Posted on Apr 19, 2016
MAJ David Vermillion
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Would it be better to have all veterans choose their own provider?
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CSM Michael Poll
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I would love the VA to release veterans to see their primary care doctors. I believe this will reduce the number of issues that are currently going on. In my experience, the doctors at the VA are really good, it is the ADMIN that seems to suck really bad. Now I have run into a couple people that are great, but the majority are awful. Making it so the veteran can see a doctor closer to home and the doctor they normally see would be very beneficial. It will cut down the travel pay/time for the veteran and they will see the doctor that knows them. Logistics would be a little harder as the veterans are now at their primary doc, but a system could be easily made for these docs to upload info into the computer for the VA to track.
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CPT Jim Davis
CPT Jim Davis
9 y
Fascinating. Many of us are satisfied with our physicians and providers, but run up our blood pressure over the actions of clerks and administrators.
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SGT Jason Mouret
SGT Jason Mouret
9 y
Thank you CSM, you hit the nail on the head.
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SPC Robert Pressley
SPC Robert Pressley
9 y
eliminate high cost by allowing private sector to happyly absorb va vet needs and care,,they are more efficient and have no aggenda,,the doctors at va are a sham,even the good ones are job scared,just ask one to fill out a nexus ..we can eliminate the va labor cost ,building utilties etc ,just the savings in labor is in the billions..not to mention the sell off of un needed buildings,,example kernersville nc .BIG ,NEW hospital, in middle of no where,,only doing cp exams,,parking lot almost entirel empty,this was a idiot that put this hospital there..that was needed money for vet care,,eliminate the va,,,save alot of money and it will improve our veterans health care,,,,the goverment cant run a leamonade stand..
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SGT Matt Saunders
SGT Matt Saunders
9 y
1SG Daniel Foote - I've had 7 PCP's in the last 6yrs. I totally agree with you that this lack of continuity of care causes multiple delays in care for the veteran as each time the doctor & patient have to go through the dance of getting to know each other & bringing the doctor up to speed on what treatments you're currently getting, what's been tried in the past, etc. Unfortunately the current system of using the Choice card isn't going to help much. Being that my PCP retired w/o notice my clinic was shorthanded & therefore sent lots of us out using the Choice card. You can't make, cancel, or change an appt w/o going through Triwest (contractor running the program). For instance, I had an appt on the outside that I couldn't make b/c I hurt my back & couldn't walk. Had to call Triwest, explain the problem, tell them when I was available again for an appt, then call my local clinic & cancel my appt. Was asked when I wanted to come in by them I had to explain that we're not allowed to make the appts ourselves. Triwest takes 5-7 days on average to get back with you about the new date meaning it could be weeks between the original & next appt times. A very inefficient & therefore wasteful system to do something that Medicare & Medicaid have been doing for decades. Yes these are also gov't run & thus by definition wasteful but not nearly as cumbersome. Could definitely be streamlined & improved if the goal is truly the best healthcare possible for our wounded veterans.
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Capt Retired
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Many depend on the VA hospital. But, if they had a way to go elsewhere and have the cost still covered it would be easier for many as many have to travel long s]distances to the VA facility. Travel is not always easy for older folks.
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SFC Terry Stinnett
SFC Terry Stinnett
9 y
What I didn't know on AD, is there is an 8 bracket priority system, and as a retiree, even though 20% disabled, Tricare meets my needs much more comprehensively. I have to question if there are not a few folks who would do better if they would take advantage of Tricare, if eligible. Since I live in Colorado and have been a volunteer at the VAMC in Denver, I have more than a few questions about the bureaucratic morass around the new facility. And some of the troublesome reports about ER visits. It is also reported that up to 1/3 of VA employees are veterans. So, do they individually do their best for their fellow service members, or do they their souls suckered out of them?
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CPL Mark Mitchell
CPL Mark Mitchell
9 y
I think the VA needs the work an attention it is getting but personally I think the VA overall is better then the non VA hospitals in many ways. What they should do is make it impossible for congress and other government entities to take moneys from the VA once it is given, in other words if they award the VA 20 million then that 20 is untouchable. (amounts are just numbers to use for making my point)
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PO2 Joseph Barthelmess, III
PO2 Joseph Barthelmess, III
9 y
My personal belief is a veteran should be able to walk into any medical facility and have their healthcare covered by the gov't. Obviously, due to the crooks in the public healthcare system, the costs would have to be standardized. This gets me to another point. The ACA is regulating the wrong side of the problem. Healthcare insurance is not the problem. The price gouging of healthcare providers is the problem. $6,000 for a 12 minute MRI is a bit over the top...and that is just a small example.
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CPT Jim Davis
CPT Jim Davis
9 y
PO2 Joseph Barthelmess, III - Well, as someone who used to work on the insurance side, I can tell you that those prices ARE set by the insurance providers. I used to sit in meetings with Physican Groups in which my CEO would try to argue down what we would pay for. The collusion between big Pharma, big insurance and big med is the problem.
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PO1 Cryptologic Technician (Technical)
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It would sound like there are a lot of providers through the VA system that can't help with some issues but doing it away all together wouldn't make things better. Give the Vets more of a choice through the program rather having them scramble to find a provider for their care; give specific options if a condition isn't improving; second opinions, alternative care. There's always a way to find something to rid of the ailment or at least, ease up the pain.

If the whole VA health system is were to be gone, there would be a lot of people in pain and their health would deteriorate faster than it should.
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Cpl David Klassen
Cpl David Klassen
9 y
PO1 (Join to see) - Unfortunately I have had to experience what the "private sector" has to offer with my mother and sister here in the last few months, utter chaos! Among them were long lines in the waiting room of the ER and people loosing important information then after that all the different doctors not being able to talk to one another in different locations. It used to be the other way around! I go to the VA to have blood work done by choice just because of the above aforementioned. KCVA by the way.......
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A1C Lesia Hunt
A1C Lesia Hunt
9 y
I don't think anyone treats and gives Vets as much as the VA does.... its the red tape of paperwork that's part of the government
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PO1 Cryptologic Technician (Technical)
PO1 (Join to see)
9 y
Cpl David Klassen - I agree that the ER is crazy in the private sector but I've noticed that I have a quicker time in the ER at a VA hospital. I had Pink Eye (thank you, my son) and it took me no more than an hour to be checked-in, seen, treated and given my prescription.
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SFC Personnel  Sergeant
SFC (Join to see)
9 y
I had problems with VA in Florida will never go back. I use medicare through Florida Blue Insurance with Tricare kicker at my civilian Doctor office. Best care ever and wasn't a problem finding a provider.
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What's your view on doing away with the VA health system?
SSG(P) Parts Specialist
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This is a mixed question, Yes it would be nice to pick your own provider but that is not the only issue with the VA. I have a friend who's wife is a case worker with more then 3k active cases. The main issue in her words is that they are to top heavy. If they were to thin down the administrators and clear away some red tape you would see a large improvement in the care provided.

My personal look is this, open veterans for non VA providers and simplify the process at the VA. But do not completely do away with the VA.
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MAJ David Vermillion
MAJ David Vermillion
9 y
Sgt Richard Buckner - Yes. As one brother brought out earlier in his message sometimes civilian health doesn't mesh with the VA system, especially with veterans that have PTSD issues.
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PO3 Donald Murphy
PO3 Donald Murphy
9 y
Sgt (Verify To See) - That is correct. So re-read my reply. As all neurologists go to the same school, the VA is not going to be 'better' at treating my M.S. than a civilian **JUST BECAUSE** they are military-centric.

Re-read the complaint about the VA

So based on the **COMPLAINT** about the VA, which is inability to efficiently run a system, what would happen - LOGICALLY - is that if VA patients were allowed civilian healthcare, they would call the VA first, VA would say "can't get you in for a month" and they would then call the civilian provider they've been assigned who will more than likely see them that week. Now using pavlovian dog type reasoning, do you think these vets are gonna continue to call the VA or are they going to just go civilian?

Next - as to your clinic angle - you can't go straight from "back pain" to "therapy" without a referral. So at ONE POINT you had to go to an intermediary. Someone has to look at you and refer you.
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PO3 Donald Murphy
PO3 Donald Murphy
9 y
MAJ (Join to see) - What on earth are you talking about?
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PO3 Donald Murphy
PO3 Donald Murphy
9 y
MAJ David Vermillion - All shrinks go to the same school. They all read the same book. Like I just said to the SGT, my VA neurologist treats me the same as my civilian one. They both do the same things to manage my pain and are equally successful. So PTSD should not be an issue.
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SFC Wade W.
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I believe for some this would work but I personally believe the VA does much more than just provide medical services. Where would you go to get face to face service for all of the other things the VA does. I also believe having access to medical professionals who are familiar with applying for disability and can help you put everything together for that application cannot be replicated by the civilian sector. I know that the disability application process is already screwed up but imagine what it would be like with medical personnel who do not know how to properly write the summary for a disability claim. I love my team at the VA in Prescott, AZ and I use the entire facility for my medical needs. If I had to travel to several different offices to get my medical care, medical devices and prescriptions I would be put in a very difficult position.
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MAJ Special Forces Officer
MAJ (Join to see)
9 y
SFC Wade Williams- maybe not stated, but at the Hamton, Various. VA Hospital, a large number of dedicated and caring volunteers word diligently to help VETS get thru and over the rough spots.
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SSG Bethany Viglietta
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Edited 9 y ago
I am still active duty Army, but use TriCare Remote since there isn't an active duty base nearby. I can tell you that civilian doctors generally do not know what to do with our combat related injuries. They do not know the signs to look for with our injuries unless they are trained.

The VA definitely needs to be improved, but by no means should it go away. Doctors, nurses, and other professionals who work for the VA need to be paid competitive wages and be specially trained on our needs/injuries. Yes they will see us for the common stuff, but it's the blast type injuries, the injuries caused by the wear and tear of the military, the stuff they won't see on a day by day basis at a civilian practice that will make the difference in our level of care.
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CPO Steelworker
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Believe this would be bad. I am retired form the Navy and am a combat disabled Vet, so I am CAT one at the VA. Have a civilian care provider from Tricare and one from VA because of my service connected issues. My civilian provider does not under stand any of my VA connected issues and the VA has a full under standing of them. The example is I am creeping into the gulf illnesses issues and my doctor just wants to treat the one problem not understanding that some problems are tied together. I believe that a lot of issues and misdiagnoses will happen if you turn over to providers that do not have history or understand service connected issues. VA understands Vet health problems like TBI, PTSD, Sleep disorders and depression that is caused from military service.

Also believe that form what I see medical side is good but the admin side is back in the 60's and needs to be overhauled.
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FN George Woodruff
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I believe that doing away with the VA health system would cause a worse crisis than we have now. Dumping an additional nine million veterans on civilian health care would overload the system to the point that it would have a hard time trying to handle the load. As a 100 percent service disabled World War Two/Korean War veteran who has used the VA for over sixty five years I have seen both the good and the bad of the VA system. I have also used civilian healthcare via Medicare and a supplement that I bought when I lived over a hundred miles from a VA Hospital. All in all I like VA care better as VA doctors have a better understanding of how to treat service incurred problems than most civilian doctors and I have used both. For the past two years I have been living in the finest VA Nursing Home (Trinka Davis Veterans Village) in the entire system and the care has been superb! I believe if Congress understood how to write laws concerning the VA that actually dealt with the problems it work far better for all veterans and most of today's concerns would be eliminated.
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FN George Woodruff
FN George Woodruff
9 y
COL (Verify To See) - The figure the VA uses is nine million. Where they get it from I do not know. Maybe it is the number of veterans qualified to receive VA care. I believe the number of veterans served for 2015 are up considerably from the 2014 figure.
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SFC Dr. Fred Lockard
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Vets complain about the VA - its what they do. The VA is a big, easy target to take out their frustrations on. But the VA consistently scores higher in customer satisfaction than other healthcare options. It has its bad apples for sure, like any other healthcare system, but for me personally, I love the care I get. I cannot tell you how many vets I know that have used the new "find your own provider" option but returned to the VA rather quickly. Most civilian providers do not care that you are a vet, do not know the unique challenges vets face, and could care less about your service. They just want the government dollar. And no, I do not work for the VHA!
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SCPO Jason McLaughlin
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Single-payer healthcare solves this issue.
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CDR Jon Corrigan
CDR Jon Corrigan
9 y
We'll never have a single payer health care system.
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SCPO Jason McLaughlin
SCPO Jason McLaughlin
9 y
CDR Jon Corrigan - Never give up hope!
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