Post removed.... Obama won.
One improvement would be make those Vouchers paid by the V.A. @ the co-pay or free if 100% rated V.A. rate. The V.A. has to make the math work right. If the non-V.A. hospital charges more than the rate the V.A. will pay at a civilian facility the Vet ends up with more charges or full rate owed to that hosptal. Outsourcing has been tried and still is in certain cases, it works but only if the VA does not limit the Vet to a expensive treatment hospital (where the million $ machine exists to peform the procedure) or the cheapest one they can find in your area to compensate for lack of appointment availability for routine care. Been outsourced twice in the last 5 years; a dentist was far better than V.A. dental, a bone-scan was more like assault & battery by 2 BIG goons who broke a bone in my spine twisting me into their expensive scanner.