I know several vets who use VA exclusively, and they like it fine; some live here in Texas, a couple live in Kentucky, and one lives in Tennessee. The Kentucky fellows have to drive to Nashville for the big stuff, one had throat cancer a few years back and recently had to have a kidney removed for a spot that also turned out to be cancer. They are all doing fine, and so is the cancer patient. The Kentucky guys don't like having to drive to Nashville, but they don't have to often, and they get reimbursed for the driving, more than it costs them to get there and back. If the VA is 'lousy' it sounds like a regional thing, kind of like postal service in Chicago sucks while it's excellent here. That's what Congressmen are for mostly, constituent services, it's their day job, so maybe it's just the locals that suck and don't care so the Congressman's staff doesn't have to give a crap either and ignores oversight.