The crisis in confidence at the Department of Veterans Affairs—started last year after allegations by a whistleblower about veterans dying on secret waiting lists—was caused by systematic failures at every level: oversight that was too trusting; a decentralized management system; a culture of indifference toward politically appointed leadership; and a lack of proper resources, both human and fiscal.
But in the wake of public outcry, much progress has been made. One of the biggest leaps was passage in August last year of the Veterans Access, Choice and Accountability Act.
The legislation allows veterans to see non-VA health-care providers if they live more than 40 miles from the nearest VA medical facility, or if they cannot be seen at a VA facility within 30 days.
The Veterans Choice Program isn’t a solution for every challenge the VA faces, and positive changes haven’t come as
fast or been as thorough as some might like. But one large step forward came in late March when the VA announced that it was changing how the 40-mile rule is calculated.
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