No administrators or bureaucrats or other "bosses" get fined or punished. Oh, someone may get a note in his file that reduces his bonus or delays a promotion, but no heads roll, and no one gets fired. Only the veterans get punished by there being fewer funds available for their care.
It's not just the VA. The results are the same no matter what the government agency. The recipients of whatever service is provided will have less available.
The system badly needs looking into!
Jack W. Dalton