Two years ago, a scandal over VHA employees’ manipulation of data systems to cover up long appointment scheduling delays made headlines and left the veterans’ health care system reeling. The White House and Congress investigated the situation and identified chronic management and system failures, along with a troubled organizational culture. The White House appointed new leadership, including the secretary of veterans affairs (SECVA) and the undersecretary of health (USH), and Congress enacted substantial legislation that established a temporary program, the Choice Program, to fund expanded community care to alleviate wait times; directed a comprehensive independent assessment of VHA care delivery and management systems; and established this commission to review that assessment, examine access to care, and look more expansively at how veterans’ care should be organized and delivered during the next 2 decades.
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