David Shulkin: “I think you are accurate. The ARCH program predated Choice. It has worked extremely well.”

If that is true, let me make it clear right now, that should not be followed.

As you know, coming from a provider background, I strongly believe people deserve to get paid when they deliver a service, and we have failed many of our providers in terms of that.

Veterans come first, absolutely.

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