Mr. Trump’s ideas are quite good, especially that under a Trump Administration, all veterans eligible for VA health care can bring their veteran’s ID card to any doctor or care facility that accepts Medicare to get the care they need immediately.
I think this means that veterans will be able to establish sound, ongoing, non-conflicted, spontaneously functioning doctor patient relationships with doctors who are not part of the VA system. It’s my view that in concert with this move to have doctors in independent private practices see patients who are veterans, the doctors who currently are part of the VA system should no longer receive a salary from the Veterans Administration but rather be treated like the doctors in independent private practices, i.e., fee-for-service. In that way the competition will really increase, i.e., the competition will be about getting patients seen and properly treated as opposed to receiving a big salary for achieving some administrative quota.
Although the problems with the Veterans Administration Health System are multi-layered, one thing that I believe to be true is that the VA doctors have put up with it for years. Why have they tolerated a system that so interfered with and infected a properly functioning doctor patient relationship? Removing the doctors’ status as VA employees and treating them as independent private practitioners with the same demands of accountability, quality of care standards, and malpractice threats as independent private practitioners endure, I believe, will greatly improve veterans health care and the system which administers it.