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"Rose Covered Glasses" is a serious essay, satire and photo-poetry commentary from a group of US Military Veterans in Minnesota. See Right Margin for Table of Contents and Free Book Downloads via "Box" Free SCORE mentoring for small business at: https://classic.micromentor.org/mentor/38640
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| Author Charles Lewis |
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Approaching two decades in volunteer small business consulting, I appreciate the many individuals who have contacted me for advice. You have come from several venues – through the Micro Mentor and SCORE Foundations, LinkedIn and other social media sites. It has been a pleasure serving small business.
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My work with you has kept me active in retirement, in touch with my profession and engaged in a continuous learning mode.
Please feel free to download any of the 4 free books pictured here, as well as other useful information at the BOX in the right margin of https://www.smalltofeds.com . You may also download the books free of charge from: https://smalltofeds.academia.edu/KenLarson
Although originally written some time ago, the small business contracting books contain live links in the Adobe text to updates for any given topic at the “Small To Feds” Blog. The books have been written at the request of my volunteer clients to cover topics in the order small business generally encounters them in government contracting.
My best wishes for success to you in your small business enterprises.
Ken Larson
“MILITARY TIMES” By Leo Shane III
“Veterans Affairs officials on announced an extension of their contract with Oracle Cerner to continue their embattled electronic health records overhaul, promising that new safeguards in the agreement will improve the existing software system’s performance.
The deal means five more years of partnership between the department and the digital information firm, both of which have come under scrutiny for work so far on the $16 billion project.”
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“Veterans Affairs officials on Tuesday announced an extension of their contract with Oracle Cerner to continue their embattled electronic health records overhaul, promising that new safeguards in the agreement will improve the existing software system’s performance.
The deal means five more years of partnership between the department and the digital information firm, both of which have come under scrutiny for work so far on the $16 billion project. Only a few sites are using the new records system, despite five years of effort so far, and future rollouts have been postponed indefinitely until key improvements are made.
Glitches in the system have produced more than 150 cases of veterans suffering harm from medical record mistakes and shortfalls. Administrators reported last fall that the system failed to deliver more than 11,000 orders for specialty care, lab work and other services, all without alerting health care providers the orders had been lost.
Neil Evans, acting program executive director of VA’s health records project, acknowledged in a statement that “the system has not delivered for veterans or VA clinicians to date, but we are stopping at nothing to get this right.”
The contract announcement does not change the full halt on new deployments announced by the department last month. VA officials have said that they will not schedule any more system deployments “until VA is confident that the new [record system] is highly functioning at current sites and ready to deliver for veterans and VA clinicians.”
Getting military and veterans health records onto the same system has been a goal of federal administrators for decades. The Pentagon had some issues implementing the Oracle Cerner software but not as many setbacks as the VA.
The new agreement — five one-year contracts, to allow annual performance reviews of Oracle Cerner’s work — includes new accountability measures such as financial penalties for system down time and regular reporting of software shortfalls.
In a joint statement, House Veterans’ Affairs Committee Chairman Mike Bost, R-Ill., and Rep. Matt Rosendale, R-Mont., who leads the committee’s technology panel, said they remain skeptical that the new agreement will produce better results.
“The main questions we have about what will be different going forward remain unanswered,” they said. “This shorter-term contract is an encouraging first step, but veterans and taxpayers need more than a wink and a nod that the project will improve.”
Senate Veterans’ Affairs Committee Chairman Jon Tester was more optimistic following the news but added that “this is just the start of what’s needed to get this program working in a way deserving of our veterans and taxpayers.”
Oracle Cerner officials told House lawmakers during a May 9 hearing that they support the pause in rollouts and are committed to fixing the system problems in coming years. With the contract negotiations complete, that work will begin again at the five sites currently using the new records system.”
About Leo Shane III
Leo covers Congress, Veterans Affairs and the White House for Military Times. He has covered Washington, D.C. since 2004, focusing on military personnel and veterans policies. His work has earned numerous honors, including a 2009 Polk award, a 2010 National Headliner Award, the IAVA Leadership in Journalism award and the VFW News Media award.
On March 5, 2023 and subsequent articles, the St. Paul Pioneer Press has covered the investigation ongoing into the Minnesota Veterans Home Hastings (MVH).
I was somewhat shocked at the article and its lack of understanding of the root causes behind the symptoms they perceive to be observing. Having lived at this facility for over a decade I believe I can offer them some enlightenment.
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I am a 76 year old resident who has resided at the Hastings Veterans Home (MVH) for 16 years. I arrived after serving two combat tours in Vietnam and 36 years with defense companies building weapons being used by our country today. I was treated for PTSD and Depression at the VA Hospital in Minneapolis and referred to the MVH for continued care.
During my stay at MVH I have volunteered to small business and to veterans of all ages. I work today with veterans returning from the Middle East.
I have met and admired the vast majority of administration and staff at MVH during my stay. They work under difficult conditions. Many citizens make the mistake of thinking the state veterans homes are a part of the larger Veterans Administration. State veterans homes are not part of the VA.
Budgets are always tight at the State level because the state budget must be balanced by law. State budgets are NOT like the federal government which is now approaching a $32 Trillion National Debt.
A state domiciliary is subject to state policy makers. They are also overseen by the Federal VA because the VA provides a great deal of the funding necessary for operations. State funding contributes a solid share as well, and residents like me contribute the bulk of our social security and/or disability payments to run the facility.
Contributing to the oversight function, are the federal and state health departments, OSHA, HIPPA and other regulatory functionaries. Therein lies a major cause of much of what you see in the way of management issues reported by the Pioneer Press, both today and below in 2010:
Management and staff fear their government regulators, and as human beings, they yield to that fear in the way they treat each other in setting policy and managing their staffs. As in so many other functions involving government in our country, bureaucracy reigns supreme.
I have not found the care wanting here at MVH. I admire the front line administration, maintenance, housekeeping and food services staffs, the social workers and nurses who have sacrificed a great deal before and during COVID and those who will continue to do so.
Management and staff turnover under difficult health care issues in this country is to be expected. In my view the real issues are above the level of the facilities like the MVH domicile facility and at the pinnacle where “‘Policy Wonks Meet Bureaucracy”. This dynamic duo then follows the money trail to Hastings, and metes out their regulatory functions at a facility that is over a hundred years old, operating under lean budgets and staffing.
That facility and the other one like it in Minneapolis just happens to be GOLDEN to many veterans who are struggling to move on.
I suggest our Senators and Congressional Representatives, consider simplifying practices and focus on the human elements that cause stress resulting from regulatory pressures on people that simply wish to do their jobs.
The Pioneer Press article reports on symptoms, not real causes. Simplify and clarify policy and regulation, focus on the care of the worker and service to the veteran with clear, non-threatening and effective practices.
Above all. be aware of what stacks of regulation and power brokers can do to lower level participants.

following facts:We must intuitively arrive at the conclusion that war is a waste and avoid it for reasons that are becoming more obvious everyday around the globe and are addressed in each of these 10 points.
If we do not intuitively arrive at this conclusion, war will continue and it will destroy us.
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| Marine John Thomas Doody, (Chris O’Meara/AP) |
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| CLICK IMAGES TO VIEW OR ENLARGE - Video and Chart Brown University “Costs of War”
“MILITARY TIMES“
“A new collection of studies reveals at the often unseen effects of those wars both at home and abroad ranging from fractured families, strained caregivers, increased cancer rates to mistrust of health workers, demolished infrastructure and military suicides.“
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“Impact from the past two decades of U.S. wars in Iraq and Afghanistan can be seen in dollars spent, lives shattered by injury or trauma and dead service members carried home.
“War and Health” is a collection of ethnographies covering a range of people affected from the wars beginnings, current day and likely long-term future ripples.
In it researchers have found correlations between areas in Afghanistan and Pakistan with higher number of drone strikes are also less likely to accept polio vaccinations and other medical assistance due to mistrust of government aid.
They’ve seen increased rates of behavior incidents and low school performance among children of frequently-deployed military parents.
The reports show waves of Iraqis seeking medical care in Beirut, Lebanon with late-stage cancers because they couldn’t get early screening in Iraq, which previously boasted the leading medical care in the region.
Researchers found military suicides, increased family violence and higher numbers of substance abuse and DUIs even among non-combat service members correlated with faster-paced deployment schedules and training.
While half of all caregivers for veterans are spouses, parents or immediate family, a full one-third of caregivers are friends or neighbors who don’t qualify to receive financial compensation created in recent years to ease the burden that caregivers for vets can face.
Catherine Lutz and Andrea Mazzarino edited the collection as part of their work with the “Costs of War Project,” out of Brown University.
The project collects information on war dead, military and civilian casualties, budget figures and other measures of the costs of the conflicts in the Global War on Terror. The project began in 2011 and recently kicked off a new effort to update past reports and develop new measures by 2021, the 20th anniversary of the start of the wars.
The same project recently released and updated notice on the fiscal costs of the Global War on Terror. The release noted that an estimated $6.4 trillion had been spent between late 2001 and today, a large portion of which has been financed through deficit spending.
But, those numbers can be difficult to nail down, as noted in the report, which quotes Christopher Mann of the Congressional Research Service.
“No government-wide reporting consistently accounts for both DOD and non-DOD war costs,” he said.
Part of the Costs of War Project’s work is to pull together disparate sources to find the tally of the wars.
Their research has found that that a growing cost will be medical care.
One example included 10-year costs estimates for post-9/11 veterans with traumatic brain injuries is expected to cost $2.4 billion from 2020 to 2029.
Mazzarino spoke with Military Times about the nature of the project and what she and its contributors hope it will accomplish.
She and others have participated in media interviews and, through the Costs of War Project, have been in touch with Sen. Bernie Sanders, D-VT and hope to testify before Congress on their findings.
“The whole point of the project is to move beyond the academy to influencing advocacy and public policy,” Mazzarino said.
That’s not an easy task. Data-driven studies such as past reports on increasing servicemember suicides and strains on military families garnered political and public attention, but that took years and resulted in some changes in programs.
What Mazzarino and her colleagues are working with is less black-and-white and more focused on the second- and third-order effects of having a military at war on a daily basis for decades.
But, it may be that what they’re finding will have as much a long-term impact as other major war-related concerns.
“People who were serving when the war started, they’re entering old age soon,” Mazzarino said. “That’s going to come with all kinds of financial burdens to the U.S. government, especially with care for those veterans.”
And overseas, the imprint of decades of combat leave their own kind of toll.
“There are subtle and unexpected ways that the destruction of infrastructure has affected public health,” she said.
The Costs of War Project website has compiled estimates that a many as 480,000 people have died in direct war violence. They estimate far more have died due to “indirect” war violence such as when access to food, water and medical care was restricted or unavailable due to combat.
Their research estimates that more than 244,000 civilians have been killed in connection to the wars and as many as 21 million have been displaced and many are now war refugees, with substandard living conditions away from their native lands.
One harder to measure item is how the estimated $5.9 trillion spent on the wars could have been spent, the report notes. What healthcare, infrastructure or education projects were curtailed, limited or ended as a result in budget priorities to fight the wars instead?
Mazzarino has seen firsthand some of the effects of the wartime military. Her husband serves as a submariner in the Navy. That’s meant more frequent and unexpected deployments that his predecessors faced.
And she’s seen that strain on fellow military families, members and commanders.
Some similar experiences were reflected in a section titled, “It’s Not Okay: War’s Toll on Health Brought Home to Communities and Environments.”
One vignette profiled Dolores, the young wife of an infantry sergeant whose unit had seen a number of murders committed by soldiers back home and increases in domestic violence.
Those experiences had weighed heavily on her husband who returned and completed another Iraq deployment, this time being injured and later diagnosed with traumatic brain injury, and Post Traumatic Stress Disorder.
Six years after he had returned from theater, she had become his main caregiver and had to quit her job to do that work and to advocate for his care.
The section’s authors, Jean Scandlyn and Sarah Hautzinger, wrote that many of the veterans of Iraq and Afghanistan they interviewed still saw themselves as deeply entangled in what had happened during their deployments.
“Assessing war’s toll on health requires that we consider the ways we all become entangled in wars seemingly distant, and how war particularly erodes wellness in domestic military communities,” they wrote.”
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