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Veterans disagree over Hamlet VA care
by Dawn M. Kurry
Dawn M. Kurry | Daily Journal
Corey Gibbon of Rockingham is a Vietnam veteran who has received two hip replacements and cancer treatment through the VA Clinic. He said he is satisfied with the care he has received.
Dawn M. Kurry | Daily Journal Corey Gibbon of Rockingham is a Vietnam veteran who has received two hip replacements and cancer treatment through the VA Clinic. He said he is satisfied with the care he has received.
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Dawn M. Kurry | Daily Journal
Veterans gathered across from the VA clinic in Hamlet on Vance Street to collect signatures to support their dissatisfaction with the clinic.
Dawn M. Kurry | Daily Journal Veterans gathered across from the VA clinic in Hamlet on Vance Street to collect signatures to support their dissatisfaction with the clinic.
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Veterans gathered in a parking lot across from the Veterans Affairs Community-based Outreach Center (VA CBOC) in Hamlet on Vance Street to sign a petition Monday morning.

Several veterans have continued to express dissatisfaction with the VA CBOC, even after Fayetteville VA Medical Center Director Elizabeth Goolsby notified veterans that the clinic in Hamlet would receive a second full-time provider this month. According to veterans and Goolsby, the unavailability of primary care physicians at the clinic has lead to frustration.

Lacy Shepherd, North Carolina Commander of AMVETS, lives in Richmond County. He has expressed dissatisfaction with the local VA CBOC.

“We’ve had a lot of guys who have had problems with doctors not filling out papers timely,” said Shepherd recently of the Hamlet clinic. “One doctor is not able to care for five counties. This clinic was put in the wrong place. It was rented, and should have been built like the others. Pembroke has a nice facility, with a complete staff. Now veterans from Laurinburg are going to Pembroke.”

The Hamlet VA CBOC has a multi-county reach, and includes Richmond, Scotland and Anson counties, as well as Chesterfield County in South Carolina. The Hamlet VA CBOC serves approximately 1,200 veterans and was designed to serve 3,600 veterans for years to come, according to the Department of Veterans Affairs in Fayetteville.

Shepherd said that although the VA tells patients they can email their providers directly, the providers do not give out their email addresses. He was alarmed when a doctor prescribed him medication without physically examining him, and was alarmed in another instance when he heard from another vet that his doctor spent the entire appointment filling out paperwork on a computer instead of speaking with the patient, so he could hurry back to Fayetteville.

Other area veterans are supportive of the VA.

Corey Gibbon of Rockingham is a Vietnam veteran who has been disabled for most of his life after the war. He was awarded a purple heart. He said he is satisfied with the services and treatments he has received through the VA.

“I’ve been going to the VA since 1970,” said Gibbon on Friday. “They’ve been good to me. I had cancer last year. I had my right hip replaced on January 15. I had my left hip replaced in August. They have been just outstanding. They put me a ramp up at my house. I got a scooter. If it hadn’t been for the VA, I’d have been dead.”

Gibbon said he knows some of his veteran friends in the area are taking part in the petition signing. He doesn’t agree with that approach.

“This is not going to do anything but hurt us (veterans),” said Gibbon. “We are lucky to have that place. (The veterans) have a choice; they don’t have to go to this clinic. There is no guarantee of benefits. They could close this clinic.”

Gibbon said patience is part of what has kept him happy with the VA. He said he waited a year for his first hip.

Goolsby said she was surprised to hear that veterans were gathering to garner signatures after the recent announcement that the Hamlet clinic would soon have two full-time providers.

“I spoke to one individual last week who is spearheading this, who said the veterans were concerned there wasn’t a second provider,” said Goolsby on Monday. “I told him one was hired and would begin in September, which he said he was well aware of. Hamlet is a difficult area to recruit for but we have been successful. I just hope this negative publicity won’t deter the provider from coming to Hamlet. I am committed to the health care needs in Hamlet, but I need the cooperation of veterans in the area to attract and keep well qualified providers there. I want to provide care close to home, with high quality and access to new technology.”

Goolsby said there are two appropriate avenues available to veterans who are dissatisfied with the clinic or care they are receiving. She said veterans can go to the clinic and talk to the nurse manager or they can visit the VA website, www.fayettevillenc.va.gov, and at the bottom of the page, click “Ask The Director,” which allows veterans and their family members to send comments or questions directly to Goolsby.

Staff Writer Dawn M. Kurry can be reached at 910-997-3111, ext. 15, or by email at dkurry@heartlandpublications.com.

Comments
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September 17, 2012
I don't think anyone is personally blaming Ms. Goolsby but when a justified complaint is presented and a solution is not presented, what then? The CBOC does provide adequate service to many veterans and there are many who are very satisfied with their care. The concern is for those veterans, who for whatever reason, seem to have "slipped through the cracks" and not been seen for many months. Granted those vets should have contacted the CBOC and asked "why". Other veterans have not had health issues thoroughly evaluated. For whatever reasons, the care has been sporadic for some others. The physical size of the clinic is too small to accommodate visits for lab draws and two providers. The veterans are supportive of the VA but they want to see solutions to their concerns. Many are frustrated and feel complaints are often "smoothed over" by words rather than results.
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September 12, 2012
I don't blame Ms Goolsby personally for all the problems with the Hamlet CBOC or the VA system but as a representative of the VA she should accept and seek to understand the feedback from veterans and work to correct the problems. We don't have to go to Washington to voice our concerns, that's part of the role local leaders and advocates play otherwise everything would be run out of DC.

Granted the VA has huge challenges from claims processing to quality of patient care and budgets to do their work. No one is seeking to reinvent the VA but are simply highlighting what needs to be improved in Hamlet is appropriate.

I am a combat wounded vet with service connected disabilities and the VA is not doing veterans "a favor". Having satellite clinics helps the VA deal with the demand for care across a wide service area. Compassionate and effective medical care for military veterans is a nation's duty not a favor.

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September 13, 2012
Don't misunderstand my earlier response, raise hell about the right issues to the right people, and I'm right there beside you 100%. I'll be your loudest cheerleader.

Until you speak to someone who controls what VA is willing to pay a physician to move to Richmond County, you are totally wasting your efforts.

As to your last statement, "Compassionate and effective medical care for military veterans is a nation's duty not a favor.",............. Well, that's a loaded statement.

A more accurate statement should read: "Compassionate and effective medical care for SERVICE CONNECTED disabled veterans is a nation's duty"....

I stand by my statement that the VA is doing a lot of vets a favor. If a person is being treated at the VA for a non service connected condition,and they aren't carrying a combined rating of 50% or greater, they are receiving a benefit they aren't entitled to, and wasn't agreed to by the taxpayer.



Under different circumstances, I would complain about having to wait in line behind people like this to get health care. Thankfully though, the VA has responded to people in my situation with these handy dandy things called priority groups. They are numbered 1-8 to quickly seperate severely disabled service connected vets(group 1), from those looking for a type of handout(group 5).

The exact tables and qualifying criteria for each can be found at

http://www.va.gov/healthbenefits/resources/priority_groups.asp

These priority groups ensure that "disabled vets" don't have to stand in line behind malingerers to get good, quick, taxpayer approved, access to quality health care that they have earned.

Notice those of us in group 1 aren't usually the ones complaining?

The sooner we can seperate the "disabled vets" from the "lazy vets", the sooner we can cause change at the VA.

As far as I'm concerned, claiming the title "disabled vet" at Joe Carroll, Rockingham

P.S. None of this applies to those with claims pending with the VBA. It takes Winston-Salem so long to make a decision,(years in most cases), I think they should give all of you 50% until you get an initial decision.
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September 11, 2012
Goolsby reaction to feedback from concerned veterans is embarassing. Anybody can see that this feedback has been a long time coming. People are frustrated and it has lead to this reaction. Hiring a second doctor alone won't fix everything.

As a leader she should deal with it and not blame signatures on a petition. "Needing the cooperation of veterans" sounds allot like "don't complain, trust me, I'll fix it." Well, you haven't done it to date.

Be a leader and step up and take the criticism due you and the VA and get to work. The veterans will support you and the CBOC 100% when words turn in to action. These problems have been long running and won't be solved by another promise of action...people expect to see it.

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September 11, 2012
I am the Medical Center Director at the VA in Fayetteville. If you wish to discuss your concerns, please call my office at 910-822-7059 to speak with me.

Elizabeth Goolsby
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September 11, 2012
I'll start by saying that if you are utilizing the Hamlet CBOC for non service connected conditions and you aren't rated at 50% or greater, the Government is doing you a huge favor just by having the clinic there. You weren't promised free healthcare for life just by virtue of military service alone, and you have no right to complain. The place was never designed to be a "free welfare clinic" so you can't complain when it does not function like one.



Elizabeth Goolsby has no say over the VA's compensation rates for physicians. She can only do so much. She probably can't publicly say so, but the best and brightest aren't going to work for what the VA is willing to pay. This is true in Hamlet, Fayetteville, or anywhere else where the VA doesn't have access to under priced interns, like say, Durham. Anyone who has had the opportunity to experience both Durham VA and Fayetteville VA found the Durham experience superior I'm sure, but what they may not realize is that Durham has access to Duke University, and Fayetteville is a standalone hospital.

These are problems that are quite outside Mrs. Goolsby's control.

I personally have been utilizing the Hamlet CBOC for a couple of years now. The health support staff there is second to none. I'd put it up against any CBOC in the country, and I've been to many.

Granted, the physicians there usually stink. They're disconnected, uncaring, and always seem rushed. But, in fairness to that CBOC, I've never had a physician created problem there that the staff,(usually Ms. Dunlap), couldn't fix within a matter of a few hours with a simple call to Fayetteville.

If everyone wants to get together and have a protest/petition, we should all ride to D.C. and put the complaint where it belongs. Ms. Goolsby would probably advocate for programs that would entice a physician to move here, but you alienate her when you wrongly place the blame at her feet.



Getting substandard physicians due to compensation issues is a Washington D.C. issue, not a Fayetteville VAMC issue.

Joe Carroll, Rockingham.
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September 11, 2012
The glorious Congressman Kissell's name is conspicuously absent from this article.
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