Harold Pharis, a decorated Army medic and new director of the Fargo VA Health Care System, is already shaping a bold future for veterans—one focused on their evolving needs, not just their demands. Arriving last November, he’s prioritized long-term planning, embracing generational shifts: older vets crave in-person care, while newer ones demand digital access—especially for mental health. With female service members projected to make up 18% of the military by 2040, the VA is preparing to adapt its services to include and empower all genders. While primary care waits are tight at just under 12 days, mental health and specialty care lag—but remain competitive with community options. Expansion is underway: a Bismarck clinic will triple in size, and a second veterans home will open in northwest North Dakota. A nationwide EHR rollout hits Fargo in July 2027, promising smoother care. Pharis, now settled into West Fargo’s quiet charm, is building a VA that listens, learns, and leads—with veterans at the heart of every decision.

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