Kantor's objective in this book is to help Washington, the Veterans Administration (VA) staff, the vets themselves, and the general public understand the shortcomings of VA medicine today beyond what they read in the newspapers, so that all concerned can chip in to help improve the medical care that all the vets, and not just those returning from Iraq and Afghanistan, are receiving. He reveals exactly how everyone—Washington, veterans, advocacy groups, the various members of the VA staff (including the doctors), the nonmedical and medical administration, the clerks and the rest of the ancillary staff, and the vets themselves—are all together responsible for the breakdown of the system, as he argues that all contribute a share to creating that endpoint: a severe state of havoc with the vets' medical care.

Kantor goes on to describe some of the signature illnesses from which vets suffer, and in the process pinpoints exactly how the system specifically manages to mismanage these ailments, making already serious medical problems even worse. In addition, the author envisions a more ideal VA of the future, bringing forth specific improvements that will assure its implementation. The book concludes with a description of the more positive aspects of the system, offering a platform upon which meaningful reforms can be built.