"I was in agreement that every veteran should get a choice about where they get their care, but I wanted to do this in a way that would not destroy the current VA system, because I believe the VA is doing things the private sector is not doing well," Shulkin explained, worrying that privatizing too quickly or widely would undermine the quality of care.
"That was the issue I fought hardest for, and the one that ultimately ended up costing me my job," Shulkin said, arguing that those political appointees ultimately determined Shulkin needed to be pushed out, and as he tells it, "perfected the art of the leak."
Specifically, Shulkin blames those political appointees for leaking his travel schedule and lodging an allegation — which Shulkin vehemently disputes — that he used government funds to pay for his wife's travel to vacation in Europe.
In reality, Shulkin says, he and his wife, who are both doctors, had both been invited to a Five Eyes security conference in Italy and their travel plans were approved by ethics officials. But the allegation that he misappropriated taxpayer funds was enough to cast a cloud over his job.
Then one day, Shulkin recalled, his deputy security brought him an email he found on a copy machine from one political appointee to other appointees outlining a plan to remove him, his deputy secretary, other senior officials, and "put in place people who agree with us."
Even when Shulkin tried to fire the political appointees trying to destroy his career, he says the White House stepped in and prevented them from being removed.
And even after assurances from Trump himself and former White House chief of staff John Kelly that his job was secure, Trump blindsided Shulkin in April 2018 by ultimately firing him in a tweet.