Don’t Privatize the Veterans Health Administration

VA San Diego Health Care System; San Diego, Calif

Dept. of Veterans Affairs

AA Font size + Print

VA San Diego Health Care System; San Diego, Calif

The healthcare industry wants to take over a system that – for all its problems – still outperforms the private sector.

Next month, the congressionally established Commission on Care will release its final recommendations on how to best reorganize the Veterans Health Administration (VHA). Expect the report to call for “bold” reforms and to lay out a new plan to “improve” health care for veterans. Whatever the language, it will be critical to see this for what it is: a call to privatize the VHA.

It is important to understand how the Commission arrived at this conclusion. Following the wait-time problems at the Phoenix VA, a bipartisan group of 28 Congressional representatives, myself included, passed a compromise bill to triage the immediate needs of veterans waiting for care and to begin to address the systemic issues at the Department of Veterans Affairs (VA) and VHA. That legislation also established the Commission on Care, which was tasked with “examining veterans’ access to Department of Veterans Affairs healthcare.” Over the last two years, the Commission has held its meetings and heard testimony largely out of the public eye. As a result, without anyone noticing, a group of for-profit hospital executives and representatives of a Tea Party veterans group aligned with the Koch donor network has quietly attempted to lead the Commission to a point where its final recommendation is the privatization of the VA’s healthcare system. Put another way, the commissioners who stand to benefit the most from privatization are the ones leading the charge to dismantle the VHA.

Let’s be perfectly clear: privatizing the VHA will neither improve access to care nor reduce total costs. Instead, it will turn public revenue into private profits while shifting the financial burden onto taxpayers and veterans, whose total cost of care may not be fully covered by any new voucher program. It will also likely to reduce, not improve, access to care. One of the strengths of the VHA is that it can provide a variety of services in one location, limiting the need for travel to multiple doctors’ offices. Eliminating that convenience will only increase the burden on our veterans, particularly those in rural areas. Most importantly, privatization would ignore the wishes of the men and women this system is meant to serve: a survey conducted for the Vet Voice Foundation found that 64% of veterans oppose privatization.

To be sure, the VHA faces a number of systemic issues, but it is important to remember that this is a system that treats millions of veterans every year, and it treats them exceptionally well. It is not, as the commissioners supporting privatization would like you to believe, “seriously broken.” When tested, the VHA has proven that it is up to the challenge of caring for today’s injured servicemen and women. Independent research by MITRE, RAND and Grant Thornton/McKinsey found that the VHA performed the same or better than non-VA providers on 12 of 14 inpatient care effectiveness measures. The VHA also did the same or better on 16 outpatient effectiveness measures, compared with commercial health maintenance organizations.  

If the Commission on Care would like to see serious improvements at the VHA, it should use this opportunity to recommend legitimate funding increases for the agency. Today, the VHA faces mounting pressure to deal with injuries, including cases of traumatic brain injury and traumatic stress disorder, at a rate its people have never before experienced. For years, Republicans in Congress have deliberately underfunded the VA and VHA, leaving the agency unable to hire the doctors, nurses, and administrative staff it needs to care for our returning servicemen and women. No other agency is asked to do so much with so little, and we have recently seen the tragic consequences of continued underinvestment. Only by providing the VHA with the resources it needs — while continuing to ensure that they are used correctly — can we give our veterans the care they deserve.

We must not be swayed by the misleading claims of a group that is only interested in its bottom line. The VHA is and should continue to be an example of what good government can do. Congress should ignore the calls of the healthcare industry and instead give the VHA the tools, resources and time it needs to provide our veterans with the care they have earned. It is my hope that the Commission will take this opportunity to truly try and improve healthcare for our veterans.

Close [ x ] More from DefenseOne

Thank you for subscribing to newsletters from
We think these reports might interest you:

  • Software-Defined Networking

    So many demands are being placed on federal information technology networks, which must handle vast amounts of data, accommodate voice and video, and cope with a multitude of highly connected devices while keeping government information secure from cyber threats. This issue brief discusses the state of SDN in the federal government and the path forward.

  • Military Readiness: Ensuring Readiness with Analytic Insight

    To determine military readiness, decision makers in defense organizations must develop an understanding of complex inter-relationships among readiness variables. For example, how will an anticipated change in a readiness input really impact readiness at the unit level and, equally important, how will it impact readiness outside of the unit? Learn how to form a more sophisticated and accurate understanding of readiness and make decisions in a timely and cost-effective manner.

  • Cyber Risk Report: Cybercrime Trends from 2016

    In our first half 2016 cyber trends report, SurfWatch Labs threat intelligence analysts noted one key theme – the interconnected nature of cybercrime – and the second half of the year saw organizations continuing to struggle with that reality. The number of potential cyber threats, the pool of already compromised information, and the ease of finding increasingly sophisticated cybercriminal tools continued to snowball throughout the year.

  • A New Security Architecture for Federal Networks

    Federal government networks are under constant attack, and the number of those attacks is increasing. This issue brief discusses today's threats and a new model for the future.

  • Information Operations: Retaking the High Ground

    Today's threats are fluent in rapidly evolving areas of the Internet, especially social media. Learn how military organizations can secure an advantage in this developing arena.


When you download a report, your information may be shared with the underwriters of that document.