That lack of long-term leadership, Miller said, has led to the VA being set in its ways — even on issues that need addressing. "If they can kick the ball down the field and keep the focus away from the problems, then they can restart the clock all over again," Miller said. "But I believe that now there has been enough sunlight that has shined upon this agency and enough people around this country understand that it has to change. And the only way it's going to change is through transparency and accountability — that regardless of when I'm no longer chairman, the next person that comes in is going to be pushing just as hard as I did."