TRICARE is safe and sound

Full story: The Reporter 11
In recent days, a particularly disturbing myth about health insurance reform has resurfaced. Full Story
Bob

Oakland, CA

#1 Jan 15, 2010
Reading so many lies made my eyes hurt. I have a friend that told me that this year no only did his Tricare premiums go up but also the covered benefits decreased.
Max

Yountville, CA

#2 Jan 15, 2010
"And it's why there is absolutely nothing in health reform that will affect TRICARE benefits."

Bovine dust!

If you believe this, you'll believe anything. Just ask one of the representatives at the TRICARE Service Center on Travis AFB exactly what will happen to both TRICARE and the Department of Veterans Affairs health care system. Ask Congressman Miller's office also. Once ObamaCare is passed and is signed into law, compeating government (read socialist) health care systems will NOT be tollerated and will be liquidated.
Christine

Friendswood, TX

#3 Jan 15, 2010
This is directly from the WH FAQ's...

"The health reform legislation that is being considered would enable those who are covered by TRICARE to meet the shared responsibility requirement for individuals to have insurance, thereby exempting such members of the uniformed services and dependants from being assessed penalties."

Maybe I'm not reading this correctly, but I see "meeting the shared responsibility REQUIREMENT for individuals to have insurance, before they throw around "exemption."

In any case, it's a good thing we've seen all the debate on CSPAN, right??
vaca mom

Vacaville, CA

#4 Jan 15, 2010
It appears Mr. Flavin never heard about President Obama's proposal last February that disabled military veterans be required to use their personal medical coverage to pay for treatment for service related injuries and conditions. He dropped the proposal only after a public outcry convinced him that it would be politically unwise.

I wouldn't be so sure that Obama will take good care of TRICARE - or anyone else's health care for that matter.

http://www.washingtontimes.com/news/2009/mar/...
viperdoc

Pike Road, AL

#5 Jan 16, 2010
Mr. Flavin,
I beg to differ with your opinion that Tricare is safe and sound. With continured cuts to the physician reimbursement tied to Medicare many physicians are already opting out of Tricare. I'm not a resident of the southwest but in the southeast, you are hard pressed to find a physician that accepts Tricare. Sure there are a few but unless they are like me, a fellow service man, you would not want your pet taken care of by them. In the southeast, Tricare reimburses on average is 12% less than Medicare for an office visit. A procedure is reduced even less. I am a solo practictioner. If I had a practice filled with Tricare patients, I would go broke. Not that I'm not already! With all of the bureaucracy that is required to participate in Medicare and Tricare, my overhead expesense is right at 78% of gross! Add the latest quote I recieved for the "total EMR" system and I will be going broke.$80,000 for the " turn key" electronic medical record management system to make my office "hum"!
Next, this magnificant EMR (electronic medical record) you speak of that is going to make the delivery of medicine so error free and efficient is anything but. Sir, I say poppy cock! Have you actually read or tried to compose one of those so special EMRs? It is pure gobbly gop! The history and physical, office follow up notes and ancillary notes make absolutely no sense when you are the physician that is consulting on that patient trying to figure out what has been done for them. In the time it takes to generate one of those reports, I could have seen three patients, made handwritten notes, and dictated them to be transcribed with a paper copy in the chart by the next day! As for having to sit down at a computer screen and pull up the current hospital record to review, well , sir, that is also another tremindous waste of time when you are on hospital rounds with patients waiting in your office to be seen.
No, sir, there is no efficiency in the "electronic medical record" just an added expense and a great deal of frustration on the part of the physician. Just ask any DOD physician in the ER or the Clinic on a AD military facility. The DOD has already spent 8 Billion dollars on the EMR that still does not increase efficiency nor does it improve patient care. This comment comes from a private pratice physician that is also a military reserve physician.
You sir, obviously do not practice medicine in the trenches because if you did you would know the pulse of your fellow colleges. Shove Oboma care down our throats and just wait an see just how healthy Medicare and Tricare will be. I and many others like me will be opting out! You need to clean your rose collored glasses.
RWK, Col, MC, CFS
ANG
accountant

Vacaville, CA

#6 Jan 16, 2010
viperdoc wrote:
Mr. Flavin,
I beg to differ with your opinion that Tricare is safe and sound. With continured cuts to the physician reimbursement tied to Medicare many physicians are already opting out of Tricare. I'm not a resident of the southwest but in the southeast, you are hard pressed to find a physician that accepts Tricare. Sure there are a few but unless they are like me, a fellow service man, you would not want your pet taken care of by them. In the southeast, Tricare reimburses on average is 12% less than Medicare for an office visit. A procedure is reduced even less. I am a solo practictioner. If I had a practice filled with Tricare patients, I would go broke. Not that I'm not already! With all of the bureaucracy that is required to participate in Medicare and Tricare, my overhead expesense is right at 78% of gross! Add the latest quote I recieved for the "total EMR" system and I will be going broke.$80,000 for the " turn key" electronic medical record management system to make my office "hum"!
Next, this magnificant EMR (electronic medical record) you speak of that is going to make the delivery of medicine so error free and efficient is anything but. Sir, I say poppy ****! Have you actually read or tried to compose one of those so special EMRs? It is pure gobbly gop! The history and physical, office follow up notes and ancillary notes make absolutely no sense when you are the physician that is consulting on that patient trying to figure out what has been done for them. In the time it takes to generate one of those reports, I could have seen three patients, made handwritten notes, and dictated them to be transcribed with a paper copy in the chart by the next day! As for having to sit down at a computer screen and pull up the current hospital record to review, well , sir, that is also another tremindous waste of time when you are on hospital rounds with patients waiting in your office to be seen.
No, sir, there is no efficiency in the "electronic medical record" just an added expense and a great deal of frustration on the part of the physician. Just ask any DOD physician in the ER or the Clinic on a AD military facility. The DOD has already spent 8 Billion dollars on the EMR that still does not increase efficiency nor does it improve patient care. This comment comes from a private pratice physician that is also a military reserve physician.
You sir, obviously do not practice medicine in the trenches because if you did you would know the pulse of your fellow colleges. Shove Oboma care down our throats and just wait an see just how healthy Medicare and Tricare will be. I and many others like me will be opting out! You need to clean your rose collored glasses.
RWK, Col, MC, CFS
ANG
Does that overhead include your own salary? Which, btw, is how much?
thaitruck

Elk Grove, CA

#7 Jan 16, 2010
Mr. Flavin,
How stupid do you think we are??? We were told we would have free health care for us and our spouses for life if we stayed in the military for 20 years or more. That was a lie with the start of the Tricare program. Now you are either nieve or stupid to think that the new Obama DEATH Care Will take of us.
Max

Yountville, CA

#8 Jan 16, 2010
In 1968, the recruiter told us that if we served 20 or more years, we would have EARNED full medical and dental benefits for ourselves and our legal dependants for life.

In 2002, the Bush Administration's Under Secretary of Defense for Personnel and Readiness, Dr. David Chu (who had zero military service), announced that these recruiters and career counselors had NO AUTHORITY to make such promises of free medical or dental care for life and what's more, the DOD had not the funding to carry this out even if they wanted to.

If one is a military retiree living within easy driving distance to a military medical facility, then TRICARE Prime would get one "head of the line" privileges in front of retirees not enrolled in the program.

However, if the retiree chose to live away from any military facilities, he or she is extremely hard pressed to find a private medical practice that accepts TRICARE Prime. The law states that if a practices accepts MEDICARE patients, then it must accept TRICARE Prime patients also.

More and more, private practices are rejecting both MEDICARE and TRICARE Prime as the U.S. Government is one of the biggest deadbeats around at paying its bills.

If a practice does not accept TRICARE Prime, you can still get seen but you must pay your fees up front and then fill out countless claim forms and hope to God that you receive a reimbursement close to the fees that you paid initially in a timely manner. The usual result is that (if you're lucky), you'll receive a check from Uncle Sam 4 to 6 months after your doctor visit and it will only be a fraction of what you actually paid.

It should also be noted that health care for military retirees at a military medical facility is strictly on an as available basis. In other words, if much of a hospital or clinic medical staff is deployed overseas and the remaining staff is too busy treating active duty personnel, retirees will be s**t out of luck and forced to seek care at a private practice.

Today's military members will usually remain in the service for a 20 or more year career mostly for altruistic and patriotic purposes as any tangible personal benefit is rapidly disappearing.

Since: Apr 08

Location hidden

#9 Jan 16, 2010
Max wrote:
In 1968, the recruiter told us that if we served 20 or more years, we would have EARNED full medical and dental benefits for ourselves and our legal dependants for life.
In 2002, the Bush Administration's Under Secretary of Defense for Personnel and Readiness, Dr. David Chu (who had zero military service), announced that these recruiters and career counselors had NO AUTHORITY to make such promises of free medical or dental care for life and what's more, the DOD had not the funding to carry this out even if they wanted to.
If one is a military retiree living within easy driving distance to a military medical facility, then TRICARE Prime would get one "head of the line" privileges in front of retirees not enrolled in the program.
However, if the retiree chose to live away from any military facilities, he or she is extremely hard pressed to find a private medical practice that accepts TRICARE Prime. The law states that if a practices accepts MEDICARE patients, then it must accept TRICARE Prime patients also.
More and more, private practices are rejecting both MEDICARE and TRICARE Prime as the U.S. Government is one of the biggest deadbeats around at paying its bills.
If a practice does not accept TRICARE Prime, you can still get seen but you must pay your fees up front and then fill out countless claim forms and hope to God that you receive a reimbursement close to the fees that you paid initially in a timely manner. The usual result is that (if you're lucky), you'll receive a check from Uncle Sam 4 to 6 months after your doctor visit and it will only be a fraction of what you actually paid.
It should also be noted that health care for military retirees at a military medical facility is strictly on an as available basis. In other words, if much of a hospital or clinic medical staff is deployed overseas and the remaining staff is too busy treating active duty personnel, retirees will be s**t out of luck and forced to seek care at a private practice.
Today's military members will usually remain in the service for a 20 or more year career mostly for altruistic and patriotic purposes as any tangible personal benefit is rapidly disappearing.
Only for full-time, active duty, not weekend warriors.
Max

San Francisco, CA

#10 Jan 17, 2010
Granny had a tough time on the streets last night. She hasn't had a real date in over 43 years and must rely on picking up day laborers on East Monte Vista for pleasure.

Since: Apr 08

Location hidden

#11 Jan 17, 2010
Max wrote:
Granny had a tough time on the streets last night. She hasn't had a real date in over 43 years and must rely on picking up day laborers on East Monte Vista for pleasure.
Well now, which troll are you? Hmmm....43 years? Wow, I must be old then. I just saw the saddest thing. A depressed looking white dude going bald, with an ugly little girl (with a face that looks like it got hit with a mallet, pancake like),about four and half feet tall,(he's short, too) hamhocks hanging in her yellow sweats, turns out it was his date. IS THAT YOU?

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