People who have trouble connecting the dots are often missing some dots.
WSJ’s Kimberley Strassel has shined a light on ‘Big Labor’s VA Choke Hold’ – an aspect of the scandal not yet exposed. She lists a series of audacious malpractices that have become embedded in the VA, and presumably across the federal bureaucratic terrain since the same public service unions (e.g. American Federation of Government Employees and the SEIU) are ensconced throughout.
Byzantine union work rules have helped create VA’s huge treatment backlogs and long waiting times. The AFGE and SEIU attack every initiative to increase internal productivity or outsource work that the VA healthcare system can’t or won’t provide since it may diminish the VA's union workforce or work hours. As a result veterans suffer and have done so for years. (See also 'The VA Fiasco - some thoughts')
The government unions’ response to non-performance is singular and uniform – ‘give us more money.’ That is the essential substance of union promoted reforms in the government when another agency has been shown to go rogue or become dysfunctional. (Photo from Strassel's piece with caption "A rally of VA workers, members of the American Federation of Government Employees, near the White House, June 13, 2012. Getty Images/The Washington Post)
The cause for such behavior and performance has been obvious for decades and was anticipated by FDR when he opposed the onset of public service unions in the 1930s. Public service unions construct dysfunctional feedback paths in the bureaucracies they dominate – the agencies’ faces are turned from serving the veterans or taxpayer, and toward union bosses and disconnected management that is further disconnected from elected officials. Poor service can get worse for decades before someone notices, publicizes it sufficiently, and then attracts temporary palliatives which are soon forgotten as the next cycle of disservice starts.