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VA to slash health networks from 18 to 5 in major care system overhaul

  • Yesterday, Senate Democrats released a report linking Trump administration VA policies to the loss of 40,000 employees amid Jan. 22, 2026 congressional hearings.
  • Beginning last year, VA Secretary Doug Collins announced plans to cut 30,000 jobs through attrition and reorganize regional networks from 18 to five, while the Trump administration shifted the VA budget to increase outside-provider spending by 50.7% and reduce in-VA care by 17.4%.
  • Report data show appointment waits for new mental‑health patients now average 35 days, exceed 40 days in 15 states with Maryland at 54 days, and the Veterans Health Administration lost roughly 1,000 physicians and 3,000 registered nurses.
  • Consequences include appeals waits growing to 3,541 days, 75,000 students with unpaid education bills, and VA facilities serving over 120,000 western Massachusetts veterans risking poor ratings and closure.
  • The VA's contracting timeline shows a $1 trillion RFP issued in December with proposals due March 15, while Sen. Richard Blumenthal urges safeguards and lawmakers demand oversight.
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Army TimesArmy Times
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VA leader’s policies delaying care, destroying work force, report says

The VA has lost 40,000 employees in the past year, 88% of whom worked in the Veterans Health Administration, according to the report.

·United States
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KBZK broke the news in on Thursday, January 22, 2026.
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