THE VA AND DID NOTHING.

 

VA neglect

Veterans with serious heart conditions, gangrene, and even brain tumors waited months for care at the Albuquerque VA hospital, a whistleblowing doctor tells The Daily Beast.

Add Albuquerque, New Mexico’s to the growing list of VA hospitals accused of keeping secret waiting lists to hide delays for veterans seeking medical care. And it may already be too late to get to the truth and find out what harm, if any, was done to veterans there—VA officials are already destroying records to cover their tracks, a whistleblower inside the hospital tells The Daily Beast.

Last month, word broke that the Department of Veterans Affairs hospital in Phoenix kept a secret waiting list that allegedly led to dozens of preventable deaths. The VA’s inspector general was brought in to investigate the charges and hasn’t yet found any deaths in Phoenix linked to wait times, but his investigation is ongoing. Since then five other facilities have come under fire, leading to calls for VA Secretary Eric Shinseki to step down. And now there’s Albuquerque’s. The evidence for this new secret list may be hard to track down, however.

“The ‘secret wait list’ for patient appointments is being either moved or was destroyed after what happened in Phoenix,” according to a doctor who works at the Albuquerque VA hospital and spoke exclusively with The Daily Beast. “Right now,” the doctor said, “there is an eight-month waiting list for patients to get ultrasounds of their hearts. Some patients have died before they got their studies. It is unknown why they died, some for cardiac reasons, some for other reasons.”

There’s no proof yet that veterans died while waiting for treatment, like what allegedly happened in Phoenix. But the doctor says it’s quite possible that some veterans would still be alive if they hadn’t been pushed through a record-keeping trap door that buried their requests for medical care.

On March 19, 2014, for example, a patient with a deteriorating heart condition requested to see a doctor. The patient was finally seen only days ago, on May 16, when they were admitted to the hospital for decompensated heart failure. “A near miss” as the VA doctor familiar with the case described it. “He could have died before being seen.”

The Albuquerque VA did not respond to requests for comment but Ozzie Garza, director of the VA Regional Office of Public Affairs, provided this statement to The Daily Beast: “We are not familiar with the allegations but will call immediately for an external review as we take all allegations seriously.”

“When everyone found out the IG was doing the audit, the word I heard was ‘Make sure nothing is left out in the open,’” the VA doctor said. “And that ranged from make sure there’s no food out to make sure there’s no information out in the open.” The doctor is not involved in the scheduling process and was unsure of how exactly VA officials would purge the secret wait lists but has heard it discussed among colleagues.

As VA officials reacted nervously to news of an impending audit, the doctor described hearing officials involved in scheduling patient appointments say, “The database had been removed or renamed.” To cover their tracks the doctor said they decided, “Instead of calling it a wait it would be called something like a precedence list.”

When another of the doctor’s colleagues, a physician in a managerial position at the Albuquerque VA, saw the initial story about secret wait lists break he heard him say, “I always knew that Phoenix was better than us at playing the numbers game.”

Secret waiting lists may not be the only problems at the Albuquerque VA, in fact they may only be an accounting trick to mask the deeper issues.

Veterans with heart problems are waiting an average of four months to see a cardiologist at the Albuquerque VA, according to the doctor there who has access to patient records.

There are eight physicians in the cardiology department. But at any given time, only three are working in the clinic, where they see fewer than two patients per day, so on average there are only 36 veterans seen per week. That means the entire eight-person department sees as many patients in a week as a single private practice cardiologist sees in two days, according to the doctor.

For perspective, 60% of cardiologists reported seeing between 50 and 124 patients per week, according to a 2013 survey of medical professionals’ compensation conducted by Medscape. On the low end, the average single private practice cardiologist who participated in the study saw more patients in a week than the Albuquerque VA’s entire eight-person cardiology department.

In some cases, a long wait to see a doctor is just another routine inconvenience of the sort people expect in a large bureaucracy, but other times it can be a matter of life and death.

One veteran’s heart troubles were serious enough that a physician requested they be seen in the next available slot on January 8, 2014. Over three months later, the patient was seen in late April.

A patient whose initial blood test on December 8, 2013 suggested he might have a brain tumor waited until April 28 2014 before he was seen again. Another veteran, diagnosed with gangrene, was referred for surgery so doctors could try to salvage his limb or amputate it if necessary—it’s 36 days after he was initially supposed to see the surgeons and he’s still waiting now.

A second source inside the Albuquerque VA, a medical technician, said the facility provided high quality care. But the technician acknowledged it could take a long time before veterans get in the door to receive it.

The list of patients waiting for tests grew so long in one department that the technician became disheartened and stopped checking it around Christmas of last year. “I honestly stopped doing that because it just overwhelmed me personally,” the technician said.

The VA’s Office of Inspector General began investigating the Albuquerque medical center last year, according The Albuquerque Journal, after employees there reported that appointments were being manipulated to conceal patients’ actual wait times. That would mean that the inspector general, and the VA itself, knew about allegations of corruption there long before the Phoenix story broke in April.

Rep. Jeff Miller, chairman of the House Committee on Veterans’ Affairs, has been beating the drum about wait times and advocating reform since before the latest crisis  put the VA back in the spotlight. “VA’s delays in care problem is real and has already been linked to the recent deaths of at least 23 veterans,” Miller told The Daily Beast.

Yet it wasn’t until the latest VA scandal broke nationally—months after the inspector general first investigated claims that are strikingly similar to what was later reported in Phoenix—that Albuquerque’s came back into focus. The status of the initial investigation still hasn’t been made public.

Last week, New Mexico Senator Tom Udall requested a new investigation into his state’s VA hospitals. Udall called for the audit after his office received dozens of complaints from veterans about long wait times at the VA, and reports that Albuquerque’s schedulers were forging appointment records.

New Mexico is now the seventh state where allegations have emerged about VA medical facilities cooking the books. As new incidents continue to display the same features uncovered in past cases, the details are revealing a common language of bureaucratic corruption communicated across state lines between different VA facilities.

Yet, even as evidence builds of a systemic problem within the VA, the department itself has been slow to acknowledge it and even slower to act. In his testimony before the Senate last week, VA Secretary Shinseki referred to the six cases that had been revealed up to that point as “isolated incidents.”

Veterans, for their part, are divided over the proper response; many believe that the actual care provided by the VA is good and the problem is primarily about access. But as each new week brings another case that seems to show the same pattern of duplicity inside the VA, some are growing impatient.

“Our members are outraged and are demanding true accountability and systemic reform for what appears to be increasingly widespread problems,” said Derek Bennett, chief of staff for Iraq and Afghanistan Veterans of America (IAVA). “We cannot fix the problems until all the facts are on the table,” Bennett said but added that, “scapegoating and politicization of this issue will not reform the Department of Veterans Affairs nor best serve our veterans.”

To encourage getting the facts on the table, the IAVA has started its own initiative to gather stories from veterans and VA employees. “We have partnered with the Project on Government Oversight on vaoversight.org to provide a safe place for whistleblowers to come forward for this very reason,” Bennett said.

Despite the volume of incidents that have already been publicly revealed and the inspector general’s admission last week that he had more evidence pointing to new mismanagement, the VA has not announced any broad reforms or disciplinary actions. In the only major leadership shakeup since the VA became embroiled in the secret wait list charges, Secretary Shinseki announced the resignation last week of Dr. Robert Petzel, his undersecretary for health. But as many were quick to point out, and in what the IAVA called a “cynicial twist,” Petzel was already scheduled to retire this year after a 40-year career.

For Rep. Miller, the time is overdue for change within the VA. “We simply can’t afford to wait for the results of another IG investigation or VA’s internal review when veterans may be at risk,” Miller said. Immediate actions can be taken now, Miller added, even before formal investigations draw their conclusions. “Sec. Shinseki needs to take emergency steps,” he said, “to ensure veterans who may have fallen victim to these schemes get the medical treatment they need.”

On Sunday, the White House, which has remained relatively quiet on the VA’s latest troubles, weighed in with an interview by President Obama’s chief of staff, Denis McDonough.

“The president is madder than hell, and I’ve got the scars to prove it, given the briefings that I’ve given the president,” McDonough told CBS’ Face the Nation. “Madder than hell” was the first echo of Secretary Shinseki, amplifying a phrase he used in his testimony last week to describe his own feelings. The second echo of Shinseki came when McDonough said the president had sent staff to look into the VA investigation and “find out if this is a series of isolated cases or whether this is a systemic issue.”

The VA’s own investigation is ongoing and will continue to attract attention as more revelations, like the claims about the Albuquerque VA, keep coming out. It remains to be seen how leaders who are “madder than hell” will react to the evidence they find and what, if anything, they will order done about the situation.

But hold on it does go back to Barack Obama and it was never about under-funding the VA, it was likely at pilot test of a system of single-payer of Obamacare and gaining access to even see a doctor in a reasonable period of time. Barack Obama, Joe Biden and their transition team knew well about the issues at the VA. Sure you can blame the previous administration, which is common however, Eric Shinseki took the position to clean up the VA and for 5 years has done nothing.

The Obama administration received clear notice more than five years ago that  VA medical facilities were reporting inaccurate waiting times and experiencing  scheduling failures that threatened to deny veterans timely health care —  problems that have turned into a growing scandal.

Veterans Affairs officials warned the Obama-Biden transition team in the  weeks after the 2008 presidential election that the department shouldn’t trust  the wait times that its facilities were reporting.

“This is not only a data integrity issue in which [Veterans  Health Administration] reports unreliable performance data; it affects  quality of care by delaying — and potentially denying — deserving veterans  timely care,” the officials wrote.

The briefing materials, obtained by The Washington Times through the Freedom  of Information Act, make clear that the problems existed well before Mr. Obama  took office, dating back at least to the Bush administration. But the materials  raise questions about what actions the department took since 2009 to remedy the  problems.

In recent months, reports have surfaced about secret wait lists at facilities  across the country and, in the case of a Phoenix VA facility, accusations that  officials cooked the books to try to hide long wait times. Some families said  veterans died while on a secret wait list at the Phoenix facility.