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Yeah, especially coming from someone like myself who was previously working in a medicaid-heavy clinic, the VA resources are hands down better. I don't think I'd ever be able to say the same outside of a major metro, however.
@notdeadyet I do tele to a CBOC from my primary site a couple days a week. I've been pleasantly surprised at what I've been able to do referrals for, either via tele as well or through getting a transportation consult, though my CBOC isn't terribly far away. I imagine it's a different ballgame for the sites farther out in the boonies.
Oh, most definitely. Although I would suspect that would be a problem across healthcare in rural areas, and not confined to one healthcare system or another. I'd say that, in at least a few rural areas that I am familiar with in the system, the VA does have charter buses that will bring in patients for specialty care appointments that live several hours away in a certain catchment area. Although I know this is not necessarily a universal.