As a VA employee, it pains me to say this, but there is entirely too much negligence and incompetence among many of our staff. This by no means represents a majority of VA staff, but it is a large enough number that it has a significant adverse impact on the care we provide. Too often, I have been left wondering why some of my colleagues are still in the jobs that they are in. Any other job, in any other healthcare setting, they would have been dismissed long ago. This makes it very disheartening for those of us who care about our vets and the work we do. It also significantly impacts our own job performance and employee morale. While this will not solve many of the VA's problems, it will assist in correcting one significant problem.