Monday, May 27, 2019

Memorial Day 2019 - A Combat Vet Talks "Cause and Effect"

A young woman lays down on the grave of U.S. Marine Corps Lance Corporal Noah Pier on Memorial Day at Arlington National Ceme
A young woman lays down on the grave of U.S. Marine Corps Lance Corporal Noah Pier on Memorial Day at Arlington National Cemetery on May 31, 2010, in Arlington, Virginia.  (Chip Somodevilla via Getty Images)

As we honor our fallen this Memorial Day, an observer of our military actions over the last two decades in the Middle East could in no way have predicted the splintered, irrational, “Turn-Your-Back-And-You-Have-Two-New-Enemies”, scenario the US faces today. Perhaps a look back over our shoulder, examining cause and effect relationships along the road is in order.

CAUSE:  The US fights a just and honorable war assisting many Middle East allies and other countries free Kuwait.

EFFECT:  Saddam Hussein is driven from Kuwait and the country is returned to its rightful government.

CAUSE:  The US does not leave the Middle East after rescuing Kuwait, but rather, stays in peripheral countries militarily “To Protect Our Interests” with an imperialist attitude resented by cultures that have an ingrained,religious hatred for that type of presence by foreigners.

EFFECT:  The rise of Bin Laden and many more like him today and the deaths of 3,000 Americans on our soil, attacked in our homeland because we did not leave the Middle East. 

CAUSE:  The US reacts to 911 by setting up an elaborate Homeland Security apparatus and beefing up the National Security Agency by orders of magnitude, technologically, while putting in place a carefully concealed legal apparatus to counter terrorism.

EFFECT: The US has no outside terrorist incidents of a 911 magnitude since the Twin Towers fell in 2001 but Americans develop real concerns about our government and its role in controlling our lives as whistle blower disclosures regarding the apparatus of intelligence operation reveal potential constitutional issues.

CAUSE:  The US invades Iraq fed by false, intentionally staged intelligence, fronted by agencies and industries bent on economic gain. The US sets about war fighting and nation building programs that seek to displace a culture that had evolved through conflict and war lords for hundreds of years and is tied to the absolute requirement that religious practices be part and parcel of government, a principle the US has rejected as unworkable since our Constitution was written

EFFECT:  Failure to build anything substantial in the form of a nation over a 17 year period.  The deaths or crippling of our finest soldiers, dramatic increases in our national debt and a cynicism among our citizens with respect to the $Billions that have gone into the pockets of corporations supporting our huge Military Industrial Complex (MIC) and wasteful USAID Programs by companies that spend more lobbying Congress than they pay in taxes.

CAUSE:  The present Middle East unrest due to ISIS/ISIL and other splinter groups we thought had been scattered to the winds. 

EFFECT:  UN security council meets with many nations talking and less than a half dozen nations carefully and selectively participating in an air war against terrorism while the remainder watch the outcome.   Our military and corporate defense establishment (MIC) shout, “Sequestration to reduce military spending must end!” and estimates more years will be required with more American boots on the ground to train forces that we had already trained for a decade and provide "Stability"). 

CAUSE (PROJECTED):  A political battle like none seen in recent times during the coming US national  elections, driven by concerned American citizens and their view of the US role in the Middle East. As our burgeoning National Debt Clock approaches $23 Trillion the culture in that part of the world has had a very difficult time figuring out how we can help while we near energy independence from oil and require some nation building of our own in the homeland. 

EFFECT (PROJECTED): A leader and a political climate that will permit prudence, tough decisions, carefully avoidance of bad intelligence and overreaction so that we do not continue to sink into the oil and blood soaked desert of Middle East cultural revolutions. 

Global corporations will then cease consuming the MIC and USAID tax payer dollars to prosper, while parking their assets overseas as our young become indebted for generations.



Image: usf.edu/florida





Tuesday, May 14, 2019

A Veteran Connects the Dots In the Military and Veterans Health Care Systems Maze

PLEASE CLICK ON IMAGE TO ENLAGE
The Massive backlog recently highlighted in the press and in Congress  reveals a dire necessity for simplification, communication and  efficiency in processes, systems and government service contracting in DOD and the Veterans Administration as well as better management of federal government contractors. 

The news media, the auditors and the average American are pointing the finger at the President and the Head of the VA.  One cannot ignore the accountability aspects of these individuals.  

However, the real root causes lie in the massive volume of war veterans returning from our pointless incursions in the Middle East over the last decade, coupled with the historically poor process and systems work conducted between the Department of Defense and the VA and poorly managed contractors taking home millions on systems specifications that change like the wind blows.  

It is not unlike the Obama Care fiasco.

After returning from two combat tours in Vietnam, I worked in the government contracting environment for 36 years then went through the VA system as a Veteran getting treatment at retirement in 2006

In 2006 I found the VA had a magnificent system capable of handling medical records and treatment anywhere in the world once a veteran was in the system; a key point.  Please contrast the below Time Magazine Story with current events and ask yourself : Why have we had such deterioration?  

http://content.time.com/time/magazine/article/0,9171,1376238,00.html

ANSWER:   We have not experienced deterioration - within the VA itself, except  from pressures due to millions returning from war and from human beings who look for excuses when systems fail.

We have had over 17 years of Middle East incursions, a sudden discharge of veterans and poor management from the DOD to the VA, from the systems contractors to the state veterans homes.  

Veterans fall through the cracks as a result.

 This is an F-35 aircraft, cost plus scenario, revisited in the form of veterans care systems mismanagement and it will cost billions to fix.  THAT IS THE COST OF WAR.

Unlike the F-35 we must have veterans health care or our volunteer army will disappear.


THE TOTAL SPECTRUM MUST BE VIEWED TO MANAGE THE ISSUES. 


BACKGROUND

A recent 3 part special in Time Magazine addresses the serious gaps between treatment,  benefits and services processes and systems between the military  services and the Veterans Administration:
"While awaiting  processing, "the veteran’s claim sits stagnant for up to 175 days as VA  awaits transfer of complete (service treatment records) from DoD,":

After years of work to move toward integrated electronic records that would eliminate this sort of delay, Defense Secretary Chuck Hagel recently  conceded that the Defense Department is not holding up its end of the bargain to improve the disability process.

"I didn’t think, we knew what the hell we were doing.":
 

http://www.federalnewsradio.com/394/3288748/Hagel-orders-DoD-to-restructure-path-toward-integrated-health-record 
 

HISTORICAL SIMILARITIES

The above scenario is not unlike the Walter Reed Army Hospital care  fiasco a few years ago, before the facility was shut down and consolidated with the Bethesda Naval facility.

OTHER SYMPTOMS

The VA decided to have those who would  actually use the system (claims processors) work with software  developers. This process took longer but will create a system more  likely to meet the needs of those who actually use it. VA also worked  closely with major Congressional-chartered veterans’ service  organizations.

2013 was the year in which regional offices were to be being transitioned to the new electronic system.  It obviously has not occurred as planned.


ROOT CAUSE

Both DOD and the Veterans  Administration use service contractors to perform this type of systems development.  Government Computer News (GCN)  carried a story on the  difficulties experienced with, "Performance-Based Contracting", which  has been made part of the Federal Acquisition Regulation (FAR) in an  attempt to pre-establish at contract award those discrete outcomes that determine if and when a contractor will be paid.


http://gcn.com/articles/2006/12/01/performancebased-contracting-still-baffles-agencies.aspx 

Interestingly enough, the article splits the blame for the difficulties  right down the middle, stating the government typically has problems  defining what it wants as an end product or outcome and looks to  contractors to define it for them. More than willing to do so, the contractors detail specific end products or outcomes, set schedule  milestones and submit competitive proposals.

The winner is selected based on what the government thinks it needs at  the time to fulfill its requirement and a contract is negotiated. Once underway, the government decides it wants something else (usually a  management-by-government committee phenomena with a contractor growing  his product or service by offering lots of options). The resulting  change of contract scope invalidates the original price and schedule, so  a whole new round of proposals and negotiations must occur with the  winner while the losers watch something totally different evolve than  that for which they competed. The clock keeps ticking and the winner  keeps getting his monthly bill paid based on incurred cost or progress  payments.


CONCLUSION

The present state of the economy and the needs of our servicemen will not allow the aforementioned to  continue. Government agencies are now hard pressed to insure the most  "Bang for the Buck". It is in the long term interests of the politician, the DOD, the VA and astute contractors to assist in that endeavor. 


(1)The only way to achieve such an objective is through sound technical, cost and schedule contract definition via an iterative process of baseline management and control.

http://www.smalltofeds.com/2009/08/contract-baseline-management-in-small.html

(2)  Government civil servants must be trained to report systemic poor service up the line in lieu of hiding bad news from superiors or developing workarounds.  This must be an expectation built into their job description and they must be rewarded and promoted for meeting that requirement just as they are for the other requirements of their jobs. 

The first whistle to be blown must be to the boss when the service issue occurs, not to the press a year from the occurrence. 

Our returning soldiers and those who have served before deserve better"