Mother Jones
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Update, Friday, 11:30 a.m. EDT: President Barack Obama has accepted the resignation of Secretary of Veterans Affairs Eric Shinseki.
President Barack Obama and his administration have come under fire following a string of revelations about the huge backlogs of patients at Department of Veterans Affairs clinics and the underhanded tactics many of them used to hide the long wait times for medical care. As of Thursday evening, more than 100 lawmakers were calling on Secretary of Veterans Affairs Eric Shinseki to step down. But according to VA inspector general reports and other documents that have gone overlooked in the current firestorm, federal officials knew about the scheme at the heart of the scandal—falsifying VA records to cover up treatment delays—years before Obama became president. VA officials first learned of the problems in 2005, when George W. Bush was entering his second term, and the problems went unfixed for the duration of his presidency.
The underlying issues date back even further. In 1995, as part of a broader overhaul, the VA began pressing clinics to cut wait times for new patient appointments to 30 days. But there was no system for tracking which facilities were meeting this target until 2002, when the VA introduced electronic waiting lists to keep tabs on patients who couldn’t be seen within a month. Managers who slashed wait times were given bonuses and other perks. This created an incentive to game the system, especially after veterans of the Iraq and Afghan wars began flooding into VA clinics and straining their already stretched resources.
The efforts to mask delays burst into public view last month, when CNN reported that at least 40 patients—many of whom never made it onto electronic waiting lists—had died while awaiting care from the VA system in Phoenix.
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