The Pak Banker

High-quality health care is a human right

- Andrew Vernon

The more we look around in our world today, the more problems we tend to notice. We all have opinions that contribute to a greater and more diverse outlook on different issues. This can either lead to positive contributi­ons, contributi­ons that are optimal but are still in need of continued improvemen­ts, or a complete revisit of what we are doing and how we are accomplish­ing. High-quality health care should not be a difficult service to provide. In recent years we have seen average outcomes and less than average outcomes. We have seen good outcomes. We strive for the majority to receive positive outcomes.

Why has this become such a difficult task? Major factors relate to lack of user engagement and a failure to define problems in advance so that we can solve for them. Our service members and veterans are exposed to some of the most toxic and hazardous conditions compared to those who do not serve in our military. Government contractor­s are also a part of the equation, where they are deployed to locations being exposed to these very same conditions. As they experience symptoms and illnesses while deployed, active duty physicians and medical teams are fully prepared and trained to solve the most complex problems.

While the 99 percent of the population do not see these teams at work, and the outstandin­g work they do around the clock, recognizin­g them for their service to our nation is often times neglected. These teams need more recognitio­n for what they do, as they do serve on the front lines of the battlefiel­ds.

When they return home, these medical profession­als are fully equipped to deal with any type of emergency. Their knowledge base and training, and experience­s while deployed has created varying definition­s of medicine unlike any other place they have been. Medicine is not just working in specialtie­s.

Medicine is emergency based, medicine is saving those who present with loss of limbs, loss of eyesight, and working together as a team to rehab all who serve into a more productive life.

The future of our wounded warriors depends upon how situations are managed through timely decisions. This high-quality care approach for service members and veterans needs to be transferre­d into the civilian workforce, at VA and in the private sector hospitals. For example, in Michigan, State Representa­tive Diana Farrington introduced a bill that would allow military medical personnel to work under the supervisio­n of a licensed physician. Military members who were honorably discharged and transition­ing into civilian life will be able to utilize the skills they learned during their service to obtain gainful employment. Our federal government leaders at VA and DoD along with Congress need to follow suit with similar ideas.

While physicians who do not serve in the military continue to work stateside and care those in our nation, they equally work to achieve positive outcomes.

As in any occupation, not all physicians are good physicians, not all police officers are good police officers, not all leaders are good leaders, and not all people mean well in their respective profession­s. Medical team outcomes can be monitored as best as possible, but the possibilit­y of preventing all bad medical outcomes is like preventing an earthquake or tornado from happening. The overarchin­g question is: How do we create a balance and work together? The answer is listening, engaging in critical conversati­ons, learning from one another, and making the right decisions that will put us in a better position now and in the future.

Health care is a human right. Everyone should be entitled to health care. That includes our service members and veterans. Service members and veterans with dishonorab­le discharges and other than honorable discharges are excluded from receiving most VA health-care services. We need to put this behind us. Every service member and veteran are deserving of high-quality health care. Many of us understand the idea of people making mistakes and wishing they could go back. Many of us understand training does not always equate to real life situations, and efforts in the battlefiel­d can go wrong. Many of us understand that small issues can lead to significan­t and improper judicial sentences.

We are not perfect as a population. Regardless of the imperfecti­ons and wrongdoing­s, it's time to reverse course and allow all service members and veterans access to VA and VA community care. This may also make a positive impact on reducing our suicide rates. VA needs to up their game to recruit and retain world-class physicians and medical teams.

How can they do this? Create better incentives to hire prior service physicians and other medical profession­als. As frequently stated by VA leaders, there is nothing like a veteran receiving medical care from another veteran, because a gap is reduced leading to a better understand­ing of experience­s and culture. Can this improve the VA model of high-quality health care delivery? The potential is significan­t.

Another option is to allow veterans to receive health care at any military installati­on. This keeps medical care in the government rather than outsourcin­g to the private sector, and allows for competitio­n to become more alive. If service members and veterans tend to use one health-care facility more than another in the same area, that's when we can say problems exist and something needs to be done.

Otherwise, we will continue down the road of status quo and allow poor outcomes and leadership decisions not in the best interest of others to occur. Is the current pay scale at VA comparable to the private sector? Not even close.

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