The problem is on the medical records DOD uses AHLTA and the quality of records in AHLTA is highly variable. They focus much more on proving immediate care vs. great quality records, both due to the environment where a lot of the care happens and because they're not billing for it.
There are also about 5 levels of bureaucracy to manage a single system within DOD. VA is amazing in comparison (it was really telling talking to doctors who had civilian jobs in the VA but were military reservists and working temporarily in military hospitals...)
Medical records aren't sufficient to make a determination of disability, though, which is mainly what this is about. Having the medical records helps, having personnel records helps.
Another problem is the VA for a long time was focused on long-term care for WW2/Korea elderly vets, and various mentally/physically disabled Vietnam vets. The population of seriously injured younger vets (who could still work, and have long and otherwise productive lives ahead of them, but need specific disability care) is a pretty new thing. That, and the huge number of PTSD/TBI/psych issues.
There are also about 5 levels of bureaucracy to manage a single system within DOD. VA is amazing in comparison (it was really telling talking to doctors who had civilian jobs in the VA but were military reservists and working temporarily in military hospitals...)
Medical records aren't sufficient to make a determination of disability, though, which is mainly what this is about. Having the medical records helps, having personnel records helps.
Another problem is the VA for a long time was focused on long-term care for WW2/Korea elderly vets, and various mentally/physically disabled Vietnam vets. The population of seriously injured younger vets (who could still work, and have long and otherwise productive lives ahead of them, but need specific disability care) is a pretty new thing. That, and the huge number of PTSD/TBI/psych issues.