As you step into Joe Ferneau鈥檚 home in southeast Ohio, it鈥檚 immediately clear he鈥檚 proud of his military service.
On the wall, where you might expect family photos to hang, are portraits of men in uniform.
鈥淭his is my son here serving the United States Marine Corps,鈥� Ferneau said, beaming with pride as he pointed to the largest one. 鈥淭here鈥檝e been about eight or 10 of us in service in my generation.鈥�
Ferneau served in the Korean War. And, when he returned home, he faced a different sort of challenge: throat cancer at the age of 76. Today, ten years later, he鈥檚 cancer-free. He said that鈥檚 all thanks to the care he got at the VA Medical Center in Chillicothe.
鈥淭his is the greatest facility in southern Ohio and I might say the world because they have saved my life on three occasions,鈥� he said.
Ohio is home to more than 600,000 veterans. And, like Ferneau, many get their healthcare from one of the state鈥檚 Veterans Health Administration (VHA) facilities. But that care has been harder to get as the hospitals have faced staffing shortages. 96% of VHA employees reported needing more front-line staff,
An exodus of staff
Ferneau鈥檚 son Jeff works at the Chillicothe Veteran Affairs Medical Center. Both of them faced the threat of its closure just last year. The Department of Veteran Affairs (VA) announced plans to shutter the facility
They fought successfully alongside community members like Jessica Fee for it to remain open. She鈥檚 the president of the local chapter of the American Federation of Government Employees.
Even though the facility was spared, Fee said there鈥檚 still been an exodus of acute medical nurses.
鈥淭hey've taken other jobs, they've transferred out. I think there was probably around 50 to 60 staff back then. And out of that group, I would say there's less than, less than eight still there,鈥� she said.
Fee said the result is fewer care options. The facility鈥檚 acute medical unit shut down in 2020 amid the pandemic. In addition, she said beds in other units have been taken offline and two of its mental health units have been consolidated to one.
Specialized care is even harder to bring to the hospital鈥檚 patients. Fee said she wants to see a federal investment in recruiting doctors or surgeons to the rural area.
鈥淵ou have to get them specialists,鈥� she said. 鈥淸Rural VA medical centers] have to be everything to their veterans, because there is nothing else. We have to be everything.鈥�
A spokesperson for the Chillicothe VA says staffing shortages have not caused the suspension of care offerings. Rather, they say, patient population decline has caused temporary mergers.
Unmet need
Regardless of the reason, the VA medical centers across the state are missing around 18% of the staff they need.
And, it鈥檚 not just a VA problem. The Ohio Department of Veteran Services (DVS) mostly provides nursing home care for vets, and it鈥檚 also struggling to recruit enough nurses.
鈥淔ewer people are receiving care specifically because we can't hire enough nurses to provide the level of care necessary,鈥� said Sean McCarthy, assistant director of DVS.
McCarthy said their long-term care facilities have had to reduce admissions in the last couple years. Now, there are more than 100 veterans on the waitlist.
鈥淚f I could hire 30-40% as many nurses, we would be reopening wings today. We just would start clearing that backlog immediately,鈥� he said.
McCarthy said they鈥檝e raised pay and upped job advertising 鈥� but two years in, they haven鈥檛 seen the staffing increases they hoped for.
Outsourced care
Ferneau is still waiting, too, for Chillicothe鈥檚 acute medical unit to reopen. He said more and more of his medical care has been outsourced to private hospitals.
When that happens, he said he doesn鈥檛 get the same medical attention. He often has to travel, which is hard now that he鈥檚 86. And, sometimes his medical records take time to transfer, and subsequently delay his care.
At other non-veterans hospitals, he feels forgotten.
鈥淚'd rather die on the steps of the Chillicothe VA Hospital than go somewhere that I don't know about.鈥�
