TL;DR: Long VA wait times weren’t the result of “bad apples.” They were the predictable outcome of bad management systems that used unrealistic targets, bonuses, and fear-based accountability–creating incentives to game the numbers instead of improving care. Look at the System, Not the Individuals I’ve been wanting to blog about the “VA Scandal,” but have avoided it because Building on Monday’s post… when the news first broke about scandals at the VA (the Veterans Health Administration), … Continue reading The Real VA Scandal: Long Wait Times, Bad Management, and the Cost of Gaming the System