HONOLULU (AP) — Veterans told U.S. Sen. Mazie Hirono they face a shortage of doctors on Maui, Molokai and the Big Island, which has contributed to the long wait times they endured seeking medical treatment across the isolated island chain.

Vietnam veteran Victor Craft called the Veterans Affairs problems a “train wreck in slow motion” at a Tuesday hearing on Oahu hosted by Hirono for the U.S. Senate Committee on Veterans’ Affairs.