If it is less expensive within the VA, then let's expand your capacity. If it is less expensive outside the VA, then let's use private facilities.

Our challenge is that this whole process feels like a Rubik's cube.

I agree with the opening comments, that the farmers in my district do care a great deal about the environment and about the land including mitigating runoff from streams and wetlands and ensuring that their animals have access to clean…

Might I suggest that we have a built-in process, and I am a new Member of Congress and new to the Agriculture Committee but one of the things that I have been so impressed by is the network of organizations and people all across this…

We are talking about significant dollars here and we are talking about a fundamental promise that we have made to our veterans. We want to get this right.

I think that is extremely important.

I have a question for Mr. Matkovsky. In light of these audit findings and the reports that we have been receiving from OIG and GAO, why did the veterans medical centers not use the authority that they had to use non-VA care to send…

Well, I think that was my biggest concern and maybe Mr. Williamson, you can comment on your report, but it appeared to me that you didn't have effective data and you weren't able to use it in a timely or even rational way to determine…

One of my concerns is there was reference to the return of medical documentation to the VA.

I am from New Hampshire where we are beginning to get into the process of private care in the community.

I would highly recommend this approach.

It does seem that the VHA has lost its focus on the primary mission of safe, quality care for our veterans.