I know several nurses and physicians that work for VA ... they are embarrassed and outraged by the “management team” actions.
The VA isn’t perfect, but if you have the time check out the practices of the big, for-profit insurance companies. They are always sacrificing patient care for profit, and have unqualified personnel deciding on what treatments/meds patients should receive, even when something else has been recommended by their physicians.
Now, having said that, a lot of physicians are prescribing drugs based upon the perks they receive from the drug companies.