B) Problems and the Causes of Medical Services Within the Military
Article 17 of the ‘Framework Act on Military Status and Service’ enacted in 2016
stipulates that “a solder has a right to appropriate and effective medical care to maintain
his/her health and treat any illness or injury sustained during his/her military service.”
However, until recently, there seems to be considerable public distrust that those who suffer
from health problems while serving as soldiers will not receive appropriate treatment or
compensation from the military. It is necessary to examine this distrust from the perspective
of soldiers’ right to access medical care and the level of medical service in the military.
The unsatisfied medical experience rate of the soldiers is 2~3 times higher than that of the
general public, and the causes are due to lack of time, work type, unit atmosphere, and
waiting time.415) In general, in order to receive medical treatment at a military hospital,
soldiers receive primary medical treatment from a military doctor at a battalion-level
medical office, and if the military doctor requests an outpatient visit, they visit a
division-level medical office and receive treatment again. Only when there is a medical
certificate that it is necessary, report it to the company commander or other middle manager
and visit the military hospital after going through the necessary procedures.
In order to go through this procedure, a job vacancy is unavoidable at each step, and since
the vacancy must be filled by others, it may not be easy to apply for a hospital treatment
unless it is a serious disease. This can be inferred from the fact that unsatisfied medical
experience is higher among soldiers with poor health conditions, and those who have
irregular working hours compared to those who work regular hours. It is interpreted that the
soldiers will be more hesitant to use medical services if they have to ask other soldiers
relatively more often, or if the work burden of the nearby personnel increases significantly
during work vacancies.
On the other hand, regarding the level of medical service, more than one-third of users of
the military hospitals responded that they would use civilian hospitals (in the future) despite
the burden of the medical expenses (co-pay). Soldiers cited “insufficient treatment results,”
415) In particular, in the same survey, the causes of ‘it was difficult to say that I was sick when I was sick’ were ① I was
afraid that others would think I was faking it (34.7%), ② I didn't have time for training or work (29.3%), and ③ going
to the hospital would make it difficult for the co-workers (22.4%). Among the main causes of unsatisfied medical
experience regarding the use of civilian hospitals, 18.2% of the respondents said that they thought that the ‘officers
would not allow visits to the medical institutions.’
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