It’s been six months since a now-infamous email presented millions of national workers pinch a pivotal decision: They could reply “resign” to springiness up their occupation and person afloat salary and benefits done nan extremity of September. Or they could enactment successful their positions and dream they didn’t get laid disconnected successful nan ensuing chaotic months of nan 2nd Trump administration.
Perhaps nary agency was impacted much than nan Department of Veterans Affairs, which runs by acold nan largest national payroll extracurricular of nan military, pinch much than 467,000 labor providing wellness attraction and benefits to 9.1 cardinal veterans.
VA leaders said location was plentifulness of room for cuts without compromising care, but they insisted front-line wellness attraction providers specified arsenic doctors and nurses were excessively valuable to fto go.
Until now, VA has not disclosed precisely which labor took nan offer. But records obtained by The War Horse done Freedom of Information Act requests show that while quality resources, accusation technology, and different administrative jobs dress up nan bulk of nan much than 10,000 deferred resignations, hundreds of labor who typically interact pinch patients, including nurses, claims assistants, therapists, pharmacists, and psychologists, were besides connected nan list. Click present for a afloat database of positions.
Even without deferred resignations, front-line aesculapian unit are leaving nan Veterans Health Administration. Since nan extremity of past September, VA has 2,000 less registered nurses and 750 less doctors, according to the latest VA workforce dashboard. By comparison, during nan aforesaid play nan erstwhile year, VA had added a nett total of 3,000 RNs and 200 doctors.

The voluntary exodus comes arsenic VA strives to trim a full of 30,000 workers done deferred resignations, early retirements, attrition, and different intends by Sept. 30 aft backing disconnected what a leaked memo in March said were plans to destruct 80,000 positions. The section has travel nether occurrence from veterans’ advocates and Democratic lawmakers, who opportunity VA is already critically understaffed.
“Make nary mistake—this draining of talent from VA is already having a damaging and vulnerable effect connected nan value and timeliness of care,” Sen. Richard Blumenthal, a Democrat from Connecticut, said successful a connection to The War Horse. “This accusation connected nan deferred resignation programme (DRP)—which had to beryllium FOIA’ed—exposes nan staggering number of captious wellness positions and basal support unit that are fleeing nan section crossed nan country.”
Peter Kasperowicz, property caput astatine VA, insisted this isn’t nan case. He said VA was extending assignment times and opening caller wellness clinics, which is starting to trim hold times for care.
“As Secretary [Doug] Collins has said, the days of kicking nan tin down nan roadworthy and measuring VA’s advancement by really overmuch money it spends and really galore group it employs—rather than really galore veterans it helps—are over.”
Who Took nan Deferred Resignation?
Overall, VA trim 10,302 labor done nan deferred resignation programme betwixt Jan. 28 and May 16—the deadline to apply.
According to nan data, 1,355 quality resources managers and assistants, 1,010 programme analysts, and 928 IT unit took nan option, nan highest 3 categories of labor to depart done nan separations.

Collins has said positions deemed “mission-critical,” including doctors, nurses, constabulary officers, and others who interact straight pinch veterans, were exempt from taking nan DRP option, though 214 nurses, 35 doctors, and 24 constabulary were connected nan database provided to The War Horse.
Hundreds much were denied requests for nan buyouts. A screenshot of VA’s Deferred Resignation Request Tracker, shared pinch The War Horse and first reported successful May by NPR, showed astir 1,300 nurses and 800 aesculapian support assistants had applied.
“VA has aggregate safeguards successful spot to guarantee these unit reductions do not effect seasoned attraction aliases benefits,” Kasperowicz told The War Horse.
Kasperowicz said that while immoderate worker could petition a deferred resignation, approvals were based connected VA ngo need. A mini number of doctors, nurses, and different objective unit will beryllium permitted to resign, he said, “but only if they are nary longer providing objective attraction to veterans successful their existent roles.”
Even though support unit dress up nan mostly of workers leaving nether nan deferred resignation option, veterans attraction will beryllium impacted, said Suzanne Gordon, elder argumentation expert astatine nan Veterans Healthcare Policy Institute, a non-partisan deliberation vessel that advocates against VA privatization. “VA needs much people, not less,” Gordon said. “I deliberation that it’s naive astatine champion and duplicitous astatine worst to opportunity that because these group aren’t nurses aliases doctors, that these cuts won’t hurt.”
VA said it had trim astir 17,000 positions arsenic of nan commencement of July, and was on way to trim different 12,000through September. It hasn’t formally announced wherever nan 10,000 deferred resignations fresh in.

The agency has said that labor successful positions that astir straight activity pinch veterans are exempt from nan national hiring frost that has gripped nan agency since January. But it whitethorn beryllium difficult to proceed hiring doctors and aesculapian unit pinch truthful galore support unit leaving, Blumenthal said.
“In agrarian areas, it will beryllium incredibly difficult—if not impossible—to backfill those positions successful a timely manner, particularly erstwhile a important information of unit leaving are HR professionals tasked pinch recruiting and hiring those positions,” he said.
When support unit leave, much tasks autumn to nurses and different “mission-critical” positions, said Irma Westmoreland, a unit caregiver astatine Charlie Norwood VA successful Augusta, Georgia, and secretary-treasurer of National Nurses United.
“Those tasks do not spell distant erstwhile location is nary 1 location to do them,” she said. “We are cleaning rooms, delivering repast trays, and moving labs erstwhile we should beryllium providing nursing attraction to our veterans.”
Cuts Follow Years of Hiring
Since 2017, Trump’s first twelvemonth successful nan White House, VA had been dramatically expanding its workforce by astir 90,000 employees. One logic cited for nan staffing summation is nan 2022 PACT Act, 1 of nan largest description s of benefits successful VA history, which has led to nan caller enrollment of nearly half a millionveterans successful VA benefits complete nan past 3 years. But nan wide number of veterans utilizing VA benefits has stayed comparatively level for nan past 2 decades, hovering betwixt 9 and 10 million.
“The Department’s history shows that adding much labor to nan strategy does not automatically mean amended results,” Collins said in a June Senate committee hearing. “Our extremity is to guarantee we person labor wherever they are needed, trim unnecessary overhead, and strategically trim unit to guarantee VA’s fund is mostly going straight to veterans.”
Speeding up nan processing of caller disablement claims has been 1 of nan agency’s apical priorities, and officials opportunity nan 10 highest claims processing days successful VA history each occurred successful February.
Reducing 30,000 workers since January will put VA astatine conscionable beneath 2023 staffing levels but good supra 2019. Still, a VA Inspector General report found successful 2023 that each 139 VHA aesculapian accommodation surveyed reported astatine slightest 1 terrible occupational staffing shortage.

“No wellness attraction organization—especially 1 serving complete 9 cardinal veterans—can spend to suffer complete 30,000 labor without consequences,” House Veterans’ Affairs Committee ranking personnel Mark Takano, a Democrat from California, said successful a connection to The War Horse. “This is not attrition—it’s erosion.”
Republicans, however, are not alarmed. House Veterans’ Affairs Committee Chairman Mike Bost, a Republican from Illinois, said in a statement that he had afloat assurance successful Secretary Collins’ scheme to make nan correct determination erstwhile it came to VA’s workforce.
“The immense mostly of VA labor travel to activity and proudly service our veterans,” Bost said. “However, poor-performing VA labor must beryllium held accountable erstwhile they aren’t putting veterans first and we will guarantee this connection is clear, not conscionable done words—but besides done action.”
Are you a existent aliases erstwhile VA worker who would for illustration to stock your story? Reach retired to our newsman at leah.rosenbaum@thewarhorse.org or leah.rosenbaum@proton.me.
This War Horse communicative was edited by Mike Frankel, fact-checked by Jess Rohan, and copy-edited by Mitchell Hansen-Dewar. Hrisanthi Pickett wrote nan headlines.
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