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Date posted - May 19, 2014
When President-Elect Obama nominated Eric K. Shinseki as Secretary of Veterans Affairs he said that cultural and technological change was needed. The technological change was outlined in the Office of Inspector General’s Strategic Plan FY 2009-2015. The VA’s data handling procedures had to be greatly enhanced to improve outpatient scheduling processes that ensure veterans are provided timely health care. A comprehensive database would be used to study and track the medical care and treatment of all veterans… and to identify savings and dollar recoveries. The cultural change was outlined in the original ACA, Obamacare, legislation which would have empowered the Independent Payment Advisory Board to develop quality and efficiency measures that, in effect, would limit what government and private insurers can spend on individual healthcare. Critics called this advisory board “the death panel” so its name was changed to Shared Decision-Making; however, government bureaucrats still have the power to establish one uniform national standard… that limits what is spent on each individual’s health care. These deaths at the VA are the result of administration policy, legislation, regulation and bureaucratic discretion. We need share decision making.