{"id":11574,"date":"2025-03-09T11:52:35","date_gmt":"2025-03-09T11:52:35","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/chaos-at-the-v-a-inside-the-doge-cuts-disrupting-the-veterans-agency\/"},"modified":"2025-03-09T11:52:35","modified_gmt":"2025-03-09T11:52:35","slug":"chaos-at-the-v-a-inside-the-doge-cuts-disrupting-the-veterans-agency","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/chaos-at-the-v-a-inside-the-doge-cuts-disrupting-the-veterans-agency\/","title":{"rendered":"Chaos at the V.A.: Inside the DOGE Cuts Disrupting the Veterans Agency"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">At the Veterans Affairs hospital in Pittsburgh, researchers spent months preparing for a clinical trial of a new drug to treat advanced cancers of the mouth, throat and voice box.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">They were ready last month to start enrolling patients \u2014 veterans whose cancer had spread to other tissue and who had run out of treatment options.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Then a problem arose.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The hospital was unable to renew the job of a key staff member involved in running the study, a typically routine process thwarted by a hiring freeze imposed under the government-cutting project led by President Trump and Elon Musk. Suddenly, the clinical trial was on hold.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThey were ready to enroll,\u201d said Alanna Caffas, the chief executive of the Veterans Health Foundation, which administers the trials. \u201cThey had the lab kits on site. They had the drug to dispense. But they couldn\u2019t get the clinical research coordinator renewed.\u201d<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">While Trump administration officials have promised to preserve core patient services, initial cuts at the V.A. have nonetheless spawned chaotic ripple effects. They have disrupted studies involving patients awaiting experimental treatments, forced some facilities to fire support staff and created uncertainty amid the mass cancellation, and partial reinstatement, of hundreds of contracts targeted by Mr. Musk\u2019s Department of Government Efficiency.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The changes have shaken the veterans department, which stands out in the labyrinth of agencies and offices under siege by Mr. Trump and Mr. Musk.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">It is in many ways a natural target for reform \u2014 a bureaucratic behemoth with roughly 480,000 employees, some 90,000 contracts and a documented history of scandals and waste. But it also treats 9.1 million veterans, provides critical medical research and, according to some studies, offers care that is comparable to or better than many private health systems. Even Project 2025, the conservative governing blueprint assembled by Trump allies, said the V.A. had transformed into \u201cone of the most respected U.S. agencies.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The V.A. is also one of the most politically sensitive departments in the government, serving a constituency courted heavily by Republicans, including Mr. Trump, who has made overhauling the agency a talking point since his 2016 campaign.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Now, with V.A. Secretary Doug Collins vowing a <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/03\/05\/us\/politics\/veterans-affairs-cuts-trump.html\" title=\"\">much deeper round of cuts<\/a> \u2014 eliminating some 80,000 jobs and reviewing tens of thousands of contracts \u2014 some Republican lawmakers are warning that the tumultuous process risks undoing recent progress.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">G.O.P. lawmakers questioned Mr. Musk about the cuts during <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/03\/05\/us\/politics\/elon-musk-doge-republican-senators.html\" title=\"\">a closed-door meeting last week<\/a>, with Senator John Barrasso of Wyoming, the chamber\u2019s No. 2 Republican, telling reporters afterward that, although improvements can be made, \u201cwe want to make sure veterans get the care they need.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">This account of the early days of DOGE-led cuts inside the V.A. is based on more than two dozen interviews with hospital administrators, current and recently terminated employees, heads of independent foundations that support the veterans\u2019 health system, government contractors and research scientists. Many agreed to speak on the condition of anonymity because they want to continue to serve veterans or hope to be reinstated in their jobs, and feared retribution from the Trump administration.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Among the 2,400 employees fired from the V.A. since Mr. Trump\u2019s inauguration are workers who purchase medical supplies, schedule appointments and arrange rides for patients to see their doctors. Many are veterans themselves. All were <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/interactive\/2025\/03\/06\/us\/politics\/trump-federal-workers-fired-rehired.html\" title=\"\">\u201cprobationary\u201d employees<\/a>, meaning they were relatively new on the job and had fewer legal protections. Some may be reinstated, pending court action.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-4\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">James Stancil, an Army veteran who stocked supplies for emergency and spinal injury care at a V.A. hospital in Milwaukee, said he and nearly half his shift of supply technicians lost their jobs last month.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-5\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cIf you double the work, I can guarantee you\u2019re going to have wrong things and wrong stuff in the wrong place,\u201d said Mr. Stancil, a member of the American Federation of Government Employees, whose role in his hiring paperwork was described as \u201ccritical.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">V.A. officials said the system is fully committed to serving its patients, insisting that no patients were affected by the cuts and that all savings would be reinvested in veterans.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cV.A. will always provide veterans, families, caregivers and survivors the health care and benefits they have earned,\u201d the agency\u2019s press secretary, Peter Kasperowicz, said in a statement. \u201cBut we\u2019re also making major improvements to strengthen the department, including redirecting billions of dollars from nonmission-critical efforts to health care, benefits and services that directly support V.A. beneficiaries.\u201d<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-6\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">A day after The New York Times asked about delays in clinical trials due to the hiring freeze, the veterans agency moved to address the problem facing research staffers like the ones in Pittsburgh, who are often paid by outside groups running the research but still need time-limited, unpaid appointments at the V.A. to work on site.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">On Friday afternoon, the V.A.\u2019s acting chief of research and development emailed employees saying that those with certain appointments set to expire soon will be given 90-day exemptions.<strong class=\"css-8qgvsz ebyp5n10\"> <\/strong>The email to employees did not specify what would happen after 90 days, even though most studies last for years, or how the decision would apply to those whose appointments had already expired. Mr. Kasperowicz said the extension would allow for a \u201ccomprehensive assessment of ongoing research initiatives to evaluate their impact on Veteran health care.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Mr. Collins appeared to bring some of his concerns about the agency\u2019s future to a Cabinet meeting last week, asking Mr. Musk to be strategic in his government-shrinking process, The Times <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/03\/07\/us\/politics\/trump-musk-doge-power.html\" title=\"\">previously reported<\/a>.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In public, however, Mr. Collins has expressed enthusiastic support for the effort. He has also exempted about 300,000 \u201cmission critical\u201d workers from being cut , including medical professionals like doctors and nurses.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cBut we will be making major changes,\u201d he <a class=\"css-yywogo\" href=\"https:\/\/www.youtube.com\/watch?app=desktop&amp;v=juRR9-ojusA&amp;feature=youtu.be\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">said<\/a>. \u201cSo get used to it.\u201d<\/p>\n<h2 class=\"css-13o6u42 eoo0vm40\" id=\"link-e73cc6d\">Research Disruptions<\/h2>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-7\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Although the Veterans Affairs Department is better known for the health care it provides, conducting scientific research is one of the agency\u2019s core missions, offering veterans early access to cutting-edge treatments that are still in clinical trials.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">With 170 hospitals nationwide \u2014 and patients who tend to volunteer for studies at higher rates than civilians \u2014 the V.A. has pioneered studies that often seek to enroll large numbers of patients at multiple sites across the country.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Some of the agency\u2019s research focuses on conditions that disproportionately afflict veterans like traumatic brain injury, spinal cord and blast injuries. But the V.A. is also credited with landmark discoveries such as aspirin\u2019s ability to prevent heart attacks, the first cardiac pacemaker and the nicotine patch.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Mr. Trump\u2019s Jan. 20 <a class=\"css-yywogo\" href=\"https:\/\/www.whitehouse.gov\/presidential-actions\/2025\/01\/hiring-freeze\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">executive order<\/a> freezing government hiring cut off many of the V.A.\u2019s critical research staff midway through studies, said Rashi Romanoff, the chief executive of the National Association of Veterans\u2019 Research and Education Foundations, an association that supports partnerships between the veterans department and nonprofits.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">If their appointments are not renewed, \u201cany work with the V.A. must be suspended; they can\u2019t have contact with patients; they have no access to data,\u201d Ms. Romanoff said.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-8\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Ms. Romanoff estimated that some 200 research staff members involved in 300 or more trials were at risk of being cut off during the first 90 days following the federal hiring freeze, threatening to disrupt trials providing treatment to some 10,000 veterans if no action is taken. Scientists are already considering moving trials to other institutions, which will mean veterans are no longer first in line for participation, and could cause millions of dollars in research funds to go to waste, she said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In Pittsburgh, at least 20 research staff involved in more than a dozen studies have a specific type of appointment that comes without compensation from the V.A. The disrupted projects included three offering new drugs for lung and other cancers.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Mr. Kasperowicz said the 90-day extensions include research staff jobs in an effort to maintain \u201ccontinuity of all research efforts\u201d while the V.A. assesses the value of the research. He said the department would reach out to the Pittsburgh medical center \u201cto ensure they understand this policy.\u201d<\/p>\n<h2 class=\"css-13o6u42 eoo0vm40\" id=\"link-308fcbd\">Struggle Over Contracts<\/h2>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-9\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The V.A. has long struggled to maintain oversight over its spending, including a vast network of contracts worth some $67 billion per year, according to the agency. A report by the agency\u2019s inspector general\u2019s office noted \u201cimproper and unknown\u201d payments totaling <a class=\"css-yywogo\" href=\"https:\/\/www.vaoig.gov\/sites\/default\/files\/reports\/2024-05\/vaoig-24-00510-167.pdf\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">$3.2 billion<\/a> in fiscal year 2023.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-10\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">In an initial push in late February, the V.A. tried to cancel roughly 875 contracts. The list of cuts was \u201cprovided\u201d by DOGE, according to emails reviewed by The Times, with a directive that \u201cterminations should begin as quickly as possible.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cNo more paying consultants to do things like make Power Point slides and write meeting minutes!\u201d Mr. Collins <a class=\"css-yywogo\" href=\"https:\/\/x.com\/SecVetAffairs\/status\/1894426832641913204\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">wrote<\/a> in a social media post announcing the cuts.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">But senior V.A. officials were soon making frantic appeals to roll some of them back.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In an email, one official wrote that the contracts on the termination list included over 100 that \u201cwere deemed to be mission critical,\u201d adding that their cancellation would \u201clead to catastrophic mission failure for essential veteran programs or health care operations.\u201d The email highlighted services like sterilizing medical equipment, maintaining boilers and generators, filling prescriptions and overseeing human clinical trials, <a class=\"css-yywogo\" href=\"https:\/\/www.washingtonpost.com\/politics\/2025\/02\/25\/veterans-affairs-contracts-canceled\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">some of which were previously highlighted by The Washington Post<\/a>.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Within minutes, Dr. Steven Lieberman, the acting under secretary for health, underscored the message. \u201cPlease reconsider the decision being made,\u201d Dr. Lieberman wrote in an email reviewed by The Times.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Early the next morning, the V.A. tried to pump the breaks.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cALL \u2014 PLEASE HALT ANY CONTRACT TERMINATIONS THAT ARE IN PROGRESS,\u201d another official wrote, highlighting his words in yellow.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-11\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">But many contractors had already been notified that they were losing their work, emails show. By the next week, the V.A. had managed to walk back some of the terminations, saying it would <a class=\"css-yywogo\" href=\"https:\/\/news.va.gov\/press-room\/va-to-terminate-585-non-mission-critical-or-duplicative-contracts\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">cancel<\/a> 585 of the original contracts.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">One that was spared was a contract for maintaining imaging machines in a Midwest hospital, which would have had to halt all scans as soon as the machines came due for inspection.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The hospital fought successfully to reinstate that contract. But it is still pushing to rescind the cancellation of other service contracts, such as one for technicians who order medical supplies, an administrator at the hospital said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Mr. Kasperowicz, the V.A. spokesman, said that the contracts that were canceled \u201cwere identified through a deliberative, multilevel review\u201d involving senior department leaders and contracting officials.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">So far the V.A. has refused to reinstate some contracts because the work does not involve direct interaction with patients or their families, emails shared with The Times show.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-12\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">But one hospital administrator said many positions are critical even if they do not entail direct patient care \u2014 such as those who purchase medical supplies.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-13\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cLots of people don\u2019t understand how important these roles are,\u201d the administrator said. \u201cThey are critical. They\u2019re trained and certified. We can\u2019t just replace them with random hospital employees.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The firings last month of 2,400 probationary workers deemed nonessential have also complicated life in some facilities now forced to operate without support staff.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">One such worker was Chante Duncan, who spent three months as an office manager at a mental health center for military veterans in Indianapolis. Sometimes Ms. Duncan found herself picking up the phone and talking to veterans in crisis, including one recently who was experiencing severe hallucinations.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-14\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cI kept him on that phone for over an hour until a therapist was available to him,\u201d said Ms. Duncan, who said she was speaking in her capacity as a member of her union, the American Federation of Government Employees.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">But on Valentine\u2019s Day, amid a purge of thousands of workers across the government, she was fired, leaving no one but therapists to sit at the front desk and check in patients, Ms. Duncan said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">A sign posted on the door tells veterans to call their counselor and leave a voice mail message if the office is locked.<\/p>\n<p class=\"css-798hid etfikam0\">Jeremy Singer-Vine<!-- --> and <!-- -->Catie Edmondson<!-- --> contributed reporting.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.nytimes.com\/2025\/03\/09\/us\/politics\/veterans-affairs-doge-cuts.html\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the Veterans Affairs hospital in Pittsburgh, researchers spent months preparing for a clinical trial of a new drug to<\/p>\n","protected":false},"author":1,"featured_media":11575,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[427,934,211,114,3865,511,288,1224,3867,1816,1355,1071,510,3400,268,113,111,1354,3866],"class_list":["post-11574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-us","tag-american-federation-of-government-employees","tag-clinical-trials","tag-collins","tag-donald-j","tag-douglas-a-1966","tag-elon","tag-government-contracts-and-procurement","tag-government-efficiency-department-us","tag-head-and-neck-cancer","tag-hiring-and-promotion","tag-hospitals","tag-layoffs-and-job-reductions","tag-musk","tag-pittsburgh-pa","tag-research","tag-trump","tag-united-states-politics-and-government","tag-veterans","tag-veterans-affairs-department"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - 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