Trump Promised to 'Take Care' of Veterans, Then Proceeded to Cut Medical Roles at Veterans Affairs
Promised care for veterans gives way to cuts in thousands of medical positions at the VA.

President Donald Trump once pledged that his administration would 'take care of our brave men and women in uniform.' But a new analysis shows that the Department of Veterans Affairs (VA) all but abandoned thousands of vacant healthcare posts instead of filling them.
Internal records reviewed by The New York Times reveal that the VA chose not to hire replacements for about 14,400 unfilled medical roles, including doctors, nurses, and other specialists, even as retirements and resignations mounted.
Critics say the decision could stretch already-strained services and undermine care for millions of former US service members who depend on the VA's healthcare system.
Thousands of Healthcare Jobs Left Empty
The analysis of internal VA records found that the department decided to eliminate, rather than replace, roughly 14,400 unfilled healthcare jobs that had opened up after staff departures in 2025 and 2026.
These vacancies include around 1,500 doctor positions and 4,900 nurse roles, which together constitute about five per cent of the VA's total medical workforce.
The VA's own inspector‑general had already warned in a 2025 report that more than 90% of its facilities were suffering 'severe shortages of doctors' and nearly 80% of them had a serious lack of nursing staff.
These shortages raise questions about how the VA can meet demand for routine appointments, specialised care, and emergency services.
Rather than prioritising recruitment to replace departing clinicians, the department's leadership opted to officially remove the vacant positions from its organisational chart. This effectively shrinks the official size of the VA's healthcare workforce.
Promises vs Reality at the VA
Trump's view on veterans' care has consistently emphasised improved support. In November 2024, he nominated Doug Collins to lead the department.
At the time, Trump said: 'We must take care of our brave men and women in uniform... to ensure they have the support they need.' The implication was that wounded, retired, or disabled veterans would receive robust, reliable medical attention.
Collins reiterated this message during his January 2025 confirmation hearing, claiming that veterans would continue to receive necessary care: 'At the end of the day, the veteran is getting taken care of. VA care is going to happen.'
Yet the staffing data paints a different picture for many facilities struggling without enough doctors and nurses on the ground.
Reacting to the analysis, VA spokesman Peter Kasperowicz dismissed the media report as unfair and politically motivated, saying the eliminated positions were simply unfilled jobs that had lingered without personnel.
He stressed that no current employees lost their roles and argued that overall performance was more important than raw staffing levels. The White House echoed that message, insisting that hiring would continue where needed.
Warnings From Veterans and Former Staff
Healthcare workers who left the VA reported that understaffing was already taking a toll.
According to the Independent, a recently retired nurse based in New York City, said his former hospital was stretched thin, with exhausted nurses often working long shifts that increased the risk of mistakes.
Meanwhile, a psychiatrist who also departed the VA amid staffing changes described the loss of medical professionals as 'very worrisome,' warning that cuts could indirectly harm patients by leaving clinics without critical expertise.
Last year, there was even an attempt to cut 83,000 federal jobs at the VA as part of the government's slim‑down strategy. That plan was eventually scrapped amid backlash and recognition that such deep cuts would have a major impact.
Even so, the department's total workforce shrank to around 451,000 employees, down from 484,000 when Trump took office in January 2025.
For the roughly 9 million veterans who rely on VA medical care, the decision not to fill vacancies is more than an administrative choice—it affects access to treatment.
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