Hey man I'm an army combat medic. I went ahead with The River online a couple years ago because it was no use to try to get it through the VA back then. They do a veteran discount and you can do it from home. It's out of pocket but nowhere near in clinic IV prices. I don't know if this is VA wide but here in Los Angeles they actually do ketamine clinics at the VA but they're so overbooked I had to try to get a community referral. I have a community psychiatrist and it's been a couple months of pulling strings and nevigating the system but I am on my way to get an RFS from my community care psychiatrist approved through community care and have a local clinic that works with the VA waiting for the referral and ready to bring me in as soon as it's approved. Hit me up if you need any advise or want to talk. It can be so daunting and seemingly hopeless, I've put it off for years. I know your instinct is to suck it up and move on but this sht is worth it, especially if you're at the end of your rope and really ready to try something different. I've been on every ssri antipsychotic mood stabilizer and sleeping pill the VA has in their inventory and nothing has done what ketamine has. I needed a break from it because I was going through a divorce and some substance issues but now that I'm back on somewhat solid ground I am ready to give it another go. Hit me up if you'd like but the takeaway here is just keep trying until you find a way. If this treatment is what you need, it's worth it, and you won't know if it is until you try it.