I worked at a VAMC several years ago. The place was dark - as in - when I drove up to the medical center every morning for work I could see a darkness hanging over the place. I would sit in my car for about twenty minutes praying before stepping foot on the property and walking in.

Along with my job of being a provider, I also made it my job to be a patient advocate for the vets. The system does not like boat rockers - it makes everyone else's incompetency and laziness show. It was hard to get things done for patients without making enemies. My days there were numbered and by the time I left, I had gotten a belly full. Most of the people that worked there as permanent employees could care less about the population they claimed to serve - the vets. The majority were simply cruising to retirement and did the minimal to make it appear on paper like they were actually doing something. It is a huge bureaucracy. The VA is very good at hiring per diem workers, like myself, to actually do the grunt work while the bureaucracy sit at a desk and come up with stupidity to justify their government paychecks. When the per diem employees have been there long enough to figure out the BS, the VA then purges these employees under the guise of cutting expenses. I managed to survive a couple of those purges during my stay. They had to do a bit more wrangling to remove me due to my position.

Seriously, your wife will be better off somewhere else putting her talents and experience to better use where she can be appreciated and not have to join the death cult to prove her allegiance.