The problem is the VA itself. Its the inevitable outcome of single-payer systems, whose incentives all run to the protection of the bureaucracy because the customers have nowhere else to go. That is the essence of the corrosive culture at the VA, and only a paradigm change in its mission will solve it. The real long-term solution to the VA is to end its single-payer status, and provide veterans the resources to access a range of providers for their care while focusing the VA provider system on its core competence of service-related injuries and illnesses. The leadership issues are obvious, but theyre not limited to the VA. Obama demanded and received an avalanche of funding increases for the VA but never bothered to follow up to see what the Cabinet agency did with the money.
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