Abstract
The medical care system of the Veterans Administration (VA) is essentially a creature of Congress, an insulated protectorate of the legislative branch that has enjoyed modest growth and an exemption from the health planning strictures that the federal government has imposed on the private health sector over the past decade. Generally speaking, a remarkable calm has prevailed in the VA's medical care program at a time when the private health sector has increasingly begun to function as a price-competitive market, with all the attendant features of social Darwinism. Thus, an urgent question facing the VA is, How long can its . . .
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