We have all heard about the problem veterans have in getting adequate health care. It was certainly the grist of the last presidential election. West Point graduate General Shinseki, himself a disabled Vietnam veteran, failed in his efforts to reform the problem during President Obama’s first term, and Bob McDonald, another West Point graduate, former chairman of Proctor and Gamble, turned out to be equally ineffective during Obama’s 2nd term. Knowledge of the military seemed to be far less important than the ability to wade through the bureaucratic morass of the Veterans Administration and arcane rules governing hiring and firing of federal employees. President Trump has appointed David Shulkin, an Obama VA Under Secretary, and himself a psychiatrist, as the new Veterans Administrator. Under his leadership some changes are apparently underway, but we have heard that promise before. What he is actually able to accomplish is yet to be seen.