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Helman's VA Gave "Performance Bonuses" to Treaters

Rainbow Girl's picture

The secret list used to hide the backlog of untreated VA patients apparently existed - at least in part - so doctors, nurses, et al., could get their "numbers" and get "performance bonuses:

Helman and two other high-ranking staff members were placed on administrative leave last month, following allegations that VA employees had kept a secret wait list to hide health care delays and reach bonus-determining performance goals – all while at least 40 veterans died before they could get medical attention.

"Bonus-determining performance goals" - this is a device from the "Free (Private) Market" world. Suggesting, at least to me, that the VA has been infested by the toxic "magic" of privateers to its primary core - caring for US veterans who gave their lives and limbs and mental sanity to whatever imperial adventure the White House decided to launch.

So here's another point to make to those who are jumping for joy on the tragic revelations about the VA "health" system holding it up as an example of "see, government bad - private better." (And yes, this article is in the NY Post - unsurprisingly.) Because we can bet our bottom penny that "bonus-determining performance goals" (for medical providers, no less!) wasn't an idea that came out of the original VA charter, or from the Socratic Oath, or from the public purpose policies that created the VA, but from a McKinsey consultant report, or some goddam flexian who decided to turn the VA into something "more like a private business." Michael Bloomberg would be proud of "bonus-determining performance goals" applied to providers caring for our most helpless and victimized citizens. Especially since that's not the system he relies on for his own medical care.

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Submitted by lambert on

... which is also what makes ObamaCare such a kludge from a systems perspective. PNHP:

But the longest and most onerous waits are associated with the time it takes to determine if veterans are eligible to receive care at the VA, and at what level. This determination is done precisely because the VA is not a single-payer system. It doesn't cover everyone; it's not accessible to every veteran; it is just one payer among many in our fragmented system. Currently about 2.3 million veterans and their family members are completely uninsured.

nihil obstet's picture
Submitted by nihil obstet on

I'm a big fan of Adam Curtis, especially his Century of the Self, which I would describe as the propagation of consumer society as a means of control. He did a follow-up called The Trap. It's been a while since I saw it, but I remember most strongly the use of market incentives to improve the British NHS, which of course showed just how destructive the whole concept is.