“Give them a small ‘salary’ and then pay PER PATIENT - just like in the real world.”
You might get doctors running patients in and out as quickly as possible to maximize their income.
One of my problems with the VA is getting any face time with doctors so I can get things treated.
I’ve been trying to get varicose vein socks for five years. Still don’t have them.
They, um sell the socks on amazon. Long live capitalism.
Right - except under a sane system the patient (vet) could CHOOSE a different doctor to see within the system if some doctor was giving him the run around. If a doctor tried that crap in the real world his patients would NOT GO ALONG WITH IT BECAUSE WE'RE CUSTOMERS - NOT 'CHARITY CASES'.
That's the problem: incentives.
As long as 'doctors are God' and 'Vets Better Be Grateful' it will never change.
Create change: make the doctor a provider and the vet a customer and most of the VA's problems will go away on their own. The VA has set up a Stockholm Syndrome setting...