Having witnessed the atrocious conditions of American military cancer facilities, I can tell you that it needs a LOT of work. It may even be better to shut down the VAs and push the money saved into insurance plans with commericial doctors. That way, the soldiers could get top notch care and the government could demand better pricing due to the volume.
Sadly my recollection and continuing inmpression is that VA hospitals are definitely not top calibre. Just another example of a missing chunk in the national conscience.