The VA system in general sucks Jerald. It took me 5 long years to get my disability raised from 10% to 40%. I went through 8 different boards before it went to DC. Most would have given up. Fortunately I had someone give me some wize advice to use a DAV advocate. I sent her a dozen roses when we finally won.
I agree with you about outsourcing care. A few years ago, I was able to get my glasses though a local doc, covered by the VA. Now I have to go all the way to Pensacola to get them. And for my thyroid problems, I have to go to Biloxi.
You are also right that those that have a disability rating should get priority. But we also have another huge problem with homeless vets that can't get care anywhere else.
All in all, it needs a major fix, and it needs it now before all these kids get out of the service and hit the VA.