The High Cost Of Bureaucratic Inertia

It’s a bit sad today to see the state legislature send to the governor tens of millions of dollars in new spending on a veteran’s home stuck in rural North Dakota. A place so far out of the way that most veterans would just as soon not bother traveling to it.
I don’t have a problem with rural cities, but something like a veterans home should be placed in a location where it does the most good for veterans.
Now, I understand that our state’s constitution (Article IX, Section 13 specifically) mentions Lisbon as the place for a home (or “other charitable institution as the legislative assembly may determine”). But doesn’t that mean we should just amend the constitution to move the location of this home to a better place? Or just work around that constitutional requirement?
It seems to me that a better solution for veteran care in the state would be to contract with private health care providers to give care to the veterans. This would not only move the location of care closer to where the veterans actually live, thus making their lives easier, it would also probably cost significantly less than maintaining a large government health care facility out in the middle of nowhere.
And such a solution probably wouldn’t even require a constitutional amendment. Why not stick an administrative office in Lisbon responsible for handling the contracts and payments to the various private health care facilities around the state that would, in turn, be providing care to the veterans?
Is that not a viable solution that would have saved the taxpayers of this state about $100 million?
Maybe it just makes too much sense.
Our political leaders need to spend a little more time thinking out of the box.

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  • http://SayAnythingBlog.com The_Whistler_ofnd

    What’s the best for the veterans? Wouldn’t a choice of living near your family be important to them.

    This plan is going to cost $200,000/bed. That seems outrageous to me.

  • Buzz

    The North Dakota Veterans Home strives to provide residential health care excellence to the veterans and/or spouses in our care. We offer a variety of enjoyable social activities and relaxing environments to meet the varied interests of our residents.

    A veterans home is where they live, correct? So why is it so bad to be on the edge of town? If you have to live in a home your probably not driving too many places. Its right off the highway anyway.

  • studakota

    Addendum to above. These units can be had in 8′ 10′ 20′ widths. Google them @ shipping container architecture or other. NDSU engineering students could engineer it, etc. Or re-configure the Alerus center.

  • studakota

    I have seen pics. of the use of those 10′x40′ steel shipping containers and what you can do with them is terrific. Four hundred s.F. per veteran seems about right. You can buy them all day long for 3000-4000 each on east coast. You could put a thousand of those units togather for peanuts. But with the complete lack of vision most politicians have they’ll never take the time to go online and investigate the idea.

  • Brent

    But that doesn’t mean we can’t do it better than massive government bureaucracy.

    That’s my point. Why is the government actually running hospitals (other than to try to get a foot in the door of full-blown government-run health care)?

  • http://www.mastercleanse-review.com/ tedfred

    Owh just now it

  • traceye

    How is it going to cost $200,000 a bed? That’s just crazy. Who does the estimates in these sort of things?

  • jimmypop

    ive done work down in lisbon. it is great place with great people, but there are better places to invest this amount of cash….. if you had a choice. i think the concern is federal matching money must be spent in certain ways and on certain things based on how the funding was requested and authorized. its not just a check that can be spend any way the state sees fit.

    summary; like everything the feds do, much of it could be better thought out.

  • Kidtransport

    Ever been to the Veterans home in Lisbon? It is a beautiful place with lots of greenspace around it. My wife and I used to ride bike through there 40 years ago. Many ND vets are GLAD to not be in a big city having grown up and lived on farms all their lives. There is nothing wrong with the site in my opinion, not saying about the existance of the place.

  • Buzz

    It seems to me that a better solution for veteran care in the state would be to contract with private health care providers to give care to the veterans.

    Might this be that the Veterans Home employees are represented by the NDPEA a UNION. OMG… there are unions in ND? Get on there case Rob, there probably all sitting around drinking coffee and not taking care of the poor old vet. Go on meow, get on it.

  • bill-tb

    It’s a common fact, you can’t be liberal and rational at the same time.

  • http://SayAnythingBlog.com The_Whistler_ofnd

    150 Beds, 30,000,000. The math works out to….$200k per bed.

  • Brent

    It seems to me that a better solution for veteran care in the state would be to contract with private health care providers to give care to the veterans.

    And while we are on the subject, they could write a resolution to our congressional delegation and to the president requesting the same changes from the national government.

  • 2Hotel9

    Let me get this straight. There is a Veteran care facility in Lisbon already? And they want to build a big shiny new one on the same land? Or at an entirely new site?

    How many bed is the current facility? Does it have full medical suite? Is one going to be built? Or do these people have to be transported to other hospitals/clinics? How much is being spent to transport to other facilities? And last, how far do they have to be transported?

  • http://sayanythingblog.com robport

    And while we are on the subject, they could write a resolution to our congressional delegation and to the president requesting the same changes from the national government.

    Sure. Health care for veterans (unlike health care for civilians) is a legitimate government expense. Vets served the country, and this is part of how we repay them. It’s entirely appropriate.

    But that doesn’t mean we can’t do it better than massive government bureaucracy.

  • WOOFX

    Basic Care Rent is calculated as 25% of a resident’s
    first $1200 of annual rent eligible income and 50% of
    additional rent eligible income. Annual rent will be divided by
    12 to determine monthly rent. The maximum amount of rent
    charged for JAN to DEC 04 was $6600, which prorates to $550
    per month.

    http://www.vfwwebcom.org/forum/index.php?topic=2139.msg13473

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