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A timely memoir about the trials of a public sector worker, and the idealistic motives of those who serve in government.

Synopsis

A SACRED DUTY is the true story of Paula Pedene, a visually impaired, decorated Navy veteran who was instrumental in exposing the corrupt leadership at the Veterans Administration hospital in Phoenix, Arizona. Hoping for a return to integrity, instead the new administration retaliated by stripping her of her position in public affairs and consigning her to the basement to work as a librarian.

The reprisal included a “30-day investigation” into bogus misconduct charges that stretched into more than eighteen months. Psychologically crippled by the attacks – and battling financial ruin, ruthless superiors, a skeptical media, and her two sons’ emotional crises – Pedene fought back, refusing to surrender to a system that was stacked against her.

Working alongside a bulldog congressional investigator, an ornery VA doctor, and a husband who believed in her, Pedene became a central figure in exposing a conspiracy that rocked the nation, killed hundreds of veterans, provoked nationwide outrage, and ultimately brought down the Secretary of Veterans Affairs.

Pedene’s memoir is a classic David vs. Goliath tale – one woman who loves her country and the veterans she serves against the government bureaucrats determined to silence her at any cost.


In an era of rampant cynicism about government institutions, Paula Pedene's memoir A Sacred Duty is a positive reminder of the good intentions and selfless ideals of those who serve in America's public sector. 


Paula, a public affairs office at the Phoenix VA hospital, walks the reader through the hardest period in her life—when her hospital lost sight of its mission, both for her and its patients. Her journey to undeserved corporate purgatory is extensively documented in crisp, distinct language, leaving me shocked at how easily a venerable institution can go off the rails.


Like all great memoirs, A Sacred Duty showed me broader themes in society through the author's story. Specifically, A Sacred Duty is a perfect case study about the danger of bad incentives. Many of Paula's conflicts throughout the book stem from her idealistic motives conflicting with the more selfish motives weighing on the minds of hospital management. Unsurprisingly, these bad incentives eventually harm Paula and many of her colleagues. In that, A Sacred Duty is another iteration of the old Greek saying "Character is fate". 


But, as with so many things, A Sacred Duty's greatest strength is also its greatest weakness. Paula's feelings are recounted gracefully, leaving no detail neglected. The trade-off is that the description of other events is sometimes wanting. Whole chapters depicting Paula's personal feelings crowd out other, wider events happening alongside Paula, most notably the VA wait-time scandal. The same bad incentives that were battering Paula's personal and professional life were also compromising patients, but the memoir only thinly makes that critical connection. 


Nitpicking aside, I found A Sacred Duty to be a thorough, invigorating work that shines a light on a group of people—public sectors workers—who are underrepresented in the biography and memoir genre. I quickly related to Paula and her service to America's veterans, and believe other readers will too. Any readers interested in government, politics, and business management should place A Sacred Duty high on their reading list.


Reviewed by
Elliott Nixon

Synopsis

A SACRED DUTY is the true story of Paula Pedene, a visually impaired, decorated Navy veteran who was instrumental in exposing the corrupt leadership at the Veterans Administration hospital in Phoenix, Arizona. Hoping for a return to integrity, instead the new administration retaliated by stripping her of her position in public affairs and consigning her to the basement to work as a librarian.

The reprisal included a “30-day investigation” into bogus misconduct charges that stretched into more than eighteen months. Psychologically crippled by the attacks – and battling financial ruin, ruthless superiors, a skeptical media, and her two sons’ emotional crises – Pedene fought back, refusing to surrender to a system that was stacked against her.

Working alongside a bulldog congressional investigator, an ornery VA doctor, and a husband who believed in her, Pedene became a central figure in exposing a conspiracy that rocked the nation, killed hundreds of veterans, provoked nationwide outrage, and ultimately brought down the Secretary of Veterans Affairs.

Pedene’s memoir is a classic David vs. Goliath tale – one woman who loves her country and the veterans she serves against the government bureaucrats determined to silence her at any cost.

A Day Like No Other

 

 

 

 

 

April 9, 2014 began like any other day for me. Well, like any other day since I’d been sentenced to purgatory in the library of the Phoenix Veterans Affairs Health Care System (PVAHCS). But this day would end like no other.

I went upstairs to get the daily paper, the Arizona Republic, smiling and saying hello to a few folks along the way. Some smiled back. That was a far cry from much of the previous year when many of my colleagues refused to meet my eye or, if they did, looked at me as if I were some kind of Judas. If you’re an accused security risk and charged with “serious allegations of misconduct,” people tend to believe the worst. When hospital leadership rules by fear, and a whistleblower stands up to take them on, allies are hard to come by.

Anyway, after I retrieved the paper, I took my long journey back to the library, dreading each step. For some reason, I suddenly felt the full weight of the past sixteen months burdening me once more. Some of it had lifted over time, as the occasional positive newspaper story appeared, or if my representatives scored wins against the monolithic bureaucracy that was the Department of Veterans Affairs (VA). But what had begun as a bogus 30-day investigation of me back in December of 2012 had now stretched out to almost a year and a half, and the end was still nowhere in sight. My legal bills were stacking up. My family was unraveling. My depression was deepening. My emails were being monitored. The higher-ups were doing everything in their considerable power to force me out. And despite many, many letters and phone calls to VA in Washington, no one was paying any attention. It felt like I was reliving a nightmare.

Back in the library, I returned to business as usual: checking people onto the computers; making photocopies for the veterans; faxing their documents; letting them use the phone; sharpening their pencils; checking books in and out; helping staff find the medical literature research they needed; reshelving books; ensuring forms were signed and training credits were captured; and preparing for an upcoming continuing education forum, where I was the administrative point person. It wasn’t rocket science, but it was what a Temporary Library Technician (my new “title”) did. It was a far cry from what I’d been doing before Sharon Helman and Lance Robinson, the top two executives at the hospital, had forced me from my position as Public Affairs Officer and orchestrated a campaign to smear me professionally and personally, but my job was to perform my duties, no matter how mundane. That’s what members of the military do, and I was a decorated Navy veteran honorably discharged, and then re-enlisted during Operation Desert Storm. The fact that my library job was drudgery was not relevant.

As I went through my tasks, about the only thing that would break the monotony was taking a few minutes to watch a House Veterans Affairs Committee hearing later in the day. I’d cleared it with my supervisor because, by that time, I cleared everything. Even my bathroom breaks. The length and frequency of those trips were monitored, too.

For the first hour and a half of the hearing, nothing earthshaking happened. Then U.S. Representative Jeff Miller of Florida, the committee chairman, began to question Dr. Thomas Lynch, who was the Assistant Deputy Under Secretary for Health for Clinical Operations at the Department of Veterans Affairs. Congressman Miller told Dr. Lynch that the next topic was “unofficial wait lists at the Phoenix VA.” Dr. Lynch seemed unfazed by the fact, but he didn't know what the chairman knew, the secrets that I and my friend and fellow whistleblower Dr. Sam Foote knew, and the secrets that my superiors at the Phoenix VA had tried so hard to conceal – through intimidation, harassment, data manipulations, sham investigations, and the threat of career-ending personnel sanctions:

Executives at the medical center had engaged in a conspiracy and cover-up that was killing our veterans.

Congressman Miller eyed Dr. Lynch. Even on a computer monitor, and even though I am legally blind, I could see the restrained anger in his face. A moment passed. Then he asked a question that would bring down the house of lies that Sharon, Lance, and their confederates had so cruelly constructed:

“It appears as though there could be as many as forty veterans whose deaths could be related to delays in care. Were you made aware of any of this in your lookback?”

Winston Churchill once famously said, “A lie gets halfway around the world before the truth has a chance to get its pants on.” On April 9, 2014, however, it was the truth that would rocket not just halfway around the world but all over the world.

One of the darkest episodes in VA history would be exposed.

The dominoes would fall.

Finally.


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1 Comment

Laurisa ReyesAwesome and honest review. Thank you so much for taking the time to read and review A Sacred Duty. Much appreciated.
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over 3 years ago
About the author

Skyrocket Press is a small independent publisher that produces books in various genres, including Epic Fantasy, Young Adult, Memoir, Religious Non-Fiction, Horror, and more. view profile

Published on November 11, 2021

Published by Skyrocket Press

60000 words

Genre:Biographies & Memoirs

Reviewed by