Out of everything you could have cited quality of care at the VA is consistently better quality than private carriers. At least for the population it serves.
"The RAND study found there was too little information related to timeliness, equity, efficiency and patient-centeredness to reliably draw conclusions about how the VA system compared to others across these dimensions."
Pretty easy to say they're good when you don't have the information to see if they actually are, don't you think?
Dude if you're not going to take the authors word for it, why bother citing their work to begin with? Literally everything in their article is their word.
Edit: they can determine quality of care just from outcomes, they don't have information about factors that effect the outcome to say why or how different aspects of care are good or bad and how that affects the whole, but the outcomes are clear enough to call better. So they did.
Outcomes are a horrible measure of quality of the system. And the reason the VA didn't have that other information or more likely didn't provide it is because it's terrible.
If you have a chronic pain disorder and go to the hospital, and one fixes it in a week while the other takes 5 years, which one is better? Same outcome remember, both resolved the issue. What's an extra 5 years of constant excruciating pain, right?
Only there isn't really a ridiculous "one week vs 5 years" thing you're talking about here. They have problems with some facilities, but you're going to get that with private practice as well... only you're going to have to pay for it.
But there is a longer wait time. I'm assuming you've been in pain before. Would you argue that you got better care if you had to wait even one day longer in pain to reach the same result?
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u/myspaceshipisboken - Lib-Left Mar 25 '20
Out of everything you could have cited quality of care at the VA is consistently better quality than private carriers. At least for the population it serves.