The Product is . . . Comprehensenility
The Product is . . . Comprehensenility
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So Tricare, one of the USAF providers pays more than CMS, , generally speaking. I was at a small community pharmacy today that has two employees, both pharmacists, both running the register, calling in refills, talking to insurance, stocking shelves, unloading trucks. They had a sign up saying they can no longer afford to fill Tricare prescriptions, because they won't pay enough for the two-owner employee team to cover the cost of medicine alone, not to mention bottles, caps, labels and ink. That's not counting store rent, utilities, and other costs.
Yeah the actual health care providers get the screwjob on a regular basis. Meanwhile there's some insurance fatcat going door to door doing sales to employers.
I shit you not I once watched an insurance middleman asshole come into the office and be like "the problem with health care costs is definitely not the insurance companies". Like yeah, it's totally not the fact that you have a job going around to the offices in the area accomplishing nothing, Mr. Combover, it's totally the health care workers that actually provide service that are the problem.
I've worked in, for and with the health insurance industry, in the past, and adjacent industries (mental, physical, occupational, speech therapies, gp* skilled nursing facilities, etc). It's definitely the middle -men.
They like to push the blame on:
- "Torts" because why allow people killed or very injured by crappy medical practice to sue? /s
- "Government regulation" because we all know that the US government is just out of hand when it comes to regulatory assistance to the public /s (Seriously though the fact that the government got involved proves that people were bleeding out of the ass for decades after being fucked so hard by the healthcare and health insurance industries)
- Greedy healthcare facilities ...now these sometimes could carry maybe 0.5% of the blame, but (a) they're actually providing a service, and (b) it's not always the case that they're trying to rake you over the coals...sometimes they're just trying to keep the lights on
A few major issues that immediately spring to mind: corporate/wealthy individual lobbiests, insurance corporations buying up entire practice providers/insurance-owned pharmacies, such as CVS.
I have triwest, which is the veteran version of tricare. I'm totally fucked trying to find care in an already sparse Healthcare provider state.
The government says well this service was only worth xxx in 2000 so that's what we'll pay. And then they act all shocked when none of us can find care
I'm really sorry to hear that. I did a very quick search, so I'm not sure how current that information is, with regard to executives. Do you live near enough the VA facility to schedule an in-person visit? If not, can you contact them and ask for assistance in meeting your needs? Do you receive any sort of disability or Medicare, that can help cover costs? If you may or not qualify for disability, please request go online and request your DD-214, and start proceedings to get your records to and apply. If I'm understanding correctly (and I may not be, my information is sparse and outdated), the government has to prove that any disabilities did not arise from your service duties.
I'm currently trying to help a community veteran with this process, so if you'll DM me so I don't forget, I'll pass along information as I learn, but we just requested the DD-214 this week, so it may be a long, convoluted process. My very best of luck to you, I am sorry this is how we thank our service members and vets for their service. I appreciate you, and I'm pulling for you.
I live in one of those sparsely populated states, I have to drive 5 hours one way to see a neurologist. Because the one that is two hours away only sees a small number of veterans due to the way the VA pays them.
Thank you for the offer of help, I now have 100% disability with the VA and I'm also on ssdi. Good luck helping your veteran, and please appeal when the VA gives them a rating. They like to lowball us, I was given 70% after my first c&p.
That's rough, and entirely distasteful to be treated so poorly. Have you spoken with anyone at your nearest VA? It may take several calls of being passed around, but maybe there is someone who can help you find the care you need and can afford, with Triwest. I'd also call/write my state and national legislators, and save a copy of their replies. And finally, please consider a letter to the editor of your nearest local newspaper. If they publish it, maybe someone who has successfully navigated some solutions will see it and come forward, with helping you in successful self advocacy. Maybe there are support groups for such things where veterans help each other navigate these obstacles? Someone may be able to direct you.
You are so welcome, my friend, and thank you for the tip. If I can be off any assistance in researching solutions, again, please feel free to reach out. I'd be honored to do anything I can reasonably do to find any available solutions.
Hello, I am wondering if there are any of these clinics in your area? https://nafcclinics.org/get-care/