I don't know so much about less scut in the VA system -- because VA employees are essentially government employees, its tough for them to get fired. Hence, they don't often do their job all that well. Admittedly, our VA ancillary folks have gotten better, but not much. The CPRS computer system is great, but does not infrequently crash, sometimes for hours at a time. Try admitting patients in that setting! When it works, it is pretty sweet however. Our VA has actually gotten busier with the closing of other VA's in the area, so capping on a weekday is a matter of routine.
Advantages to the VA -- whereas most University or big county hospitals are a good balance of zebras and bread and butter, the VA is truly a bastion of bread and butter pathology. For Medicine folks, that means we see a lot of coronary disease, COPD, HTN, DM. In fact, you might as well stamp the first line of every H&P "Mr. X is a 65 y/o wm with pmhx of CAD, COPD, DM, HTN who p/w....." -- but in all seriousness, taking care of vets is a real privilege, as they truly are some of the most appreciative patients you will take care of, and they'll let you do anything to them. Good learning all around.