The Atlantic

How VA Reform Turned into a Fight Over Privatization

Democrats and service organizations worry that a Republican push to expand health-care choices for veterans will sap money from the ailing federal system.
Source: Charles Dharapak / AP

In 2014, the Department of Veterans Affairs was mired in a scandal.

An inspector general’s report had found “systemic” manipulation by government officials to hide lengthy and growing wait times at its medical centers. Veterans were waiting months for appointments, and dozens may have died because they could not get treated in time.

Spurred to action, Congress created a program aimed at temporarily alleviating the strain on the VA: Veterans who lived more than 40 miles from a health-care facility or who had to wait more than 30 days for an appointment could take their benefits outside the system and seek treatment from private doctors.

Veterans groups backed the move as a necessary response to a crisis. The Choice Program, as it was called, would allow veterans to get the care they needed while giving policy-makers time to make broader fixes at the Department of Veterans Affairs, which suffered from mismanagement and insufficient resources.

Three years later, attempts by

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