The VA already has so much bureaucratic oversight and pressure, and they ALREADY submit policy recommendations to Congress EVERY YEAR. Congress needs to enact those first, and unfortunately do not as the same recommendations are made repeatedly year after year. As a result the VA has an understaffed and underpaid workforce from continuously hammering them with more bureaucratic processes (often protecting inefficiencies and not expediting real solutions). And despite all that, contrary to popular opinion, the VA OUTPERFORMS most other health systems in the US (https://www.hsrd.research.va.gov/publications/esp/quality.pdf). The VA also employs an virtual army of brilliant researchers that can tell Congress how to improve care there, they’ve been trying to do so for decades now. My recommendation is to focus on healthcare for the rest of the country, and politely ask the VA (and listen carefully) for how to run that big of an organization without enough resources. Then perhaps say thank you and, for the love of god, pay staff enough to afford to work there. They already want to be there to help Veterans.