November 13, 2026 · 28 min read
Every few months, a veteran in Iowa needs VA's permission again to keep seeing his chiropractor. VA's auditors had to read fax cover sheets to learn how long requests like his really wait. Starting in 2027, as each site goes live, new contracts put a deadline on the contractor who will handle them and none on VA.
October 27, 2026 · 26 min read
Twenty-four veterans at the Martinsburg VA Medical Center died in 2022 and 2023 with a community care consult still unscheduled, and the chief of community care emailed their names to her team. This issue follows one referral from that hospital through the seven steps it travels between VA and the private doctor at the other end, finds the one date VA cannot produce, explains why six scheduling fixes since 2000 each repaired a single step, and sets out four things, each with an owner, that would give the trip a clock.
August 25, 2026 · 22 min read
VA's Inspector General reported in June that clinicians were drafting patient notes with two generative AI chat tools, neither designated high-impact under federal AI policy. One of those tools does not appear in VA's 367-record AI use case inventory at all. It reached the department inside a $4.65 billion Microsoft enterprise agreement, and it is logged in a separate spreadsheet with three columns, under the heading of generating first drafts of documents.
May 15, 2026 · 14 min read
VA's SCMDSO procurement (solicitation 36C10B26Q0376) is the operating-architecture decision underneath VHA reorganization. Most of the industry chatter reads it as a recompete. The PWS — and the public record of supply-chain failure, EHRM restart, iFAMS rollout, and the RISE timeline — say otherwise.
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