Is it fair to say there is a management problem at the VA?

According to the Weekend FT, p14, The Veterans Administration has 8.57 million vets enrolled, a budget that has grown from $73 bn in 2006 to $154 bn in 2014, and visits have doubled since 2000. Twenty-four patients died in Phoenix after being on a waiting list for up to a year. Doctors there shredded papers to obscure the facts. What’s going on at other VA facilities?