The bureaucrats at the VA aren't any more intelligent than their peers elsewhere in the .GOV world. Once you get past kumquats to the real doctors and technicians, the care they provide is second to none- - - -but getting that far can be frustrating at least- - - -sometimes downright infuriating!
I have had excellent care from the VA facilities here in Tennessee, including such things as hearing aids, a couple of colonoscopies, and regular appointments with their podiatry specialists to keep the toenail fungus that followed me home from Thailand in 1975 somewhat under control. Then there's the health and wellness checks on a 6-month schedule.
Since my disability from Agent Orange complications was finally established, the care has gotten more frequent and more comprehensive. Compared to the care that was provided for the WW II and Korea vets in my family, the difference is obvious. Back then, a VA hospital was where a homeless alcoholic went to die!
Jerry