Ek congressional hearing mein Veterans Affairs health care system ke bare mein Thursday ko kuch acchi aur kuch buri khabrein aayi. Politicians, health care experts aur ek VA official sabhi maan gaye ki solutions hain, lekin Congress aur administration ke ab tak ke responses uss se kam hain jo ki zaroori hai. "Iss pure department ka wholesale, systematic reform hona chahiye," Florida ke Republican Rep. Jeff Miller ne kaha, jo ki committee ke chairman hain. "Yeh bilkul clear hai ki status quo acceptable nahi hai aur ab real change ka time hai." Dr. Robert Jesse, VA health administration ke ek top official, ne bhi major changes ki zaroorat ko maana, CNN ke taraf se pehli baar reported kiye gaye revelations ke baad, jisme veterans ko medical care ke liye kabhi-kabhi deadly waits ka सामना karna padta hai. "Yeh humari galti hai" "Hum jaante hain ki humne veterans ko neeche girne diya hai, lekin hum issko theek karenge," Jesse ne panel ko bataya, aur yeh bhi kaha ki "aap sab humse better deserve karte hain." Yeh declare karte hue ki "yeh humari galti hai" aur "hum issko fix karenge," unhone baad mein kaha: "Aaj humein aage badhne ke liye organization ki puri structure ko dekhna chahiye. Humein sach mein har cheez ko examine karna chahiye." Monday ko release hui ek internal VA audit mein yeh paya gaya ki hazarों newly returning veterans medical care ke liye kam se kam 90 days wait karte hain, aur bhi zyada veterans, jinhone past 10 saal mein VA system mein sign up kiya tha, unhe kabhi bhi woh immediate appointment nahi mila jiske liye unhone request ki thi. VA ne nationwide 23 deaths ko acknowledge kiya hai jo ki delayed care ke wajah se hui hain, aur CNN ki reporting mein dozens of aur deaths ka pata chala hai jo Phoenix mein VA care ka wait kar rahe the. Department mein longstanding problems ko address karne ke liye recent years mein efforts ke bawajood, jisme benefits ke liye backlogs mein kami aur homeless veterans ki sankhya mein kami shamil hai, newly enrolled veterans ko care ke liye initial appointments milne mein long waits chalti rahi hain. Chronic problems ke reasons mein Iraq aur Afghanistan mein wars se wapas aane wale veterans ki badhti hui sankhya, aur ek bonus system shamil hai jo managers ko treatment ke access ke liye goals meet karne par reward deta hai. VA audit ne CNN reports ko confirm kiya jisme secret wait lists ka use wait times ko cover up karne ke liye kiya gaya tha jo ki department guidelines se zyada the. Iss controversy ke wajah se Veterans Affairs Secretary Eric Shinseki ne resignation de di, aur kuch VA officials ko administrative leave par rakh diya gaya hai jab tak ki VA inspector general's office aur Congress ke taraf se investigations pending hain. FBI bhi involved ho rahi hai. Wednesday ko, FBI ne kaha ki usne VA ki ek criminal investigation open ki hai inspector general's probe ke sath, jisko 69 facilities tak expand kar diya gaya hai. "Department ke direction par, FBI ne apne Phoenix office ke agents ko VA se related allegations ki investigation karne ke liye instruct kiya hai," Justice Department ke ek spokesman ne kaha. "Federal prosecutors in investigators ke sath yeh determine karne ke liye kaam karenge ki criminal charges ka koi basis hai ya nahi." Iske sath hi, House aur Senate dono ne legislation pass ki hai jisse veterans ko medical appointments ke liye long wait times experience karne par non-VA facilities mein care seek karne ki permission mil jayegi, jiska kharcha government bear karegi. Ab woh dono measures mein differences ko compromise karne par negotiate karenge. Interim Veterans Affairs Secretary Sloan Gibson, jinhone Shinseki ke step down karne par charge sambhala, ne bhi problems ke response mein kai steps announce kiye hain. Inmein central headquarters aur 21 regional facilities mein hiring freeze, fiscal year 2014 mein senior managers ke liye performance awards ka suspension, newly enrolled veterans ko 14 days ke andar appointment dilane ka unattainable goal ko eliminate karna, aur VA medical care scheduling practices ka independent outside audit order karna shamil hai. VA ne 50,000 veterans ko bhi contact kiya hai jo care ka wait kar rahe hain aur aur veterans tak pahunchna continue rakhenge, Gibson ne VA internal audit release hone ke baad kaha. Health care audits ne Thursday ko House committee ko bataya ki aise steps, welcome hone ke bawajood, VA mein systemic reforms ki underlying need ko address nahi kar paate, jisse bureaucracy ki jagah veterans ki service karne ka culture instill ho. Outside cultural assessment. "VA mein ek pervasive culture hai jo veterans se zyada system mein personal gain ko aage rakhti hai. Yeh galat hai," Humana Government Business ke president Tim McClain ne kaha. "Band-aids" se zyada ki zaroorat hai, yeh kehte hue McClain ne yeh bhi kaha ki "any long-term solution mein outside se ek culture aur organizational assessment shamil hona chahiye." Betsy McCaughey, ek conservative health care activist jo President Barack Obama ki health care reforms ka opposition karne ke liye jaani jaati hain, ne complain ki ki Senate legislation mein aise provisions shamil hain jo veterans ko civilian medical facilities access karne dene ke intended goal ko undermine karenge. New York ki former lieutenant governor McCaughey ne yeh point kiya ki veterans ko yeh prove karna hoga ki unhone VA care ke liye unacceptable waits experience kiye hain, aur unka treatment karne wale private doctor ko authorization ke liye pehle VA ko call karna hoga. Department mein bureaucratic dysfunction ko note karte hue, unhone kaha: "Kisi ko bhi uss call ka answer milna good luck." VA ke acting under secretary for health, Jesse, ne insist kiya ki VA mein Senate legislation mein proposed system ko handle karne ki capacity hai, lekin unhone yeh acknowledge kiya ki kuch facilities mein problems hui hain. VA legislation Congress mein quickly move kar rahi hai, jisse partisan divide se define hue election year mein iss issue ki political sensitivity dikhti hai. House Minority Leader Nancy Pelosi ne Thursday ko signal diya ki ek final compromise mein veterans ke liye health care provide karne ki government role intact rakhni chahiye, na ki usse privatize karna chahiye, jaisa ki GOP conservatives chahte hain. House ke taraf se pass hue bill ke hisaab se Vets ko VA ke bahar care mil सकती है. Kya bonuses cheating promote karte hain? CNN ke Evan Perez ne iss report mein contribute kiya.
Iss article mein Veterans Affairs (VA) healthcare system par hui ek congressional hearing ke baare mein discussion kiya gaya hai, jisme politicians, healthcare experts, aur ek VA official sabhi maan gaye ki solutions hain, lekin Congress aur administration ke ab tak ke responses uss se kam hain jo ki zaroori hai. Rep. Jeff Miller ki chairmanship mein House Veterans' Affairs Committee ne VA health administration mein "wholesale, systematic reform" ki zaroorat ko highlight kiya. Dr. Robert Jesse, VA ke ek top official, ne in issues ko acknowledge kiya aur improvement ke liye kaam karne ka pledge liya.

Ek internal VA audit mein yeh paya gaya ki hazarों newly returning veterans medical care ke liye kam se kam 90 days wait kar rahe the aur kuch ko kabhi bhi woh immediate appointment nahi mila jiske liye unhone request ki thi. Iske alaawa, nationwide 23 deaths ko delayed care ke wajah se acknowledge kiya gaya hai, aur CNN ki reporting mein aur deaths ka pata chala. In problems mein contribute karne wale factors mein Iraq aur Afghanistan mein wars se wapas aane wale veterans ki badhti hui sankhya, aur ek bonus system shamil hai jo managers ko treatment access goals meet karne par reward deta hai, jiske wajah se excessive wait times ko hide karne ke liye secret wait lists ka use kiya gaya.

In issues ko address karne ke liye liye ja rahe current steps mein central headquarters aur regional facilities mein hiring freeze, senior managers ke liye performance awards ka suspension, newly enrolled veterans ke liye 14-day appointment goal ko eliminate karna, aur VA medical care scheduling practices ka independent outside audit order karna shamil hai. Lekin, congressional hearing mein experts ne emphasize kiya ki VA ke culture ko change karne aur veterans ki needs ko prioritize karne ke liye aur bhi zyada systemic reforms ki zaroorat hai.

FBI ne VA inspector general's probe ke sath VA ki ek criminal investigation open ki hai, jisko 69 facilities tak expand kar diya gaya hai. Iske alaawa, House aur Senate dono ne legislation pass ki hai jisse veterans ko medical appointments ke liye long wait times experience karne par non-VA facilities mein care seek karne ki permission mil jayegi, jiska kharcha government bear karegi, aur dono measures mein differences ko reconcile karne ke liye negotiations chal rahi hain.