In 2003, American Legion Past National Commander Ronald F. Conley initiated a series of visits to Department of Veterans Affairs (VA) medical centers throughout the VA health-care system. After these visits, The American Legion declared VA "A System Worth Saving."

Each year, Veterans Affairs and Rehabilitation Commission members conduct a series of site visits to VA medical facilities and Regional Offices. While on site, they meet with veterans, their families, and VA administrators and employees to discuss successes, challenges, and limitations at each site. These observations are compiled annually into a System Worth Saving report that is distributed to VA officials, members of Congress, and the President of the United States. The Veterans Affairs and Rehabilitation Commission is comprised of over 150 members.