We got word yesterday that Eric Shinseki, Secretary of the VA resigned his position. While we could all see it coming, I’m sorry that more members of Congress asked a few questions before demanding his resignation.

The story began earlier this month when it was learned that employees of the VA hospital in Phoenix were falsifying appointment records. If a veteran asked for an appointment at any VA facility, he or she was supposed to get that appointment no longer than 14 days out; this was shortened from 30 days as a way to cut down on long delays in getting appointments.

Unfortunately cutting the expected wait time by 16 days didn’t change anything else. The reason for the long delays is simple: we have too many patients and too few providers. Middle managers did what they normally do when faced with an impossible deadline: they cheated. The cooked the books to make it seem that they were hitting their numbers when they weren’t.

There are a few articles worth reading on this: The Associated Press and today’s Los Angeles Times give a much more complex picture of this scandal.

I had to do a little digging for this information. It seems the 24 hour news cycle has reduced the story to this: The VA is incompetent, we need to find a scapegoat, and it’s news to go to the top: Eric Shinseki. Congress followed suit and began clamoring for Shinseki’s resignation. It finally became clear that they could clamor (and get on TV) seemingly forever, and a good and talented man fell on his sword.

The problem with the VA is much more systemic. In the last half of the 20th century we had wars in Europe, the Pacific, Korea, Vietnam, along with countless other small actions. In the first decade of our current century we’ve already seen wars in Afghanistan and Iraq. According to the AP article, the VA has seen a 17% increase in enrollments since 2009. Right now the VA carries 9,000,000 patients with 85,000,000 appointments per year. The VA web page shows 2,962 job openings and 746 of these openings are for doctors.

Simply put they haven’t been able to provide enough staff to cover the patients they are tasked to care for. That’s the problem.

Congress needs to provide adequate funding and prevent staffers from having to do this.

And as for General Shinseki, he deserves better than this. We owe him an apology.

I’m not sure why but this date is replete with events in my life. Some of them are good, but most of them are bad. In the years to come I’m thinking of just skipping this day.

On this day in 1994 my godfather died.

On this day in 1995 my grandfather died.

On this day last year my agency, San Diego Hospice died (it actually announced it was closing but spent the next month transferring patients).

Today two of my coworkers (who are co-survivors of the death of San Diego Hospice) were laid off.

On the other hand, some good things happened. Today a friend of mine celebrated 11 years of sobriety, and the daughter of my friends Mike and Dana turn 19 today.

Maybe everyone has a date like this, but it seems that February 13th is the intersection of lots of people and events in my life.

Next year I start the sleeping pills on the night of the 12th and hope to wake up on the 14th.

Earlier this month the government finally reopened, once again within hours of defaulting on the debt limit. I wrote about this a few weeks ago and spoke about the lack of courage from the House Speaker. The deadlock was broken only when a vote was finally called. The House of Representatives voted 285 to 144 (87 Republicans voted to reopen). In the Senate the vote was 81 to 18. Of course this is only valid until January, but I’m sure I’ll be writing more about this later.

The lack of courage I wrote about was brought into clearer focus for me a few weeks ago. I’m currently reading [Woodrow] Wilson by A. Scott Berg. Most of us know him as our 28th President but before that he was president of Princeton University and governor of New Jersey.

In November of 1912 he was elected President. On March 1, 1913 he wrote this to his successor as governor: “The rarest thing in public life is courage, and the man who has courage is marked for distinction; the man who has not is marked for extinction, and deserves submission.”

These past few weeks we’ve found a just how rare courage can be. Congressional republicans find themselves being pulled toward confrontation and away from compromise/progress/responsibility not because they fear being defeated by a democrat in the next election but because they fear being defeated by a more conservative republican in the primary.

In other words, they are putting their own job security above the good of the country. To be fair, they have a point. You can see the latest from Sarah Palin who supports replacing moderate republicans. You may remember Sarah: she ran for Vice President in 2008 and was the candidate who didn’t know that North Korea and South Korea were different nations, and couldn’t name any newspapers in Alaska.

On the other hand, really? Are there no senators or representatives who have enough of a moral compass to put the good of the nation above their own careers?

I write this against the backdrop of someone who died earlier this month: Tom Foley.

Tom died on October 18th. He represented the 5th Congressional district of Washington State from 1965 to 1995 and was Speaker of the House from 1989 to 1995. He was defeated in 1994 by George Nethercutt who ran on a platform of term limits. George argued that Tom’s 30 years in the House jaded him to the point that he was no longer representing his district but had “gone native” in Washington DC; he promised that, if elected, he would only serve 3 terms (6 years). In 2000 he announced that he “changed his mind” and ran again. He ended his House career in 2004 when he ran for Senate and lost.

We would have done better if Tom had won. He could have been the voice of reason

Since my post last week, the only thing that appears to have happened is that the concrete encasing progress has gotten harder. There is no shortage of moving parts in this drama, but allow me to focus on one issue: why Speaker Boehner won’t allow a vote on reopening the government. Earlier in the week President Obama suggested that there were enough votes in the House of Representatives to end the budget standoff. Two days ago, on October 9th, CNN agreed with this. They reported that all 200 Democrats and 19 Republicans would vote to reopen the government without conditions. That’s a simple majority and would allow the Senate to pass it and President Obama to sign it.

But the speaker won’t call a vote. Why not? OK, I can’t read the heart of another person and I’m hesitant to assign motives without knowing the reason, but let me suggest this: Speaker Boehner won’t call a vote because he knows it will reopen the government and cost him his role as Speaker of the House. There is good reason to believe that if the government reopens because of this vote, there will be enough Republicans angry with him that they will replace him as speaker.

Really? This is all about one man afraid to lose his position? And not even his job? No matter what happens he will remain the representative of Ohio’s 8th Congressional District. If he loses his position as speaker he will lose a sweet office and lots of prestige, but nothing else.

I write this against the backdrop of tragic news: On October 6th, San Diego (and all of us) lost Captain Jennifer Moreno, a soldier who was killed in Afghanistan.

Jennifer embodied the best of what it means to be an American. She chose both nursing and the United States Army because she wanted to serve. When she joined the army she (and everyone she loved) knew this day may happen despite their fervent prayers.

What nobody expected was that the $100,000 death benefit promised to her family would be delayed because of the government shutdown. Normally the family receives this benefit within 36 hours to allow them enough money to travel to Dover, Delaware to claim, transport, and bury their loved one. Fortunately Fisher House, a charity that supports military families, will cover the expenses.

Meanwhile, the government continues to be shut down because a guy from Ohio is afraid to lose his title.

So how did we get here? Since October 1st the government has not granted itself the power to spend money, setting up the “government shut down” that we now face. It has meant that approximately 800,000 employees of the federal government (including my sister Lisa) cannot go to work and are not getting paid. It has meant that none of us can go to a national park like Yosemite or Yellowstone. We can’t apply for Social Security or watch the pandacam at the National Zoo.

It’s become a throwdown between members of Congress, but perhaps it bears looking at the background. The Constitution enumerates the powers of Congress in Article 1. Section 8 states that the Congress shall “have the Power to lay and collect Taxes, Duties, Imposts, and Exercises, to pay the Debts and and provide for the common Defence and general Welfare of the United States.” Section 9 states: “No Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law; and a regular Statement and Account of the receipts and Expenditures of all public Money shall be published from time to time.”

Since the 1921 Budget and Accounting Act, the President is required to submit a budget to Congress by February. If Congress passes the budget, it becomes law effective October 1st (the federal fiscal year is October 1st to September 30th). If they change it (ie, make amendments), it goes back to the President for his signature.

For much of the 20th Century this worked, but it began to fall apart toward the end of the century. As a matter of fact, it last worked in 1997. There is an excellent article in the Washington Post on this.

Since then, Congress has passed a series of “continuing resolutions” and “omnibus spending bills” that have continued funding of the government without ever developing a budget for federal spending. During that time Congress has passed all sorts of laws that have required them to spend money, including Medicare Part D.

During the administration of George W. Bush, federal spending increased from $1.86 trillion to $2.98 trillion. Much of it was devoted to national defense after 9/11 and his wars in Afghanistan and Iraq.

When Barack Obama was elected in 2008 he proposed the Affordable Care Act to expand health care to almost all Americans. It was passed by both houses of Congress and signed into law by President Obama on March 23, 2010. The Republican minority never liked this and pledged to repeal it if they had the chance. In 2012 they gained a majority in the House of Representatives but the Democrats retained the majority in the Senate and President Obama was re-elected in 2012.

Any law that is passed can be repealed, but since both the Senate and the President support the ACA, this won’t happen. The crux of the current government shut down lies in this: the Republican majority in the House of Representatives refuses to entertain a budget or pass a continuing resolution to keep the government funded unless the ACA is “defunded.” By defunding it they essentially say that whether it’s the law of the land or not, Congress will not pay for it. This has the effect of blocking the law without repealing it.

It’s a misuse of their power. Whenever Congress passes a law they make a pledge that they will pay for it, in much the same way I promise to pay for anything I charge on my credit card. By defunding a bill that was legally passed they are no better than someone who takes out a credit card with no intention of paying for what they buy.

It’s time for us to get angry and demand accountability. I understand that the Republican majority in Congress doesn’t like the ACA, but I didn’t like the Patriot Act [sic]. That doesn’t mean that I wanted Speaker Nancy Pelosi to shut down the government and put 800,000 people out of work until it was repealed.

The government needs to go back to work and the Republicans need to understand that they don’t get to hold the rest of us hostage.