of healthcare. VHA does not have an upper age limit for IPV screening, acknowledging that IPV is not limited by age. However, it is believed that early detection is helpful towards allowing victims to access much needed resources earlier and thus the U.S. Preventive Services Task Force suggests providers especially regularly screen women of childbearing age for IPV. The best care is provided when practitioners do not make assumptions about IPV on the basis of an individual's sexual orientation or other factors. No matter one's age, there are chronic health risks associated with IPV victimization, for both men and women. Early detection is key to providing effective support systems to victims in the armed forces and reducing potential negative health consequences that are associated with such violence. Barriers to disclosure of IPV to providers in the VHA include lack of universal routine screening, patients not being comfortable about disclosure, and individual concerns over potential negative consequences on benefits or personal items, depending on how info is shared or used. Barriers to providing the most effective responses to IPV cases include providers lacking time and information to help, and untrained personnel creating more harm than good. Evaluations "Patients routinely rank the veterans system above the alternatives", according to the American Customer Satisfaction Index. In 2008, the VHA got a satisfaction rating of 85 for inpatient treatment, compared with 77 for private hospitals. In the same report VHA outpatient care scored 3 points higher than for private hospitals. "As compared with the Medicare fee-for-service program, the VA performed significantly better on all 11 similar quality indicators for the period from 1997 through 1999. In 2000, the VA outperformed Medicare on 12 of 13 indicators." A study that compared VHA with commercial managed care systems in their treatment of diabetes patients found that in all seven measures of quality, the VHA provided better care. A RAND Corporation study in 2004 concluded that the VHA outperforms all other sectors of American health care in 294 measures of quality. Patients from the VHA scored significantly higher for adjusted overall quality, chronic disease care, and preventive care, but not for acute care. A Harvard Medical School-led study shows that cancer care provided by the Veterans Health Administration for men 65 years and older is at least as good as, and by some measures better than, Medicare-funded fee-for-service care obtained through the private sector. Controversies Coronavirus (COVID-19)