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Presumptive Republican nominee Donald Trump on Monday said that as president he would press for an extensive overhaul of the Department of Veterans Affairs, making it a more privatized system of care and giving veterans a direct line to the White House.

During a campaign speech in Virginia Beach, Va., Mr. Trump presented a 10-point plan for the embattled department, calling for greater privatization of veterans’ care than presumptive Democratic nominee Hillary Clinton.

“Veterans should be guaranteed the right to choose their doctor,” Mr. Trump said to the cheering crowd. He said veterans should have the ability to opt out of using VA doctors in favor of private sector health-care providers, a move that would make the department a de facto insurance provider rather than a health-care system.

The candidate also used the speech to promise the crowd that he would stand up for police, especially in the wake of the shooting of officers in Dallas.

“We must maintain law and order at the highest level or we will cease to have a country,” he said. “I am the law and order candidate.”

The VA primarily is a system of hospitals and clinics that provides care to veterans. The system does allow for patients to get care from private doctors when the VA doesn’t have treatment capacity. The private-care provision has expanded recently, but VA doctors remain the preferred providers.

Mr. Trump’s campaign previously had posted a memo on its website with a variety of broad ideas, but no reference directly to letting veterans get health care outside the VA system. Trump adviser Sam Clovis in May said the candidate was looking into such plans, but hadn’t made any decisions on the matter.

Such a plan is counter to recommendations from major veterans groups, the VA itself and from the Commission on Care, an independent body established by Congress that last week made recommendations for VA changes.

The group in a March release of preliminary findings had proposed possible recommendations to move toward a privatized system, but it dropped the idea from its final report, suggesting instead that the VA coordinate with veterans who want private care.

Mrs. Clinton’s campaign denounced Mr. Trump’s prior treatment of veterans and his plans for the VA, saying “just throwing money at the problem is not a fix, and wholesale privatization is not a fix.”

Jesse Lehrich, a spokesman for Mrs. Clinton, on a conference call with reporters said Mrs. Clinton’s plan “includes access to private health care as necessary.”

The VA didn’t respond to a request for comment.

Mr. Trump also laid out other changes for the department, including asking Congress for legislation making it easier to fire under performing employees, increasing mental-health resources and adding a White House hotline so veterans can bypass the VA and bring problems directly to the president.

“I will pick up the phone, and I will fix it myself if I have to, believe me, I will fix it,” Mr. Trump said.