<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	
	>
<channel>
	<title>Comments on: COMMENTARY Why the Lower Shore Needs a Community VA Clinic</title>
	<atom:link href="https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/feed/" rel="self" type="application/rss+xml" />
	<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/</link>
	<description>Your Online Newspaper in Cape Charles, Virginia</description>
	<lastBuildDate>Fri, 07 Aug 2015 21:55:09 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=4.1</generator>
	<item>
		<title>By: Joe Vaccaro</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-91086</link>
		<dc:creator><![CDATA[Joe Vaccaro]]></dc:creator>
		<pubDate>Fri, 01 Aug 2014 14:23:45 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-91086</guid>
		<description><![CDATA[Clarry &amp; Tony -- Thank you for the comments and insights. We are exploring all the options to make this CBOC become a reality for the Shore. Of course the best way to pursue it is using the existing facilities, but that&#039;s not our call. We are merely trying to call attention to an existing problem and move the proverbial ball down the field. The only thing that I can tell you is that &quot;now&quot; that we raised the CBOC issue, there&#039;s a meeting  scheduled to discuss the way ahead. We look forward to working with the VA and the medical professionals on the Shore to make this happen.]]></description>
		<content:encoded><![CDATA[<p>Clarry &amp; Tony &#8212; Thank you for the comments and insights. We are exploring all the options to make this CBOC become a reality for the Shore. Of course the best way to pursue it is using the existing facilities, but that&#8217;s not our call. We are merely trying to call attention to an existing problem and move the proverbial ball down the field. The only thing that I can tell you is that &#8220;now&#8221; that we raised the CBOC issue, there&#8217;s a meeting  scheduled to discuss the way ahead. We look forward to working with the VA and the medical professionals on the Shore to make this happen.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Clarry Ellis</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-90814</link>
		<dc:creator><![CDATA[Clarry Ellis]]></dc:creator>
		<pubDate>Thu, 31 Jul 2014 23:44:49 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-90814</guid>
		<description><![CDATA[Has anyone thought of reaching out to Riverside?  Didn&#039;t they just announce a downsizing of the new hospital?  Why not see if there is an opportunity to combine some of the new VA funds with their own efforts and build a consolidated facility with the capacity to handle the healthcare needs of all Shore residents?]]></description>
		<content:encoded><![CDATA[<p>Has anyone thought of reaching out to Riverside?  Didn&#8217;t they just announce a downsizing of the new hospital?  Why not see if there is an opportunity to combine some of the new VA funds with their own efforts and build a consolidated facility with the capacity to handle the healthcare needs of all Shore residents?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Joe Vaccaro</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-90737</link>
		<dc:creator><![CDATA[Joe Vaccaro]]></dc:creator>
		<pubDate>Thu, 31 Jul 2014 17:16:05 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-90737</guid>
		<description><![CDATA[A CBOC can actually work out of existing medical facilities and that means that the VA wouldn&#039;t have to build/rent a facility or hire more staff. The tricky part is getting a &quot;CBOC&quot; approved for the area, and that&#039;s the crux of the issue.]]></description>
		<content:encoded><![CDATA[<p>A CBOC can actually work out of existing medical facilities and that means that the VA wouldn&#8217;t have to build/rent a facility or hire more staff. The tricky part is getting a &#8220;CBOC&#8221; approved for the area, and that&#8217;s the crux of the issue.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Wayne Creed</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-90659</link>
		<dc:creator><![CDATA[Wayne Creed]]></dc:creator>
		<pubDate>Thu, 31 Jul 2014 12:40:44 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-90659</guid>
		<description><![CDATA[The House on Wednesday overwhelmingly approved a $17 billion overhaul of the troubled Veterans Affairs Department.The 420-5 vote sends a conference agreement worked out by negotiators in both chambers to the Senate, where it is also expected to be approved. It will then be delivered to the White House for President Obama’s signature. The three-year bill provides $10 billion in funding to pay for veterans to get health care at private facilities. Another $5 billion would go toward allowing the Veterans Affairs Department to hire more doctors, nurses and other medical staff. “Our bill will allow veterans suffering long waits for care the option to be seen by a local doctor at a private hospital,” said Rep. Dan Benishek (R-Mich.). “It’s long overdue that Congress took action to provide the quality of care our veterans have earned,” said Rep. Ron Barber (D-Ariz.). Under the bill, veterans may seek treatment at non-VA providers who participate in Medicare if they live more than 40 miles away from a VA facility, or if agency physicians cannot see them within 30 days.]]></description>
		<content:encoded><![CDATA[<p>The House on Wednesday overwhelmingly approved a $17 billion overhaul of the troubled Veterans Affairs Department.The 420-5 vote sends a conference agreement worked out by negotiators in both chambers to the Senate, where it is also expected to be approved. It will then be delivered to the White House for President Obama’s signature. The three-year bill provides $10 billion in funding to pay for veterans to get health care at private facilities. Another $5 billion would go toward allowing the Veterans Affairs Department to hire more doctors, nurses and other medical staff. “Our bill will allow veterans suffering long waits for care the option to be seen by a local doctor at a private hospital,” said Rep. Dan Benishek (R-Mich.). “It’s long overdue that Congress took action to provide the quality of care our veterans have earned,” said Rep. Ron Barber (D-Ariz.). Under the bill, veterans may seek treatment at non-VA providers who participate in Medicare if they live more than 40 miles away from a VA facility, or if agency physicians cannot see them within 30 days.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Tony Sacco</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-90515</link>
		<dc:creator><![CDATA[Tony Sacco]]></dc:creator>
		<pubDate>Thu, 31 Jul 2014 02:05:27 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-90515</guid>
		<description><![CDATA[Joe -- I am with you 100%. I was ahead of all of you on this subject years ago, speaking of just what the  Veterans needed here, but the Tankard bunch in Eastville rejected it. 

I ran for supervisor and lost. A gentleman leaving the voting building said, &quot;Tony I liked your idea about making the Industrial Park into a center to help the Veterans.&quot; I asked, &quot;Did you vote for me?&quot; His answer was NO.]]></description>
		<content:encoded><![CDATA[<p>Joe &#8212; I am with you 100%. I was ahead of all of you on this subject years ago, speaking of just what the  Veterans needed here, but the Tankard bunch in Eastville rejected it. </p>
<p>I ran for supervisor and lost. A gentleman leaving the voting building said, &#8220;Tony I liked your idea about making the Industrial Park into a center to help the Veterans.&#8221; I asked, &#8220;Did you vote for me?&#8221; His answer was NO.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Joe Vaccaro</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-90485</link>
		<dc:creator><![CDATA[Joe Vaccaro]]></dc:creator>
		<pubDate>Wed, 30 Jul 2014 22:04:59 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-90485</guid>
		<description><![CDATA[Once again, Mr. Creed has so elegantly missed a simple point. It appears he wants to use this article as a forum for his own personal objectives. If Mr. Creed has a cogent plan for any of this rant, we&#039;re all ears.  This article has nothing to do with Affordable Health Care, child psychiatrists, Star Transit, or a 700 ton crane (LOL!). The article has identified an actual problem for veterans on the Shore. The solution might involve a multitude of options, but &quot;throwing around&quot; unfocused rhetoric doesn&#039;t solve the issue. A CBOC on the Shore is a simple starting point.]]></description>
		<content:encoded><![CDATA[<p>Once again, Mr. Creed has so elegantly missed a simple point. It appears he wants to use this article as a forum for his own personal objectives. If Mr. Creed has a cogent plan for any of this rant, we&#8217;re all ears.  This article has nothing to do with Affordable Health Care, child psychiatrists, Star Transit, or a 700 ton crane (LOL!). The article has identified an actual problem for veterans on the Shore. The solution might involve a multitude of options, but &#8220;throwing around&#8221; unfocused rhetoric doesn&#8217;t solve the issue. A CBOC on the Shore is a simple starting point.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Wayne Creed</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-90385</link>
		<dc:creator><![CDATA[Wayne Creed]]></dc:creator>
		<pubDate>Wed, 30 Jul 2014 14:31:47 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-90385</guid>
		<description><![CDATA[&quot;As these new details make painfully obvious ...some VA executives are so driven in their quest for performance bonuses, promotions and power that they are willing to lie, cheat and put the health of the veterans they were hired to serve at risk,&quot; said Rep. Jeff Miller, R-Fla., chairman of the House Committee on Veterans&#039; Affairs. What Mr. Miller is talking about is the results of an investigation into the VA which show the depth of fraudulent scheduling, manipulation of data and in some cases intimidation of staff to hide delays in medical care to veterans in the 6-million patient national systems. While on the surface Mr. Vaccaro&#039;s goal of a VA CBOC on the shore seems laudable, it appears he is trying to solve a systemic/programmatic problem with a geographic solution (building yet another brick and mortar structure which will have to be staffed and maintained). During the healthcare debates, there was some talk of also using the Affordable Healthcare Act to also clean up the VA, but that seemed to fall through the cracks. We should lobby our representatives to revisit it. It seems a better solution than building more clinics would be to allow veterans who have earned the benefit, to use it to get medical treatment anywhere they want it. They should be able to choose their own doctors, and see them at their local clinics and hospitals. If they still want to use VA services, that should be an option, but not a requirement. It seems long term, energies should be focused on fixing the process and the system, rather than expanding VA clinics (which are riddled with fraud, corruption and incompetence).

Given there are three facilities, including the mother ship, within 45 minutes to an hour away, it seems that access to the services is the issue, not a lack of facilities. This is not just a Veteran&#039;s problem, but an overarching Eastern Shore problem. Try being a child that needs mental health services, and see how that works out for you. There is only one child psychiatrist on the shore and he doesn&#039;t take patients. The only alternative is to make an appointment across the bay (several months waiting lists), and then someone has to take off from work to get them there. Not only access to services, but also being able to get across the bay to access the myriad of employment opportunities, as well as internships and apprentice programs that exist at shipyards is also a big issue. Ultimately, we need to lobby for a Star Transit form of service that affordably gets Eastern Shore residents across the bay. It will never be convenient, but it will be an option, and an opportunity.

Unfortunately, the approach being advocated by Mr. Vaccaro has infected town and county governments here on the shore, and has become so ingrained that there may be no turning back. It seems there is a tendency to flatly misdiagnose the problem, and then attack it with a 700 ton Manitowac crane when all we really needed was a small backhoe.  The bloated, expensive staffs, huge debt, and dangerous (egregious) zoning plans are all traceable to process and methodology. Until that is changed, well, get used to more of the same, and remaining stuck here.]]></description>
		<content:encoded><![CDATA[<p>&#8220;As these new details make painfully obvious &#8230;some VA executives are so driven in their quest for performance bonuses, promotions and power that they are willing to lie, cheat and put the health of the veterans they were hired to serve at risk,&#8221; said Rep. Jeff Miller, R-Fla., chairman of the House Committee on Veterans&#8217; Affairs. What Mr. Miller is talking about is the results of an investigation into the VA which show the depth of fraudulent scheduling, manipulation of data and in some cases intimidation of staff to hide delays in medical care to veterans in the 6-million patient national systems. While on the surface Mr. Vaccaro&#8217;s goal of a VA CBOC on the shore seems laudable, it appears he is trying to solve a systemic/programmatic problem with a geographic solution (building yet another brick and mortar structure which will have to be staffed and maintained). During the healthcare debates, there was some talk of also using the Affordable Healthcare Act to also clean up the VA, but that seemed to fall through the cracks. We should lobby our representatives to revisit it. It seems a better solution than building more clinics would be to allow veterans who have earned the benefit, to use it to get medical treatment anywhere they want it. They should be able to choose their own doctors, and see them at their local clinics and hospitals. If they still want to use VA services, that should be an option, but not a requirement. It seems long term, energies should be focused on fixing the process and the system, rather than expanding VA clinics (which are riddled with fraud, corruption and incompetence).</p>
<p>Given there are three facilities, including the mother ship, within 45 minutes to an hour away, it seems that access to the services is the issue, not a lack of facilities. This is not just a Veteran&#8217;s problem, but an overarching Eastern Shore problem. Try being a child that needs mental health services, and see how that works out for you. There is only one child psychiatrist on the shore and he doesn&#8217;t take patients. The only alternative is to make an appointment across the bay (several months waiting lists), and then someone has to take off from work to get them there. Not only access to services, but also being able to get across the bay to access the myriad of employment opportunities, as well as internships and apprentice programs that exist at shipyards is also a big issue. Ultimately, we need to lobby for a Star Transit form of service that affordably gets Eastern Shore residents across the bay. It will never be convenient, but it will be an option, and an opportunity.</p>
<p>Unfortunately, the approach being advocated by Mr. Vaccaro has infected town and county governments here on the shore, and has become so ingrained that there may be no turning back. It seems there is a tendency to flatly misdiagnose the problem, and then attack it with a 700 ton Manitowac crane when all we really needed was a small backhoe.  The bloated, expensive staffs, huge debt, and dangerous (egregious) zoning plans are all traceable to process and methodology. Until that is changed, well, get used to more of the same, and remaining stuck here.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Marshall Timm</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-89800</link>
		<dc:creator><![CDATA[Marshall Timm]]></dc:creator>
		<pubDate>Mon, 28 Jul 2014 12:49:04 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-89800</guid>
		<description><![CDATA[We&#039;ll put, Joe Vaccaro, and thank you for staying Semper Fidelis!]]></description>
		<content:encoded><![CDATA[<p>We&#8217;ll put, Joe Vaccaro, and thank you for staying Semper Fidelis!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Antonio Sacco</title>
		<link>https://capecharleswave.com/2014/07/commentary-why-the-lower-shore-needs-a-community-va-clinic/#comment-89680</link>
		<dc:creator><![CDATA[Antonio Sacco]]></dc:creator>
		<pubDate>Mon, 28 Jul 2014 06:29:45 +0000</pubDate>
		<guid isPermaLink="false">http://capecharleswave.com/?p=13832#comment-89680</guid>
		<description><![CDATA[Now that is the kind of leadership in Joe Vaccaro we need in Northampton and Cape Charles. If you recall he was fired by the Cape Charles Town Council because he was too smart for them and they were jealous of his leadership and intelligence. Yes Joe, you are absolutely correct about no facility here for Veterans. If you all recall, when the Industrial Park was sold (secretly) to the Baldwin family by the [County Supervisors] Tankard bunch, they gave me three minutes to change their minds about turning the Industrial Park into a rehabilitation center for our wounded warriors coming back from Iraq -- just three minutes to state that I had a senator, Yale professors, and financial backing, but oh no -- the Baldwins with their buddies on the Board led by Tankard gave the Baldwins 160 acres for a few bucks.  If given to me instead of the Baldwins, there would be over 200 specialized medical personnel plus other workers like cooks, cleaners, etc. What a beautiful surrounding for our wounded warriors to get better -- fishing, kayaking, hunting, and much more, but nothing can get past the Baldwins in this town, and that has to stop. Replace them with folk like Joe Vaccaro. God bless you Joe.]]></description>
		<content:encoded><![CDATA[<p>Now that is the kind of leadership in Joe Vaccaro we need in Northampton and Cape Charles. If you recall he was fired by the Cape Charles Town Council because he was too smart for them and they were jealous of his leadership and intelligence. Yes Joe, you are absolutely correct about no facility here for Veterans. If you all recall, when the Industrial Park was sold (secretly) to the Baldwin family by the [County Supervisors] Tankard bunch, they gave me three minutes to change their minds about turning the Industrial Park into a rehabilitation center for our wounded warriors coming back from Iraq &#8212; just three minutes to state that I had a senator, Yale professors, and financial backing, but oh no &#8212; the Baldwins with their buddies on the Board led by Tankard gave the Baldwins 160 acres for a few bucks.  If given to me instead of the Baldwins, there would be over 200 specialized medical personnel plus other workers like cooks, cleaners, etc. What a beautiful surrounding for our wounded warriors to get better &#8212; fishing, kayaking, hunting, and much more, but nothing can get past the Baldwins in this town, and that has to stop. Replace them with folk like Joe Vaccaro. God bless you Joe.</p>
]]></content:encoded>
	</item>
</channel>
</rss>
