Wednesday, June 12, 2013

Post No. 12 - Getting Closer

Reporting for Roll Call 16:50 Hrs 6-12-13
Hi
First off...Re: Backlog Figure...that one million number was in various news outlets...not just the Net.
Well, we're getting closer to what I'm trying to get from all this...investigating the process...and doing a bit of "forensics" along the way. Your comment confirms things for me...you get fully checked out going into service...but nothing beyond a handshake when you leave it.  Frankly, it's not so much a case of indifference or considering any GI as nothing more than cannon fodder. It really is more of a matter of it being just an old practice...from way way back...which has more or less become a "normal" procedure (you might even say it's almost become...tradition).
Anyway, as I've pointed out, maybe that entire entry/exit process needs to be re-thought. That is,, given the state of the art in technology, perhaps those old dog tags of ours, instead of just the bare bones data on them, why not make them similar to a -flash drive -. On entry into service, the EEI re: physical, mental, condition is put in it.During service, any further medical entries are added to it. When being discharged, a close out medical entry is made, with whatever appropriate notes re:any physical or other dings incurred while in service. Something along these lines. Hell, instead of metal, the new style dog tags could be made of -graphene- (thinner, and almost indestructable). Okay...something the powers that be should chew on. You may be right...they just might catch up and get into this 21st Century of ours.
Moving on: Now, we've brought our Cherry Troop up to the point to where he's gotten his VA card,he's gotten an Advocate (of sorts...sounds like a 50/50 proposition to me), a primary care doctor,and now a complete physical. Based on the results from that, this puts him on the "threshold" so to speak. What if one of the results comes back showing he has either a physical or emotional problem/condition to one degree or another. What happens next? It seems to me that at this point the question of "disability" should logically come up. Who initiates that? The doctor? He's the primary care medical professional, shouldn't his medical opinion have some weight? Here's where things seem to get fuzzy in the process...for me. Can you elucidate on how things happen at this point?More importantly...who starts the process going forward?
Here's the impression I have of what happens. If you recall, last year, there was a big hooha about the Oakland, CA  VA facility having some 34,000 disability claims backlog. That suggests to me that the problem begins at the "intake" end of the funnel, not somewhere further up the chain. That is, it sounds like there is a preliminary evaluation/determination process right there at that facility, so if a given facility (such as Oakland) is not able to do that process in a timely way, all those who are trying to work their claim through it, get jammed up. Whereas at some other facility somewhere, if they don't have that problem, things move better forward. In some places, it may even be worse ( remember that other case in SC...the dead weight of those files were a menace to the structural integrity of the facility). All of which suggests that the key first "obstacle" or "land mine" in the process is the state of any given VA facility's capacity to handle the volume of claims it is handling. 
Let's do a bit of "disection" here, and see what are the pieces involved.
CENTURION