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Thank you madam chair I appreciate very much I think the whole the entire panel for their testimony today my first question is for Mr. Putin first thank you for your service to our country you mention your testimony again the same subject you mentioned in your testimony your concerns about the VA's playing changes in the prosthetics acquisition a process where you elaborate on the real word in real-world implications that this will have on our veterans specifically from the time a prosthetic is ordered how long does it typically take to arrive under the VA's current process and what time frame would you anticipate under the new proposed acquisition process and then what are the quality of life and health issues that could arise from these delays thanks for the question sir i under the current system there are safeguards in place to ensure that V is being fiscally responsible, and it can take a month to month some of this is predicated on the clinical needs of the patient and availability of the product in their area which is appropriate our rule concerns is that with the new system it would be supposition, but it may take months and months longer to get purchase orders for needed equipment and the veterans should not have to wait and the clinicians hands should not be tied if they feel that a device is appropriate and going to provide the best care for a lawyer they should be able to prescribe that device I have had the opportunity to speak with over a dozen VA clinicians and prostitutes who are currently serving in several former Chiefs of prosthetics and every single one of them said they share our concerns about the ability to remain timely and potential delays in veterans receiving needed prosthetic devices under this new system and Dr. Beck will come up in a few minutes, and she'll say that that one of the things that we're going to consider is if a device is generally available and interchangeable then it will fall under the Federal Acquisition regulations who are determining what is generally available and interchangeable it's going to be somebody in acquisition not a physician not a clinician who has the patient's best interest at heart and that's that's our real concern the VA was given wide discretion by Congress to provide prosthetic and assistive devices without consideration of applicable Federal Acquisition regulations years ago because Congress recognized this very special unique role in prosthetics for providing care for words and unfortunately this seems to be a step in the opposite direction thank you again maybe for the entire panel let's address this specifically what are the quality of life and health issues that could arise from these delays if anybody would like to testify on that well I'll say it again that I have personally experienced this through the natural and inappropriate delays that occur from the time say I break a prosthetic foot to the time I need a new one, but my quality of life is hindered my ability to go...
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