James Peake, the incoming secretary of Veteran Affairs, has pledged to address "systemic" issues that hobble the quality and accessibility of rural healthcare. During a meeting with about 100 Montana veterans, the group told Peake they face months-long waits for appointments, arbitrary rejections of claims and 500-mile trips to receive care. Peake said he wanted to "reach out to rural America" and help those veterans not getting adequate care.