It just seems to me, and many others, that after they left, somebody dropped the ball here with regards to seeing that the maintenance was being done.

Thank you, Mr. Chairman. I want to continue to follow up on my first line of questioning and ask some more questions that the families have asked.

The debt we owe your loved ones and all our veterans can never be repaid, and we must do all we can to ensure that they receive the best quality health care that they have earned and rightly deserve.

I want to assure the family members this isn't over and that we will continue to monitor this until the very, very end.

I lay the responsibility of the patient care directly at the feet of VA and VHA management at every level.

There were things that were not being done according to the IG report relative to Pittsburgh that caused us to look not only at Pittsburgh, but across the entire system...

Patient care is a top priority for me.

This is not the way we want to do our business. This is not the way we want patients to be treated, and I find it as appalling, I believe, as this Committee does.

But isn't it true that during the time that Dr. Yu and the lab was open and they were using the system, that there wasn't outbreaks of Legionella?

Thank you. My second question for you is you expressed some key issues that you felt needed to be addressed such as accountability, customer service, and risk management and family services.

Thank you, Mr. Chairman.