Why then did these veterans die alone like this? From the article
Administrators at the hospital had been under pressure from senior VA officials to keep appointment wait times below a certain threshold. The whistleblower report and multiple investigations found that administrators were keeping two lists.
The official list, which was sent up the chain of command to Washington, showed veterans receiving health care within the prescribed times. The unofficial (but accurate) list showed the actual wait times: in some cases, veterans were waiting more than a year for care.
One day, a colleague reached out to Pedene and asked to meet over lunch.
“She started crying and she said, ‘I called a patient today, and he died. I couldn't get him in before he died. He needed the care that he needed and I couldn't get him in,’” Pedene said. “She was devastated and we sat there and we cried together.”
An internal investigation at the Phoenix VA found that 40 veterans had died while waiting for care, but a 2016 investigation by the Office of the Inspector General at the Department of Veterans Affairs found at least 200 cases of veterans dying while waiting for care.