Let me start by saying that I really like the VA system. The VA is an entire healthcare system for some Veterans who have military service. They have a rule that if one of their patients needs to be admitted to a hospital then it needs to be a VA hospital - otherwise they won’t pay.
Yesterday I was called into the Emergency Room for an admission of a patient with a pneumonia. He was a really nice guy. I ended up spending about an hour working on his admission when I sat down to write my admission orders. As I neared the end I wanted to call his wife and let her know how he was doing.
As I looked on the information page I saw his name and insurance information - His insurance was through the VA! I had to stop what I was doing and call the VA hospital to transfer him there! After all that work I dont’ even know if I’ll get paid.