Health Care: A Right or a Privilege?

by prophecor 401 Replies latest members politics

  • LittleToe
    LittleToe

    Lisa:

    I like the exchange of ideas and theories

    Me too

    Eyebrow/Terry:
    Uncle Sam?

    Sammie:
    I work as a Mental Health and Learning Disabilities Manager. It's nice to see that there are others in similar fields.

    You highlight one of the main issues with working on a salary, that being that you can't just clock out if there's work to be done. I'm rarely finished before 6pm, and it's often much later, especially if there are evening meetings. That's one reason that I don't mind taking the occasional break to post here, often between jobs to clear my head on the more frenetic days.

  • stillconcerned
    stillconcerned

    Sammie-

    Where ya from? Just wondering if stateside.....

    While working for the govt, I handled employment law issues in two different large metropolitan areas.

    The issues involving simple work ethic (i.e. 'can you be considered (remotely) to be doing your job) were staggering in breadth. Firing someone for failing to WORK was extremely difficult, particularly if the individual knew 'the game' re checking the 'box'.

    Unions end up causing some of the same issues, but that's another subject.....

  • stillconcerned
    stillconcerned

    ...and don't get me wrong: i am not suggesting NO-ONE who works for the U.S. gov't has a healthy work ethic. In my experience, simply not the norm.

    AND..... not limited to my actual employ, as i regularly interact with agency employees in my private practice.

  • Terry
    Terry

    TENURE is the problem.

    What you reward; you get more of. A system that rewards people for slackness, ineptitude and apathy THE SAME as it rewards competency only

    drives out the competent spark of human endeavor. Why bother TRYING when the jerk next to you gets the same wages?

    Add to that the mindless maze of bureaucratic redundancy and hoop-jumping and red tape which is evident to thinking people and invisible to the employee who doesn't care anymore anyway.

    In a way a bureaucracy is a another mirror of socialism. You prop up the weak at the expense of the strong. It is the opposite of evolution.

    T.

  • LittleToe
    LittleToe

    Terry:
    Have you ever worked in Healthcare?

    Believe me, it's vocational, and the majority of folks don't go into it for the money (even though consultants can make shedloads!).

    The incentive, and major part of the psychological employment contract, is the ability to help people, not remuneration. This is where pure capitalism falls down, on this score. Some people do have an altruistic streak.

  • stillconcerned
    stillconcerned

    yup. The folk i know who do it WELL are called to it; literally i think.

    Perhaps really true of any vocation which requires REAL service to people.. If you're called to it, you do it well, if not.....

  • LDH
    LDH
    While working for the govt, I handled employment law issues in two different large metropolitan areas.

    The issues involving simple work ethic (i.e. 'can you be considered (remotely) to be doing your job) were staggering in breadth. Firing someone for failing to WORK was extremely difficult, particularly if the individual knew 'the game' re checking the 'box'.

    OK Little Toe, happy Friday. I have some time.

    You asked about my seeming conflict of statements. The government is made up of hard working people, this is true. I believe mostly to be in the military and the IT portion. While I don't think tenuring of any position is in the best interest of any company sincerely dedicated to doing the best job, hey, it works for some.

    My disparaging remarks reference public insurance company employees who could potentially become government employees. Allow me to share my contempt for most of the low level customer service type folk who are on a call or claim quota. This my friend, is business. You need to average 80 calls per day in order to be profitable for the insurance companies.

    Ah ha! you say. Lisa, we are talking about NON-PROFIT employees who would not have to worry about turning a profit and therefore would be more focused on altruistic endeavors.

    HOG WASH.

    Note this article that ran last week in the Knight-Ridder papers. It discusses the level of competence our military veterans get when calling to check on their free government medical benefits.

    Calling VA? Good luck

    Answers are wrong as often as right

    By CHRIS ADAMS
    KNIGHT RIDDER NEWSPAPERS

    WASHINGTON - A veteran who turns to the Department of Veterans Affairs for information about benefits might want to get a second opinion.

    According to the VA's own data, people who call the agency's regional offices for help and advice are more likely to receive completely wrong answers than completely right ones.

    To see how well its employees answer typical questions from the public, VA benefits experts in 2004 called each of the agency's U.S. regional offices, which process veterans' disability claims. The so-called mystery callers, saying they were relatives or friends of veterans inquiring about benefits, made 1,089 calls. Almost half the time they got answers that the VA said were either completely incorrect or minimally correct.

    According to a VA memo on the mystery-caller program that's buried in the department's Web site, 22 percent of the answers the callers got were "completely incorrect," 23 percent were "minimally correct" and 20 percent were "partially correct." Nineteen percent of the answers were "completely correct," and 16 percent were "mostly correct."

    The program also found that some VA workers were dismissive of some callers and unhelpful or rude to others.

    One caller, for example, said, "My father served in Vietnam in 1961 and 1962. Is there a way he can find out if he was exposed to Agent Orange?" The VA's response, according to the VA memo: "He should know if they were spreading that chemical out then. He would be the only one to know. OK (hung up laughing)."

    The memo said the response was "completely incorrect" because it gave no information, and also was "rude and unprofessional."

    The 2004 survey found improvements in some categories compared with a similar study in 2002. Timeliness improved, but scores on "willingness to help" and "courtesy/professionalism" dropped. VA workers also used "too much jargon," confusing to many veterans, the memo said.

    VA officials acknowledge that the agency needs to do better. Daniel Cooper, the department's top benefits official, said in a memo to VA regional offices that the results of the mystery-caller program "are below expectations and are disappointing to the organization... . We must be able to provide prompt service and give correct answers with the courtesy and professionalism that our customers deserve."

    This week, VA officials said they'd taken steps since 2004 to improve their performance, among other things setting up a small pilot program to monitor employees silently as they answer questions.

    While the VA said the pilot program improved performance, thus far it's been used in only four out of 57 regional offices. Other offices are scheduled to begin the silent monitoring by the end of fiscal 2006.

    Beyond that, the VA said it is working to improve its service by boosting training and using role-playing exercises for some phone calls. Other quality-improvement programs are expected to be put into place in the next two years.

    Veterans across the country said their experience with VA call centers suggested there is still significant room for improvement.

    "The VA needs a change of attitude," said William Jones, a veteran from Greenville, S.C., who's been butting heads with the agency for several years. Jones, a semiretired physician, said he'd received bad medical information and repeatedly gotten the runaround in his attempt to get compensation for ailments that he said were linked to his military service.

    The mystery callers also judged the courtesy, willingness to help and promptness of the people who answered the VA's phones. They found that many VA offices were helpful and friendly even as they provided bum information.

    Bum information, however, is the biggest problem.

    One mystery caller asked about benefits after a Vietnam veteran died of lung cancer. Many conditions have been linked to Agent Orange, which was widely used in Vietnam. But the VA regional office said lung cancer was "not one of the conditions related to Agent Orange."

    According to the VA's evaluation, that answer was "completely incorrect."

    Another mystery caller asked about a grandfather who'd been injured in the Korean War. "When he dies, is he eligible for burial in Arlington National Cemetery?" the caller asked.

    Response: "I can't answer for Arlington. You can call your congressmen. They love doing those kinds of things for their constituents."

    The VA's evaluation: "Completely incorrect... Unprofessional; unwilling to help."

    Another mystery caller asked whether her husband could get help from the VA for a back problem he'd had for years. "I don't know," the VA regional office said. "He just has to file a claim."

    The evaluator found that the response was completely incorrect because it didn't give an answer, and the VA official was "discourteous" and "unwilling to help."

    CALLER: "My husband just started going to college using the Voc-Rehab program, and I was just wondering how long he has to use this program."

    RESPONSE: "I don't know. He needs to ask his vocational rehabilitation counselor the next time he talks with him."

    VA EVALUATION: "Completely incorrect," because it didn't answer the question. Also was "unprofessional and discourteous."

    CALLER: "My brother is being discharged in two weeks from the Marine Corps. Are there any veterans' preferences for state or federal jobs?"

    RESPONSE: "No preference. Everyone is a veteran. With government, you get points if you're a veteran. For a disabled veteran, there's points. Nothing out of the ordinary."

    EVALUATION: "Completely incorrect," because it gave the wrong information. Also: "tone discourteous; unwilling to help."

    CALLER: "My dad was killed in a training accident while on active duty just before Desert Storm. Does the VA offer any benefits for me to go to college?"

    RESPONSE: "Was your mother in receipt of benefits from the VA?... Did your father die on active duty?... Well, if your mother was in receipt of benefits, you would be eligible. But you're telling me that your mother was not in receipt, so you are not entitled."

    EVALUATION: "Completely incorrect" because the child would be entitled if his father had died on active duty. Also: "tone was discourteous."

    - Source: VA memo on "2004 Mystery Caller" program.

    The memo is available online at www.warms.vba.va.gov/admin20/letters/vba04 42.doc


    VA mystery callers

    When callers posing as veterans' friends or family members called the VA to ask questions about benefits, they often got incorrect or rude responses. Some examples from a VA survey, along with VA experts' evaluations of the responses:

    CALLER: "My son served in Vietnam, and he just died of lung cancer. I have custody of his 10-year-old daughter. Are there any benefits for my granddaughter?"

    RESPONSE: "What is your son's Social Security number?"

    CALLER: "I don't have it."

    RESPONSE: "Well, I can't help you if you don't give me any information... . What is your monthly income?"

    CALLER: "About $200 a week."

    RESPONSE: "Well, that sounds like it is awful high, and you wouldn't be eligible."

    VA EVALUATION: "Completely incorrect," because benefits might be available for such a child. The VA worker was also "very discouraging" and "didn't express empathy in recent loss of son."

    http://www.sunherald.com/mld/sunherald/news/state/13521999.htm

    Little Toe, I'm sorry, but I can't think of a more deserving group to get accurate benefit information on benefits they have EARNED my friend. Yet the level of shoddy customer service is a significant issue.

    I can't think of a worse government employee to have than someone processing claims. YECH!

    Hi there abaddon you handsome devil you!

    Lisa

    You were saying????? Class

  • LDH
    LDH
    LDH

    Hi ya!

    Isn't it great how Americans are so devoted to capitalistic principles? A company employing people at will is socially derilict. Yes, it maximises their potential flexibility and arguably profitability, but minimises social obligations. Obviously the fact I think employers have social obligations is my opinion.

    Hey babe!

    OK note: the two are not mutually exclusive.

    I've worked At-Will my whole life. I was discharged once. I was waitressing when I was pioneering, and the owner's wife caught her husband checking me out one too many times. I was outta there!

    Most of the people who complain of at-will employment do not have the work ethic and drive that it takes to be successful on their own merits. Just a personal observation.

    Lisa

  • LittleToe
    LittleToe

    Unless I've very much missed the thrust of your post, it looks to me like you're shooting arrows in the wrong direction

    While you may have experience in insurance claims, that's not how the service works here.

    Here, if you're ill, you phone for an appointment to a GP (General Practice) Surgery, where you usually get seen within 48 hours (and far, far sooner in some places - sometimes immediately, if your symptoms seem to warrant it). You will usually be diagnosed on the spot and if you need medication then you will have a prescription handed to you.

    After this initial filtering, if you need a specialist you will be referred for an appointment at a hospital, and will incur no cost. This can sometimes take some time due to an overstretched service, but you will eventually be seen and treated. If your case is urgent then the process is expedited by the GP's liaising with the consultant concerned.

    If you need medication, this is usually taken to a local chemist and the medication will be provided to you for a flat rate of £6.50 per item. If you have a chronic illness you can pre-pay for a certificate, which will give you "free" medication for a year at a cost of £93.20 (see also the costs for NHS dental and optics here:http://www.dh.gov.uk/assetRoot/04/10/69/10/04106910.pdf).

    There are no claims to then make. Everything is free or has a minimal charge at point of need. This works similarly for accidents where an individual will either present themselves to an Accident and Emergency unit of a Hospital, or will be brought there by an ambulance. Treatment and medication is free for the duration of the treatment and hospital stay. You aren't held up while they check that you're insured, and you are never billed for this service - you needed it - you used it - you went home.

  • LittleToe
    LittleToe

    You can explain "at-will" to me, if you like. I'm not familiar with that system

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