The definition of “improvement” varies depending upon what VA service is being provided and where.
I have never had to be treated medically at a VA but the one in Richmond is run fairly well.
My issue with the VA is in their claims/appeals process. I have had an appeal with the VA since 2015 that was resolved in Dec 2018. I have yet to have received a letter stating their final determination. 8 months waiting for a letter is unsat. 3+ years for a determination is unsat.
That is a shame. :( I hope the changes listed above visibly and rapidly materialize, and that the dept be held to account. Thank you for your service.