From a reader: The problems with Tricare could have been prevented by
meeting with the Retirees here and getting their input on the local medical
system. Instead, we were shut out and the Project was conceived and implemented
with no regard to the differences between the U.S. medical system and the one
in the Philippines. At one of the closed meetings with attendance restricted to
30 Retirees to announce the project, their ignorance was glaring. For example,
the Tricare reps were shocked to learn that Philippine doctors do not make
appointments, nor do they have office staffs to do the billing. Deferred
billing is not customary here and payment for services is due when care is
received. Setting up a system here based on a U.S. model will fail due to the
differences between the two. Here, if you do not have cash, you get no
treatment, period. You won't be seen even at an Emergency Room. Also, if you
cannot pay your bill in full for treatment in any other setting other than a
ward, you may be physically restrained from leaving the hospital until you do.
Hospitals routinely do not stock drugs and surgical supplies so you must send
someone to a Pharmacy to buy them and bring them to you in the hospital. As
Tricare has steadfastly refused to put anyone in the country as a
Representative who could learn the system here and advise them, this Project is
doomed to failure. With the Retirees being denied access to needed medical
care, it will only be a matter of time before we start dying of accidents and diseases
that could be easily treated if a system were in place to ensure that doctors
and hospitals were paid promptly and Retirees were reimbursed promptly for
their treatment. Instead, we get pronouncements from on high in the U.S. where
they smugly sit back and congratulate themselves on adding yet another
stumbling block to a failed system. Sending out self-serving surveys that pat
themselves on the back with no space for comments does not get the job done.
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