We need to insure that VA is making full use of these tools across their network.

Improving access requires a multi-prong approach as the hearing title states, non-VA care must be part of an integrated solution.

Do you need additional authority to continue the ARCH program?

We heard earlier about payments to ARCH is slow in getting there, why is that? Is there anything to speed up the payments?

We need to insure VA is taking steps to track their cost and be a good steward of taxpayers' dollars.

Patients need to have choice because for me, my level of success and how well I was doing is by how many wanted to see me when they know they have a choice.

The problem I have found within the VA system is you had too many people who don't know what they don't know because they have always been in that system.

I can't tell you how grateful I am for this day to have arrived, and unfortunately it took disastrous findings within the VA to get to this point and it is a step in the right direction.

Ronald Reagan once said if you have a message that is important, tell it over and over again.

If they can have the input of how things can be better, you have got to go that route.

I believe it is essential that we look at structural and cultural root causes that got us in this position in the first place.