It's well known that VA hospitals have improved care quality in recent years. However, what may be more surprising is that its patients and consumers appear to be much happier than those in the private sector, according to a report in The Washington Post. The American Customer Satisfaction Index, conducted by the University of Michigan Business School, ranks organizations on a scale of one to 100. Virginia received an 83 for in-patient care and an 80 for out-patient services. In contrast, private providers received an average score of 73 for in-patient care and 75 for out-patient care. Those findings are likely to stimulate discussion, to put it mildly.