Phoenix VA scandal: VA says no proof delays in care caused vets to die

WASHINGTON, DC - The Department of Veterans Affairs says investigators have found no proof that delays in care caused any deaths at a VA hospital in Phoenix, deflating an explosive allegation that helped expose a troubled health care system in which veterans waited months for appointments while employees falsified records to cover up the delays.

RELATED: Phoenix VA under fire in healthcare scandal

Revelations that as many as 40 veterans died while awaiting care at the Phoenix VA hospital rocked the agency last spring, bringing to light scheduling problems and allegations of misconduct at other hospitals as well. The scandal led to the resignation of former VA Secretary Eric Shinseki. In July, Congress approved spending an additional $16 billion to help shore up the system.

The VA's Office of Inspector General has been investigating the delays for months and shared a draft report of its findings with VA officials.

In a written memorandum about the report, VA Secretary Robert A. McDonald said: "It is important to note that while OIG's case reviews in the report document substantial delays in care, and quality-of-care concerns, OIG was unable to conclusively assert that the absence of timely quality care caused the death of these veterans."

McDonald acknowledged that the VA is "in the midst of a very serious crisis." He also promised to follow all recommendations from the inspector general's final report.

"We sincerely apologize to all veterans and we will continue to listen to veterans, their families, veterans service organizations and our VA employees to improve access to the care and benefits veterans earned an deserve," said McDonald's memo, which was also signed by Carolyn Clancy, VA undersecretary for health.

The inspector general's final report has not yet been issued. The inspector general runs an independent office within the VA.

In an interview with The Associated Press, Deputy VA Secretary Sloan Gibson stressed that veterans are still waiting too long for care, an issue the agency is working to fix.

"They looked to see if there was any causal relationship associated with the delay in care and the death of these veterans and they were unable to find one. But from my perspective, that don't make it OK," Gibson said. "Veterans were waiting too long for care and there were things being done, there were scheduling improprieties happening at Phoenix and frankly at other locations as well. Those are unacceptable."

In April, Dr. Samuel Foote, who had worked for the Phoenix VA for more than 20 years before retiring in December, brought the allegations to Congress.

Foote accused Arizona VA leaders of collecting bonuses for reducing patient wait times. But, he said, the purported successes resulted from data manipulation rather than improved service for veterans. He said up to 40 patients died while awaiting care.

In May, the inspector general's office found that 1,700 veterans were waiting for primary care appointments at the Phoenix VA but did not show up on the wait list. "Until that happens, the reported wait times for these veterans has not started," said a report issued in May.

Gibson said the VA reached out to all 1,700 veterans in Phoenix and scheduled care for them. However, he acknowledged there are still 1,800 veterans in Phoenix who requested appointments but will have to wait at least 90 days for care.

The VA has said it is firing three executives of the Phoenix VA hospital. The agency has also said it planned to fire two supervisors and discipline four other employees in Colorado and Wyoming accused of falsifying health care data.

Gibson says he expects the list of disciplined employees to grow. Gibson took over as acting VA secretary when Shinseki resigned. He returned to his job as deputy secretary after McDonald was confirmed.

"The fundamental point here is, we are taking bold and decisive action to fix these problems because it's unacceptable," Gibson said. "We owe veterans, we owe the American people, an apology. We've delivered that apology. We'll keep delivering that apology for our failure to meet their expectations for timely and effective health care."

To help reduce backlogs, the VA is sending more veterans to private doctors for care.

Congress approved $10 billion in emergency spending over three years to pay private doctors and other health professionals to care for veterans who can't get timely appointments at VA hospitals, or who live more than 40 miles from one.

The new law includes $5 billion for hiring more VA doctors, nurses and other medical staff and $1.3 billion to open 27 new VA clinics across the country.

The legislation also makes it easier to fire hospital administrators and senior VA executives for negligence or poor performance.

Families ABC15 spoke with said they're hurt and upset by the report-- but they're not surprised.

Sonja Nicastro's husband Ralph died over a year ago of cancer.

She says he died waiting for care at the Phoenix VA.

“How do you ever forget the loss of a loved one? Do you think it's something I'll forget in a year?” she said.

Sonja was angry after finding out the Office of the Inspector General found no proof any veterans died due to delayed care at the Phoenix VA.

“How can you say nothing happened when all the whistleblowers nationwide turned over documents to you? It's like, what did you do with that, just throw it in the garbage?” Nicastro said.

Her husband Ralph, a Vietnam veteran awarded a Purple Heart, kept a journal of all the times he tried to call the VA for help.

“We tried to get in there and tried to get in there, but nothing, nothing,” Nicastro said.

Sonja says help never came. But she's still fighting for Ralph.

“He would know that I'm fulfilling the promise, because he told me not to give up,” she said.

Sonja says the release of this report won't be the end.

“Whether it be a son, a husband, a grandson, a nephew, no. They're not going to forget,” she said.

 

 

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