On the same day an internal audit revealed 57,000 veterans had waited more than 90 days for their first medical appointments, a House Veterans’ Affairs Committee hearing on the VA signaled that fixing the problems in the sprawling federal bureaucracy will be far more difficult than just upping spending or passing a single piece of legislation.

In a hearing that took a far more conciliatory and fact-finding tone than previous meetings on the subject, Veterans Affairs and Government Accountability Office witnesses spoke at length about the challenges in addressing medical wait times.