Thursday, April 30, 2020

Sunday, April 26, 2020

FEMA Reportedly Took The 5 Million Masks Ordered For Veterans To Send To Stockpile

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Five million face masks ordered by the Veterans Health Administration to protect staff at the department’s hospitals and clinics were taken by the Federal Emergency Management Agency for the Strategic National Stockpile, a top official told The Washington Post.
“I had 5 million masks incoming that disappeared,” said Dr. Richard Stone, the executive in charge of managing the nation’s largest health care system with 1,255 facilities that serve more than 9 million veterans. He told the Post that FEMA instructed vendors with protective equipment ordered by the Veterans Administration to send the shipments instead to the stockpile.
“The supply system was responding to FEMA,” Stone, a former Army deputy surgeon general, told the Post. “I couldn’t tell you when my next delivery was coming in.” Veterans’ health care facilities were going through about 200,000 masks a day, according to Stone.
Stone acknowledged the problem after Veterans Administration officials had denied their facilities were grappling with shortages even amid mounting complaints from health care professionals.
After an appeal from Veterans Affairs Secretary Robert Wilkie to FEMA, the agency provided the VA with 500,000 masks this week, FEMA officials said in a statement to the Post. FEMA officials did not address the issue of diverting supplies ordered for veterans to the national stockpile.
The short-changing of hospitals caring for the nation’s veterans is similar to FEMA issues at other facilities and states across the nation. Hospital officials and governors have complained that FEMA is snatching equipment ordered by communities — rather than providing much-needed supplies, which officials had been counting on the agency to do.
Michigan Gov. Gretchen Whitmer — a Democrat who President Donald Trump has frequently targeted because of what he calls her “complaints” — revealed last month that vendors with whom her state had contracted for desperately needed medical equipment were told “not to send stuff,” on orders from the Trump administration.
Several hospitals in seven states surveyed by the Los Angeles Times complained that FEMA officials were showing up unannounced and seizing their supplies, leaving them desperately short and uncertain about where to turn for more equipment.

NVLSP Fact Sheet on CARES Act

The National Veterans Legal Services Program (NVLSP) recognizes that veterans may have questions regarding the Coronavirus Aid, Relief, and Economic Security (CARES) Act.  We have compiled a fact sheet to help address some of the common questions.


NVLSP continues to work to ensure that the government delivers to our veterans, active duty personnel and their families the benefits to which they are entitled due to disabilities incurred during their military service. 

Should women be eligible for US military draft?

One of the starkest ways American women have achieved equality with men in the workplace has occurred in the military.
The decision five years ago by then Defense Secretary Ashton Carter to open all positions in the armed forces to women - including combat duty - was largely applauded as a necessary step that benefited the military and society.

But this levelling of the military playing field has led to a more divisive consequence - at the end of March the government's National Commission on Military, National and Public Service declared it is now time that women become eligible for the military draft - the procedure by which individuals are chosen for conscription - just like their male counterparts between the ages of 18 and 25.
Currently, all male US citizens in that age bracket, regardless of where they live, and male immigrants - documented and undocumented - residing within the US, must register through the Selective Service System.
These registrations create a pool of men who could be pressed into service if the US needs tens of thousands more troops to fight a war or if the country faces an existential crisis.
Women have also been serving the US military for generations, from sewing uniforms during the Revolutionary War to nursing the wounded in World War II. But they have never been required to register for the draft, a stance increasingly at odds with the reality of American's modern military.
"The mere fact that women would have to register would signal a national recognition that everyone is expected to serve if needed and that everyone's service is valued equally," says Kara Vuic, a war studies professor at Texas Christian University, who is writing a book called Drafting Women.

Writing contest on Agent Orange, dioxins held for first time

Hanoi (VNA) - A writing competition on the subject of Agent Orange and dioxins and their aftermaths, the first of its kind in Vietnam, has been launched to mark the 60th anniversary of the beginning of the use of Agent Orange and dioxins in the country on August 10, 1961.
Held for both professional and non-professional journalists, it aims to promote the role of the media in raising public awareness of Agent Orange and dioxins and their consequences and to express support for the victims.
Entries can be a news story, an interview, a commentary, or an investigative piece published in Vietnamese in domestic print or online magazines and newspapers between January 1 and March 30.
They must be true stories and honestly depict people having a positive influence on the community and contributing to caring for and supporting victims of Agent Orange and dioxins.
Each writer can submit no more than three entries. The winners will be announced and receive awards in August, when the anniversary will be marked officially./.

Veterans group accuses VA of using coronavirus patients as ‘testing subjects’

WASHINGTON — A national veterans group has accused the Department of Veterans Affairs of using patients as “human testing subjects” for an anti-malaria medication that some believe could be useful against the coronavirus.
The VA is giving hydroxychloroquine to some patients as a “last resort,” the department said Thursday, even though it’s unproven to work.
Iraq and Afghanistan Veterans of America took issue with the department doling out an unproven treatment for the coronavirus after a study was published this week that determined the drug had no benefit for VA patients.
“This is incredibly troubling for a number of reasons and raises so many questions that we need answered,” said Jeremy Butler, CEO of IAVA.
There is no proven treatment for the coronavirus, which has killed more than 45,000 Americans and infected nearly 845,000, according to Johns Hopkins University. Hydroxychloroquine, which is used to treat rheumatoid arthritis and lupus, entered the public spotlight after optimistic claims by President Donald Trump that it could be a “game changer” against the virus.

Veterans Affairs coronavirus cases top 6,000 as vice president touts department progress

A day after Vice President Mike Pence said that Veterans Affairs is “not seeing cases in its facilities increase,” the department’s coronavirus count topped 6,000 after one of its largest one-day jumps in the last month.
The number of deaths within the VA health system also rose to 391 on Thursday morning, up 18 from the day before. The department has seen a steady rise in cases and fatalities since March 22, when officials reported just 160 cases and a single death from the fast-spreading illness.
Nationally, more than 800,000 Americans have contracted the virus and more than 44,000 died have died from complications related to the illness.
Some medical center employees had been receiving only one mask a week to protect against infection.
On Wednesday, during the daily coronavirus briefing at the White House, Pence praised efforts by VA officials to deal with the outbreak.
“We are also very proud of our team at the VA,” he said. “The VA has addressed its capacity issues. It’s not seen cases among the veterans in its facilities increase, so they are deploying teams to focus on nursing homes.”

Wednesday, April 22, 2020

Secretary of Veterans Affairs Robert Wilkie on Covid-19

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VA Head Acknowledges Challenges For Health Care Workers Battling Coronavirus

The Department of Veterans Affairs is the country's largest health care network with 300 hospitals, clinics and nursing homes nationwide. More than 9 million American veterans get care from the VA, and today VA doctors and nurses serve on the frontlines of the pandemic crisis.
In March, VA Secretary Robert Wilkie told NPR's All Things Considered that his department was well-prepared for the outbreak of COVID-19, and had good supplies of masks and testing kits. The reality is different today, he said.
"Since then, as the national emergency kicked in since I did that interview, the normal supply chains have dried up," said Wilkie.
Wilkie insists the VA did sufficient planning, with "war games" of the outbreak earlier this year. And he said the VA had replenished its national emergency cache of health supplies before the virus hit. That planning has not measured up to the crisis. No VA hospital has run out, but that's because the VA has been forced to carefully ration equipment.
"For those who are on the front lines in the emergency rooms, in the COVID wards, who are in the nursing homes, they have the normal supply of equipment. It's those who do not have that direct contact with patients that we've asked to follow CDC guidelines," he said.
Wilkie admits the Centers for Disease Control guidelines are based more on adapting to the crisis than on ideal medical practices.
"We are ensuring that those on the front lines have what they need," he said. "Does everyone in a hospital have all of the changes in gear that we would have in a normal situation? No."

Sunday, April 19, 2020

VA Instructs Coronavirus-Exposed Staff to Continue Working, Places Those Who Don’t in AWOL Status

Employees at the Veterans Affairs Department are feeling pressured to return to work even after they've been exposed to the novel coronavirus—a new VA policy requires them to continue showing up, and threatens discipline along with the possibility of losing pay for those who stay home.
The situation is creating a stressful environment in which VA workers worry their colleagues may be hiding symptoms while they have insufficient equipment to protect themselves and others from spreading the virus. Government Executive spoke to employees at more than a half-dozen facilities, all of whom said management was providing inconsistent guidance and creating unsafe working conditions.
To date, more than 5,000 patients and 1,600 staff at VA facilities have tested positive for COVID-19; more than 300 patients and more than a dozen staff have died from the disease. Until recently at some facilities, staff told Government Executive, some administrative staff were not even allowed to wear masks, either because there weren't enough to go around and they were being reserved for medical personnel with more sustained patient contact, or because supervisors were worried about alarming patients and visitors. 
At some facilities, VA officials have instituted policies under which employees who worked with COVID-19 positive patients before their status was known—and therefore were not wearing the proper equipment—should continue to work until they develop symptoms, after which they could be tested for the virus. In some cases, those employees included nurses and doctors who subsequently tested positive for the virus but returned after seven days when their symptoms were no longer evident, employees said. One memorandum sent by a top official at a medical center in Indianapolis said VA facilities should consider enabling employees “who have had an exposure to a COVID-19 patient to continue to work after options to improve staffing have been exhausted.”  

In Vietnam, There Have Been Fewer Than 300 COVID-19 Cases And No Deaths. Here's Why

Vietnam shares a border with China, yet it has reported no deaths from COVID-19 and just 268 confirmed cases, when other Southeast Asian nations are reporting thousands.
Experts say experience dealing with prior pandemics, early implementation of aggressive social distancing policies, strong action from political leaders and the muscle of a one-party authoritarian state have helped Vietnam.
"They had political commitment early on at the highest level," says John MacArthur, the U.S. Centers for Disease Control and Prevention's country representative in neighboring Thailand. "And that political commitment went from central level all the way down to the hamlet level."
With experience gained from dealing with the 2003 SARS and 2009 H1N1 pandemics, Vietnam's government started organizing its response in January — as soon as reports began trickling in from Wuhan, China, where the virus is believed to have originated. The country quickly came up with a variety of tactics, including widespread quarantining and aggressive contact tracing. It has also won praise from the World Health Organization and the CDC for its transparency in dealing with the crisis.
Prime Minister Nguyen Xuan Phuc recently characterized Vietnam's efforts as the "spring general offensive of 2020," a reference to the 1968 Tet Offensive, which many claims helped turn the tide of the Vietnam War.
Tens of thousands have been put in quarantine camps. By the end of March, Vietnam had banned all international and domestic flights. The government locked down the country on April 1. State-run media say the current social distancing and stay-at-home orders are to be extended for at least another week.

8 ways veterans are particularly at risk from the coronavirus pandemic

Among the most hard-hit are veterans, who are particularly susceptible to both health and economic threats from the pandemic. These veterans face homelessness, lack of health care, delays in receiving financial support and even death.
I have spent the past four years studying veterans with substance use and mental health disorders who are in the criminal justice system. This work revealed gaps in health care and financial support for veterans, even though they have the best publicly funded benefits in the country.