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I've had the VA in Sioux Falls refuse to treate me for a heart problem and had to go to a private hospital for care and they knew for a fact that I was a vet because they had treated me for years. Their claim for me was that their ER wasn't prepared for heart problems. In fact, the ER doc. called the clinic that I had gone to (only 8 miles from my home) and chewed her out for even trying to send me to the VA ER. I have come to think that the VA ER is just a sham to get more money from Congress to cover poor management. At this point not sure I would go there for treatment of a hang nail.
 
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