VA costs could balloon with 'choice' reform, new Agent Orange ailments

Department of Veterans Affairs Secretary David J. Shulkin announced this week that his priorities for improving services to veterans include expanding their access to private-sector health care in part by asking Congress to remove two irksome cost controls.

Under the oft-criticized Choice program, enacted in 2014 in response to a wait-time scandal across the VA health system, veterans can seek private-sector care at VA expense only if they face wait times longer than 30 days for a VA appointment or they live more than 40 miles from a VA health care facility.

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