ArmyVern said:
Blame those who abuse it.
At a prior Unit, I went to the CO with the stats on a member ... because you can NOT get the Med world to sign off on charging even the most blatant ******* with malingering these days.
No, the Med world will not "sign off' on charges of "malingering" - that is fully in keeping with clinical practice norms. Charging someone is an administrative CoC function, not Medical - the CO can charge, and if the proper legal processes are followed, clinicians can be called to testify.
Nor does the electronic medical system purchased by the CAF from the lowest bidder allow for any sort of tracking or flagging of these kinds of issues. Proactive CoC's - who are way more aware of their pers' patterns of SP attendance than the clinicians, since flying into SP means the mbr could go for months literally seeing a different clinician every time - will reach out to their CDU team lead or the BaseSurg about their "problem mbrs" so that a way to cut them off at the knees can be found if indeed they are misusing the system. While the med world will not be charging anyone, there are things that can be done, such as holding a mbr with "diarrhea/vomiting" for a couple of hours until they've demonstrated their complete lack of either, before punting them back to the unit. Or the amazingly restorative power of the "increased regular medical care requirements" TCAT, as Staff Weenie mentioned.
But the CoC's sometimes appear to abdicate their responsibilities, and then complain that the medical system fails to fill the void (I can't count how many supervisors have called me asking for drug results on mbrs they "know" - in some cases allegedly from the mbr himself - that the mbr was on drugs or drunk, but instead of testing for cause and charging, they've sent them to Medical. Well great, now it's confidential med info. If you
know your mbr is drunk on duty, you deal with him! Medical still can and will treat him, but his release will can ever so much faster if through the disciplinary route).
Speaking of charges, I wonder why the many mbrs who DAG yellow or red for psychosocial issues of a longer-standing nature just before a deployment (lack of feasible family care plan, going through complex divorce, etc) are never charged - they're happy to sit alongside drawing sea pay and don't report their deployability issues to their CoC, since their sea pay or their promotion or their whatever might be endangered - but the minute they're to actually deploy, off they go like a shot to Psychosocial with issues that have been going on for quite some time.