Well, then if that's the case, he can do without the increase. We lived in Syracuse, New York and had a phenomenal care system with the VA. As we were moving to Alabama, he started having chest pains and went to the VA ER. They told him he needed to be cathed, and gave him something in writing to give to the Alabama VA to speed it along, since he couldn't have it done there (see below).
He wasn't in dire need of the cath immediately. Had we not had a fully-loaded U-Haul truck sitting in our driveway, he would have had it done then, but the doctor said he shouldn't wait more than a coupla weeks, just in case. The VA said he'd be fine 'til he got to Alabama.
Once we got here, we immediately went to the VA. It took 3 months just to get an appointment at an outpatient clinic (that was the slow clinic) and the entire 4 and 1/2 years we were here, they never sent him to a cardiologist. When we went back to New York, he got in immediately, and was cathed immediately.
We are back in Alabama now, with the same lousy VA healthcare. I'd rather he stick with the civilian doctor.