I have been to the VA hospital in Detroit many times. The docs and nurses have all been great. Very professional and caring. The paper pushers are invariably fat, lazy, surly, unhelpful scumbags who do not wish to be bothered to actually do their job. Typical fedgov employees. I don’t know about other VA hospitals. IMO, all employees of VA should be vets. That simple requirement would solve most of the problems at VA.
docs and nurses have to be highly trained and generally take pride in their abilities.
govt paper pushers, etc - are quota filled, affirmative action placements, not there for their personal expertise.