DB#7 Reply #1

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Dec 6, 2023

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Discussion Thread Response: Cost, Access, and Quality Hello Nicolas, I want to express my gratitude for your contribution to the discussion thread this week. Your insights regarding veterans and their challenges in accessing services were quite moving, especially considering that my spouse is preparing for retirement in the coming years. The correlation between homelessness and veterans is disconcerting, and your linkage of the two was thought-provoking. “The Veterans Affairs (VA) Healthcare System is the largest integrated health care system in the United States” (Kaul, et al., 2021). There was recently a large investigation into the VA system as it was found that veterans were dying while waiting for appointments at the VA. Price (2014) states, “The Department of Veterans Affairs is struggling to recover from revelations that some of its facilities forced military veterans to wait months for health care and that some VA officials kept bogus records to conceal the delays.” The VA offers healthcare services to just 40 percent of the 21.6 million veterans in the nation. The rest rely on private insurance (40 percent), Medicare, Medicaid, the Defense Department's Tricare health insurance, or do not have any insurance coverage (Price, 2014). The VA needs to do better for those who have fought for this country and have gotten injured or have mental health issues due to their time in service of the country. Homeless people are another vulnerable group discussed. Veterans make up 8% of the homeless population, according to Shi & Singh (2023). Your exploration of "visible" versus "invisible" homelessness was thought-provoking. While I was aware of individuals who were considered "homeless" but didn't live on the streets, I wasn't familiar with a specific term for them. I have had experience with homeless patients coming into the hospital and having to store their medications for them while they are in the hospital. It is concerning as many of the medications have not been stored properly and need to be replaced, but the lack of insurance and money

makes it hard for these patients to be able to afford to just replace inadequately stored medications. As a pharmacist, I try to be understanding and help by ensuring while the patient is in the hospital, they get the meds they need without using their home supply so they do not have to purchase more when they leave the hospital. I feel by doing this, I am fulfilling my biblical duty of loving my neighbor as myself (Matthew 19:19), and all health care providers should strive to fulfill this biblical duty. Collectively, as a society, Americans should strive to be more compassionate toward one another. We should all take the initiative to lend a helping hand in any way possible to those who are less fortunate than us.

References The Holy Bible, English Standard Version. (2001). https://esv.literalword.com Kaul, B., Hynes, D. M., Hickok, A., Smith, C., Kaul, B., Hynes, D. M., Hickok, A., Smith, C., Niederhausen, M., Totten, A. M., Whooley, M. A., & Sarmiento, K. (2021). Does Community Outsourcing Improve Timeliness of Care for Veterans With Obstructive Sleep Apnea? . Pitman Medical Pub Co. https://doi.org/10.1097/MLR.0000000000001472 Price, T. (2023). Reforming Veterans' Health Care https://doi.org/10.4135/cqresrre20141121 Shi, L., & Singh, D. A. (2023). Essentials of the U.S. Health Care System . Jones & Bartlett Learning .

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DB#7 Reply #1

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