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I have read this book. I have worked for two Fortune 500 companies, several non-profits, served honorably in the military, and worked in government. In government, I worked alongside many Department of Veterans Affairs employees. I feel that it is worth noting that as a whole, VA employees, particularly "mid-level" managers that fancy themselves as executives, did not seem to embrace or execute the majority of the strategies described in this book. The governmental workforce, especially the VA, is not always competent and anything but a meritocracy. There is a dangerous over-reliance on contractors and consultants in the government, particularly at the VA. Moreover, I suspect that the majority of the "initiatives" that get implemented at the VA are done so out by employees who have an interest in the outcome and consequently tend to abuse the process, which seems anything but accountable. As an example, physician salaries are increased to $400,000 (i.e., that is the maximum amount the VA will pay), and although the intent is to recruit more capable candidates, internal employees will use this to retain internal candidates that performing at a marginal level. The largest problem with the VA is that many of the employees are there for all the wrong reasons: to obtain a job where they can get as much as possible for doing as little work as possible and to acquire power through controlling resources. I suspect that the VA “leadership” is largely unaware of the unethical leadership and culture of dishonesty is pervasive throughout the organization.

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