tag:blogger.com,1999:blog-1350181109033523476.post9104698500227283388..comments2023-08-24T00:28:08.108-07:00Comments on Why is American health care so expensive?: What is this VA scandal about? Janice Boughtonhttp://www.blogger.com/profile/02321947802871503562noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-1350181109033523476.post-65010689064324970862014-06-04T13:43:16.040-07:002014-06-04T13:43:16.040-07:00Also I read this article:
http://online.wsj.com/ar...Also I read this article:<br />http://online.wsj.com/articles/anthony-j-principi-how-to-fix-the-veterans-affairs-mess-1401405181<br />in the Wall Street Journal. A former head of the VA says that we should fix the problem by limiting care for veterans to specific service connected ills (goodbye real primary care), reducing vouchers for care outside the VA system and merging the VA with the healthcare system for active duty military (Tricare.)That sounds pretty short sighted and self serving. If that's all leadership can think of excellence will come glacially slowly. Janice Boughtonhttps://www.blogger.com/profile/02321947802871503562noreply@blogger.comtag:blogger.com,1999:blog-1350181109033523476.post-60528583951273967542014-06-04T13:29:13.195-07:002014-06-04T13:29:13.195-07:00I expect VA culture will eventually change in a po...I expect VA culture will eventually change in a positive direction, maybe because of scrutiny, but not quickly. I read your article and I like that you mentioned the VA's computerized medical record system, which is great (in comparison to many others). They also license it to other health systems, which is why I got to use it. They also achieve good outcomes that are quality measures. Janice Boughtonhttps://www.blogger.com/profile/02321947802871503562noreply@blogger.comtag:blogger.com,1999:blog-1350181109033523476.post-38407894165222254492014-06-04T13:13:00.674-07:002014-06-04T13:13:00.674-07:00Enjoyed your perspective - especially the concept ...Enjoyed your perspective - especially the concept of 'choosing to be excellent'. I see the chance of cultural change as a little higher than zero. Call me an optimist.<br /><br />My take http://onsurg.com/va-secrets/<br /><br />Chris Porter<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1350181109033523476.post-68788456294897287382014-05-25T19:05:34.949-07:002014-05-25T19:05:34.949-07:00Mostly, no. The ACA did not create a prepaid healt...Mostly, no. The ACA did not create a prepaid healthcare system with employed physicians. It mostly subsidized and regulated private health insurance, and included lots of innovative projects to reduce spending, especially at the level of hospitals. There is a trend toward physicians being employed by hospitals but this started before the ACA. The VA's problems stem from lack of accountability, transparency and creative leadership. These are issues with private sector healthcare too. The ACA does have some provisions to improve transparency and accountability, but we still lack any coherent, leadership.Janice Boughtonhttps://www.blogger.com/profile/02321947802871503562noreply@blogger.comtag:blogger.com,1999:blog-1350181109033523476.post-87132067335561244592014-05-25T13:53:41.917-07:002014-05-25T13:53:41.917-07:00Do you see similarities between the VA and how the...Do you see similarities between the VA and how the ACA will change private sector healthcare?Saranoreply@blogger.com