Simply put, this is an unacceptable way to treat our veterans or their families.

I can go to your charts because you should be proud of the lack of MRSA infections within the system.

I think that suggests that there is something extremely serious to look at, whether there is fire behind the curtain.

The more I learn about this issue, the more it seems to be a case of extreme negligence.

So why would an institution not require a health care professional to follow the manufacturer's recommended sterilization and/or the FDA's recommendation?

In fact, the safety alerts that were put out by the VA actually were put out because of changes in certain devices if I understand the chronology of those alerts.

One is too many, so we have to go for zero tolerance.

Now the VA has maintained that it is very transparent when it comes to its disclosure of adverse events, even more so than the private sector.

I guess I am having a little disconnect because in the previous question you suggested they were ignored.

How many lives need to be at risk before this is a medical problem?

Yes, you highlight it. And there is nobody today that can tell us we have not done everything to prevent it.

I hold you in high esteem for the jobs that you do.