How can you improve the quality of any workplace if you have those that refuse to tow the line? There is a lot of rhetoric involved in the government throughout all branches. One in particular in the VHA (Veterans Healthcare Association), which promotes “Veteran Centric Care” synonymous with the civilian community known as Patient Centered Care. That being said when you have employees that are not truly following this mentality and have been counseled and directed to make this changes and refuse to do so then they should be let go instead of the usual practice of just passing the “garbage” up or over to another position. The mentality of “screwing” up move up has to go!!!