[QUOTE=RTFirefly]
Yeah, I know - Clinton was supposed to fix everything, despite having a hostile Congress for 3/4 of his Presidency. So if he improved some things, but left others pretty much as they were, it’s his bad. Of course.
[/QUOTE]
No. It is a good bit more complicated than that, as always.
While in theory civilians control the military, this control only goes to matters of funding, establishment of broad matters of policy, and actually ordering the military into battle. In nearly all other respects, Republicans and Democrats alike are happy to let the military run itself - just hand them the money and let them get the job done.
Usually this is a good choice. After all, who knows better what a ship needs than its captain and crew, for instance. Give them a budget, offship support systems, and training and remarkable things will get done.
But we all know of matters where this does not work, and it is obvious that military healthcare is a major problem. The DoD has been trying various fixes to this. CHAMPUS/TRICARE was a major effort over the years to move a good portion of military care (that of retirees and dependents) over to civilian doctors and have the government pick up the tab through a HMO-style payment scheme. While better now than it has been, it has seen some major problems over the years.
Servicemembers themselves, though, are still cared for by military doctors in military clinics and hospitals. And the record here is very mixed, and reflects the priorities of the services.
Soldiers are surviving wounds in Iraq and Afghanistan that they would have died from in Vietnam or even Gulf War I. This reflects many factors - better training in immediate care that every soldier, not just corpsmen, receive, improved transportation, better body armor (despite the controversy, body armor is better now than in any previous conflict), better immediate care in field hospitals and faster evacuation to trauma centers out of the battle zone. DoD hospitals are also the leaders now in prosthetic technology. Some soldiers and Marines are not only returning to duty with artificial legs, they are deploying to the Mideast again with them. At least one Marine requalified as a paratrooper after getting his new leg.
Where the breakdown happens is in day to day operation of some military hospitals for non-emergency cases, in tracking of a servicemember’s medical record between his various duty stations, and in long term rehabilitation for soldiers who are being retained in the military for whatever reason. The physical plants of many of these hospitals are in long term decline, as shown in the Washington Post piece, and reflect years of deferred maintenance in an era of lower budgets.
So there it is, the good and bad of military medicine. If you think Republicans or Democrats are at fault here, you’re kidding yourself. Mostly it was the military’s doing. But it can hardly be expected to unscrew this mess without guidance from the civilian sector.
Now is the time for some smart people to set some policy and allocate some money.