I am no fan of the current occupant of the White House and that is a grand understatement!
But this VA scandal is not something that the genesis of should be laid at his feet, although he is a great admirer of and promoter of the nexus of the problem. The VA scandal is the Arlington Cemetery Mismanagement Scandal, is the Katrina response scandal is the....you get the gist.
Fed.gov is toooooo BIG! The analogy of cancer is quick to hand, the many cells consuming what the healthy need, taking over, crowding out. The Fed.gov is too corpulent to move at any rate of speed even approaching glacial.
The bosses of the VA, Arlington NC, etc, Secretaries and the like, are mostly in place due to favors owed them, always have been. These people are much too removed from their charges to care or to be feared in the main. Scandals have to reach a certain "stage" in the national media before a head will roll. Probably because up until head rolling time that person is serving as a shield for the POTUS.
The current VA situation is most likely worse now because of the many veterans we have now due to Iraq and Afghanistan, but our Veterans have deserved better for many years. Welcoming Sgt Jones home with a parade is cool, everyone can get into the rhythm of that. But when Jones starts drinking or acting different most of us want the problem to go away.
I'd also like to add that the fact we need things like the Wounded Warrior Project is upsetting. These men and women should already have the best care for anything they need, IN THE WORLD! Now, each community should band together and help their veterans, show them they are appreciated and valued. Maybe that means building a house or retrofitting a house to make a vet more independent. But we have far too many .orgs here that exist because of the hell that is red tape and denials of service that many vets face.
I'm not sure that there is any possibility that this country with as many people in it as there are now is manageable at a Federal level at all. I've said for years we should divide up into maybe 4 equal parts. With each part responsible for almost all of its own business, a vice president, elected in that section, to be part of a board of directors with the POTUS as the chair for anything like a war or some other thing that needs 300+ million peoples attention. Maybe that could be an answer. Of course the original framers had a similar idea what with the Constitution and that 10th amendment and all.
What is certain and for sure is that as long as we depend on the bloated fed.gov to administer anything it will be done wastefully, slowly, and with little compassion.
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