EDITORIAL: Solution to VA hospital mess cannot come soon enough

The Fresno BeeJune 12, 2014 

The waits for veterans to receive medical care really were that bad — so bad that Congress responded this week with lightning speed.

The resulting legislation is a good start to fix a Department of Veterans Affairs health care system that has deep and widespread flaws.

The first comprehensive review of the system confirmed that there are long lines and widespread scheduling abuses across the country, not just in Phoenix and other cities where VA officials were cooking the books to hide the problems. Released on Monday, the audit found that more than 57,000 new patients have had to wait at least three months for initial appointments and another 64,000 over the past 10 years never got the appointments they requested.

Facing that unacceptable reality, Congress demonstrated rare bipartisan resolve. On Wednesday, the Senate voted 93-3 to quickly improve access to care by letting the VA hire hundreds more doctors and nurses; giving the VA money to lease 26 major medical facilities, including ones in Chico, Chula Vista, Redding and San Diego; and allowing veterans in many cases to receive VA-paid treatment from outside doctors.

Backed by President Barack Obama, the bill would also make it easier to fire senior VA officials, would establish commissions to look for long-term solutions to veterans' medical care, and would require the Department of Health and Human Services to rate VA hospitals and make the information available to the public.

On a 426-0 vote Tuesday, the House passed a bill with similar policies, but with far less money attached — $620 million over three years, compared with $35 billion in the Senate version. Leaders should quickly work out a compromise and get the measure to the president's desk.

Fortunately, the waits were are not as outrageous in California, where more veterans live than in any other state. The average wait time for new patients seeking primary care was about 43 days in the Northern California VA health care system, which stretches from Redding through Sacramento to Oakland. It was 56 days for the greater Los Angeles VA health care system, 34 days for Long Beach and 25 days in the Fresno-based network.

This systemic problem is going to take time and persistent attention. Getting the scandal off the front pages isn't enough.

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