I can't speak for that particular state/hospital, but starting CNA pay isn't $34,000. They operate on a GS scale based on your experience and SOME people can come in ("start") at that rate, but usually with several years of experience and/or education. (For example, MA, Combat Medic, Paramedic, etc., training- as several of the VA Hospitals do not recognize those titles and consider them either "NA" or "Health Tech"; the experience of drawing blood, inserting caths, etc, etc is taken into account when deciding on pay scale.) I will say that a fresh PN graduate with less than 6 months experience will be sorely disapointed in his/her starting pay at the VA, but the benefits are well worth it and after 6 months, you are eligible for an increase. On a personal note, I started here as a CNA, GS 4-1 (about $25,000 in my state) and after 3 years, I was a GS 5-2 (about $30,000). I opted to get my LPN after that and now am a GS 5-4 (about $33,000). Ironically, I think if I'd stayed a CNA and just gotten a couple of certifications here or there (LTC or Hospice) I might actually be making more as a "8 year NA" than I do as a "3 year LPN". Eh.. hindsight. :)