Systemic, chronic and unrecoverable corruption fraud and abuse...
And this is just the VA, all bureaucracies should be trimmed no less than 90% across the board, their scope and reach cut the same amount and all pay must be constrained to national averages and sans perks and bonuses and be based on at-will non-union rules.
Yeah, like any of that will ever happen...
The entire system must..and will...die.