Advocate and former Army Capt. Tom Tarantino says he's worried that allegations over delayed health care will keep veterans away from services.
"Our biggest fear is that there are veterans out there who are not going to seek help because they lose faith and they lose trust in the VA," he tells Tess Vigeland, guest host of All Things Considered.
Accusations of long waits at a Phoenix Veterans Affairs hospital, which may have resulted in deaths, surfaced in April. Tarantino, chief policy officer for the Iraq and Afghanistan Veterans of America, says complaints of delays aren't new. Anecdotes of long waits go back years, he says.
Tarantino says VA Secretary Eric Shinseki may be "mad as hell," but his concern didn't come across when he spoke to a Senate panel on Thursday.
"He looked unprepared, he did not emote the type of confidence that we need to see from someone who is for lack of a better term the chief veteran of the United States," Tarantino says.
"If these allegations are true, and veterans lost their life waiting for care, the next question shouldn't be: Should the secretary lose his job? It should be: Has there been criminal negligence?" Tarantino says.
Moreover, he wonders whether losing Shinseki would help or perhaps even worsen the situation.
Sen. John McCain, in the weekly Republican address on Saturday, said piecemeal responses from the VA would not be adequate, as The Associated Press reports.
"What's needed is a total refocusing of the VA on its core mission of serving veterans stretching from its top political leadership all the way through to its career civil servants," he said.
Tarantino says he personally has experienced "great VA health care," which he uses regularly. He tells NPR:
"I think my experience is reflective of what a lot of members are experiencing, that getting to the VA is a hassle, dealing with the VA is a hassle, but once you actually get in, their care is quite good.
"So there's a lot of good stuff at the VA, we just have to make sure that the bad is taken care of, it's taken care of swiftly and efficiently, and nobody is in danger because of it."
Part of handling mismanagement is getting whistle-blowers to report it, which isn't easy in cases where personal experience might contradict official reports. Iraq and Afghanistan Veterans of America hosts a website that allows veterans and VA employees to anonymously report fraud.