WASHINGTON (AP) — A pharmacy supervisor at the VA was placed on leave after complaining about errors and
delays in delivering medications to patients at a hospital in Palo Alto, California. In Pennsylvania, a
doctor was removed from clinical work after complaining that on-call doctors were refusing to go to a VA
hospital in Wilkes-Barre.
Medical professionals from coast to coast have pointed out problems at the VA, only to suffer retaliation
from supervisors and other high-ranking officials, according to a report Monday by a private government
watchdog.
The report compiled by the Project on Government Oversight, a group that conducts its own investigations
and works with whistleblowers, is based on comments and complaints filed by nearly 800 current and
former VA employees and veterans. Those comments indicate that concerns about the VA go far beyond the
long waiting times or falsified appointment records that have received much recent attention, extending
to the quality of health care services veterans receive, the report said.
The group set up a website in mid-May for complaints and said it has received allegations of wrongdoing
from 35 states and the District of Columbia.
“A recurring and fundamental theme has become clear: VA employees across the country fear they will face
repercussions if they dare to raise a dissenting voice,” said Danielle Brian, the group’s executive
director. “Until we eliminate the culture of intimidation and climate of fear, no reforms will be able
to turn this broken agency around.”
The report from the group, known as POGO, came a day before the Senate Veterans Affairs Committee was to
hold a hearing on the nomination of Robert McDonald to be VA secretary. If confirmed by the Senate,
McDonald would replace acting Secretary Sloan Gibson, who took over May 30 after Eric Shinseki resigned
amid a growing uproar over treatment delays and falsified records at VA hospitals and clinics
nationwide.
A federal investigative agency says it is examining 67 claims of retaliation by supervisors at the VA
against employees who filed whistleblower complaints. The independent Office of Special Counsel said 30
of the complaints about retaliation have passed the initial review stage and are being further
investigated for corrective action and possible discipline against VA supervisors and other executives.

Monday’s private report details the case of Stuart Kallio, an inpatient pharmacy technician supervisor at
the Palo Alto VA Health Care System who complained to superiors about what he described as incompetent,
uncaring management and inefficiencies in delivering medicine to patients.
The pharmacy service had steadily deteriorated to the point that it was “in a perpetual state of failure,
failing to provide timely, quality care to veterans,” Kallio said in a Feb. 26 email to supervisors. He
addressed his criticisms up the chain of command as far as Elizabeth Joyce Freeman, director of the Palo
Alto VA Health Care System.
On April 7, the chief of the pharmacy service sent Kallio a letter threatening to suspend him for sending
emails “that contained disrespectful and inappropriate statements about your service chief” and others
at the hospital, including leadership of the Palo Alto VA, the POGO report said. Kallio defended himself
in a letter to superiors detailing hospital records that showed patients suffering from “missed doses,
late doses, wrong doses” of medication. He was suspended for two weeks in June.
On June 20, the day before his suspension was to end, Freeman placed Kallio on paid leave pending an
investigation. Another VA official ordered Kallio not to discuss the case outside the VA, the report
said.
This month, Freeman became interim director of the VA’s troubled Southwest Health Care Network based in
Arizona. The former director there retired after reports this spring that dozens of patients have died
while awaiting treatment at the Phoenix VA hospital.
POGO’s Brian said an order attempting to gag Kallio, coupled with expansion of Freeman’s
responsibilities, “seem directly at odds” with a message Acting VA Secretary Gibson has repeated in
recent weeks emphasizing the importance of whistleblower protection.
A spokesman for Gibson said Monday that the VA thanks POGO “for bringing these important claims to
light.” The spokesman, Drew Brookie, encouraged the group to provide relevant information to the VA’s
Office of Inspector General and Office of Special Counsel “so there can be appropriate follow-up.”
The VA’s acting inspector general, Richard Griffin, has issued a subpoena demanding that POGO turn over a
list of whistleblowers who filed complaints through its website, which is operated jointly with the Iraq
and Afghanistan Veterans of America. The groups have refused, saying release of the names would violate
the promise they made to whistleblowers.
Griffin’s office said last week it is investigating possible wrongdoing at 87 VA medical facilities
nationwide, up from 69 last month.
Thomas Tomasco, a doctor who worked at the Wilkes-Barre VA Medical Center in Pennsylvania, told POGO he
quit his job “under duress” after he raised concerns about the hospital’s on-call policy. He complained
that on-call physicians were refusing to come to the hospital in emergencies; instead they provided
telephone consultations, which Tomasco said delayed care to patients requiring immediate assistance.
After filing the complaint in 2012, Tomasco was suspended for a day without pay — an action that was
overturned — and later was removed from clinical service. He eventually quit, saying he was “treated
like a pariah with no justification.”
Gibson is to address the national convention of the Veterans of Foreign Wars on Tuesday in St. Louis.
Vice President Joe Biden told the convention on Monday that the country has learned there are “many,
many” things that must be done to fix the VA.