JAMA Network March 23, 2021
The last decade has been tumultuous for the Veterans Affairs (VA) health care system, which annually delivers care to more than 6 million people in the US who served in the military.1 As one of the nation’s largest health systems, the VA operates over 1200 sites of care, including more than 170 inpatient facilities and more than 1000 outpatient locations, located in all 50 states, the District of Columbia, and many US territories.2 Since reports of excessive wait times and inappropriate scheduling practices within the VA system surfaced in 2014, the White House and Congress have moved to address access and accountability in the VA, including passing 2 major pieces of legislation—the Veterans Choice Act of 2014 and the VA...