Despite what i think is tremendous leadership on the part of the va and new secretary, its just not working and the people who are delivering that care in the front lines are suffering and whats even more important, the people that they serve are suffering and weve got to have a big bold path forward to fix this. With that i yield back to the chair. Thank you. Mr. Kauffman, youre recognized. We get scope of practice questions here in the congress relative to the veterans administration. I think a lot of these issues have been resolved down at the state level before state legislatures and ive been on both sides of it as a state legislature where i think they are Better Qualified at the state level to make those decisions. They can have hearings and they know that the docs providers within their communities. I guess my question to you is, clearly people that well, my question to you is, what do you think about devolving the scope of practice issues down to reflect whatever the standards
Dashcam ra dashcamera evidence. We have not. In colorado the dashcameras are used routinely by the Colorado State patrol. It is left up to the individual officers when they want to use individual cameras. From a prosecutors point of view this hasnt been a difficult tool to employ . No the with respect to dash cameras, senator. The complexity is logarithms when i understand. Mr. Henderson the only reason were probably having this hearing is because of these private videos that have shocked everybody. You agree with that . I do. In those cases, were glad we have video evidence. I mean youve got the North Charleston case thats in litigation so ill be careful of what i say. But in that case only god knows what the story would have been. Youre absolutely right. Its these private videos that have really motivated the public debate. As i said earlier you deserve great credit for convening this conversation. On balance, if you could get the right protocols to protect privacy and make sure the
Whats even more important, the people that they serve are suffering and weve got to have a big bold path forward to fix this. With that i yield back to the chair. Thank you. Mr. Kauffman, youre recognized. We get scope of practice questions here in the congress relative to the veterans administration. I think a lot of these issues have been resolved down at the state level before state legislatures and ive been on both sides of it as a state legislature where i think they are Better Qualified at the state level to make those decisions. They can have hearings and they know that the docs providers within their communities. I guess my question to you is, clearly people that well, my question to you is, what do you think about devolving the scope of practice issues down to reflect whatever the standards are within the given states that these va facilities are in . Number one and obviously want to make sure the providers are credentialed and trained to perform those duties within the scope
The form of non v. A. Care and choice care to get this right. If i can make two quick observations. Youre absolutely spot on. First of all we have to force ourselves to make certain decisions about what care can be most efficiently delivered in the community. So weve talked before my example the chairman remembers optometry. Why would we send a veteran 100 miles to get his eyes checked and get some glasses . We can do that anywhere. We wouldnt we routinely be referring that out to the community unless a veteran really wants to come to va. We are learning right now, again working to manage towards requirements rather than just a budget number, every time we improve access to care with a new facility, with additional staff, demand changes. Part of what were trying to understand are what are the dynamics. For example, you look in phoenix where we know were under penetrated in the veteran market. We improve access to care and we get a disproportionate response back. Weve got to understand
We have provider education which is a new program were started geared towards providers of Mental Health and taught by mentors and family members to give the alternative perspective of living with Mental Illness. Similar will solve, we have a public speaking bureau called in our own voice, which is idell is a speaker and gillian is also one of our speakers, where we go to businesses and schools, and tell our own stories in an effort to fight stigma and educate the public about Mental Illness. We have a Similar Program geared towards high school students, called ending the silence. And parents and teachers are allies where we go into high schools and colleges and middle schools, and try to put a face and a personal story to Mental Illness as a way to destigmatize and help people seek treatment, maybe earlier. There is considerable evidence to show that the sooner the earlier the intervention, the better the outcomes. So that is our high school speaking program. I am going to hand it ove