equivocation

Back when I was at School equivocation was as bad as lying.
How times have changed.
This morning I read in the Leaf Chronicle about Med Hold at BACH and yesterday about BACH's eagerness to hear suggestions for change.

Sugestions for change need go no further that the Complaint Box at the Patient Representative's office. Or even the notes from past Town Hall meetings with patients in Medical Hold.

The majority of providers at BACH are WONDERFUL - I personally had great experiences with my providers.

The providers who accept roles as administrators become a problem. As an administrator priorities CAN shift from patient care to systematic MANAGEMENT - and all too often the two clash.

Case managers may not be overworked - but their loyalties are to the process before the patient and that is a major systematic problem that must change.

And while BACH will, only with threat of exposure, allow patients to seek treatment outside the walls of BACH, BACH providers are known to prevent follow-through of this outside care. BACH's non-specialized general practitioners often over-rule the recommendations for treatment made by Vanderbilt or other MEDCEN specialty-trained doctors.

Most disturbing has been BACH's management of complaints made by patients. The leadership's actions have made no changes to quality of care concerns brought by patients.

Instead of closing Open Investigations, BACH allows the providers in question to deploy. Deploying the problem only drags the investigation. Worse yet, if that provider is under investigation they are now exposing deployed soldiers to known and unnecessary risk.

But none of that is in the articles in the Leaf Chronicle. The BACH leadership carefully crafted their talking points to avoid more in-depth questioning.

After major lawsuits BACH built a new "Mother-Baby Unit." Spouses can sue for malpractice, service members can't.

So, applying the backward logic so prevalent in the Military, especially the Military Medical System, it would appear that all "questionable providers" see the most vulnerable and voiceless soldiers while all the reputable providers see the other patients.

Like I said, I had an awesome experience at the hospital. I was fortunate to not have an administrator operating on me.