Correspondence issued by the Government Accountability Office with an abstract that begins "In recent years, we and other federal fiscal experts--including the Congressional Budget Office (CBO) and the Medicare Trustees--have noted the rise in Medicare spending and expressed concern that the program is unsustainable in its present form. Concerns about the rising cost of health care are particularly pressing in light of evidence that suggests that greater spending does not necessarily translate to better health outcomes or higher-quality care. Medicare's fee-for-service (FFS) payment system may contribute to spending growth because it rewards volume of services regardless of the appropriateness, cost, and quality of those services. Under FFS, a payment is made for each unit of service based on the expected costs of delivering that service. For example, Medicare makes multiple separate payments for the services associated with a complex medical procedure performed in a hospital. It pays the hospital for the initial admission and any related readmissions; each physician involved in the patient's care, such as the surgeon and the anesthesiologist; and the skilled nursing facility for any related care immediately after hospitalization. Payments made in isolation in this way may give providers little incentive to coordinate the provision of …

Correspondence issued by the Government Accountability Office with an abstract that begins "As Congress requested, we conducted a review of challenges associated with enhancing safety on major rail transit systems. During the course of that review, we assessed the quality of data that the Federal Transit Administration (FTA) collects and maintains in its State Safety Oversight (SSO) Rail Accident Database. FTA, an agency within the Department of Transportation (DOT), collects these safety data, including data on types of accidents and causes, from SSO agencies and the rail transit agencies they oversee. FTA used the SSO Rail Accident Database to produce the agency's 2009 Rail Safety Statistics Report, which analyzed data from 2003 through 2008. Although we originally intended to report on safety trends using the SSO Rail Accident Database in the rail transit report, we determined that these data were not sufficiently reliable for such a purpose. As a result, in this review we further assess the SSO Rail Accident Database and FTA's processes for collecting and compiling the data. We determined that there are numerous inaccuracies in FTA's SSO Rail Accident Database and, consequently, the 2009 Rail Safety Statistics Report. FTA implemented changes to the data collection process over …

Transcript of a public hearing held by the Commission on Wartime Contracting in Iraq & Afghanistan held February 28, 2011.This hearing includes testimony from two panels of witnesses representing various governmental agencies on the effectiveness of the government's tools to hold contractors accountable for their work.

Transcript of an oral interview with James "Jim" Joyce. When Joyce finished high school, he joined the Navy in January, 1943. Soon, he was training with a naval construction battalion (Seabees), and was assigned to Banika Island in the Russell Islands in the Solomons where he served in a bakery and as a stevedore. He was attached to the 11th Construction Battalion. Eventually, Joyce headed for Okinawa and was there on D-day (1 April 1945). He escorted Japanese prisoners of war to Saipan and headed back to Okinawa where he continued performing his bakery and stevedore duties. He stayed on Okinawa until November before returning home to the US.

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) spends billions of dollars each year to maintain key business operations intended to support the warfighter, including systems and processes related to the management of contracts, finances, the supply chain, support infrastructure, and weapon systems acquisition. We have designated a number of these areas as high risk because of their vulnerability to fraud, waste, abuse, and mismanagement and because of opportunities to achieve greater efficiencies and free up resources for higher-priority needs. In 2005, we identified DOD's approach to business transformation as a high-risk area because (1) DOD had not established clear and specific management responsibility, accountability and control over business transformation-related activities and applicable resources; and (2) DOD lacked a clear strategic and integrated plan for business transformation with specific goals, measures and accountability mechanisms to monitor progress. Because of the complexity and magnitude of the challenges facing DOD in improving business operations, we have reported the need for a chief management officer (CMO) with significant authority and experience to focus the necessary attention and sustain progress. Both DOD and Congress have taken actions to address DOD's management of business transformation efforts. …

Correspondence issued by the Government Accountability Office with an abstract that begins "According to Department of Defense (DOD) officials, the Air Force Electronic Warfare Evaluation Simulator (the Simulator), located at Air Force Plant in Fort Worth, Texas, is an important asset for helping to protect U.S. and allied pilots and aircraft against the missile threats posed by adversaries. Most missiles use one of two electronic warfare technologies in order to pursue aircraft in flight and deliver an explosive warhead with the intent to inflict maximum damage. Small shoulder-launched missiles generally use infrared seekers that search for heat sources on an aircraft, while more sophisticated air-to-air and larger surface-to-air missiles can use radio waves and infrared seekers to determine an aircraft's location in flight. DOD continually develops and tests countermeasures to protect U.S. and allied aircraft from both types of missile threats. The Air Force Electronic Warfare Evaluation Simulator at Plant 4 is one of only two Air Force facilities of its kind that test countermeasures against heat-seeking missiles, and it is the only Air Force facility that currently houses the equipment necessary to test countermeasures against more sophisticated radio frequency surface-to-air missiles. The Simulator uses an array of computer hardware …

The National Museum of the Pacific War presents an oral interview with Bob Sweatt. Sweatt was inducted to the Army Air Forces in September 1942. He describes his training as a gunner. Sweatt joined the 389th Bomb Group as a waist gunner in a B-24. He describes his experiences on several missions. Sweatt was the only surviving crewmember when his plane was shot down. He describes getting wounded, escaping the plane, and parachuting to the ground. Sweatt details the three months that he was hidden by the French and Dutch Underground. He eventually escaped to England and then returned to the United States. Sweatt served as a gunnery instructor for the remainder of the war.

The National Museum of the Pacific War presents an oral interview with Clemens Kathman. Kathman was drafted into the Army in March 1941. He joined the 200th Coast Artillery and traveled to the Philippine Islands. He describes the Japanese bombing Clark Field and then being sent to Bataan. Kathman was captured and became a POW. He details the march to camp that followed and the difficulties that he endured. Kathman was assigned to the burial detail at Camp O’Donnell and describes the duties he performed. He was then sent to Cabanatuan and goes into detail on the diet of the prisoners. Kathman then traveled to Japan in the hold of a freighter. In Japan he suffered a ruptured appendix and was given an improvised treatment by American medics. He ended up in Nagoya and describes his liberation and treatment through his return to the United States.

The National Museum of the Pacific War presents an oral interview with Dorwin F. Lamkin. Lamkin was born in Hudson, Wisconsin on 30 October 1922. He enlisted in the Navy on 30 October 1940, and attended boot camp at Great Lakes, Illinois. He spent sixteen weeks at Great Lakes. His first assignment was as a Fire Controlman on the USS Nevada (BB-36). He joined the ship at Bremerton Naval Shipyard. He was transferred to the hospital division and was aboard when the Japanese attacked. Lamkin recalls the ship ran aground adjacent to a sugar cane field across from Hospital Point. After the ship was refloated, he was transferred to Hospital Corpsman School in San Diego, followed by Laboratory Technician School in Bremerton. After completing the training he was transferred to the USS San Francisco (CA-38), which was being repaired at Mare Island. Following the repairs the San Francisco headed north and operated in the Aleutian Islands over the next several months, including supporting the Allied landings at Attu and Kiska Islands. Lamkin spent two years on the San Francisco, was accepted into the Navy’s V-12 Program and attended the University of Kansas. When the war ended he was assigned as …

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Proper compliance of a publication with the provisions of section 2051.044, Government Code, in order to be considered the official newspaper of a municipality (RQ-0907-GA)

News release about DART's Green Line light rail project as the 2010 "Deal of the Year" by the Dallas Business Journal.

News release about DART ordering a large number of compressed natural gas buses.

The National Museum of the Pacific War presents an oral interview with Everett Fulton. Fulton joined the Navy in 1936 serving as a machinist mate. He details the work and equipment used in the metal shop. Fulton was discharged in 1940 only to rejoin the Navy after the attack on Pearl Harbor. He describes training as a dive-bomber pilot and what it was like to fly a SB-2C Helldiver. Fulton joined VB-14 on the USS Wasp (CV-18) and flew missions over the Philippine Islands. Formosa, and Iwo Jima. He goes into detail describing his mission during the Marianas Turkey Shoot and expresses his frustration with the decisions that led to so many planes having to ditch afterwards. Fulton spent the end of the war as an instructor in Florida. He remained in the reserves and was called back for Korea where he also served as an instructor.

Transcript of an oral interview with Norman E. Carroll. When Carroll reached 18, he joined the Navy in December, 1942. After basic training at Great Lakes, Illinois, Carroll volunteered for submarines and went to submarine school in New London, Connecticut in June, 1943. When he finished submarine school, Carroll was assigned to the USS Guitarro (SS-363). Carroll was aboard the Guitarro for five war patrols in enemy waters. Carroll describes being attacked with depth charges, making repairs, a burial at sea of shipmate and being attacked by aircraft.

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification: Constitutionality of Texas Transportation Code section 251.053, concerning a commissioners court’s declaration of a public road (RQ-0900-GA)

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Authority of Regional Transportation Council over transit related projects located in Richland Hills (RQ-0901-GA)

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Valuation of a residential dwelling offered as a prize at a charitable raffle (RQ-0905-GA)

Other written product issued by the Government Accountability Office with an abstract that begins "This report presents the highlights of GAO's fiscal year 2010 Performance and Accountability Report. The Government Accountability Office, the audit, evaluation, and investigative arm of the Congress, exists to support the Congress in meeting its constitutional responsibilities and to help improve the performance and ensure the accountability of the federal government for the benefit of the American people. GAO examines the use of public funds; evaluates federal programs and policies; and provides analyses, recommendations, and other assistance to help the Congress make informed oversight, policy, and funding decisions. To fulfill its mission, GAO organizes and manages its resources to support four broad strategic goals. These include helping to address challenges to the well-being and financial security of the American people, responding to changing security threats and global interdependence, and transforming the federal government to address national challenges. Strategic goal 4 is an internal goal focused on enhancing GAO's value through improving its efficiency, effectiveness, and quality, and institutional stewardship and resource management. GAO maintains a workforce of highly trained professionals across a breadth of academic and scientific disciplines. About three-quarters of the approximately 3,200 employees are …

Transcript of a public hearing held by the Commission on Wartime Contracting in Iraq & Afghanistan held January 24, 2011.This hearing includes testimony from governmental agencies and contractors on recurring problems Afghan construction projects.

The National Museum of the Pacific War presents an oral interview with Gilberto Hernandez. Hernandez was born in Corpus Christi, Texas 13 September 1925. He worked on farms at a very young age with his formal schooling ending after the third grade. After his induction into the US Army in 1943 he was sent to Camp Wolters, Texas for basic training. He was temporarily assigned to the 42nd Infantry Division and then shipped to Camp Brackenridge, Kentucky where he joined the 75th Infantry Division. After receiving advanced training the division boarded a ship for Liverpool, England. The unit was then stationed in La Havre, France until called upon to participate in the Battle of the Bulge. On 17 January 1945, Hernandez was severely wounded. Hernandez was taken to a field hospital and then to a general hospital in Paris. There his leg was partially amputated. He was then sent to Bushnell General Military Hospital in Brigham City, Utah. He comments on the crude construction of the prosthesis of which he was originally fitted. He was discharged July 1945.

Correspondence issued by the Government Accountability Office with an abstract that begins "Congress asked us to estimate the effect on Ryan White Comprehensive AIDS Resources Emergency Act of 1990 (CARE Act) funding to urban areas if a certain stop-loss provision was enacted. The CARE Act, administered by the Department of Health and Human Services' (HHS) Health Resources and Services Administration (HRSA), was enacted to address the needs of jurisdictions, health care providers, and people with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). In October 2009, the Ryan White HIV/AIDS Treatment Extension Act of 2009 (RWTEA) reauthorized CARE Act programs for fiscal years 2010 through 2013. The stop-loss provision that you asked us to address was contained in a draft consolidated appropriations bill for fiscal year 2011."

The National Museum of the Pacific War presents an oral interview with Greg Layman. Layman worked in a shipyard in Vancouver, Washington on escort carriers until he turned 18. After his birthday he joined the Navy and served in the Seabees with CBMU 521 spending 20 months on Tulagi improving infrastructure. Three weeks after the Japanese surrender, his unit was sent to Okinawa to build a permanent naval base. Three months later he was sent to the United States and discharged on 24 December 1945.

Transcript of an oral interview with Jill Pitts Knappenberger. She discusses growing up during the Depression, going to college before the war, then volunteering for the Red Cross in 1942, but delaying to stay home with her terminally ill sister before joining in 1943. She first worked in England before going to France. She was able to meet her twin brother, who was also in France just before he died in the Battle of the Bulge. She describes what it was like in the camps at the beginning of the Battle of the Bulge and driving the Red Cross Clubmobile away from the front lines, seeing the Ordruff [Ohrdruf] and the Buchenwald concentration camps and the salt mines at Merkers where the Germans stored a lot of looted money and artwork. She ancedotes about flying in B-17s, getting to drive a Sherman tank and how she felt during her first air raid in London and being in the Battle of the Bulge.

The National Museum of the Pacific War presents an oral interview with Robert Hilburn. Hilburn joined the Marine Corps after he graduated from journalism school. He describes his time in boot camp at Paris Island. Hilburn received some assistance from a congressman who recommended he be placed in a correspondent role. He was sent to headquarters in Washington D.C. where he began writing stories about marines who had been awarded medals for home town newspapers. Hilburn was then sent to the 2nd Marine Division to become a Combat Correspondent. He describes some of his fellow correspondents and the equipment that they used. Hilburn landed on Okinawa towards the end of the battle and describes being with General Buckner when he was killed. He also traveled to Nagasaki after the surrender. Hilburn left the service after the war, but continued his career as a journalist. He was in a press vehicle that was part of the motorcade when John F. Kennedy was assassinated. Hilburn describes the events and aftermath.