In the Army world, we have our Tricare insurance to cover all of our medical needs. This is the biggest selling point for enlistment into the US Army. Being a mother of 3 small children,(one who fully believes himself to be a Ninja Turtle) one can quickly realize the value of health insurance.
However, once dealing with Tricare for so many years, one starts to wonder if putting the government in charge of all healthcare is the most "intelligent" option.
Don't get me wrong, I feel blessed to have healthcare. I don't believe anyone should go without proper care. But....
For us, if you choose the Tricare Prime option, (which you do if you live on/near post) all of your medical needs are met via the Army Community Hospital. This is typically convenient, but not always the best option.
Army Surgeons/Physicians are the best in the world. They are trained to do unthinkable things under great deals of pressure. So for the most part, I would choose an Army Surgeon/Doctor over a civilian any day. With the growth of the Army family, there just aren't enough Army Drs to go around. It is nothing to wait over a month for an appointment. So to handle the overflow they bring in Civilian doctors.
So we've gone from having the best healthcare in the world, to being treated by the lowest bidder. If you do not DEMAND to see an Army Physician you will typically be assigned to either an open civilian, a Family Care Nurse, or a Physicians Assistant.
This can leave a lot of loopholes in healthcare.
For ex: my son, has apparently had the same head cold for 5 yrs now.
The next problem, is we don't always see the same physician. We may see an Army Dr. today, a civilian dr for our follow up and a Family Care nurse for lab results.
Now I will give Tricare credit, for the attempt to rectify this situation. They have instituted a Primary Care Manager "program". This is just what it sounds like. You are assigned a Dr, nurse, or PA that you are to see on every visit. The problem with this is, its the military. People come and go on a daily basis. That Dr. you see today, may be in Afghanistan tomorrow.
So if our government has so many issues handling just the military, how are they going to handle civilians as well?
So my thought is this...since Army Doctors/Surgeons are the best, maybe we should start training civilian doctors under a hail of gunfire. Once a physician can prove he can remove a bullet, from a femoral artery using a pair of tweezers, a stick of gum and a bottle of Jack Daniels he can move on to the next phase of employment.
We need all the MacGuyver's we can rush through Med School.
Tuesday, May 25, 2010
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