Not sure anything would change under the DOD, but it would be cheaper to put them all on tri-care and let them go to whatever doc they choose.
Same goes for education and GI bill. My son had to get a form completed in St. Louis and then he had to take it to Columbia, Missouri. The VA person told him the office in Colombia could not take a FAX. There was another form that he had to get completed in STL, then he could scan and email to MIZZOU. Apparently the VA does not know how to scan and email, but the office in Colombia can receive emails with pdfs. He knows veterans not taking benefits because of the hassle!!
The VA is also protected by the Department of Injustice. Major General problem. Then consider the inspector general being on the same payroll.
yowza.