1 /5 Leo Espinoza: The Vancouver VA has accountability issues. The staff get away with not doing their duties or provide legally required services. I am quadriplegic, completely paralyzed from the neck down. The VA is my health insurance. I require health care services that I quality for and have received 22 years of the 25 years of my disability. but the Vancouver VA ignore their duties. Since 1998 I have had my big toe amputated do severe injury, a fractured rib, a blister the size of my palm, and many more but nobody is held accountable for their failures. These failures occur daily with no attempt to prevent them from happening in the future.