Electronic Health Records Quagmire, VA, DOD Still Can’t Share

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Records

A damning GAO report shows that after at least eighteen years and billions spent, VA and DOD still have not figured out a way to share patient files across agencies.

The Government Accountability Office (GAO) has long critiqued the project because efforts to unify the system resulted in billions wasted while VA engaging in duplicative efforts. These efforts started in 1998.

After years and billions spent, the GAO found that neither agency had a clue about what outcome they wanted or what goals to create when creating the interoperable system:

“Even as the Department of Veterans Affairs (VA) has undertaken numerous initiatives with the Department of Defense (DOD) that were intended to advance the ability of the two departments to share electronic health records, the departments have not identified outcome-oriented goals and metrics to clearly define what they aim to achieve from their interoperability efforts.”

RELATED: VA, DOD Blow $1 Billion With No Strategic Plan

Presently, VA is still struggling to even develop the way they plan to measure what their outcome should be. Does this make any sense? GOA stated:

“VA has established a performance architecture program that has begun to define an approach for identifying outcome-oriented metrics focused on health outcomes in selected clinical areas and has begun to establish baseline measurements.”

RELATED: Despite Billions Spent, VHA Still Needs IT Update

Can anyone tell me exactly what this means? It sounds to me like VA is still at ground zero for figuring out the relevant issues.

VA, DOD ELECTRONIC HEALTH RECORDS

The summary of the report continued:

“Following an unsuccessful attempt to develop a joint system with DOD, VA switched tactics and moved forward with an effort to modernize its current system separately from DOD’s planned acquisition of a commercially available electronic health record system. The department took this course of action even though, in May 2010, it identified 10 areas of health care business needs in common with those of DOD. Further, the results of a 2008 study pointed out that more than 97 percent of inpatient requirements for electronic health record systems are common to both departments. GAO noted that the departments’ plans to separately modernize their systems were duplicative and recommended that their decisions should be justified by comparing the costs and schedules of alternate approaches. The departments agreed with GAO’s recommendations and stated that their initial comparison indicated that separate systems would be more cost effective. However, the departments have not provided a comparison of the estimated costs of their current and previous approaches. Further, both departments developed schedules that indicated their separate modernization efforts will not be completed until after the 2017 planned completion date for the previous joint system approach.

“VA has developed a number of plans to support its development of its electronic health record system, called VistA, including a plan for interoperability and a road map describing functional capabilities to be deployed through fiscal year 2018. According to the road map, the first set of capabilities was delivered by the end of September 2014 and included a foundation for future functionality, such as an enhanced graphical user interface and enterprise messaging infrastructure. However, a recent independent assessment of health information technology (IT) at VA reported that lengthy delays in modernizing VistA had resulted in the system becoming outdated. Further, this study questioned whether the modernization program can overcome a variety of risks and technical issues that have plagued prior VA initiatives of similar size and complexity. Although VA’s Under Secretary for Health has asserted that the department will complete the VistA Evolution program in fiscal year 2018, the Chief Information Officer has indicated that the department is reconsidering how best to meet its future electronic health record system needs.

Here is a GAO table for some background on the project’s development over the years. Notice one thing, try to recall what tech was developed during the respective year and ask yourself, “If we could go home phones to cell phones to iPhones in 18 years, why can’t we get DOD and VA electronic health records systems to talk?” Check it out:

Initiative Year Begun Details
Government ComputerBased Patient Record 1998 This interface was expected to compile requested patient health information in a temporary, “virtual” record that could be displayed on a user’s computer screen.
Federal Health Information Exchange 2002 The Government Computer-Based Patient Record initiative was narrowed in scope to focus on enabling the Department of Defense (DOD) to electronically transfer service members’ health information to the Department of Veterans Affairs (VA) upon their separation from active duty. The resulting initiative, completed in 2004, was renamed the Federal Health Information Exchange. This capability is currently used by the departments to transfer data from DOD to VA.
Bidirectional Health Information Exchange 2004 This capability provides clinicians at both departments with viewable access to records on shared patients. It is currently used by VA and DOD to view data stored in both departments’ heath information systems.
Clinical Data Repository/Health Data Repository Initiative 2004 This interface links DOD’s Clinical Data Repository and VA’s Health Data Repository to achieve a two-way exchange of health information.
Virtual Lifetime Electronic Record 2009 To streamline the transition of electronic medical, benefits, and administrative information between the departments, this initiative enabled access to electronic records for service members as they transition from military to veteran status and throughout their lives. It also expands the departments’ health information-sharing capabilities by enabling access to private-sector health data.
Joint Federal Health Care Center 2010 The Captain James A. Lovell Federal Health Care Center was a 5-year demonstration project to integrate DOD and VA facilities in the North Chicago, Illinois, area. It is the first integrated federal health care center for use by beneficiaries of both departments, with an integrated DOD-VA workforce, a joint funding source, and a single line of governance.

DOD, VA RECORDS SHARING HISTORY

The GAO report further explains the history in more depth:

“Since 1998, VA has undertaken a patchwork of initiatives with DOD to allow the departments’ health information systems to exchange information and increase interoperability.6 Among others, these have included initiatives to share viewable data in the two departments’ existing (legacy) systems, link and share computable data between the departments’ updated heath data repositories, and jointly develop a single integrated system that would be used by both departments. Table 1 summarizes a number of these key initiatives.

“In addition to the initiatives mentioned in table 1, VA has worked in conjunction with DOD to respond to provisions in the National Defense Authorization Act for Fiscal Year 2008, 7 which required the departments to jointly develop and implement fully interoperable electronic health record systems or capabilities in 2009. Yet, even as the departments undertook numerous interoperability and modernization initiatives, they faced significant challenges and slow progress. For example, VA’s and DOD’s success in identifying and implementing joint IT solutions has been hindered by an inability to articulate explicit plans, goals, and time frames for meeting their common health IT needs.

“In March 2011, the secretaries of VA and DOD announced that they would develop a new, joint integrated electronic health record system (referred to as iEHR). This was intended to replace the departments’ separate systems with a single common system, thus sidestepping many of the challenges they had previously encountered in trying to achieve interoperability. However, in February 2013, about 2 years after initiating iEHR, the secretaries announced that the departments were abandoning plans to develop a joint system, due to concerns about the program’s cost, schedule, and ability to meet deadlines. The Interagency Program Office (IPO), put in place to be accountable for VA’s and DOD’s efforts to achieve interoperability, reported spending about $564 million on iEHR between October 2011 and June 2013.

“In light of VA and DOD not implementing a solution that allowed for the seamless electronic sharing of health care data, the National Defense Authorization Act for Fiscal Year 20149 included requirements pertaining to the implementation, design, and planning for interoperability between the departments’ electronic health record systems. Among other actions, provisions in the act directed each department to (1) ensure that all health care data contained in their systems (VA’s VistA and DOD’s Armed Forces Health Longitudinal Technology Application, referred to as AHLTA) complied with national standards and were computable in real time by October 1, 2014; and (2) deploy modernized electronic health record software to support clinicians while ensuring full standards-based interoperability by December 31, 2016.

“In August 2015, we reported that VA, in conjunction with DOD, had engaged in several near-term efforts focused on expanding interoperability between their existing electronic health record systems. For example, the departments had analyzed data related to 25 “domains” identified by the Interagency Clinical Informatics Board and mapped health data in their existing systems to standards identified by the IPO. The departments also had expanded the functionality of their Joint Legacy Viewer—a tool that allows clinicians to view certain health care data from both departments in a single interface.

“More recently, in April 2016, VA and DOD certified that all health care data in their systems complied with national standards and were computable in real time. However, VA acknowledged that it did not expect to complete a number of key activities related to its electronic health record system until sometime after the December 31, 2016, statutory deadline for deploying modernized electronic health record software with interoperability. Specifically, the department stated that deployment of a modernized VistA system at all locations and for all users is not planned until 2018.”

How many more billions should we throw at this thing?

Source: http://www.gao.gov/products/GAO-16-807T

namnibor
namnibor
Each of those itemized dates and events should be looked at as only sacrifices feeding the VA Black Hole Cookie Jar. If the VA **truly** wanted to match DoD and both have a state of the art electronic record and IT system, it would have happened as it has with most of the rest of First World Medicine and evolved to present technology. I actually believe it’s all a ruse for $$$$ and has been up to this point. Nothing… Read more »
Crazy elf
Crazy elf

After reading all this VA + DOD gobbley-goop, it reaks of high echelon personnel getting RICHER!
Where the hell is all the taxpayers monies really going? In my opinion, it isn’t going to what it was intended!
Isn’t that a federal criminal act?

namnibor
namnibor
Right-on, crazy elf!!! I mean, we have a probe going into the planet Jupiter and robots mapping terrain on Planet Mars….how the F*cK can it be so freakin’ hard for the VA and DOD to coordinate on one system and keep progressively up to date? How is it that another huge gov’t agency, Social Security Adm. (SSA), is able to operate a MASSIVE database, AND able to efficiently crosstalk to OTHER agencies…EXCEPT with the VHA? I ask because I know… Read more »
Lem
Lem

Still seems to be a hardware solution for a software problem which locks certain lobbyist’s companies into long term contracts. Uncle Sam doesn’t own the solution and cannot change contractors.

Don Avant
Don Avant

RE: How many more billions should we throw at this thing?

They will continue to do this as long as Congress lets them get away with it…

Crazy elf
Crazy elf
@Don “How many more billions should we throw at this thing?” If it’s up to VHA and VBA as much as they can squeeze out of the taxpayers! Congress needs to tighten up on these scumbag asswipes. It seems everyone is getting richer off the backs of the taxpayers. And the taxpayers just can’t understand why their paychecks keep getting smaller and smaller. Yet, many are working two to three jobs to receive what they used to get with one… Read more »
Crazy elf
Crazy elf

Before I forget, everyone be careful out there today.
This “day of rage”, as BLM and other radical groups are calling today’s date, isn’t a time to place oneself in a precarious situation!
I pray it doesn’t come about. Yet, with all the previous days, being as violent as they have been, just be careful out there!

————————————-

Ralph D Carmona Sr
Ralph D Carmona Sr

I’m locked and loaded Elf. You be careful too

Dennis
Dennis

I am a medical marijuanna user. I am just loaded, but if those bastards come near me this here water pipe is gonna leave a mean looking bruise on their noggin!

Better yet, this is premium Oregon hash oil. Legal. Cheap. Prescribed for PTSD and extremely effective….maybe the rage folks wont feel so enraged, like me as a PTSD patient, if I just let them whiff a dab or two? It yanks the carpet from under rage lolz.

Semper Fi my brothers

Longtooth
Longtooth

Also a card carrying member of the reefer club. But why waste a good bong when you can keep a nice, sturdy, axe handle nearby ;). Besides, most quality glass is expensive.

ANSEL
ANSEL
Y’all do know that BOTH data systems evolved from the same code; the VA developed the original MUMPS code and DoD ‘borrowed’ it after it looked like something they could use. Of course, DoD ‘modified’ it without input from VA and that’s where the problems started. Both systems moved forward over the years, with modification and improvements on both sides, widening the gap that programmers have been trying to close. There’s also egos involved; DoD didn’t want to change anything… Read more »
Dennis
Dennis
The GAO is really stating something very simple; the VA and DOD systems are not compatible because nobody tasked with doing it cares or wants it. The AFGE only stands to gain as more and more money and people are thrown at any project. Any project that is mystiously not even in the conceptual stage despite decades and billions is really not a rocket science problem lolz. The problem exists because as long as the problem exists the need for… Read more »
Dennis
Dennis

to pull off.

in fairness, this in now way reflects upon historical values held by the AFL/CIO, an affiliate of AFGE.

Lem
Lem

If it were the AFGE then it would be software and fixable. The problem is a hardware solution has been used for “private company” benefits. Not the AFGE.

Dennis
Dennis
with respect Lem, there is no problem at all. Merriam Webster defines “problem” for me like this; something that is difficult to deal with : something that is a source of trouble, worry, etc. As for me I am a fan of the idea that all men are created equal. For example, I believe that those employed at VA are just as capable as anyone else in the world of solving problems. So I assume that the “something difficult to… Read more »
Arnold Cabral
Arnold Cabral

DENNIS WHAT YOU TRY TO DO TO IMPROVE HEALTH CARE IF YOU WAS SECRETARY OF VETERANS AFFAIRS ROBERT McDonald. …..why don’t you tell me who is Representative so I give my belief on improving Veterans Healthcare My Representative is Paul Gosar ……Semper Fi.

Dennis
Dennis
If I were Sec of the VA, as soon as I heard muffin butt declare he would kick my ass, I would have shown up on the AFGE Presidents front doorstep as fast as my personal Learjet would fly, coordibate a press conference to coincide with my arrival on the guys front doorstep, haul his muffin ass out into the street, and have a good ol time in front of the USA. Then, to justify the episode, I would immediately… Read more »
Lem
Lem

Lobbyists. That is the problem the VA hasn’t dealt with adequately. Thus you have a hardware solution to a software problem which ties the taxpayer’s pockets to a particular company.

I don’t bother with long dissertations when the shorter simpler route suffices.

Seems to me your response is a smoke screen.

Lem
Lem

And actually I was commenting on the article not your post.

Dennis
Dennis
Respectfully, a smoke screen would be a tactical deployment of a device brought to bear against and to impede the enemy from detecting movment and to provide cover for either advancement or retreat. For example, when VHA was presented with an OIG report in 2009 that a,Roseburg vet had committed suicide after being labelled violent and having all local care moved from Eugene, (his home) to Roseburg, (the home of the notorious Roseburg Disruptive Behavior Comittee), and identified that Rosebrg… Read more »
Arnold Cabral
Arnold Cabral
My firm believe that all Veterans and Veterans Personal that worked for Veterans Affairs, VSOS, PLUS MEMBERS AMERICAN LEGION, ANVETS. DISABLED AMERICAN VETERANS and Veterans Medical Centers Personal their that we can get a hold of to tell them bug their Representatives and Senators to share their beliefs how to improve Veterans Healthcare especially HIRED AT LEAST ONE COSMETIC DENTISTRY THAT CAN FULL MOUTH OF IMPLANTS THAT TEETH CAN’T COME OUT DAY or NIGHT AT A VETERAN MEDICAL CENTER IN… Read more »
Dan F
Dan F

There’s an old saying, When everyone is in charge, no one is in charge. I believe this is a prime example.

namnibor
namnibor
Yes! Regardless of the “Political Correctness Police”, with me having a very healthy portion of my ancestry of the Cherokee Nation, I can say that old saying of, “Too many Chiefs, not enough Indians”, as it totally applies with the VA. However, the way the VA operates, they would spend a few million or ten on a committee to appoint a study (more $), to only in the end advise the VA that they actually need MORE Chiefs, and according… Read more »
Crazy elf
Crazy elf

@namnibor

I take it y’all had protesters up in Ohio today.
We had them here in Brevard County at around 6 pm est.
The news isn’t broadcasting anything yet!
Will let y’all know when it is!

Seymore Klearly
Seymore Klearly

Hey Elf,

How about the coup against the government of President Recep Tayyip Erdogan today?

That puts what is it hundreds of nukes in the Turkish Military’s hands from our NATO storage facility there?

Not to mention all the PGM-19 Jupiter medium range ballistic missiles we supplied the Turkish military.

Guess they should not have let all those border jumpers in.

namnibor
namnibor

In light of Cold War and current stuff, those are not things you should really be typing, regarding resources as such. Just saying, unless you really like men in black showing up or these terror freaks learning bits here and there in offensive web browsing…just saying. In all due respect.

Seymore Klearly
Seymore Klearly
Namnibor, I do appreciate the heads up and concern. The information is currently public knowledge. Also want to point out that this Coup has been bought and paid for through the Clinton Foundation. The man behind the Coup is Fethullah Gulen and his connections to Hillary are spelled out in several recent articles written by Chuck Ross over at the Daily Caller based on recent release of one of Hillary’s emails. “New ties emerge between Clinton and mysterious Islamic cleric”;… Read more »
Lem
Lem

B S

Dennis
Dennis
When a coup of a well established sovereign nation takes place it means that many years of politcal maeuvering, logistics planning, military recruitment, training, espionage and so forth have come to their fruition. History shows that the United States is likely involved at every level both overtly and covertly right down to the office supplies the coup leaders order from Staples. It will take a minimmum of 16 years to declassify any involvement the US has in the matter and… Read more »
Seymore Klearly
Seymore Klearly

Oh and Namnibor,

Just so happens U.S. Secretary of State John Kerry happened to be in Russia visiting with Vladimir Putin during this Coup.

Seymore Klealy
Seymore Klealy
The joint U.S.-Turkish Military Base at Incirlik, located in Adana, and other outlying bases have gone to “Force Protection Condition Delta.” According to U.S. military documents, Force Protection Condition DELTA dictates all missions halt except base security. U.S. and NATO aircraft have been diverted to bases outside Turkey and Greece and Iran are on alert. I truly hope this isn’t another Monty Python maneuver like they pulled in Iraq. Where Isis attached a major city and forces were told to… Read more »
James
James
At the v a its a 50/50 chance. Some good people,,some bad . Some will do everything to help you ,but then there’s the other sibe.go to this office ,,,o call back for a op ointment..but don’t call to soon to make it there is a window, and if you miss it ,you have to call agen in a mouth . , we can’t make it to erley . Why .just not don, well for get it . I know… Read more »
Crazy elf
Crazy elf

On CBS right now.
The Turkish military coup is underway. Shots being fired.
Here’s an interesting fact. Kerry, while there, bragged about how he is bringing in more Muslims to America, 6 fold!
CBS just said “Kerry calls for stability!” Because the current Turkish government is an ally of the US.

How much is true? IDK?

And yes, nukes could be in Turkish hands.

I would believe what “Infowars.com” reports over what our MSM reports!

Crazy elf
Crazy elf

P.S.
On June 29, 2016 – “The EU was in talks with Turkey to join the EU!”
Something was also discussed about how ISIS may use this as a way to infiltrate the west!
ISIS does have a few “Passport Machines”! So, maybe that’s the reason behind this?!

Seymore Klearly
Seymore Klearly
The Commission on Care recently released their finally report on Veterans Health Cares needed changes. Recommendation #7 is on the needed charges that are recommend for Information Technology at the VA. Recommendation #7: Modernize VA’s IT systems and infrastructure to improve veterans’ health and well-being and provide the foundation needed to transform VHA’s clinical and business processes.” The Commission Recommends 2 primary changes: 1. “VHA procure and implement a comprehensive, commercial off‐the‐shelf (COTS) information technology solution to include clinical, operational… Read more »
Lem
Lem

On this you know what you are talking about Seymore. On Turkey you have little knowledge and your source is really suspect.

Seymore Klearly
Seymore Klearly
Hey Lem, Thank You for the acknowledgement on the subject relating to the VA and thank you for your opinion of my knowledge about what is going on in Turkey. Might I ask what it is about my knowledge about what is going on in Turkey you feel is incorrect? You may want to read the articles by Chuck Ross on Hillary’s connection to Fethullah Gulen I referred to in my comment. Also do a Google News search on the… Read more »
Crazy elf
Crazy elf

Mr. Donald Trump was just on national TV LIVE!
He’s introducing Gov. Mike Pence as his running mate!

He went through many topics. The one issue that stood out for me was, he called the Veterans Administration “CORRUPT!” He spoke the truth. He didn’t speak of the AFGE. Yet, everyone knows they are the reasons behind why VA employees will NEVER be held accountable!

I think the time, 20 Jan. 2017, will come when Cox will feel like leaving America.

Crazy elf
Crazy elf
To 91Veteran, namnibor, Seymore Klearly and all. During the committees question and answer session of DOJ Lynch, on July 12(?). Rep. Ms. Walters began asking DOJ Lynch questions concerning the VA. It’s on Utube. Published on July 12, 2016 on Utube. Title to Google: “Rep Ms. Walters: Switched-it-Up to UNANSWERED Questions About VA Wait Times!” Y’all need to see this B/S from Lynch! Lynch actually said only one person “…in Georgia…” was fired. Yet, she couldn’t give any further details.… Read more »
Seymore Klearly
Seymore Klearly
Hey Elf, Good post. In the video I like how Lynch claimed not to know how many times the DOJ choose not to prosecute VA Employees. Also wanted to point out a good article about a blast this evening over in Syria. It includes Video. Certainly looks like a tactical nuke going off. “Large explosions at Assad defence factories in Aleppo”, published Sat, July 16, 2016 – 5:17pm EDT. “http://bnonews.com/news/index.php/news/id4905” Certainly looks like we might be seeing more explosions like… Read more »
Crazy elf
Crazy elf
Hey Seymore Here’s a great video to watch. Even if it was taped on Feb. 24, 2013, it’s still relevant today. Plus, there are lots of politicians who should be ashamed of themselves. There are 2,359,161+1 views so far. Title; “Best 7 minutes on Gun Control I Have Ever Seen!” Watch the politicians laugh, when the ‘Second Amendment’ is “defined” as to “WHY” the “Founding Fathers” wrote it! ————————————- This one comes in at a close second, when someone is… Read more »
Crazy elf
Crazy elf

For y’all to Google. It’s out today. Titled;

“Evangelicals back Trump; atheists support Hillary, Pew survey finds”

Published July 17, 2016 by “1776 Coalition”

It’s a very interesting article. This shows just how far the Democratic Party has not, and will never, embraced “God’s Will”!
What’s it going to take for Americans to wake up?

Seymore Klearly
Seymore Klearly
Hey Elf, They might wake up in December after the election and Obama issues a Presidential Executive Order, in the name of political correctness, to change the term on all US Currency from “IN God We Trust” to “In Allah We Trust”. After all he wouldn’t want all of his Islamic Fri-enemies in the middle east holding American dollars to continue to go against the Quran. Also Elf enjoyed the Videos you pointed out in an earlier post. Here is… Read more »
Crazy elf
Crazy elf
Seymore, have you read, on “WND”, where France “… has declared war on ISIS!” They’re dropping bombs in response to what happened Thursday in Nice!(?) Now my question would be. Since France is part of NATO, does this mean the US and other NATO partners will have to declare war and help France? Or, are we going to let France go it alone? Lastly, why is Turkey an ally? Isn’t it true Turkey has, especially in the past decade, gone… Read more »
Dennis
Dennis
France would have to either be incapable of requesting treaty assistance or formally request treaty assistance to invoke our allegiance to their cause. France is about the size of my home state. They are a mouse. As I recall they withheld support in my life for our efforts at stopping terrorism. Perhaps it is the severe PTSD diagnosis that makes me seem so cold, but they were warned at,the time that appeasement would only invite the infection to someday thrive… Read more »
Seymore Klearly
Seymore Klearly
France is part of the coalition in the middle east that has been supplying arms to rebels and fighting against the Syrian Government. France has been involved with the War on Terror from the start. So far all the War on Terror has done is topple elected governments in Iraq, Afghanistan, Libya … and are trying to topple the elected government in Syria. Recently they even sold several aircraft carriers to Egypt that are being used in the war of… Read more »
Dennis
Dennis
If France had supported the war on terror, then why did the lunch room used by the Congressional staff in Washington DC change the name of the menu item from “French Fries” to “Freedom Fries”? Lolz, as stupid as that seems they did just that to honor the day France bowed out of supporting the United States in the fight on terror. Only the Congress resorts to food fights in the lunch room still, but I suspect that for Congress… Read more »
Seymore Klearly
Seymore Klearly
Hey Elf, Regarding Tomah VAMC. You should remember that one of the Doctors there did blow the Whistle on the prescriptions practices of the Candy Man. He ended up being fired from the VAMC Tomah and took his own life. His name was Dr. Christopher Kirkpatrick. Senator Ron Johnson who has held multiple public hearings in Tomah concerning the VAMC and has been fighting for Veterans in Wisconsin. Sponsored a bill to protect federal whistleblowers from retaliation. In honor of… Read more »
Dennis
Dennis
I would say that AFGE members by virtue of just their membership are not the source of evil all and most I know realize full well the agency is corrupt just as most realize the sun rises and sets. The source of the evil is not the membership per se, it is the implementation of any union that enjoys protection only offered to foreign diplomats and govt workers. One quarter million workers who work by a different set of rules… Read more »
Crazy elf
Crazy elf
Dennis: Sorry to disagree with you on one point. I believe more VA employees enjoy the protection of AFGE than what we know. The reason is simple. Most VA employees are brain dead. Because, IF they truly believed they were there to help veterans. There would be many more whistleblowers standing tall. Since there are so few coming forward, it is easy to deduce the majority don’t give a rats ass about veterans. All they care about is their fucking… Read more »
Megyn Kelly
Megyn Kelly

Why doesn’t chat about the Prescott,Arizona Medical Center okay I will why no VA Medical Doctor or Mental Health Provider talk to you if they made a Medical Mistake.

Seymore Klearly
Seymore Klearly

Megyn Kelly the pundit? From the Kelly Files?

namnibor
namnibor

I think it’s a BOT. Gooblygop non-germane comments like the last few. I will admit if wrong, but patterns are kind of my thing. VA BOT.

Crazy elf
Crazy elf
Hey, y’all. Here’s a brand new video out by Judge Jeanine Pirro on Utube! titled; “Sheriff David Clark & Bikers For Trump Talk Security For the Trump Convention” Published on July 17, 2016. “Bikers will be on patrol with police!” If you’ll remember, over 600,000 showed for the “Patriot Ride” to Washington recently. Showing there support in bringing home “POW/MIA”s. According to the National Record, there are millions of bikers in America. I think there will be some violence at… Read more »
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