And that was what prompted my direction to say we are going to overhaul the standard performance contract for Medical Center direct recent visitor directors because we are not going to have a contract with their result is aligned with the patient outcome. I think is going to take some of those kinds of structural changes as well to ensure we get people focused. The last thing i would say is this. You know, we are so focused on wait times. As we think about how we teach timeliness of that is in the future, the centerpiece of that is a much more robust focus on patient satisfaction. I think that helps us resent her back on the veteran we are serving in notley cannot wait times in the 700 other metrics that weve got people. Those types of responses should be the driving force to whether someone gets a bonus or how they are compensated. Yes. The spec or general reply to us at it is led to more layers of administrative aspect rather than actual care and that really is a concern. I had a mee
Just for i. T. When all that money has been unaccounted for and the revelation under oath was were using 1985 software. I think that is shocking and i think the american taxpayers deserve an answer as to where their money go and how can they trust you with another 17 billion or just 1 billion in i. T. Upgrade . Either of you. I was listening for a question there. Any question is how can the American People trust you for more money, een a billion . Be glad to give you a lay down of the work that i. T. Does on an annual basis, the projects that are undertaken, the systems that are both maintained and developed, and the functionality thats delivered. So i guess mr. Chairman if i can indulge one final question. I guess the information we heard that day from the. I. T. Was incorrect. It cannot have been correct information for us to find out under a hearing that were using 1985 outdated sced ewing software, when he simply sat there to see we need no more money, were compliant, were fine. Th
With significant bipartisan climate legislation. And after 2010, you see that heartbeat of bipartisan activity flatline. If you look at what happened in early 2010 that might explain why it suddenly ended, you find a Supreme Court decision called Citizens United that allowed unlimited corporate money, unlimited billionaire money, to bombard our politics. And what people often think about that is that, oh, they all came in and they beat up the democrats on behalf of the republicans. And this is a partisan thing. But ive heard over and over from republican colleagues, what are you complaining about . They are spending more money against us and they are spending against you. And there have been times i believe when actually the unaccountable anonymous dark money that Citizens United unleashed was being spent more in republican primaries and against republicans than it was against democrats. That i think has suppressed debate, and have a corrosive effect on our politics, what was for many,
And the revelation under oath was were using 1985 software. I think that is shocking and i think the american taxpayers deserve an answer as to where their money go and how can they trust you with another 17 billion or just 1 billion in i. T. Upgrade . Either of you. I was listening for a question there. Any question is how can the American People trust you for more money, een a billion . Be glad to give you a lay down of the work that i. T. Does on an annual basis, the projects that are undertaken, the systems that are both maintained and developed, and the functionality thats delivered. So i guess mr. Chairman if i can indulge one final question. I guess the information we heard that day from the. I. T. Was incorrect. It cannot have been correct information for us to find out under a hearing that were using 1985 outdated sced ewing software, when he simply sat there to see we need no more money, were compliant, were fine. Thank you very much. The informing he gave us wasnt true, corr
Thank you very much. Thank you, mr. Chairman. I cant thank you enough for being here today, the sacrifices that you have made. I pray that the sacrifices that you and your entire family made will make us a better nation at the end of the day. I think most that sign up to serve have that intention, that they will make this a better nation at the end of the day. I am a physician and also a reservist and i served in iraq for a year. That has led me to want to be here today. One of the things i know as a doctor and im sure dr. Somers you can relate, that when you have patients, regardless of their problems, there is a level of anxiety that, because they have something wrong, whether its muscular, skeletal or mental, it doesnt matter. Something is wrong and there is anxiety. It makes it more difficult and heightens the anxiety when you have all these administrative problems. I know you started to deal with that in private practice. More so maybe than when you first started. The prescription