NO GOOD REASON AT ALL: Why don’t we just abolish the VA? “Yes, there has been misconduct, dishonesty and incompetence, and the guilty must be held accountable. Fundamentally, though, VA staff and officials were responding to perverse incentives and impossible demands presented by a health-care organization that — unlike almost any other in American society — is not only single-payer but single-provider. Without market signals to help allocate resources, long waits and other patient frustrations are inevitable, no matter how sincerely, or how threateningly, Washington orders their elimination.”