Wednesday, April 21, 2010
I love the VA. I love the fact that I get off exactly at 4:30 pm and that I don't ever work any weekends or night shifts anymore. I am really digging the fact that the VA is about to make my life a whole lot easier.
The VA, as you can imagine, has fully embraced the concept of the medical home (cue angelic holy music). Granted, as one of the few working Americans left, I'm paying for most of this medical care anyway, but it doesn't mean that I'm bringing all my patients home with me. It means that thousands of dollars have gone to creating self-important planning committees and taking hundreds of VA employees to spend a week at the Venetian Hotel in Las Vegas (that's your federal tax-dollar at work!) Apparently I'm part of a "teamlet", which involves a medical provider, RN, LPN, and a clerk. Theoretically this means that the patient gets better care. In reality, it means that the patient is going to have even LESS access to his/her doctor. It means that we're going to have more nurses and non-medical trained clerks providing a "medical home" for the patient.
Isn't that sweet? I just want to know if I can also get an interior decorator on my team...
It means that instead of actually seeing your doctor in clinic, you'll now have the opportunity to have your checkup by telephone. IF you're lucky. More often than not, a nurse will be the one calling you with your labs and telling you not to even bother coming to clinic. Got a problem? Talk to the clerk. All of a sudden, I'm like the freakin' Wizard of Oz, which means that you're going to get a whole lot of "fluff and buff" and not much actual medical care by me. Good luck with that.
In the meantime, I'm thinking of hiring a shirtless pool-boy for my medical home as I sip on my organic acai berry cosmopolitan from my recycled earth-friendly martini glass.
Posted by QuiXXote at Wednesday, April 21, 2010