Jackson seems like an odd choice to me. The VA has 377K employees providing healthcare and benefits to 20M veterans with annual costs of $273B. This is a huge administrative challenge for anyone. Dr. Jackson may be a fine doctor, but I haven't seen anything in his background that would make me believe he's got the administrative, planning, managerial, and leadership skills to oversee a bureaucracy anywhere near this size and scope. I hope he succeeds, but it certainly seems like the odds are against him IMO.