"At times the demands for response to all the requests put on me are overwhelming and get put aside to do later and then are lost among others…" the VA primary care physician wrote in that letter. "I think the VA in general is understaffed, underfunded, and I am now put in a position to do an amazing amount of keyboard data entry work for documenting visits, filing records and ordering labs and consult that no physician would have to do without secretarial help in the private sector."