The VA an example of what happens when bureaucracy operates for its own benefit

V.A. Punished Critics on Staff, Doctors Assert

WASHINGTON — Staff members at dozens of Department of Veterans Affairs hospitals across the country have objected for years to falsified patient appointment schedules and other improper practices, only to be rebuffed, disciplined or even fired after speaking up, according to interviews with current and former staff members and internal documents.

The growing V.A. scandal over long patient wait times and fake scheduling books is emboldening hundreds of employees to go to federal watchdogs, unions, lawmakers and outside whistle-blower groups to report continuing problems, officials for those various groups said.

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The rot starts from the top. I bet the middle managers were afraid of the regional or national armchair generals. And, if the current spate of government lawlessness imposer the malefactors then I don't know what would.