I have lamented to my colleagues that some days I feel like a pigeon continuously pecking red lights to make them turn green (if you work in the VA, you probably know what I mean) due to mindless repetitive tasks we have to do over and over again to keep the masters off our backs.
That being said, I have absolutely positively no desire to 'work up the ranks of the VA into more managerial/supervisory/administrative positions.' The federal union is strong and aggressively protects workers against, in many cases, appropriate supervision/discipline. Add to that the fact that you are going to spend most of your time forcing inane policies/practices down the throats of your clinician supervisees and sapping/diverting their energies from their true (demanding) task of helping emotionally troubled veterans...not something I would want to do on a daily basis.
All in all I love being a 'front line' clinician because I can feel really good at the end of the day having done some meaningful work with veterans and nudged them a little closer to a better quality of life and reduced suffering. I think that I would have a hard time enduring the nonsense at the VA if there wasn't that little 'food pellet' of primary reinforcement built into my day. The administrative/managerial positions appear (to me at least) to spend their entire time peddling nonsense, sophistry, public relations, and 'Game of Thrones' type petty power struggles over whose little bureaucratic fiefdom can command the most influence or the biggest budget or the most workers. Not for me, thanks. You can easily make up the salary gap between a GS-13 and a GS-14/15 with a few extra hours of private practice on the side.