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THE VA IS THE LARGEST HEALTH CARE SYSTEM IN THE USA

机译:VA是美国最大的保健系统

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What would the chances for congressional approval of President Clinton's health care plan be if Americans peered into the future and discovered that:Over half of the patients (55%) in the plan with routine medical problems wait three hours or longer, sometimes all day, to be seen for a few minutes by an over-worked doctor struggling with increasing numbers of patients and piles of government forms, regulations, controls and policy directives...The VA is the largest health care system, public or private, in the U.S. and one of the largest in the world. It operates 171 medical centers with 80,000 beds; 362 out-patient and community clinics with 23 million patient visits annually...VA is the quintessential government bureaucracy: administratively officious and laden with red tape and regulatory minutiae destructive to both quality patient care and staff conduct. Three volumes of the U.S. Code (title 38) and a full volume of the Code of Federal Regulations, plus scores of volumes of federal personnel and other policy restrictions, govern each VA employee's every move. Thousands of pages provide detailed descriptions of medical conditions, degrees of disability and potential eligibility for pension benefits and free health care.
机译:如果美国人凝视未来并发现以下内容,国会将批准克林顿总统的医疗计划的机会是:计划中超过一半(55%)的患者因日常医疗问题而等待了三个小时或更长时间,有时是整天,劳累过度的医生在不断增加的患者数量和大量的政府表格,法规,控制措施和政策指令中挣扎着看病了几分钟... VA是美国最大的公共或私人医疗保健系统也是世界上最大的之一。它拥有171个医疗中心,拥有8万张床位; 362个门诊和社区诊所,每年有2300万人次就诊... VA是典型的政府官僚机构:行政上卑鄙,繁文red节,规章制度细微,不利于优质的患者护理和员工行为。每位VA员工的一举一动都由三卷《美国法典》(第38章)和一整卷《联邦法规》以及数十卷的联邦人员和其他政策限制组成。成千上万的页面详细描述了医疗状况,残疾程度以及潜在的养老金和免费医疗资格。

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