HFS (AKA Tri Care North)--Inefficient. Ineffective. Incompetent. Convoluted processes designed to save HFS money without regard for the lack of medical attention the service member/retiree is receiving. Can't get an appointment b/c too many patients and too few doctors (even in the National Capital Region) , a referral requires waiting as much as a week, just to see if you can get a referral,-I have been required to wait (BY HFS) three weeks just to see if I can get an appointment--then when calling, the appointments turn out to be full for the next four weeks already---I'm supposed to be seen monthly....Have to wait 72 hours for my PCM to determine if I can be referred to another MTF in the area, then wait 72 more hours to see if an appointment can be made at that MTF. Then, if not, have to request a special board to review and determine if I should be referred to the outside--no doubt another 72 hour wait--works out to a couple more weeks of delay....if HFS was competing in the private world instead of bleeding the government---they'd be out of business.