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Five Things to Think about with VA Reform

Reform efforts that have sought to make VA more accountable but that have not taken into account the “Human Resources” dynamics affecting VA have foundered on those rocks. The issues of public sector unions and Civil Service reform are larger than VA but profoundly affect it, and VA is dependent on Congress for legislating those broad reforms.

Past reform efforts focused on VA health care have also foundered on the rigid “Iron Triangle.” John K. Iglehart wrote in 1985 that the “VA and its advocates represent a classic example of an ‘iron triangle’ of interests that make their way through the Washington policy swirl.” The federal agency of the VA, the congressional committees that oversee and protect its interests, and veterans’ service organizations (VSOs, many of which operate under a federal charter) make up an “Iron Triangle” more often than not.

VA facilities provide thousands of jobs in certain congressional districts. Elected officials oppose the closure of VA facilities in their districts for identical reasons they oppose the closure of military bases. No one wants to appear to be anti-veteran—especially a Senator or Representative facing reelection. VSOs command prestige and influence both in public perception and on Capitol Hill, but they are traditionally or historically hesitant about reform efforts that appear to cut anything at all.

The actual needs of veterans seeking service from VA are often in direct competition with the perceived needs of the organizations and public officials designed to serve them. Thus the genuine desire to serve veterans often gets caught in the dizzyingly complex whirlwind of perceived and unperceived bureaucratic needs and interests, with the result that well-intentioned reform efforts seem merely to replicate its predecessor’s unsuccess.


Addressing the Backlog of Veterans Disability Claims

The backlog of disability claims waiting to be resolved by the VA reached 611,000 in March, an all-time high. President Obama spoke at the Disabled American Veterans’ convention in Florida on Saturday and acknowledged that the problem was far from being resolved, but progress had been made.


Supporting Veterans as a Moral and Practical Duty

Providing adequate services to America’s veterans is not only a moral obligation, but also a critical step in ensuring the future vitality of the military, Alexander Nicholson argues. In an article in The Atlantic, Nicholson makes the case for improving veterans services to ensure that the benefits promised by the VA are actually delivered to veterans in an efficient manner.