Reforming Delivery
VA Secretary Resigns, But Scandal Remains
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  • Pete

    Expand enrollment in medical school is a long over due and much needed reform, a reform which historically has been fought tooth-and-nail by the AMA.

  • Corlyss

    I am shocked that Obama actually pulled the trigger. Shinseki must have insisted. And really, who wouldn’t want to be liberated from this f’d up administration? Even Carney is fleeing.

  • Arkeygeezer

    The first priority is to provide care for the Veterans. This could be accomplished rapidly by granting Medicare benefits to all Veterans. In this way the VA hospitals would have to compete with regular hospitals for patients. Our Vets would receive better and prompter care.

    • Andrew Allison

      Great idea!

  • Arkeygeezer

    oh, I forgot to add. All Vets should also receive citizenship.

  • Bruce

    Of course they spent too much money on mid-level administrators. That’s how you expand the bureaucracy and increase power. The objective of every bureaucracy is to grow and expand. If a few patients get treated along the way, that’s fine, but it’s not the real goal.

  • Boritz

    “The VA scandal points to a systemic problem in U.S. health care: there are not enough care providers to meet patients’ demand.”

    Banks used to have tellers dedicated to the lobby and tellers dedicated to the drive-through. If the drive-through was very busy and the lobby wasn’t the lobby tellers twiddled their thumbs while the drive-through stacked up.

    Now banks are designed so a pool of tellers handles both queues. It’s called load balancing.
    Restricting veterans to VA hospitals while other near-by hospitals could help them is a big part of the problem. ACA brings this problem to the rest of us with restricted, not expanded networks.

    • Andrew Allison

      Good point. How about appointment/treatment wait-time thresholds which, if exceeded, result in referral to an outside hospital?

  • Donald Campbell

    Doctor shortage? I know, why don’t we create an ACA with new burdensome reporting requirements that turn our Doctors into Data Entry Clerks. What could go wrong?

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