Shortage × Pay

Workforce Risk · OIG shortages × market pay

Where pay drives the shortage — and where it doesn't.

VA OIG flagged 4,434 severe occupational staffing shortages in FY2025 (+50% vs FY2024). Pairing the worst shortages against where VHA actually sits in the market separates the pay-addressable gaps from the ones a raise won't fix. Shortage rates are real (VA OIG); market percentiles are real (BLS OEWS 2025); VHA-current pay is illustrative.

94%Pay lever
facilities report a severe shortage

Medical Officer

Physicians

VA physician pay trails the private market; the §7431 market-pay panel is the lever.

79%Pay lever
facilities report a severe shortage

Nurse

Registered Nurses
VA $87K vs market $98K (-11%)

VHA base lags the market median; §7451 locality pay is the lever.

58%Out of comp scope
facilities report a severe shortage

Police

VA Police (non-clinical)

Top non-clinical shortage; outside this clinical compensation study.

57%Supply lever
facilities report a severe shortage

Psychology

Psychologists
VA $112K vs market $101K (+11%)

VA pay is competitive — this is a supply / pipeline shortage, not a pay gap.

Two different problems. Two different fixes.

Pay-addressable

Nurses and physicians are short and below market. The fix is the compensation study itself — §7451 locality pay and §7431 market-pay panels close a measurable gap.

Not a pay problem

Psychology is VA's top clinical shortage despitecompetitive pay — a supply and pipeline issue. A raise won't fix it, and a credible study says so.

Every benchmark occupation, ranked by market position

Real BLS OEWS market median vs the (illustrative) VHA-current base. Bars run left of center where VHA lags the market, right where it leads. Occupations OIG flags as severe shortages are marked.

Diagnostic Radiologic Tech
VA $68K · market $80K
-15%Lagging
CRNA
VA $203K · market $237K
-14%Lagging
Respiratory Therapist
VA $72K · market $82K
-12%Lagging
Physical Therapist
VA $90K · market $103K
-12%Lagging
Registered Nurse (Staff)OIG shortage
VA $87K · market $98K
-11%Lagging
Physician Assistant
VA $122K · market $136K
-10%Lagging
Nurse Practitioner
VA $124K · market $132K
-6%Lagging
Clinical Pharmacist
VA $138K · market $141K
-2%At Market
Medical Support Assistant
VA $45K · market $46K
-2%At Market
Nursing Assistant
VA $42K · market $42K
-2%At Market
Health Informatics Specialist
VA $108K · market $106K
+2%At Market
Pharmacy Technician
VA $48K · market $46K
+4%At Market
PsychologistOIG shortage
VA $112K · market $101K
+11%Leading
Medical Technologist (Lab)
VA $71K · market $63K
+13%Leading
Licensed Clinical Social Worker
VA $79K · market $68K
+16%Leading

Shortage rates are real — VA OIG Determination of VHA Severe Occupational Staffing Shortages, FY2025 (August 12, 2025). Market medians are real (BLS OEWS 2025); VHA-current base pay is illustrative pending the VHA HR extract, so the pay gap is directional. Physician (Medical Officer) market pay is illustrated from the commercial panels until licensed.