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I too use the VA for 100% of my medical needs. If there is anything I have learned in 40+ years it is, STAY ON TOP OF THEM (Not telling you what to do, Clambo) The Patient's Advocate has always come through for me when I have been neglected. Took them two years to replace my doctor at the VA clinic I go to. Seems like we patients of the former doctor were swept under the carpet. In defense of the staff, they are over worked. Presently private doctors are being forced out of excepting Medicare. The whole plan is to have Medicare patients seek treatment at hospitals where the medical staff is more closely regulated. Fewer test and procedures all designed to save Medicare money. There has been talk in the past about turning VA medical care over to private hospitals. I would rather continue with the present VA health system then a private hospital that is more concerned with the bottom line.