Team Infidel
Forum Spin Doctor
Orlando Sentinel
May 30, 2008
Pg. 25
By Halimah Abdullah, McClatchy Newspapers
WASHINGTON -- Across America, soldiers, veterans and their families are running into red tape and roadblocks when they try to use their military insurance to get treatment for ailments such as post-traumatic-stress disorder.
Since 2003, about 40,000 troops have been diagnosed with PTSD. The number of cases rose by about 50 percent in 2007, according to Pentagon statistics released this week.
The deployment of hundreds of doctors and therapists to Iraq and Afghanistan and the shortage of military health-care providers has forced patients at U.S. installations to wait for months for appointments -- and longer if they need to see a specialist, according to advocacy groups for members of the military and their families.
Meanwhile, civilian doctors and psychiatrists say they're often faced with tough decisions about whether to turn away patients on Tricare, the Defense Department program that insures 9.2 million current and former service members and their dependents, because its reimbursement rates are low and its claims process is cumbersome.
Others volunteer their time and services rather than navigate Tricare's red tape for what may ultimately prove to be a small reimbursement for services.
"We do have a lot of doctors who are seeing Tricare patients almost on a pro bono basis because they care, and for the love of their country. But it's easier to do that if it's a dozen patients than if there are 100 patients," said Steve Strobridge, the director of government relations at Military Officers Association of America.
Tricare's reimbursement rates are linked to Medicare levels.
Health-care providers who treat patients on both programs will take a 10 percent pay cut July 1 and a second, 5 percent pay cut Jan. 1, 2009.
"We want to do our patriotic part and take care of our military population. I've already frozen my Medicare population, and I'm about to freeze my Tricare population," said Dr. Mitchell Miller of Virginia Beach, Va., who sees patients from a number of the area's military installations.
"It doesn't sit well with me to have to turn away people who have served our country, but it's an economic reality. It's an American tragedy, really."
While physicians such as Miller will continue to see current patients on Tricare, many others are refusing to accept new patients.
The Department of Defense has long been aware of both the physician shortage and patient and provider complaints about Tricare.
During a recent American Psychiatric Association annual meeting in Washington, Col. Elspeth C. Ritchie, a psychiatry consultant to the Army's surgeon general, pleaded with mental-health-care providers to consider joining the military or at least accepting Tricare.
"We're having a hard time trying to recruit psychiatrists," Ritchie said.
May 30, 2008
Pg. 25
By Halimah Abdullah, McClatchy Newspapers
WASHINGTON -- Across America, soldiers, veterans and their families are running into red tape and roadblocks when they try to use their military insurance to get treatment for ailments such as post-traumatic-stress disorder.
Since 2003, about 40,000 troops have been diagnosed with PTSD. The number of cases rose by about 50 percent in 2007, according to Pentagon statistics released this week.
The deployment of hundreds of doctors and therapists to Iraq and Afghanistan and the shortage of military health-care providers has forced patients at U.S. installations to wait for months for appointments -- and longer if they need to see a specialist, according to advocacy groups for members of the military and their families.
Meanwhile, civilian doctors and psychiatrists say they're often faced with tough decisions about whether to turn away patients on Tricare, the Defense Department program that insures 9.2 million current and former service members and their dependents, because its reimbursement rates are low and its claims process is cumbersome.
Others volunteer their time and services rather than navigate Tricare's red tape for what may ultimately prove to be a small reimbursement for services.
"We do have a lot of doctors who are seeing Tricare patients almost on a pro bono basis because they care, and for the love of their country. But it's easier to do that if it's a dozen patients than if there are 100 patients," said Steve Strobridge, the director of government relations at Military Officers Association of America.
Tricare's reimbursement rates are linked to Medicare levels.
Health-care providers who treat patients on both programs will take a 10 percent pay cut July 1 and a second, 5 percent pay cut Jan. 1, 2009.
"We want to do our patriotic part and take care of our military population. I've already frozen my Medicare population, and I'm about to freeze my Tricare population," said Dr. Mitchell Miller of Virginia Beach, Va., who sees patients from a number of the area's military installations.
"It doesn't sit well with me to have to turn away people who have served our country, but it's an economic reality. It's an American tragedy, really."
While physicians such as Miller will continue to see current patients on Tricare, many others are refusing to accept new patients.
The Department of Defense has long been aware of both the physician shortage and patient and provider complaints about Tricare.
During a recent American Psychiatric Association annual meeting in Washington, Col. Elspeth C. Ritchie, a psychiatry consultant to the Army's surgeon general, pleaded with mental-health-care providers to consider joining the military or at least accepting Tricare.
"We're having a hard time trying to recruit psychiatrists," Ritchie said.