Veterans Administration dentists apparently have no incentive to be productive and treat a lot of veterans. V.A. dentists are paid an annual salary of nearly a quarter of a million dollars with benefits and retirement and vacation time as well. Where a dentist in private practice might treat a dozen patients a day, V.A. dentists may treat few or none. That leaves veterans with a lot of bad teeth.
Probably the Trump administration should create some kind of productivity incentive, because a certain percentage of V.A. dentists need motivation to be more productive. Some V.A. dentists are quite productive, yet the motivation is personal for there is no requirement for it.