Senator Mike Rounds, a Republican from South Dakota, holds up a poster of the bureaucracy of the Department of Veterans Affairs during a Senate Veterans' Affairs Committee confirmation hearing for Denis McDonough, U.S. secretary of Veterans Affairs (VA) nominee for U.S. President Joe Biden, in Washington DC on Wednesday, January 27, 2021. As Barack Obama's chief of staff, McDonough oversaw the VA's overhaul in response to its 2014 wait-time scandal and previously served as a deputy national security adviser. Photo by Sarah Silbiger/UPI