comprehensive genomic sequencing

VA To Pay $111 Million To Swiss Owned Firm For Veteran Genomic Research

The Department of Veterans Affairs just signed a “comprehensive genomic sequencing” contract for researching veterans with cancer.

The Swiss drugmaker Roche owns the firm, called Foundation Medicine, which is based in Cambridge, Massachusetts. The contract is with VA’s National Precision Oncology Program, and it will cover all the firm’s tests including FoundationOne CDx, FoundationOne Liquid, and FoundationOne Heme. Those are the tests for comprehensive genomic sequencing.

The contract covers 5 years, and the firm estimates 8,000 tests will be performed each year. This means the average cost of each test is $2,500. The firm believes the information gleaned from their research can be applied to the broader US market.

Benefit Of Comprehensive Genomic Sequencing Veterans

According to a press release on the contract:

One potential opportunity that the partnership affords if for medical research. Most of the VA hospitals, Civik said, are either attached or close to teaching institutions where large clinical trials take place. Consequently, in addition to an interest in using its NGS tests to match patients to targeted therapies, there is also a strong interest in matching them to clinical trials. “Clinical trials and advancing knowledge around this patient population and genome profiling is something we’re extraordinarily interested in,” he said.

The article, published in MedCity News, left me wondering why VA is paying Roche for the testing, to begin with, if the firm plans to use the research for broader purposes benefiting the firm in treating US civilians.

Shouldn’t Roche be paying VA for the access?

For the past few years, VA has repeatedly farmed out veteran genomic data to a host of artificial intelligence firms. Whenever I seek out those contracts, VA suddenly develops amnesia as to where those documents might be located.

Can we really trust VA will protect our data at a time when Silicone Valley desperately wants access to ultimately sell that data back to us in the form of new medical service marketing schemes?

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60 Comments

  1. Here’s something President Reagan once warned the American People about. When someone calls and says; quote: “I’m from the government and I’m here to help you!”
    What they actually mean is; “I’m from the government, and I’m here to fuck you!”

    I don’t trust my government one bit!

      1. Which Tea…uhmmm?
        Kusmi Tea, Shanghai Lychee Tea, Sweet Matcha Tea, Messmer Tea, Sweet Chili Tea, or Teepee Dreams?

  2. 02/09/2019

    Dear James Clement,

    You stated in your post: “Off-Topic: Wish we could get Congresswoman Ocasio-Cortez on the House Committee for Veterans Affairs. Might be some sorely needed change at the VA.”

    Congresswoman Ocasio-Cortez rose too quickly to the Office of Representatives/Congress—she is back by UnidosUS, and indirectly the Koch Brother(s) [Now minus one] through two of their many Funding Organizations, and supported indirectly by many Corporations like CNN, Time, Telemundo, etc…which supports UnidosUS [Janet].

    According to Lou Dodds’ people: “‘She was a star. She kind of burst out on the scene. She was the new star, and it’s clear she’s not star quality,’ Steyn replied.”

    The Change is coming—not the way you think.

    Back in 1900, the people all around the world wanted change—what did they get?

    World War I and World War II and the Korean War, the Vietnam War, etc….

    Look before you leap!

    Sincerely,

    Don Karg

    1. @ Don Karg – – – El cambio es inevitable. El futuro no puede ser detenido. No importa cómo se quiera mantener el pasado.

      Con sincero respeto.

  3. 02/09/2019

    Dear Benjamin Krause,

    The LA VA Kicked out…”gave the volunteer organizations the boot without offering an explanation…”
    The Jewish War Veterans
    Twilight Brigade
    the Disabled American Veterans
    Vet-to-Vet
    the Association for Parrot C.A.R.E.

    Heads are starting to roll

    Sincerely,

    Don Karg

  4. @Jim & @Oldmarine,
    Absolutely! I was thinking that yesterday.
    In case any of ya’ll missed it, AOC being the “Bad Guy” and cleaning the House on her first week!
    “https://www.youtube.com/watch?v=4KvP7-YZowI”
    I’m so encouraged I could easily put this on loop!

    1. I’m with you guys. Next time I get an email petition to sign, I’ll log on to the site that distributes it and start one to the Speaker to get it done. If you want something you have to act on it to get it.

    2. It is odd that the article referenced below has an open comment section but, responds with that same being closed.
      re: my comment “https://www.disabledveterans.org/2019/02/04/veterans-choice-three-things-you-need-to-know-about-proposed-changes/#comment-110201”

      A heartfelt thank you Rep. Derek Kilmer and the eight Representative cosponsors for introducing this bill to the House.
      “https://www.congress.gov/bill/116th-congress/house-bill/1125”
      H.R.1125 – To direct the Secretary of Veterans Affairs to carry out a pilot program on physical security at Department of Veterans Affairs medical facilities, to direct the Secretary to make certain improvements relating to inspections of Department of Veterans Affairs medical facilities and improving care for women, and for other purposes.
      Sponsor: Rep. Kilmer, Derek [D-WA-6] (Introduced 02/08/2019) Committees: House – Veterans’ Affairs Latest Action: House – 02/08/2019 Referred to the House Committee on Veterans’ Affairs. (All Actions)

  5. Off-Topic: Wish we could get Congresswoman Ocasio-Cortez on the House Committee for Veterans Affairs. Might be some sorely needed change at the VA.

    1. I second that James…..This is what James is talking about, It’s worth a look….It’s on HUFFPOST

      Alexandria Ocasio-Cortez Exposes The Dark Side Of Politics In 5 Incredible Minutes
      The freshman lawmaker reveals how easy it is for pols to get rich at your expense.

      During a hearing, the freshman lawmaker created a game in which she pretended to be “a really, really bad guy” who wants to abuse the system as much as possible. Then, in a series of questions, she exposed the world of payoffs, dark money, PACs and more. She even revealed how it was perfectly legal for a lawmaker to invest in an industry, then write laws to benefit that industry and increase the value of the investment.

    2. Hopefully she has learned the 3 major top-level.branches of our Goobermint.

      I’m not excited about her. No long term track record of standing up.and against VA crime, corruption, and slackness in health & streamlining Vet services.

      These all-of-a-sudden shout out types of Politicians are a dime a dozen. Their all over the map looking for Citizenry Pulse Points for to secure votes.

      And we Vets who has been l beaten-up by.the VA system in one way or another, and who are frustrated, are more likely to stand by and support these types.

      Geez, let get in the ring for a bit and to stand firm in fighting the good fight in support of our VA battles.

      Caution advised; skewed thinking can surface.

      At this point its hard for me to trust ANY Politician.

      And got to.tell you, that with all the promises about the VA in Prez Trump’s first State of the Union Address, and compared to what I’m experienxing, . . .

      I CALL TOTAL DAMN BULLSHIT.

      Either Trump’s Advisors are lying to him, or we’re being snowballed for the vote when time comes.

      1. She’s been there less than one month. With any job, there is a learning curve. No one walks in on their first day – – – and is eminently qualified in all respects, to fulfill the requirements of said position.

        She got more done for the American people (if they were paying attention) in five minutes, than the Congress has in the last fifteen years or so.

      2. Never said ALL aspects.

        “5 minutes”? Far stretch. A figure of speech. How did she positively effect me? I’m not not feeling it. Just saying.

      3. 1. Never said you stated ALL aspects.

        2. Not a far stretch at all. Her five minute time was established/allotted by the Chairman of the Committee. IAW established House Parliamentary Procedure. I also note that she did not exceed her time limit, while making her point CRYSTAL clear.

      4. First paragraph. Assuming that I believe she should know ALL aspects. Not even in my thinking.

        I realize there’s a learning curve. But most Jr High students or at least HS students know the Executive, Legislative & Judiciary braches of Gov’t.

        Not exceeding the time limit says that she beat the clock. Wow, all is well. And beating the timer has done nothing for me or anyone else on this board, or in US.

        She’s too far left for me. End of story about the fresh Congresswoman.

      5. Not even close to the end of the story about the fresh Congresswoman. This is only the beginning. I am excited to be able to FINALLY see a House of Representatives that actually somewhat mirrors the cross-section of America – – – More African Americans, Muslims, Women from all races/cultures.

        Big changes for leadership in our government are in the offing as these younger, fresh faces get elected.

        I for one can’t wait to see it . . .

      6. I’m talking about the Congresswoman not race.

        Let them clean their own House first.

        Well3 see after she’s in there for a bit whose ass she kisses.

        To many other issues clouding the conversation.

  6. I would never trust VA with my gene information. Only time they would see it was for me to prove that they were negligent, which I have in my back pocket waiting for them to continue their games. But like Trump I like to wait and let others screw themselves before I add the finishing touches. The VA in the past has lied, I truly believe they are putting out effort to improve, but we still have so many up top that need to be reeled in. Hopefully DOD will do this soon, and let go about 20% of those who are sucking on he Taxpayer dime daily. I think the next two years the VA will be put in their place like they should have been years ago, and made a very small segment of Government. We don’t need a bunch of people involved in screwing up claims and healthcare. They had a chance to change but blew it. So no I don’t think they can be trusted with anyone’s genetic information, they would sell it to Russia so they could make a genetic virus, etc… They never could keep our medical or service records private. People would throw them in dumpsters, etc…

  7. 02/08/20129

    Dear Benjamin Krause,

    You stated: “For the past few years, VA has repeatedly farmed out veteran genomic data to a host of artificial intelligence firms. Whenever I seek out those contracts, VA suddenly develops amnesia as to where those documents might be located.”

    Selling out Americans? Does our companies participate in this? Does our administrations partake in this?

    There has been many lessons along the way in the last 100 years, most during our lifetime.

    What do you want the VA to do—state that yes we are selling out the country [America] —like McDonnell Douglas did in early 1992 with then Congresswoman Barbara Boxer who had an onsite congressional hearing at the Long Beach Factory? The VA does not have the guts…at least CEO Robert Hood told it like it was back then [see 1998 Cox Report].

    Most of your followers know damn well what is going on.

    Maybe the gentle question: “Can we really trust VA will protect our data at a time when Silicone Valley desperately wants access to ultimately sell that data back to us in the form of new medical service marketing schemes?”—Should turn into a hardline question—-Why does the VA have our money and our data? Should the VA [Who defies the Senate/Senators, the Congress, the Veterans, companies/subcontractors, and many other organizations which results in 100,000s horrific events] shut down like the Hacienda Healthcare Center in Phoenix, Arizona who defied the Phoenix Police, the Citizenry, the Governor, and the Medical Industry only after one horrific event.

    If it was your kid lying in the Hospital Bed, what would you do?

    Last thing I would do is except any response from people who pose to have “amnesia.”

    Sincerely,

    Don Karg

  8. This is just another way for a federal agency to spend money to justfy their enormous budget request. In this case research for a civilian company as usual is the recipient of monies targeted for Veterans. Because the VAgets an appropriated fund and on top of that reimbursement of treatments from insuranve companies they have to use or loose as the saying goes. A sidebar is our politicians would rather bicker back and forth on a wall or Prsidents tax returns than pat attention to the frauf waste and abuse in a federal agency.

  9. its just another v a scam to waste more dollars when it should be put to use in actually treating us for all of our ills ..

  10. WOW! The discourse on this matter is impressive. All of you are amazing people, your thoughts are powerfully inspirational to all of us who follow the topics. My 2 sense, Mr Colomb has some interesting ideas but so does Mr Northhacker. My comments at this time go toward the use of data as I come from the biomedical world with engineering and clinical skills. I have concerns: The VA sits on a treasure trove of data , decades old but has not openly shared the use of analytics outcomes with the public. It actually appears that they do not apply modern analytics to the data that’s warehoused. One can speculate as to why (e.g. ,conjecture: the application of data analytics toward malpractice yields outcomes and INFORMATION). There are so many applications for the use of VA data across the health spectrum– the potential is phenomenal but VA data sits there untapped. Why is that? Epidemiologists can tell you how valuable this is but it goes untapped. Who owns this data? I am pro-science on the issue of using the data but I question to what end? Who will benefit? In this article it looks like money incentives are being used to move data toward a valuable goal but we Vets know about smoke screens. We also know how medical records are left openly available to steal in the ladies restroom at VA Medical Centers ( Albuquerque VAMC). Yes, and we know about VA Staffers selling heroin at the same facility. My endgame here reduced to biomedical ethics questions: Why, what for, whom and who benefits, what are the downsides and who gets hurt & how bad. Having been misdiagnosed with Cancer at a VAMC, I suffered treatments I did not need and i believe the practitioners involved had incentives to do what they did to me. till i have one hand that is full of hope as Mr Clements poetically describes. Thank you all for your posts, you are amazing Veterans!

    1. Russell – you are hitting the nail on the head. We have excellent material available. Accuracy may be an issue because of doctored data. But properly documented data, such as DNA, would remove a lot of the ability, or need, to doctor the numbers. What we need to do is combine a knowledgable group of people to assess what is available, and how to utilize it moving it forward, as well as exploiting revenue streams that reduce the amounts needed from taxpayers every year.

      1. Mr Northacker,
        We need independent health informatics people to start looking at VA Data. There is tons of it. The VA med Records system was first written in MUMPS ( in Massachusetts) but has been converted to C## over the years. The data is tabled and wharehoused in various forms but that’s no problem with analytics tools.Some data may not yet be tabled meaning the actual attributes like age, gender, DOB, Diganosis, Prognosis, Treatment notes , labs, medications may have to be massaged and turned into tabled data. Actually a good journalist with an Applications course in SQL ( structure query language) could glean mountains of information.Example: how many Veterans taking 80mg of pravastatin per day are + for a dementia diagnosis. In this example its evident that pravastatin reduces cholesterol but robs the brain of essential fatty acids. The potential for understanding health outcomes based upon treatments is enormous from this clinical decision support can be generated–best practices would follow as an outgrowth. Why can this data not be made available under FOIA? I believe there is organized effort at the top to prevent meaningful work in this area. The DNA data , as you said may be a less complicated step to take but guardians of the data will prevail. I would support your efforts to get involved toward organizing groups. I managed such work groups in the past ( 2005-2008, MDs and Nurses) to produce books and materials for physicians. I am knowledgeable and experienced in this area understanding SQL and what actually happens when an SQL command is issued. Lots of tools out there to work with. I would be interested in participating as a volunteer to move this along toward something very robust. Thank you for your words and the great efforts of Vet-Help, You are truly a leader among us.

  11. In a way, I’m with Ben. We need to nationalize Medical Research the Japanese and the Swiss have. It is an infrastructure like roads and air traffic control. It is the single most important thing that can be done to get health care costs in control.

  12. One more point – Merck ran the US biological and chemical warfare program for many years. They have more lobbying dollars than you can shake a stick at. Studies are often funded by pharmcos which have already prescribed results they want – and grants are often written with specific recipients already in mind. Same with chemcos, and even the NIH. Pharmcos are multinational – this is a three dimensional chess game. Do not think for a moment that government executives are there because of any sense of duty. Some are, a lot are not, and a lot are politically appointed by the President from the Plum Book . Guess what they are busy doing. Incidentally, Perlin was playing his games under Bush. Coincidental? I think not. Follow the money, folks.

  13. I sent this to my Congressman.
    The VA reneged on a deal (Undersecretary Perlin) with NYS where they would have shared revenues from their joint DNA bank after NYS spent $45 million. Perlin took it with him, and now is behind the Million Veteran Program. They should be getting paid for their participation. So why, with what would be the world’s largest DNA bank in the VA, would we outsource testing AND pay them for it? By the way, unless we sign a release, that is illegal. This sounds like another scam put together by yet another profiteering VA executive. By the way, the projected value at the point in time the partnership was contemplated was $ 5 Billion, with extraordinary research fees to be derived as a natural result. Therefor, the structure of this new contract is suspect and a serious breach of fiduciary responsibility, similar to the $400 million profit that the VA researcher received who developed a procedure to hep mitigate MS. This is blatant abuse of professional ethics, the self-dealing parts of Government Executive contracts, and by dissipating taxpayer assets under suspicious auspices.

    I was party to the deal between NYS and the VA. That retraction spawned a major whistle-blower scam at Vermont Ave, with NYS sending Perlin a cease and desist letter as he tried to pass off their agreement as his own. Eventually he left and either received a million dollar incentive bonus, or achieved a 7 digit salary. Since he is the main consultant for the Million Veteran Program I am pretty sure he will get part of that $111 million and potentially a lucrative consulting fee on the other side of the pharmaceutical connection. This is an egregious abuse of power and fiduciary responsibilities to veterans, their families, and taxpayers, not to mention fraudulent conversion.

    If you like I can look for those projections to give you solid information to work from. According to the article, the cost for doing the DNA analysis is $ 2,000 each. If we use 100,000 tests in one year, then we (the VA) should have derived $ 2 Billion in fees annually – not pay anything out. That is only for testing – then add on top of that fees for research by the pharmaceutical companies. It does not take much to understand the enormous value being given away and that the old adage of follow the money will lead to criminal charges if the DOJ can spare the time from their partisan endeavors.

    I am a forensic CPA and have run Vets-Help.org for the past 12 plus years. Thank you – keep up your good work!

    1. Do you have a history with TDRL? Temporary Disability Retirement List. Are you interested in working an issue with me that affects all disability through the DOD. Email if you are please

  14. The other side of the “why is VA paying” quandary is what has possibly been negotiated on the back end. Denis makes good point about the research being sound, and considering that Roche makes and markets pharmaceuticals (drugs), an assumption could be that VA will reap the benefit, if and when, Roche is able to utilize the research results to produce pharmaceuticals, once meeting DEA stage standards, which will prove to be highly effective in cancer treatment. Another positive here is VA has one of, if not, the largest clinical health data base in the nation, which would prove both expeditious and valuable to Roche in the pursuit of the research.

    This reminds me of when Gilead Sciences broke through the Hepatitis C treatment dilemma with the drug Harvoni a few years back. The going full course treatment price to private care was between $50000 to $75000, which was passed on to the consumer. The treatment in short order proved to be effective, but no patient, or patient’s insurance, was willing or able to afford the cost. VA negotiated a deal with Gilead to access the Harvoni full treatment for pennies on the dollar. Veterans throughout the country benefited. VA was there – right time/right place!

    1. Regarding the confidentiality issues raised, research studies are not interested in names, or specific identification, but would match research subjects according to gender, age, race, etc. It is unclear if Roche plans to use actual veteran subjects in its research, but if so, the subjects would need to sign a consent to treatment, and be fully informed of both the benefits and the hazards in participating. Roche, in conducting the research is potentially open to liability, and as the company conducts research continuously, it would have quality control to make sure all safety aspects are in place.

  15. “The firm believes the information gleaned from their research can be applied to the broader US market.” Just as the VA has to pay full market value on pharmaceuticals, I am sure any patents derived from such research will not be directed to VA coffers.

  16. Hmmm… the more I read your opinions the more uneducated they seem. Whole the VA has many real issues, farming out research that it does not have core facilities or expertise to do is just could bussiness. Also, how the company gets to utilize the deidentified data is part of the deal and price and it would be wrong not to look at broader populations then thr VA. You are creating a fear when none should exist.

    1. Second that. Especially using a top service from a top ranked world state it the field. That is how Japan moved to the modern Japan. Gaining expertise from countries who were tops in their field. It appears to me the World Health Ranking of 39 for the U S. Bottom 19 of the industrialized 19. Meaning 18 places below the top 19 industrialized countries in the third world rankings for health care.

      The U S has been resting on it laurels since the 1960s with the election of tricky Dick. That doesn’t get us anywhere. Not only has health care degraded but so has infrastructure and just basic street cleanliness. Anyone who has been out of the U S to one of the 19 other industrialized countries know we should now be ranked as a “third world country” except for the gold in Fort Knox and its affect on our world finance position.

      No wonder the MAGA meme was so attractive in 2016. But it was shouted my a con man not by a doer. A wanna be not a producer. Part of our problem since “Tricky Dick” has been the bent to get rich off of the Presidency.

      1. There is a lot more dirt behind the scene. On the surface it might seem good – underneath it is simply another form on fraudulent conversion. Japan succeeded in large part due to Operation Paperclip. Read about Colonel Ischii.

  17. Just another money maker for someone. We can’t even connect the dots for vets trying to get benefits or care for cancer now. So just adding to the pile of crap it already has to confuse everyone, in other words lets make money for someone on the backs of vets. SAD!

  18. We cannot trust VAMC, they have no ethics. The ethical and legal use of genomic sequencing needs more study, before VA is allowed to do this.

  19. The Swiss are #1 or 2 (depending upon the year) in the World Health Organization’s Health Care Provider list. The U S is #39. When you are dumb on a subject it is natural to seek help from someone who is smarter.

  20. Phx and Prescott ,Arizona got in trouble again had Veterans 5 or more wait in the the emergency room I wish I could get Secretary of Veteran Affairs Robert Wilkie email address or telephone number I probably be on 24 hours a day to share my belief to fix Veteran Health Care.

  21. Why is the VA using any money for research? It will all have biased results. We are paying a company from another country when we have many in our country who have a vested interest in actually finding the causes and cures for cancer. This is just as bad as the VA treating women for infertility. They knew that they were making women infertile and still are. Our babies are born with defects or die and they knew all along that the base contaminates were causing all of that. The VA should not be allowed to engage in any medicine practices at all. The same for the Pentagon. Government intervention of any kind in healthcare, other than finding the most efficient means to use taxpayer money for the best healthcare, the same healthcare for all Americans, not based on anything else. Actually, the Government should not be even involved in finding the most efficient and effective means to pay for healthcare. That needs to be completely patient driven. Research needs to be done by the most unbiased entities possible.

  22. “comprehensive genomic sequencing”
    can you direct me to a handful of veterans that have a clue what this is? Just another billion dollar trip down the fleecing of the American tax payer.

    1. The reason he does not is that if he did the work would make sense. This means they sequence your whole genome and look for multiple markers in each gene that relate to cancer…a marker can be thought of as bad or unususl coding. Standard approaches look for one or two markers while thiers looks for 4…. does not seem like s big change but it is huge ( and no i do not work for the company). This is good science…. not fleecing. The guy who writes these opinions likes to get people spun up over non issues (and no i do not work for the va…i as m as retired naval officer that worked in biomedical research).

  23. “CANCER”….That word that’s a gift that keeps on giving.
    What about these guys that claim they have a cure.
    “A small team of Israeli scientists is telling the world they will have the first “complete cure” for cancer within a year, The Jerusalem Post reported …” And Pig Pharma says they are full of shit, Don’t be taking my golden calf away from us,
    Why start from scratch,……… Shit man we want the whole 111 million

  24. Basically, VA is telling veterans “trust us!” We’ll find a way to cure you of cancer.
    Problem is; VHA physicians don’t know how to detect cancer in it’s early stages. That’s why veterans are dying!!!!!

    #fuckva
    #fuckvha
    #fuckvsos
    #kuckafge

  25. “Shouldn’t Roche be paying VA for the access?”

    In a ‘normal’ world, Roche should be paying the VA for access to that data. But we have long since ceased living in a ‘normal’ world. Were Roche paying for the access, can you imagine the problems it would cause the VA ‘senior leadership’ when they had to justify and account for millions coming in from sources other than the American taxpayer, while STILL NOT being able to adequately provide decent care for veterans? Especially when they go to congress to ask for ’emergency’ budgetary increases that were unplanned for.

    Good Grief! They might actually have to put their salary increases or bonuses on hold. Can’t have that.

    Tom Civik also said: ““It’s a great opportunity for us,” he said. “Most importantly for us, we’re honored and humbled to serve veterans with this technology in the time they need it the most.”

    Sure is a great opportunity for your company, Tom. You now have 111 million dollars of Uncle Sugar’s money that will not be used to really help veterans. Additionally, should your company be one of the ones to offer “the cure” in future years, you’ll make a fat handsome profit by setting prices so high – – – that only the wealthy can afford it. No such animal as a beneficent medical company.

    “Can we really trust VA will protect our data at a time when Silicone Valley desperately wants access to ultimately sell that data back to us in the form of new medical service marketing schemes?”

    I almost (chuckle) thought that was a serious question. I’ll bite. The correct answer is HELL NO.

    Off-Topic: Got a PRF in my record now that according to VA directives indicates they are concerned that I could become involved in a High-Profile Incident. Interesting . . .

  26. “The article, published in MedCity News, left me wondering why VA is paying Roche for the testing, to begin with, if the firm plans to use the research for broader purposes benefiting the firm in treating US civilians.
    Shouldn’t Roche be paying VA for the access?”

    Aww c’mon!
    As veteran’s we have to pay for our “doled out state of the art free medical care” in some fashion or another, right? We are worthless, except as a bunch of “willing” (by deception) living cadavers for research purposes. Only a cherry-picked few veterans will ever see any potential benefit from the research, while the thousands whose cells are tied up in the study will NEVER be told of any cancer findings… because they are in the middle of a study they have not given permission to be part of. That is why Roche will reap the benefit of $2500 per veteran! Why would Uncle want to spend more than $250,000 to save the life of some sap sucking sc veteran that has no knowledge of a cancer invasion to their person?

    Dennis, you have lit a fire in me in more ways than you can ever imagine.

    1. SUTCAFR …….(SHOW -US -THE- CAFR) …..Tshirts would sell by the 1000s outside VA facilities

      CAFR stands for Comprehensive Annual Financial Report . A CAFR is a set of financial statements for a state, municipality or other governmental entity that comply with the accounting requirements established by the Governmental Accounting Standards Board (GASB).

      1. I’ve known about it for years scooter and pasted it everywhere, it went to deaf ears…..To many people don’t give a shit….Here’s one for you to look at.

        1992 –
        Executive Order 12803
        Presented as a courtesy of the
        scannedretina

        The Scanned Retina; A Private Citizen Advocacy Membership Group, dedicated to Securing
        Lawful Constitutional Compliance for all Americans.
        Things about which you did not dare
        think-

        By Clint Richardson
        Who Owns America?
        Nothing is as it seems…
        Somehow, we have all been conditioned to believe that what once was shall always be. We
        believe that we are a free people, guaranteed our God-given rights declared in the constitution.
        We believe that when we vote, we are electing representatives of we the people, whom once
        elected become public servants. We believe that the house in which we live and the land on
        which we settle is our land, free and clear of our government’s tentacles. And we believe that the
        laws for which we allow ourselves to be governed by come from a legitimate law making body,
        with checks and balances and constitutional oversights.
        But what if the above perceptions are in fact false?
        And what if the reality is that the United States doesn’t even exist at all?
        What indeed…
        According to Executive Order 12803, signed by George H.W. Bush in 1992, The District Of
        Columbia – Washington D.C. (neither a state nor a part of the United States) was given the
        authority to privatize most or all of the infrastructure within the United States. This means that
        the federal government, or the corporation that acts in lieu of a federal government, can sell any
        city’s “assets” which were built with tax-payer monies including:
        · Roads
        · Tunnels
        · Bridges
        · Electricity supply facilities
        · Mass transit
        · Rail transportation
        · Airports
        · Ports
        · Waterways
        · Recycling/wastewater treatment facilities
        · Solid waste disposal facilities

        2
        The Scanned Retina; A Private Citizen Advocacy Membership Group, dedicated to Securing
        Lawful Constitutional Compliance for all Americans.
        Things about which you did not dare
        think-
        · Hospitals
        · Prisons
        ·
        Schools
        ·
        Housing
        E.O. 12803 lists the above as examples of America’s salable and/or lease-able infrastructure. But
        this
        is not
        to be taken as a complete list, as these are just some examples.

    2. @ Russell,
      You, and some others, have brought many interesting points into the conversation. The sticking point for me, is based on the fact there are abundant cancer screenings being done on veterans at VHA appointments but, any positive results at the testing stage, are not brought to the sc veteran patient’s attention at an early diagnostic stage. This is not a personal situation rather it is something I have noticed in many years’ observation of sc patients being advised at the last possible months of life (where VHA might provide only limited palliative care) to prepare for their impending demise. It has also been my observation, that many sc patients are being subjected to several tests that may be related to conditions that may well be observed and revealed to the patient as an early diagnosis, but those results are never allowed to be presented to the patient in the early manageable stages. Much like the deplorable Tuskegee Experiment of decades ago, many sc patients are subjected to a similar pattern of non-care regardless of the parameters. Apparently, this procedure is deemed a-okay by VHA while screaming that thry are leaders in preventative care for all of our precious veterans. My logic tells me that there are many sc patients being subjected to experimental testing disguised as preventative care, and because they are unknowing participants in that testing environment, they are then never to be informed of any resulting prognosis before their emanate expiration from lack of early diagnosis and related care.

      @Don Karg,
      If further research is done on the early century of our Legislative Branch, it will be noticed that most of those holding power to advance our governing practice, are under 35 years of age. It is inspiring to me to see so many fresh faces and to hear their voices stepping up to the plate, whether or not they ever bat 1000!

      1. @Rosie – – – “there are many sc patients being subjected to experimental testing disguised as preventative care, and because they are unknowing participants in that testing environment, they are then never to be informed of any resulting prognosis before their emanate expiration from lack of early diagnosis and related care”.

        Yes indeed. The Frankensteinian merging of Mengele’s medical experimentation with the Agent Orange Deniers line of reasoning. How dreadful.

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