I went to my first VA appointment last week. Was very pleasantly surprised. Questions like: "Did you get a flu shot?" No. "Want one?" Yes, thanks. "When was the last time you had a tetanus shot?" Uh, more then 10 years I think. "Want one?" Yes, thanks. Better then I am getting with TRICARE based on 20 years of service (28 total, some in the reserves). I wish I knew where to put in the suggestion that we expand the Public Health service to care for those who need health care, or two branches, public health and personal health. Require hospitals, including the VA, to provide the support services at cost. Hospitals can hire more people and pass the cost off to the Health Service. People that want to be a Dr. and get accepted to Med School can join, get paid as an enlisted grad 5 till they graduate and do five years. Some will stay, some will leave, and the bonus for staying is advanced training and the 20 year retirement. Some people will leave the military service and use their time toward a Public Health retirement (bonus is no more over seas deployments and their previous time counts). Put the offices near the hospitals for routine lab work when possible, run them 16 hrs or the ones that can support it 24 hrs and that will clear the ER for real ER cases. People that want to pay and can pay for private can do so. Following a transition period we will have a system that people can move in and out of should their personal situation change and staffed with decent Docs that are there for their personal benefit too.
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