Yet the VA ranks highly in outcome studies. Could it be better? Absolutely. Personally I think we just shit on our veterans as a matter of some general principle.
Roads are fvcked up because we are cheap bastards. We have maintained roads like women do cars. Indiana's roads got fvcked up because no one had the sense to raise gas taxes (a must with today's more efficient cars) and because the legislature cut so many other taxes they were stealing from the gas tax revenues to shore up the general fund. That is about to stop, our Republicans are raising the gas tax and vehicle registration fees while requiring it all goes to roads. Hurrah.
I manage my diabetes by not being a dumbass. My AIC is now consistently lower than diabetic levels, but I still have bad days...when I eat like a dumbass. I had to wait a month for my second cath, we certainly don't have that on demand now, unless you are actually in the middle of a MI.