Jon Tester actually said...

"I think you can look at peer review as a punitive mechanism. I think we try to approach it from a viewpoint that is a learning mechanism."

"I am very proud of the VA. I think they do a great job. I am not proud of them on this one, and I think that it needs to be fixed."

"What are you doing with those VISNs, just for an example, to get them fired up, get them off their duff and get them going in the right direction; do what they need to do to make sure things happen?"

"I want to know what steps have been taken so it doesn't happen again."