Over the next two decades? It needs to be fixed now.
Contracting out the health care services to public or private hospitals and physicians kind of takes away what had been a sweet government monopoly and a source of patronage for what was treated, many times, as a plum assignment for “administrators” who had done a singularly good job of political service for some Senator or Representative in their home district, as well as steering cash flow back to the locality of the VA facility.
Can’t just take all that down overnight, you know. Think of all the people who get displaced....
Like a factory can’t be closed and the entire manufacturing facility be recreated in Mexico or China? Remarkable how swiftly THAT can come to pass.