Yes the anti-Trump people say this is privatizing the VA, but I have not heard Trump or anybody close to him say anything of the sort. What he has said is that the vets who don't live close to a VA medical facility or aren't close to one when they need one will be allowed to see a doctor where they are and the VA will pick up the tab. I have looked at that from every possible angle and cannot come up with anything to fault it.
Hate to tell you, but that program is ALREADY in place. If a veteran lives over 50 miles away from a VA facility, or if his appointment cannot be made within 30 days, all people in the VA system have been issued cards for just that purpose.
Last physical that I had, it was going to take 35 days to get one, but because I am still in pretty good shape, I told them that the wait was no problem and I would wait so that I could keep all my medical records together. A couple of days later, I got a letter telling me that since my physical appointment was over 30 days wait, if I wanted, I could go and get a physical in town.