I don't personally use VA facilities so cannot directly answer question. There was anecdotal evidence from just last year on the news about the deplorable conditions at the flagship VA facility. The details evade me right now but I think I remember that a high ranking officer (official) being canned for ever letting the hospital get in the mess that it was.

As was said on this thread, you have to be qualified to use VA, spouses and family are not covered and most military personal that I've talked to use the VA system not for the care but for the cost. Maybe the days of warehousing injured soldiers is over but I'd rather have my current ability to go to any of the finest hospitals around, in Boston.