Barb,Don't get all wired up on this. As they said in the report, it's been going on for years.
Yeah...
Grew up a navy-brat, and had it up to my eyeballs with the VA by the time I was 14.
With dependents, at the time anyhow, don't know about now... If you got sick/injured on base you could use Navy medical, and off-base it was the local VA hospital. This one time (at band camp;) the VA hospital had me walk from the ER up 6 flights of stairs to radiology four or five times, because they didn't believe my broken ankle was actually broken. Because I'm walking on it right? Anyhow, they finally go -holy shit- Your ankle's broken! And hand me my X-rays, strap me into a wheelchair... Won't let me walk now, I get up to pee and it was like I threatened to burn the building down, that's when they strap me in... And leave me in a hallway for 3 hours (still need to pee)... Aaaaaaand roll me out to my car. (Remember, I'm 14, and the paperwork he's handing me clearly says that. I "borrowed" my parents car. And dude is letting me drive off in it) Without casting it. But??? I was officiously told,that my discharge paperwork is right here. Fine. So I drive myself out to Coronado, have a beer with some friends there -my dad's out to sea- tell them my story, and one of them calls up their medic who comes out, aligns the bone (you could feel the displaced bone through my skin, but the whole area was numb/had been for days, f*cking VA), and casts the sucker on the spot. He took it off for me, later.
6 MONTHS go by and I get a call from the VA hospital wanting to set an appointment for my cast to come off.
Ummm?
Apparently someone finally sent the paperwork from the ER up to whomever is supposed to cast things, someone just makes up that I was casted, and now it's time to get it off. Or. Um. Like 6 months late, for a procedure you never did in the first place, but whatever. It's the VA. Thats jig time.