The VA should not be running hospitals.
Veterans (and their immediate families) should be able to go to any hospital they want with the bills being sent to the VA for payment.
Having recently been taken [against my will] to a civilian hospital, I can swear that the cost of a VA medical facility is a hundred times cheaper!
I have talked with VA Doctors. Here is the way it goes.
A VA Doctor gets 129,000 a year, works some pretty long hours but not out of the norm for a doctor and cannot accept outside jobs. Meanwhile, his civilian hospital doctor counterpart receives 150K a year and can accept outside jobs. The Civilian Doctor ends up making over 500K a year easy with about the same effort. The problem isn't with the VA, it's with the over payment of the civilian medical community.
I did one treatment with the Civilian Hospital when i was trying to break away from the VA. After one visit to the Emergency room at a local Hospital where nothing was resolved, here came the bill. I am covered by Medicare and Tricare. Medicare covered 80% of the Bill, Tricare was supposed to cover the rest or no more than 80% of the original bill. This should have been covered with a bunch left over. I still got a bill for a little over 8 bucks. That means the Hospital sucked up 160% and did exactly nothing. The next time the condition came up, I went to the VA Emergency Room in really bad shape. They examined me and asked my why I haven't been treated. I stated, " I got tired of being sent home to die by the VA". Talk about a wake up call. They smelled a huge bad PR problem and fell all over themselves. This was right after the really bad press the VA had received. I got the help I needed, they stopped treating me like a small child and things got done. I live a whole lot better now and have very little but effective medication.
Our Civilian Medical System is extremely broken and if you are on the bottom of the income level, you really are sent home to die. You can't afford health care nor can you afford health insurance. So the only health care available is the Emergency Room and then you have to find a way to either ignore or pay off the exorbitant health bill. The bill will be picked up by everyone else that can afford to pay either by cash, credit or health insurance. Or you can go home and wait to die. Recently, I see all these advertisements for Health Insurance but the disclaimers all say that they don't meet the minimum require requirements for health insurance. The Health Care Industry is broken today more than any time. After seeing how poorly the Civilian Health care system works, I am a big supporter of converting the Civilian Health Care to the system the VA has, not the other way around.
The VA is fine. It's the Civilian Health Care that is badly broken.