Military healthcare is an absolute disgrace.

Soldiers, Sailors, Marines, Airmen and Coasties deserve better than this.

My husband is active duty military. 

He does things for this country that most citizens wouldn't ever do.  Couldn't ever do, even.  He deploys to combat zones, separating himself from his family, his home and the American way of life to defend the American Constitution (or barrels of oil, depending on your political viewpoint)..  He puts himself in harm's way; he's at the government's beck and call 24 hours a day, 7 days a week.

When he enlisted in the military, he was promised certain things: a pension, (should he stay in long enough to be eligible for retirement) a steady paycheck, and healthcare being but three of them. 

Healthcare.  He's never really had to use the healthcare system before.  He goes in every year for a physical and is seen twice a year for his hypertension, but that's about it.  He doesn't get ill very often, so he's had no reason to utilize the military healthcare system.

Until now.  For those of you who don't know, he's torn his ACL.  Badly. He's going to need surgical intervention - a knee reconstruction.  His doctor told him last night that he'd need to see an orthopedic surgeon and that she'd put in a referral with Tricare, the military's healthcare insurance provider.  Apparently, the military no longer requires their members to see military providers and everybody is getting referred to civilian providers.

my husband spent ALL MORNING on the phone with various orthopedic surgeons, trying to get an appointment to be seen.  Tricare was useless - they literally handed him a printout of all the orthopedic surgeons in the local area and wished him luck finding one that would not only see new patients, but one that would be able to see him in June.  He called, called and called some more, only to be told that 1) they didn't have any appointments until July, 2) they weren't accepting new patients, or 3) they don't take Tricare anymore.  (He'd actually be better off going to the ER and complaining about his knee; that'd give him a better chance of actually being seen by an orthopedic surgeon and getting a surgery date. He won't do that, because he's honest.....yet another situation where honesty doesn't really pay) 

This is an active duty person, a man who puts himself in harm's way for this country - and he's having to chase down an appointment to see about having his knee fixed.  I could see if it were a dependent or other family member being treated this way; we're second class citizens as far as Tricare is concerned, but an active duty Airman? 

It's disgraceful.  Tricare and the military healthcare system should be ashamed of themselves, as should all of those elected officials who voted to cut military healthcare right back to the quick.  It's simply not good enough, America.  It's not good enough, and it's shameful.  We should be taking care of these men and women, not making them worry about how they're going to get their injuries fixed - or even IF they can get their injuries fixed.  We are doing our service men and women a dis-service by treating them this way, America.  We are literally saying to them 'too bad we fucked you out of the benefits you were promised when you enlisted.  Now please apply this lube liberally, turn around and bend over so we can fuck you out of something else'.

You may think I'm being melodramatic about this.  I say that if you'd sat and watched my husband this morning, if you'd watched him call again and again and again, all the while getting more and more desperate because he was being told no over and over again and the rest of his career literally depends on the outcome of this surgery....well, I think you'd have agreed with me.

Military heathcare is an absolute disgrace, and our service men and women deserve better.

That's the bottom line.

 

5,426 views 11 replies
Reply #1 Top
Does he have a Primary Care Physician under TriCare? If not start there first. He will need the PCP to refer him to an Orthopaedic specialist/surgeon through TriCare's referral system. A military doctor and their supporting staff, including the TriCare rep at the Military Clinic really have no clue how to do this. If he's required by your geographical location to use a Military Treatment Facility, lean and keep leaning on that TriCare rep until they call someone to tell them how to do it. The PCP functions as the central point for all other services needed by the patient. Trust me on this one, I've run this gauntlet first hand for the same thing.
Reply #2 Top
I have had to deal with this and had major problems. We got a referral to a specialist and then were billed $800 after the fact because they said they didn't accept Tricare. Now I'm kicking myself for just taking the referral from the primary and making the appointment without calling Tricare myself. This wasn't even a procedure. This wasn't even a hearing test. This was an office visit. Thank God we found out before we scheduled the surgery. I really think I am generally on the ball with these things and sometimes things just slip through the cracks but it is incredibly frustrating. I have done the whole call the doctor who says I have to get a referral from Tricare first, call Tricare they say I need to set up the appointment first and then call for the referral. It gets ridiculous.

If they don't have an appointment available sometimes you can ask to get on a call list if someone cancels. Be super nice to the receptionist and keep trying, call everyday if you have to. Ask for the first available appointment so you have something scheduled and then keep calling back everyday to see if there has been a cancellation or if they can somehow get you in earlier. Not that I think you should have to do it but if it gets him seen that is the main thing.

If it continues and he can't get an appointment in a reasonable amount of time, start making noise. Call the command, call the wing, call the ombudsman, call the Chaplain, call the base skipper, call your congressman, call the head of Tricare. Even better write letters and cc everyone you can think of including the newspapers. When there's a paper trail people seem to move a little faster. It's pretty easy for them to ignore the little call message slips but letters seem to get a little more attention especially if you send it certified mail, then they know you mean business.

I hope it all works out for you. Just be persistent. Sometimes I think they just want people to give up and decide it's more trouble than it's worth. Not that he has an injury that can be ignored but just in general, you know what I mean.
Reply #3 Top
Oh wow. That's ridiculous.

Does your MTF not have an orthopedic surgeon?

I don't have any advice since I'm fairly new to Tricare, but I will definitely join you in saying that it's completely wrong for him to have to go through this. Particularly considering his injury occurred on duty.
Reply #4 Top
This is pure bullshit! When I was in the service they handled all of this for you. All you had to do was show up.

What the hell has happened to our military health care? There is no excuse for this shit.
Reply #5 Top

I can't and wouldn't disagree with you about this all being disgraceful, but I think it's symptomatic of larger problems in the insurance arena as my family is all civilian at this time and we've had the fun of dealing with similar issues with names like Kaiser Permanente, Blue Cross, New York Life and others over the last 15 - 20 years.

No matter what company you have, the providers you want to see won't take that insurance.  When they do take it, they aren't taking new patients, and boy, heaven help you when you do hit someone that is taking new patients and does take that particular insurance as you've probably just found the equivalent of The Simpson's Dr. Nick.

None of which is to say that you and your husband don't deserve the best medical care we can provide, just that it seems that virtually all health insurance is problematic in this country.  Something that Universal care, Single payer, etc., ain't gonna fix.  If we ever do get a Universal care plan, heaven help us all.  It'll just flood the competent doctors til they all decide they can't take more patients, until that is legislated by Congress, until the docs screw up major and the Congress again interferes and mandates that doctors only take xxx number of patients, all in a never ending cycle of disgusting crappy medical care for all of us

Reply #6 Top

There's one more difference between the Army and Air Force... The Army doesn't use lube. ;~D

 

The real reason there is no charge for Military healthcare is, when we go to be treated, we are basically offering ourselves up as training aids for the medical personnel.  We are helping them keep their skills honed.

I've had the honor of knowing, being treated by, trianed by, and training some of the finest medics, techs, nurses and physicians there are... I have also been inflicted with some of the sorriest excuses for the same.  Through it all, the worst is what you and your husband are going through, the simple truth that socialized medicine is more about facts and figures than treating our nation's bravest.

((((((((Karen))))))))
Reply #7 Top
This blows. Really. I wish I had the first clue how to give you advice on this.
Reply #8 Top

Does he have a Primary Care Physician under TriCare? If not start there first. He will need the PCP to refer him to an Orthopaedic specialist/surgeon through TriCare's referral system

He does, she did, and that's how we got to where we are.  I'm very experienced with Tricare; I had my spine fused a couple of years ago and went through hell trying to get authorization for it.

My point is that the military member shouldn't HAVE to do this.  They should be getting the best care mthis country has to offer, not chasing down cancellations so they can be seen in a timely manner.

If they don't have an appointment available sometimes you can ask to get on a call list if someone cancels. Be super nice to the receptionist and keep trying, call everyday if you have to. Ask for the first available appointment so you have something scheduled and then keep calling back everyday to see if there has been a cancellation or if they can somehow get you in earlier.

Already did that.  The soonest he can get in is July, and that's not feasible.

Oh wow. That's ridiculous.

Does your MTF not have an orthopedic surgeon?

Nope.  This hospital used to be a fully functioning one.  Now it's nothing but a giant walk-in clinic, and that disgusts me.

 

This is pure bullshit! When I was in the service they handled all of this for you. All you had to do was show up.

What the hell has happened to our military health care? There is no excuse for this shit.

That's how it used to be - and should be - for us.  I dunno what happened, Mason.  All I know is that it's disgraceful.

 

I can't and wouldn't disagree with you about this all being disgraceful, but I think it's symptomatic of larger problems in the insurance arena

Oh absolutely.  I totally agree with you.

There's one more difference between the Army and Air Force... The Army doesn't use lube.

Ouch!

 

This blows. Really

I know.

 

We ended up going over to the tricare office and refusing to leave until we got some results.  One doctor who knows the referral specialist personally did her a favor and agreed to see Dave on Wednesday, so we're heading over the river to his office armed with MRI results Wednesday morning.  However, that she had to call in a favor to have an active duty member injured in the line of duty seen is ridiculous.  It shouldn't have to be this hard.

Something is rotten in the military healthcare system, and I encourage all of you to call or write to your elected officials, telling them how you feel about this treatment of servicemen/women.  I'm going to be writing some letters myself....

Reply #9 Top

Something is rotten in the military healthcare system, and I encourage all of you to call or write to your elected officials, telling them how you feel about this treatment of servicemen/women. I'm going to be writing some letters myself....

While you are writing letters, I'd try writing some to the local news (TV and print) and get them involved.  Lord knows they'd love to shake things up for the military and/or do expose (ex-po-say) type news pieces about how the military brass is ignoring the needs of our troops.  It might get more attention on things that way....

Reply #10 Top
argggggggggggggggg!!!!!!!!!!!!!! I am so tired of our Military being treated like 4th class citizens.. I could scream!! matter of fact I just did.


WTF has happened? When I was In I was treated like royality when I was ill, but then it might be due to the 247,000 1965 dollars they spent on training my sorry ass.
Reply #11 Top
I'm sure all active duty military members have heard horror stories of the health care system.

First, there's the troop clinic. The constant joke concerning it is the "Motrin and RTD (return to duty)" prescription, regardless what's wrong with you. There's also the fact that, if you're too sick to go to work, you have to go to work, sign in, and then go to the troop clinic. Wait there until they see you (NCOs go before junior enlisted, and I'm still not sure how I feel about that) and then go back to your unit to tell them what the Doc said. If you do get permission to go home ("quarters"), you still have to drive yourself... and it could already be noon, anyway.

And, again, they may not take your complaints seriously. I have heard a story about a soldier in my ex's previous unit who went to the troop clinic with chronic headaches for months. "Motrin and RTD" every time. Eventually, they scanned his head... inoperable brain tumor. Whoops! At least the Army paid for his funeral (they didn't put him out at his ETS date so that they could continue to take care of him).

There are people who get overdiagnosed as well. I know people with virtually nothing wrong with them who were able to swing 25-30% disability because of a stack of medical records from the troop clinic.

Anyway, you know he has to get this taken care of, he knows he has to get this taken care of... I'm sure y'all will get this taken care of. At least they've identified the actual problem.