Speaker of the House Nancy Pelosi says a new national health-care system – whatever shape it ultimately takes, if passed – can benefit from the model provided by the Department of Veterans Affairs, which operates the largest managed health-care system in the nation, with more than 1,000 hospitals, clinics and nursing homes.“First of all, the VA is the VA,” said Rep. Pelosi, D-Calif., during an interview with The American Legion Magazine. “It’s a respected brand name. Where there is confidence, we want more confidence.”