Veterans First Administration
Rebuild the VA Around the Veteran
The VA should be the nation’s best integrated health-and-benefits system, not an obstacle course.
One claim, one accountable case lead
Assign a named case lead for complex disability, exposure, caregiver, housing, and survivor claims. Veterans should see status, missing evidence, deadlines, and the official responsible.
Medical records that follow the veteran
Interoperable Defense Department, VA, community-care, and private records with strong privacy controls and rapid veteran access.
Community care without abandonment
Use community providers where VA cannot deliver timely or specialized care, while keeping VA responsible for coordination, records, prescriptions, and outcomes.
Toxic exposure presumptions
Shift the burden from the veteran when military records, geography, occupational data, or credible scientific evidence show likely exposure.
Claims accuracy and appeal deadlines
Publish regional error rates and enforce deadlines. Repeated agency errors should trigger automatic supervisory and inspector-general review.
Rural and disabled-veteran access
Mobile clinics, transportation, home care, telehealth where clinically appropriate, accessible facilities, and reimbursement that reflects real travel burdens.
PTSD, brain injury, pain, and sleep
Offer evidence-based therapies, peer support, functional rehabilitation, chiropractic and physical care where appropriate, non-opioid options, sleep medicine, and continuity rather than fragmented referrals.
Veteran and military-family employment
Translate military skills into civilian credentials, prioritize apprenticeships and federal contracting pathways, and prevent licensing rules from discarding proven experience.
Suicide prevention with human follow-up
Same-day crisis access, warm handoffs, peer contact, family support when authorized, firearm-safety counseling without stigma, and public measurement of follow-up—not hotline promotion alone.