It's absurd to me that the government thinks they can do a better job of running health care than the private sector can. Actually, no, it's not absurd that they think that; of course they think that. They think they are the all supreme masters of the universe. What is unfathomable is imagining what health care will become if this stinking reform bill becomes law.
Now, understand, the following tirade comes not from a seasoned military insurance beneficiary. My blanket remarks toward an entire federal system come from only two brief, one year stints with Tri-Care.
To begin with, there's not one single entity which knows how the entire system works. You can't just call up "customer service" and get a step by step explanation of how to obtain the insurance, much less how to receive medical services. Staff at one phone number knows just enough to make you think you have all the information, when in reality, it's the tip of the iceburg. Being armed with what you assume is a full knowledge arsenal, you head off to the clinic on (insert military installation name here).
If you paid attention to the mail, you would by now know who your Primary Care Manager is. Oh, you don't now what that is? Well, you will have to revisit the phone tree approach to service and get a PCM assigned right away. After all, your assigned PCM is the gatekeeper to your entire physical/psychological well being. You cannot have any services without this guy/gal's authorization. However, the "system" can automatically bump you to a new PCM without your knowledge as they see fit. So don't get attached to a particular doctor, because you may soon have to part ways. Nothing is more heartwarming than retelling your entire medical history to the new PCM so they can pick up where your last doctor left off.
On occassion, you may have what you consider to be a serious condition which requires, in your non-educated, unprofessional opinion, immediate attention. Well, good luck with that. You'll still need a referral. Even if you call to get a referral to an urgent care off-base, they sucker you into waiting until the next available appointment with your doctor, because "it costs them too much" to have you go to an urgent care. Once at the doctor's office, you're then told that the custom medical equipment you need isn't covered on Tri-Care. Go buy it yourself. Thanks.
But, here's a little trick. Go to the ER at a hospital, take up their time and resources for a non-emergency, but kind of serious issue, and the PCM will have to authorize it after the fact. Sneaky, sneaky and not even close to cost effective for the system.
Once you have experienced the joys of all of the above, it's time to fill your prescriptions. It's great fun to get free drugs! Wait, not so quick. First you must wait for the doctor to send the Rx through the fancy computer. Once your Rx actually arrives at the pharmacy, you have to do what is called "activating" your prescription. It sounds like some kind of missionary effort. Now you are ready to wait for the pharmacy to fill it. Yay! Just wait for your name to pop up on the giant flat screen (I'm sure it's the taxpayers-didn't-really-pay-for-it economy model) and then you can go wait in line again to receive the goods. It may behoove you to note at this time that at each check point along the way, from signing in at reception, to getting labwork, to Rx activaton, and then finally pick-up, you will be asked to present your ID and "yellow card", which is the magical key that accesses top secret treasures (even though this card is handwritten and contains the same darn information as the computer system they use when they plug in your ID info.)
Are you tired yet? I know, this story is way too long and not noteworthy in the least. Now you understand how the government system will make you feel. Now imagine that you have to pay for this fine program. No, wait, not just pay for it, but be required to purchase it and pay for it under the penalty of law.
Should there be any doubt regarding the ridiculousness of this all, may I submit Exhibit A: a sign posted at the pharmacy with instructions on how to . . . wait for it, wait for it................ How To Wait in Line. No, I'm not kidding.
I'm telling you, if this catches on, I think I'm going to start taking the fam to the vet with the cats for our continued health care. I'm sure it would be an upgrade.