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Will Medicare Become Like the VA?

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new-logo25By Jane M. Orient, M.D. 

Executive Director of Association of American Physicians and Surgeons,

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“No VA employee, however incompetent, could ever be fired,” stated one physician.  Another said, “Incompetence is accepted…, and keeping quiet about it is the accepted norm.”

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Most veterans get most of their medical care from private doctors through Medicare or private insurance. Just think what those secret waiting lists would be like if they didn’t!

Still, a VA-like system for all has been proposed as a replacement for our unsustainable current system—at least until the recent scandals broke.

One enormous difference between the VA and Medicare is that veterans are free to go elsewhere—if they pay privately. Some veterans use their VA doctor only to get free medications.

Medicare patients, on the other hand, are trapped. There is virtually no private coverage available to persons over 65 to replace Medicare—President Lyndon Johnson wiped it out to prevent competition with “his” beloved system. There are only policies to “supplement” Medicare. And Medicare patients can’t just pay out of pocket for a “covered” service they can’t get otherwise, say because the Medicare-allowed price is too low—unless they see a doctor who is opted out of Medicare or disenrolled. For doctors, Medicare is all or nothing, so most doctors are still enrolled.

Most people don’t care about that—not yet. Who would want to pay for something that is free?

So it’s a good idea to look at those “free” (taxpayer-paid) VA services. More

Voices Carry for Animals # 4

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