Tell me what you all think of this idea. I know lately the military has been releasing a lot of "other" jobs not having to do with defending the country directly and have been contracting them out to private companies who get the job done 200% more effectively. What if the same happened with milmed, where say USUHS was still a government school per se but when you graduated you applied for a civilian residency in the same match as everybody else and had some deal where you would work at a government contracted hospital which was established (privately run and owned) to care specifially for US military and their families. Now I know this would proabably never happen (too much money already invested by our gov. in its current milmed facilities etc...) but do you think this type of outsourcing could help?
this is already in progress.
The Navy has cut almost 2000 jobs in the past year and hired Civy contractors to replace, or in some cases not replaced at all, and many of those 2000 are medical.
Just go to any stateside military clinic, and you will likely see many more contractors than active duty providers.
Of course, this means operational tempo will increase from its already high level, as the pool of active duty gets more and more shallow.
the problem then becomes, Who will deploy? when there are no active duty providers left because they all got tired of spending more time deployed than at home.
If you want to know what kind of money is required to get civilian doctors to deploy, then check out Blackwater, they are hiring medical officers and PA's.
Now, if you want to talk about cost effective, then you will do what the federal government has done for their employees for years, you will just buy them an insurance policy with one of the major companies, and not bother to keep the medical infrastructure at all.
This again raises the question, where do you get medical from to deploy?
In the Norfolk area, you can see a gross duplication of services within sight of one another.
On the Portsmouth side of the water is the Navy hospital and on the Norfolk side of the water is Norfolk General (public hospital).
Why have this duplication at all if you aren't keeping the billets as places for your deployers to work between deployments.
After all, if you were to have a trauma occur in the parking lot of the Navy hospital, they would go to Norfolk General anyway. So at some level the Navy has recognized that keeping services that just don't get much use is not cost effective.
i want out