We'll be acting to see how this situation that was uncovered in our investigation--and that we and other people read about in media reports of other veterans who dealt with the department--actually came to be. Were there any policies or were they just not followed? How widespread were the problems and what is being done to fix them? What further steps should the department take to make sure that this can't happen again?
On October 19th, 2010. See this statement in context.