Wednesday, January 3, 2018

Rhubarb Applesauce: The VA Choice Program

Imagine the following scenario and assess what you would do in the situation…
“I’d love to make some homemade applesauce. I think I will go down to the fruit stand to pick up some apples” you say to your dog as you head out the door to the fruit stand. After making your way into town, the green grocer greeted you with a warm and friendly “Good morning! What can I get for you today?”
Image result for apples
“I need some apples, so I can make some applesauce. Homemade always tastes better and there’s often fewer ingredients too.”
“Gee, I am so sorry. We have some lovely bananas, but we’re all out of apples. Can I interest you in some rhubarb?”
Image result for rhubarb
“No, I don’t think those will do, as I am making applesauce.”
“What about some pomegranates? They are chock packed with nutrition.”
Image result for pomegranate
“No, I am sorry, but those won’t work either. I really need apples.”
“Well, you can drive four hours south and I think they might have some apples for you. You could try that.”
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“Thanks for the idea, but I am not sure that it will be worth the travel.”
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Okay, after you have read that scenario, what are your thoughts towards the fruit stand employee? What would you do in that situation? Maybe change your mind and not make applesauce after all? What if all of the stores within a 30-mile radius were also sold out of apples? Would you make the trek?
            In the example scenario, it outlines something I learned today from my visit with a social worker at my local VA outpatient clinic. See, there is this program called Choice, which is supposed to be a safety net for veterans if they need care, specialized or routine. In my previous clinic location, I was placed on community care via the Choice program for dermatology, rheumatology, and gastroenterology. Since the clinic where I received care in the past did not have these specialists on hand, this system worked for me, for the most part.
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However, at my new clinic location, I was told that if you are within a 30-mile radius of a VA health clinic, the veteran would not be eligible for the Choice program. I even inquired if this would still be the same answer if the clinic did not have certain specialists on hand, such as a rheumatologist, gastroenterologist, or dermatologist. Sadly, I was informed that it would still apply. Seriously. If I want to receive care from these specialists, I will have to drive nearly 4 hours (each way, so 8 hours round-trip). With my hips seizing up after sitting in a car for less than an hour, it does not look like I will be receiving any care from these types of specialists. I have been diagnosed with fibromyalgia and irritable bowel syndrome, along with a familial history of colon and bone cancers. This system is broken.
Image result for the va system is broken
What would you do in this situation?

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