By Phillip Longman
Top Care wherever, 2d variation demonstrates how an ongoing caliber revolution within the nation’s veterans hospitals presents deep classes for reforming the U.S. wellbeing and fitness care process as an entire. the recent variation is very well timed with the winding down of the nationwide debate over well-being care assurance reform, with the intention to unavoidably shift concentration of reform to the perform of medication itself. The VA, by means of making large use of digital clinical documents and evidence-based drugs, has constructed a version of twenty first century wellbeing and fitness care that reinforces defense, rate effectiveness, and sufferer satisfaction. And in so doing, it has confirmed that almost all of we expect we all know approximately overall healthiness care is simply unsuitable. New to this variation: • dialogue of substantial alterations in healthiness care politics for the reason that 2007, and the way the VA version of care matches in. • New insights on how the VA version will form twenty first century wellbeing and fitness care. • How Bush management regulations undermined many winning points of VA well-being care, and the way the Obama management is commencing to placed topic correct for our wounded warriors. • up to date assurance of federal details know-how tasks in wellbeing and fitness care, and the teachings supplied by means of the VA’s “open resource” software program improvement. * New details at the carrying on with results of publicity to Agent Orange, and its deeper implications for rethinking who must have entry to VA care. * a suggestion for rolling out a brand new civilian model of the VA that now has won political viability in gentle of the final failure of different methods to healthiness care reform. A civilian VA is a real “public choice” in healthiness deal with which Progressives and different americans needs to rally.
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Extra info for Best Care Anywhere: Why VA Health Care Is Better Than Yours (2nd ed)
7 percent in real terms from 1999 to 2005. 21 Or consider this measure of the VA’s medical efﬁciency. Veterans enrolled in its health-care system are, as a group, far older, sicker, poorer, and more prone to mental illness, homelessness, and substance abuse than the population as a whole. Half of all VA enrollees are over age sixty-ﬁve. More than a third smoke. S. residents in general. Name any chronic disease—Alzheimer’s, cancer, congestive heart failure, sclerosis of the liver—and a much higher percentage of veterans have it than do Americans in general.
Or aging veterans stuck in those presumably ﬁlthy VA hospitals, with their antiquated equipment, uncaring administrators, and incompetent staff? An answer came in 2003, when the prestigious New England Journal of Medicine published a study that used eleven measures of quality to compare veterans health facilities with feefor-service Medicare. ”6 BEST CARE ANYWHERE / 3 Here is another curious fact. The Annals of Internal Medicine in 2004 published a study that compared veterans health facilities with commercial managed care systems in their treatment of diabetes patients.
Even as the VA faced severe budget cuts and loss of political support, the large numbers of World War II and Korean War veterans it served were then beginning to experience the inﬁrmities of old age. VA doctors in that era found themselves dealing more and more with aging patients beset by BEST CARE ANYWHERE / 11 chronic conditions such as hypertension, diabetes, and cancer, and they had to ﬁnd a way to manage these diseases with dwindling resources. The happy, if unexpected, result was an explosion of organizational and technological innovation, most of it started by individual VA doctors acting on their own, that the private sector still cannot match.
Best Care Anywhere: Why VA Health Care Is Better Than Yours (2nd ed) by Phillip Longman