VA Health System began as the fulfillment of a moral guarantee made to American veterans since Revolutionary War to care for them when they could not care for themselves. Fast forward a century. There is a strong social safety net - Medicare, Medicaid, Obamacare, Social Security Disability, Social Security Retirement, Food Stamps and Unemployment Insurance - available to all Americans. The vast majority of our veterans are citizen soldiers. Why not consider integrating rather than duplicating these programs?
The computer in the exam room can facilitate scientific research that will help people live better, fuller, longer lives! That is, unless the science is co-opted by the government through the Institute for Patient-Centric Outcomes and the Independent Payment Advisory Board (IPAB) in 2015.