In any industry, competition makes people strive to be the best. The medical field is no stranger to competition. Every medical industry has competitors running daily to be the best in their perspective fields. When medial facilities strive to excel and be better than their competitors, the patient’s yield the benefits with better services and quality of care. When there is no competition businesses do not strive to be the best and perform mediocre.
The VA has no competition and the veterans who put their lives on the line for our country suffer. Inside the VA it takes weeks or months for our soldiers to get the services they need. For weeks to get a prescription to months to wait for surgeries, our soldiers deserve better. My proposal is to incorporate the veterans into the civilian Medicare healthcare system.
Incorporation of VA into Civilian Medicare
Initiate:
• Medicare Part V (veterans/disabled military personal) OR
• Medicare Part V-D (veterans/disabled miliary personal/family dependents)
o Same benefits of Medicare A-B-C-D with no charges to veterans/military disabled/dependents
Medical, dental, vision, pharmacy benefits with no charge to veterans (as Medicaid patients are not charged)
Cut Government Costs:
- General building maintenance and rent/mortgage
- Electricity, water, phone, internet, payments
- Training medical staff
- Medical supplies
- Computers and IT support
- Management staff
- Government employees – move to civilian healthcare jobs
- Government spending on the veterans and family’s would remain the same with all the extras trimmed off such as building, supply, utilities, employee salaries, etc.
Other Benefits:
- Takes veteran’s health care out of the government’s control and places it into private competition driven civilian healthcare – services improve due to the competition
- Decreases wait time for veterans to get appointments for primary care and specialty visits through the VA from weeks/months/years to the same as in civilian medicine
- Decrease obtaining prescription time from weeks to hours
- Increase health care availability for veterans/dependence
- Adds more health care providers/staff to shortage currently in the civilian medical field
- Turn VA buildings into housing for veterans
Incorporate in phases over 3.5 years
- Grants funds to FQHC and other private civilian healthcare facilities for transition or to open a new clinic
- In each phase, move primary care VA providers/staff to FQHC/private healthcare facilities
- Transition by ages in phases:
a. Move Ages 65 + to civilian Medicare provider
b. Move 50 + to civilian Medicare providers
c. Move 40 + to civilian Medicare providers
d. Move all ages to civilian Medicare providers - Or transition per geographic area
- VA hospitals close geographic locations over 3.5 years