As I have stated many times, I believe the current VA medical system is broken and is failing in its mission to provide our veterans with quality medical care, in a timely fashion, for the rest of their lives. I think this is a fair and just commitment to people who have sacrificed greatly for their country. It should be honored. Unfortunately, as an ER doctor, I witnessed multiple occasions when the nearest VA hospital would allow the patients to remain in an uncomfortable ER bed for days, rather than accept or deny the transfer for care. If their condition should worsen, then the local physician would have to provide the necessary care, knowing that the government would never compensate them for their time and expertise. In this manner, the VA would escape any financial obligation for the veteran. This practice is inhumane and should be stopped. On at least one occasion, I have lost my temper and called the local congressman and had him intervene with the local VA hospital, in order to obtain proper care for a veteran, who had been in my ER for three days. This kind of treatment is unacceptable. These people have kept their end of the bargain and sacrificed for their country and now they have a right to expect that their government will keep their promise. To do otherwise would be dishonorable and disrespectful of the men and women who have served their country.