Donald Trump Considers Moving VA Toward Privatization

[Bozvotros]

21. Exactly. And the VA is getting huge numbers of older vets

Who have lost their jobs,or their insurance or can no longer afford it. Their care needs are often complicated so caseloads should be lower but instead there is a shortage of providers leading to higher caseloads more burnout fewer providers etc. I think their biggest problem has been a bonus system that rewarded incompetent managers for cutting costs and increasing service delivery. Without adequate staffing for their numbers of patients it lead to scheduling tricks that covered up the real problems. My personal view is that in any bureacracy bonuses should go only to clinical staff or workers while middle management needs to be given actual productive work or they willl invent processes that fuck things up for everyone.