Re: The Death of TRS
Posted by Feel the Bern on 8/19/2017, 12:49 pm, in reply to "Re: The Death of TRS"
Tricare is managed by the Depart of Defense and they contract out with private insurance companies to provide health care services. So is it the Department of Defense who isn't providing proper services or is the private insurance company? The Department of Defense is contracting out services to save money (which is interesting given their budget. Maybe the Department of Defense doesn't manage finances well.) and private insurance companies have a history of denying coverage to their members. Now, the Patient Protection and Affordable Care Act provided many mechanisms to prevent some denial of coverage. |
Regardless, I bet the issues you were experiencing were because of contracting out of services and the military was passing it off to the private insurance company and the insurance company was passing it back. This is a common issue with government contracts. No one wants to accept the blame. The Department of Defense had a bad contract with the insurance company which contributed to the mess.
What I am proposing is expanding medicare/medicaid even more to the people who reside in the United States. It's a system that works to provides services and the necessary equipment needed to be a contributing member of society. It's not a perfect system, but neither are private insurance companies. I have family members who utilize the government run health care system and they don't have to wait for doctor visits or surgeries. I'm also dating a Canadian and they say they don't have to wait for doctor visits or any procedure that is considered life threatening. Now, if it's something cosmetic, yes, you may have to wait. But it's a fallacy that you would have to wait for months to see a doctor when you're sick, have bodily injuries such as broken bones, or have cancer.
You need to find an advocate group which lobbies for better health care coverage for members of the military and their families. Congress is broken and we all know it, but if military families make their voices known and don't back down, something will be done. It will take a couple of years, but it can be done.
: I am a military spouse.
: After one military move, we ended up with a
: house payment and a rent payment and I was
: having trouble finding a job because of the
: Great RIFs going on.
: We ended up on the military heath insurance
: that requires a Primary Care Manager and is
: essentially what single payer would be.
: I wouldn't wish my care on my worst enemy.
: I was left misdiagnosed for years with a PCM
: that refused to let me explore other
: options. I ruined an ankle joint and it was
: YEARS before it was surgically repaired when
: that was indicated when it first happened.
: I had to fall again and completely ruin the
: ankle at school where Workman's Comp got
: involved (they pulled out the day before
: surgery, but the army still had to cover.
: But they wanted a different surgeon, and it
: required a temper tantrum of epic
: proportions that a 2YO would have been
: silenced by for me to actually have the
: surgery that was scheduled with the ONLY
: ankle specialist in the state where we were)
: My blood pressure was elevated for years. No
: one ever said anything. I had a health
: scare on a plan while traveling home. I was
: sent to Urgent care centers that were closed
: and I was told it wasn't their job
: (Insurance) to know who was open. I ended
: up paying out of pocket to see the doctor's
: office I grew up in who also saw my family.
: They were horrified that my blood pressure
: was ignored and started me on bp meds. It
: has made a huge difference. I was surprised.
: Funny thing - once a non-military doctor
: made a bunch of recommendations, they are
: jumping through hoops galore to meet those
: requirements - because they've been put on
: the spot. It's free, and the argument is
: that I get exactly the service you'd expect
: after what I paid.
: I keep saying the military system waits
: until theh problem corrects itself or you