David Shulkin: “I have long said that the lack of continuity at the VA is a challenge to the organization.”

The VISN model was put in place close to 20 years ago, a very innovative model that has served VA well.

Slowing down and pausing to see what the consequences are, even if they are unintended consequences, is important to do.

We just have to do more.

But like any business, the times change, the needs change and it's time for us to look at how we operate our networks differently to get the type of accountability that's needed to make sure we don't see the failures that we saw here in…