U.S._Veterans_Bureau_Hospital_No._100_Building_No._2_Battle_Creek_MIJessica L. Adler, who teaches history and health policy at Florida International University, offers us a valuable, well-organized, and carefully researched history of the origin and early development of what is today the mammoth and often troubled Department of Veterans Affairs (VA) health care system. Mammoth it is; the VA treats over 9 million veterans each year in 170 medical centers and over 1000 outpatient clinics staffed by more than 300,000 personnel. It is the largest integrated health system in the nation and costs over $60 billion to operate annually. Although rarely described this way, the VA system is America’s main example of socialized medicine.


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