The VA provides over 18 million veterans and their dependents and caregivers with a multitude of services—healthcare, a Veterans Crisis Line for urgent assistance, disability payments and rehab, education assistance, career counseling, support for veteran-owned businesses, home loans, life insurance and financial services, help for caregivers to the disabled, burial in national cemeteries, and more.
And, of course, the nation has promised those same VA benefits to the 2 million men and women currently serving in the armed forces (1.3 million on active duty and another 761,000 in the reserves) after they retire from service.
Dismantling the VA through privatization, staff cuts, and contract cancellations means future veterans will face a fragmented, profit-driven system that doesn’t understand military service and doesn’t know what veterans have been through.
The plan to privatize the VA was hatched during the first Trump administration. By 2024 a real plan was ready. Project 2025—the MAGA [“Make America Great Again”] blueprint for the authoritarian takeover of the United States—strongly favored private healthcare for veterans.
The VA’s own healthcare system includes 170 hospitals and nearly 1,200 clinics spread across the country. It is the nation’s largest integrated healthcare system. Since 2014, the VA has also had a private side, now known as “community care.” If a veteran lives too far from a VA healthcare facility or needs a service the VA can’t provide, they may be eligible for “community care” from a private local doctor or clinic, paid for by the VA.
The Trump administration is expanding privatized “community care.” The “VA Mission Act of 2018,” enacted during the first Trump administration, nearly doubled the VA’s budget for private “community care” from $15 billion in 2018 to $28.3 billion in 2023.
Trump’s 2025 VA budget proposal increases total VA spending, but 75% of the increase (or $14.4 billion) doesn’t go to the VA at all—it goes to private medical providers. This represents a 67% increase for privatized care.
Many see the growing private healthcare budget as a stealth way to eventually privatize the VA’s entire system. Every dollar devoted to private care is a dollar denied to the VA’s own doctors and nurses, ultimately undermining the entire VA system. Doctors and nurses see the handwriting on the wall and leave. Their likely replacements see an agency under siege and stay away.
So far in 2025, the VA lost 600 doctors and 1,900 nurses. During the first three months of the year, about 40% of doctors who were offered jobs declined—four times the rejection rate a year earlier.
In March 2025, a leaked memo revealed Trump’s plan to eliminate 83,000 jobs from the VA, as much as 15% of the agency’s workforce. In response, Sen. Richard Blumenthal (D-Conn.) called the plan “a gut punch… breathtaking… in its malevolence and cruelty.” After major pushback from veterans, the agency announced it would only need to cut 30,000 jobs because so many staff had agreed to leave voluntarily.
To make it easier to cut VA staff, on August 6 VA Secretary Doug Collins ended collective bargaining agreements for most of the VA’s 377,000 unionized employees, including nurses, doctors, benefits processors, food service workers, technicians, and janitorial staff. The VA is the first major federal agency to fully strip collective bargaining rights from its unionized workforce.
Since 1865, veterans have been given preference for government jobs, though they must prove they are qualified to do the work. More than one-quarter of the VA’s 482,000 employees are veterans. (Project 2025’s plan to eliminate half of all government employees by 2026 and 75% by 2029 would cut jobs for about 300,000 veterans.)
In August 2025, the VA’s inspector general reported 4,434 health staffing shortages—a 50% increase from the previous year. In all, 94% of 139 VA health facilities reported severe shortages of medical officers and 79% reported shortages of nurses. As private-care funding is increasing, the VA itself is fraying.
In recent years, a mental health crisis among veterans has been growing worse and the Trump administration has responded by slashing the services designed to save lives. On average, 17 veterans commit suicide every day. Since 2007, the Veterans Crisis Line has handled more than 1.6 million calls and dispatched 351,000 emergency responders (about 100 per day) to help veterans in crisis, yet Trump and VA Secretary Collins have targeted suicide prevention programs for cuts. Furthermore, a study published in the Journal of the American Medical Association in 2025 revealed that veterans receiving private “community care” are not satisfied with the quality of care they receive outside the VA and they have a 21% higher suicide rate.
Now the ”One Big Beautiful Bill Act” that Congress enacted July 4 is expected to eliminate Medicaid health insurance for some veterans. Medicaid currently provides care for 1.6 million veterans, including those with the most complex medical needs.
In addition, when veterans transition out of the military it often takes six months or longer to find steady work. During that time, they may rely on the Supplemental Nutrition Assistance Program (SNAP, formerly “food stamps”) to feed their families. The One Big Beautiful Bill denies SNAP benefits to able-bodied people who don’t have jobs, specifically including veterans. Trump says he “loves our veterans” and will take care of them—but the Big Beautiful Bill is how he thanks them for their service.
It gets worse. In 2022, Congress enacted the PACT Act to deliver healthcare to millions of veterans who were exposed to toxic chemicals during their years of service. Now Trump is undermining that law.
During the Vietnam War (1962-1971), about 3 million veterans were exposed to Agent Orange, a potent cancer-causing herbicide sprayed over vast areas to kill jungle vegetation. An estimated 300,000 Vietnam veterans have already died from exposure to Agent Orange (about five times as many as the 58,000 killed in combat).
Another major source of toxic exposures to veterans has been smoke and fumes from “burn pits.” Burn pits are big holes in the ground where, for decades, roughly 300 military installations (large and small, worldwide) have burned plastics, electronics, chemicals, munitions, medical waste, and human waste. Somewhere between 3.5 and 5 million veterans have been exposed to toxic fumes from burn pits. (Use of burn pits finally ended in 2021.)
In 2022, Congress enacted the PACT Act [“The Sergeant First Class (SFC) Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act”] to assess and care for veterans exposed to toxicants. The PACT Act created one of the largest expansions of VA benefits ever enacted. Until the Trump administration hit the brakes.
Many of the features of the PACT Act required specialized services provided under contract with private-sector suppliers, but the Trump administration in early 2025 canceled at least 650 of those contracts. Trump cancelled contracts that provided the necessary personnel and resources to conduct outreach to eligible veterans, screen applicants, and process claims—cutting the heart out of the PACT Act. Evidently not everyone in the Trump administration is proud of their efforts to undermine the PACT Act. US Senate investigators have accused VA Secretary Collins, of trying “to hide the truth from Congress” about staff cuts and contract cancellations related to PACT.
Dismantling the VA through privatization, staff cuts, and contract cancellations means future veterans will face a fragmented, profit-driven system that doesn’t understand military service and doesn’t know what veterans have been through. In truth, every cut, every step toward privatization, every canceled contract is a betrayal of the promise we have made to all those who serve: When you return, we will take care of you.
This piece has been updated with the information that the Trump VA ended collective bargaining for most of its unionized staff.
