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16 July 2020


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To clarify my last sentence, there are "Former military people" who served for a time and then left the military altogether and have no continuing relationship with the military, and then there are "Retired military people" who served for a long time and were granted the status of "retired." These people, like me, are still members of the armed forces and continue to be paid albeit at a reduced percentage. they also have access to military posts and facilities for life. The other way to acquire "retired" status is for service connected injuries that are crippling.



On the subject of VA health care - IMO "retired" officers should not use VA health care except in emergencies. They have other avenues to obtain care through TRICARE or directly from military medical facilities. IMO if they routinely use VA health care they are taking up space that enlisted people usually need more. BTW, I am fully documented for VA health care and have never used it. I have 60% VA evaluated disability.

scott s.

It's not an unreasonable position to take. As it happens my wife does use the VA, but isn't a heavy burden on the system (mostly mammogram and annual interview). She started using it because it was difficult to use Tricare for routine care after her retirement. I was more fortunate since I retired first I was in Tricare as a "family member" (used to be called dependent) and had much better access. After she retired I was "grandfathered" in. Of course I was kicked out at 65 now I'm "doctor-less" as getting a PCP to accept new medicare patients in Hawaii is not easy. But I'm not complaining as I know others have a much harder time of it, especially if forced into obamacare policies.



After 65 you can use Tricare for Life as a second payer and Medicare as a primary payer.

scott s.


Yes TfL is there, but it doesn't help the doctor out who is limited to the Medicare approved rate. Though in Hawaii one insurer (HMSA) has the bulk of the business (including Medicare advantage) and they have forced primary care docs into a capitation system so folks like me who are "free agents" may be more attractive. I am in the VA system (20% rating) but like you have never used it. But I do believe VA should mainly be for those with disability ratings, not just those who served but are poor.

We haven't had VA horror stories in Hawaii but our history is that for many years we have had a senator on the VA committee (Spark Matsunaga and Daniel Akaka) and they had a priority of taking car of Hawaii vets (really, the legacy of the 4-4-2 and "one puka puka").



So far as I know you cannot get VA medical on the basis of being poor.


This is a bit off-topic, Sir, though related to the US military indirectly, thus you may be interested nevertheless.

I pity the American voter now as I did in 2016. And yes, true, it feels that SST has been non-stop campaigning for Trump since he ascended to the throne which didn't leave much time for topics not somehow related to the reelection of the 'cherry blossom king'.

Glenn Greenwald, House Democrats, Working With Liz Cheney, Restrict Trump’s Planned Withdrawal of Troops From Afghanistan and Germany:



We are at a hinge of history. Nothing is as important as defeating the Democrats/Marxists in the coming election.


I thank you for your remarks as a VA employee in Boston of 10 years. Our health care system is on of the best in the VA and has centers of excellence that rival many in the private sector (spinal cord injuries and gastroenterology to name a few). Nobody can screen "Angels of Death"...it's also sometimes very difficult to connect the dots to know you have one.


Stories about ‘killer angel’ nurses (and doctors) don’t seem all that infrequent. This story reminds me of the Dr. Michael Swango, M.D. case where Swango was killing patients fairly regularly until he’d be fired by a hospital and then he’d just move on to work at another hospital and start killing again. One of the hospitals Swango worked at and was killing patients was the VAMC in Northport, New York. He worked there after his 5-year prison stint for poisoning co-workers in Illinois.

Writer James B. Stewart wrote a book about Swango and how he was able to evade detection:

Blind Eye: The Terrifying Story Of A Doctor Who Got Away With Murder



But the most egregious of killer nurses was Charles Cullen. He is suspected of killer upwards of a hundred patients. He worked at about a dozen hospitals, being fired for patients dying and then quickly being hired by other hospitals (Nb: HR departments are directed not to release derogatory info on former employees).


If you have Audible be sure to listen to this riveting book on the Cullen case:

The Good Nurse: A True Story of Medicine, Madness, and Murder


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