I wrote my Politico column today about the VA scandal:
For the left, the Department of Veterans Affairs is how health care is ideally supposed to work. No insurance companies, no private doctors, no competition — just the government and the patient.
Paul Krugman, the New York Times columnist, has held up the VA as a model for the entire country. The Washington Monthly ran a famous article in 2005 arguing that the VA was leading the way for U.S. health care. The socialist senator from Vermont, Bernie Sanders, is such a reflexive defender that in an instantly notorious interview on CNN he pooh-poohed the burgeoning scandal that may involve fatalities with the undeniable observation that “people die every day.”
The VA is an island of socialism in American health care. It generally provides adequate care — to a limited universe of people and for only certain conditions — but has been plagued by scandal for decades. It is perhaps the worst bureaucracy in the federal government. As with all such single-payer-type systems, the cost of the notionally free health care is in the rationing, in this case the wait times that have had desperately ill vets hung out to dry for months.