Research Reveals Our Iraq and Afghanistan War Veterans Going Blind from Roadside Bomb Blasts

October 23, 2008 – About 1.7 million American men and women have served in Iraq and Afghanistan. Military studies show that up to 340,000 of them suffer from mild traumatic brain injury (TBI). The injury most often happens as a result of roadside bombs, rocket-propelled grenades or mortars.

A TBI typically occurs when the head suddenly and violently hits an object or when an object pierces the skull and enters the brain. A person with a TBI may remain conscious or may experience a loss of consciousness for a few seconds or minutes.

Symptoms may include headache, confusion, lightheadedness, dizziness, blurred vision or tired eyes, ringing in the ears, a bad taste in the mouth, fatigue, a change in sleep patterns, behavioral or mood changes, and trouble with memory or concentration. Little can be done to reverse the initial brain damage caused by the trauma.

TBI

Military studies show that up to 340,000 of war veterans suffer from mild traumatic brain injury (TBI).
 
Preliminary studies reveal that as many as 70 percent of severely-wounded soldiers treated for TBIs also complain of double vision, difficulties reading and blindness. In another small study, conducted by Glenn Cockerham, chief of ophthalmology at the VA Palo Alto, 26 percent of soldiers who had been injured in blasts had severe visual impairment, including blindness.

“They may go months seemingly normal with headaches and all a sudden, bam, they have lost their vision,” Bill Wilson, a Blind Rehabilitation Specialist at the Orlando VA Medical Center in Orlando, Fla., told Ivanhoe.

No one knows exactly how many of veterans may eventually be blind or will have to deal with other vision problems, but research suggests it could be thousands.

Researchers believe certain parts of the brain, such as the occipital lobe, which controls vision, take a pounding from blast shock waves. This, in turn, can impair vision.

Sgt. David Kinney is one veteran who has lost his eyesight. He was one of the first American soldiers to go into Iraq. Now, he is considered legally blind. At first, Kinney’s doctors thought he’d had a stroke.

Later, he learned he had suffered a mild TBI, and an Orlando neurologist eventually linked his condition to his exposure to bombs. Now, Kinney cannot drive, and relatives must take him to his eight monthly doctor appointments.

This year, the Veterans Health Administration is spending $40 million to add 55 outpatient vision-rehabilitation clinics nationwide and to increase staff at existing facilities.

For more information
Barry Stanley, Public Relations
Orlando VA Medical Center
Orlando, FL
(407) 599-1301
Barry.Stanley2@va.gov

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Oct 24: Harvard Professor Linda Bilmes’ Research Leads to Improved Compensation for Injured Veterans

October 23, 2008 – Research spearheaded by Harvard Kennedy School lecturer Linda Bilmes is making an impact on the lives of injured American veterans.

One of the signature injuries of the wars in Iraq and Afghanistan is traumatic brain injury (TBI), usually caused by the blast waves from roadside bombs. Estimates indicate 320,000 returning U.S. troops have suffered a TBI during their deployment. Many of these will also suffer from post-traumatic stress disorder and other psychological conditions.

“Disabilities among returning troops now appear to be a greater problem than we had assumed,” said Bilmes. “If we fail to provide these veterans with a basic living stipend, we will see increasing rates of suicide, homelessness, domestic violence and substance abuse. These consequences will raise the true cost of the war even higher.”

Bilmes has worked with a team of neurologists and psychiatrists to estimate the long-term medical and economic consequences of these injuries. In particular, recent work has found that mild brain injuries cannot be detected by scans. Some 15 percent of individuals who suffer mild injuries will eventually suffer from serious cognitive deficits such as memory loss or neurological problems such as seizures.

These findings have contributed to recent changes in the way the U.S. Department of Veterans Affairs (VA) compensates victims of mild traumatic brain injury. Previously, sufferers were awarded a maximum of 10 percent disability, regardless of the severity of their symptoms. The VA has now raised the maximum level of compensation to 40 percent.

In her book “The Three Trillion Dollar War: The True Cost of the Iraq Conflict”, (co-authored with Joseph Stiglitz) Bilmes writes: “… many of the injured will be unable to get jobs providing family health care benefits; Medicaid will pick up at least part of the tab… The combined cost of health care, VA disability, and Social Security disability for our moderate scenario comes to nearly three quarters of a trillion dollars; in the best case scenario, it is still almost half a trillion dollars.”

In a press release from the VA, Secretary James B. Peake said the changes inspired in part by Bilmes’ work “will allow VA decision makers to better assess the consequences of these injuries and ensure veterans are properly compensated for their residual effects.”

Bilmes is widely considered one of the leading experts in US budgeting and public finance. She has held several senior positions in government, including assistant secretary and chief financial officer of the US Department of Commerce, and deputy assistant secretary of commerce for administration in the Clinton administration.

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Both Sen. McCain and Sen. Obama Agree that VA is Broken

October 23, 2008, Washington, DC – Even as the country heads into an era of tighter budgets, John McCain and Barack Obama are united on giving more help to the nation’s veterans and overhauling the agency that cares for them.

McCain, one of the nation’s most celebrated veterans, and Obama, who never served in uniform but became an advocate for veterans issues soon after entering the U.S. Senate, generally agree that the Department of Veterans Affairs does some things well and other things quite poorly.

And while veterans issues have come into the limelight only briefly during this election, the two campaigns have sparred over how best to improve access to the VA’s health-care system.

“We expect whoever becomes president to take care of America’s veterans,” said Joe Davis, a spokesman for the Veterans of Foreign Wars, the oldest major veterans’ advocacy group in the country.

The country has an estimated 24 million veterans, with World War II and Korean War veterans rapidly dying off and soldiers from Iraq and Afghanistan quickly adding to the rolls. Vietnam veterans, many now in their 60s, are the largest group and are steadily increasing the VA’s health-care tab.

The VA’s budget has risen substantially in recent years, driven by an increasing number of veterans receiving disability payments for mental and physical injuries suffered while in the service, and by the cost of the VA’s health-care operations. Those two functions make up the vast majority of VA operations, although the department also funds veterans’ education and insurance benefits, as well as a nationwide network of cemeteries.

When it comes to the VA’s disability compensation system, the candidates and major veterans’ groups are in agreement: The VA system is broken.

The agency has been struggling with a backlog of claims that has hovered near 400,000 for the past few years. The time it takes to process a new claim is about 180 days, far higher than the department wants.

In addition, both candidates say that the government needs to fully fund the VA’s far-flung health care system, and they both support a bill now in Congress to approve VA medical funding a year in advance to allow for smoother operations.

However, expanding veterans’ access to health care is also a point on which the candidates disagree.

The VA treats 5.6 million veterans at more than 150 hospitals and more than 800 clinics scattered across all states. The system has undergone a major transformation over the past decade, boosting outpatient and preventive care in its growing network of outpatient clinics.

While the transformation has generally received favorable reviews from medical experts, there still are pockets of the country where veterans have trouble getting in for treatment. In Western and rural states, veterans sometimes have to drive for hours to reach the nearest clinic or hospital. In other locations, waiting times may be far longer than the VA itself considers acceptable.

McCain wants to provide a veterans care “access card,” which is intended to allow veterans to access private doctors if they aren’t able to get into a VA facility in a timely manner. He said it would be a supplement to VA care, not a replacement for existing programs.

The Obama campaign has criticized McCain’s plan, saying it would take resources and patients out of the VA system, thus hurting the economies of scale that let the VA provide cost-effective care.

Joe Violante, the national legislative director for Disabled American Veterans, said details for McCain’s plan are sketchy, but that any attempt to move patients out of the VA “concerns us because it costs more to provide care outside the system, and moving patients out undermines the critical mass that the VA needs to provide a full continuum of care.”

Lang Sias, McCain’s veterans director, said the plans have been distorted by Obama’s campaign. The card, he said, “is an additional option, not privatization.”

The other main health access issue concerns what are known as “Priority 8” veterans. Since 2003, many of those veterans haven’t been allowed into the VA’s health care system because they make too much money and don’t have severe enough disabilities.

Obama said one of his first acts as president would be to sign an executive order allowing those veterans into the VA system. McCain believes that opening the doors to all those veterans at once could risk clogging the system. Instead, McCain wants to “aggressively increase capacity” in the system while adjusting the income tests to gradually absorb Priority 8 veterans.

The department has struggled for years to improve its disability system. In fact, the wide variation in disability payments from state to state is one thing that Obama focused on in 2005 after joining the Senate. Obama is a member of the Senate Veterans’ Affairs Committee.

The VA doesn’t have as many workers as it needs to process claims, said Phil Carter, the Obama campaign’s veterans director. “The people there aren’t staying long enough, and they are not getting good leadership,” he said. “They need better management.”

The claims process, he added, has become “far too adversarial,” with veterans feeling they have to fight — and often wait for years — to receive benefits they are due.

Obama said he’d hire additional claims workers, revamp the training system, and bring the VA’s paper claims systems into the digital age.

The McCain campaign agrees that there should be a complete review of the VA’s disability system, both in the processing of claims and the guidelines for how disabilities are evaluated. “I think you need clear, predictable and understandable standards,” said Sias, McCain’s veterans director.

The campaign said that the VA’s disability system is “tragically broken” and that “too many of our wounded veterans come home to an administrative nightmare rather than a hero’s welcome.”

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Military barred from retrying Army Lt. Watada on 3 of 5 court-martial charges

A federal judge ruled that Lt. Ehren Watada, who refused to deploy to Iraq with his Ft. Lewis combat brigade, couldn’t be retried on several of the charges against him. But the ruling still may allow the military to try him on two court-martial counts.

October 23, 2008 – Citing the constitutional protections against being tried twice for the same crime, a federal judge on Tuesday ruled that 1st Lt. Ehren Watada cannot face a second court martial on three of five counts resulting from his high-profile 2006 refusal to deploy to Iraq with a Fort Lewis brigade.

The ruling by Judge Benjamin Settle, however, leaves open the possibility of a second prosecution on two other counts involving conduct unbecoming an officer.

In the ruling, Settle abstained from ruling on the constitutionality of those charges, and said it was up to a military court to consider “if constitutional defects” would be present in a second court-martial on those counts.”

The ruling keeps Watada, who has been assigned a desk job at Fort Lewis since his refusal to deploy back to Iraq with his combat brigade, in a kind of legal limbo.

Settle barred the military from retrying Watada on charges of missing his redeployment to Iraq, taking part in a news conference and participating in a Veterans for Peace national convention.

But the court did not rule out the possibility that the Army, after considering legal issues, could retry Watada on two counts of conduct unbecoming an officer resulting from his media interviews.

Watada’s first court martial, in February 2007, ended in a mistrial, and was halted over the objections of the defendant.

Watada’s attorneys then claimed that a retrial would amount to “double jeopardy,” the constitutional right to not be tried twice on the same charges. In his Tuesday ruling, Settle said that an Army judge “did not exercise sound discretion” in ruling a mistrial.

As a result, the Army was barred by the constitution from retrying Watada on three of the five counts.

Watada’s attorney, James Lobsenz, said that he was pleased with the federal court’s unusual decision to interfere in the Army court-martial process to protect his client’s constitutional rights.

“It’s very important and not often done,” he said.

Lobsenz said he was hopeful that the Army would dismiss the remaining two charges. If that didn’t happen, Watada could return to federal court once again and try to get the charges blocked.

An Army spokesman said it was still reviewing the court’s decision, and had yet to prepare a comment.

The Army had sought a second court-martial trial on the five counts against Watada, which could have carried a sentence of up to six years in prison.

Hal Bernton: 206-464-2581 or hbernton@seattletimes.com

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Oct 23, Torture Update: Confessions of a Former Guantanamo Bay Prison Camp Prosecutor

The inside story of a military lawyer who discovered stunning injustice at the heart of the Bush administration’s military commissions.

October 23, 2008 – When Army Lt. Col. Darrell Vandeveld began his work in May 2007 as a prosecutor at the Guantánamo Bay military commissions, the Iraq war veteran was one of the most enthusiastic and tenacious lawyers working on behalf of the Bush administration. He took on seven cases. In court hearings he dismissed claims of prisoner abuse as “embellishment” and “exaggeration.” Once, when a detainee asked for legal representation only for the purpose of challenging the legitimacy of the military commissions, Vandeveld ridiculed the request as “idiotic.”

So it came as a shock in mid-September when Vandeveld announced that he was resigning as a prosecutor because he had grave doubts about the integrity of the system he had so vigorously defended.

In the days following his resignation — now testifying, remarkably, for the defense counsel in one of his own cases — Vandeveld said that he went from being a “true believer” in the military commissions to feeling “truly deceived” about them. His deep ethical qualms hinged foremost on the fact that potentially critical evidence had been withheld from the defense by the government.

Vandeveld says he was pressured explicitly by superiors not to talk about his work at Guantánamo. Until now, the details of his story have largely been kept from public view. He maintains that he is not ready to speak at length about his decision to resign, but in several e-mail exchanges with me this week, as well as in a series of recent e-mail exchanges he had with others involved in the military commissions, a picture emerges of a man who struggled through an intense crisis of conscience. When he took action, he was ridiculed and bullied by his bosses for questioning the fairness of the system. The military also subjected Vandeveld to a mental-health evaluation after he decided to resign, perhaps aimed at undercutting his credibility.

Vandeveld’s story reveals the painful struggle of a devoutly religious Catholic who became increasingly disturbed by a process he came to view as fundamentally unjust. Unable to confide in his family and friends because so much of the information in the cases he was working on was classified, he took the unusual step of confiding in his opposing counsel. He also consulted a priest online.

Vandeveld is at least the fourth prosecutor to resign from the highly criticized military commissions, but his account is perhaps the most stark and will surely cast a lasting pall over the process. On Tuesday, the Department of Defense announced that it was dropping charges against five detainees whose cases Vandeveld was prosecuting — though not the controversial case that prompted his resignation.

That case, the one that ultimately provoked Vandeveld’s change of heart, was supposed to be a slam dunk for the government. But as Vandeveld would come to discover, it was plagued by problems.

Mohamed Jawad, a young Afghan who allegedly fought with the Taliban, was accused of throwing a grenade into a vehicle carrying U.S. troops, gravely injuring two of them and their translator. Unlike most of the other men charged before the military commissions, who are accused of seemingly abstract crimes like “providing material support for terrorism,” Jawad was charged with “attempted murder in violation of the law of war.” There were witnesses to the attack and Jawad had reportedly confessed. It was the kind of coldblooded act the government hoped would capture the public’s imagination.

Yet, problems arose in the case as soon as Jawad entered the Guantánamo courtroom last March. To begin with, it turned out that Jawad was only 16 or 17 at the time of his alleged offense. Under both U.S. and international law, he should never have been detained with adults, and he should have been provided educational opportunities, as well as contact with his family. He appeared emotionally distressed, holding his face in his hands and asking why he was at Guantánamo.

His defense counsel, Maj. David Frakt, told the court that Jawad was a homeless, illiterate teenager who had been drugged and forced to fight with Afghan militia, then abused by the United States and transported halfway around the world to Guantánamo where he was imprisoned for five years without charge and was now being used as a guinea pig to test a new system of military justice. He said that Jawad was deeply traumatized by the experience, to the point that he might be incapable of aiding in his defense.

In the beginning, Vandeveld was openly dismissive of the story.

“What you have heard is a series of exaggerations,” Vandeveld told the court. “It’s clear from what you’ve seen here today that he is able to assist in his defense.”

But over the next six months, as more information about the case came to light, Vandeveld began to have misgivings.

Initially Vandeveld did not believe that Jawad was a juvenile at the time of his arrest. Because Jawad did not know his birth date (which is common among Afghan villagers), and had at times given different ages for himself, the United States did not record him as a juvenile. However, in the process of examining Jawad’s prison records, it emerged that Jawad had undergone a bone scan at Guantánamo in 2003, estimating his age to be 18, which would have made him 17 at the time of the alleged crime.

“Jawad should have been segregated from the adult detainees, and some serious attempt made to rehabilitate him,” Vandeveld said in a declaration shortly after his resignation. “I am bothered by the fact that this was not done. I am a resolute Catholic and take as an article of faith that justice is defined as reparative and restorative, and that Christ’s most radical pronouncement — command, if you will — is to love one’s enemies.”

Vandeveld also had not believed that Jawad had been mistreated by his American captors. But once again, evidence obtained in the process of discovery revealed a different story. Frakt asked the government to provide a copy of prison records on detainee movements at Guantánamo. In May, Vandeveld gave Frakt a stack of them.

The records showed that in mid-2003, Jawad had been removed from a Pashto-speaking wing in the detention center and isolated, as well as deprived of comfort items such as books or mail. In September 2003, after prolonged isolation, his mental health deteriorated. Interrogators observed Jawad talking to posters on his wall. Then, on Christmas day 2003, Jawad tried to commit suicide, first by banging his head against the metal structures in his cell, then by hanging himself.

They also showed that during a 14-day period in May 2004 — several months after the suicide attempt — Jawad was moved from cell to cell 112 times, an average of less than every three hours. These movements, which intensified between midnight and 2 a.m., turned out to be part of a sleep deprivation program known in Gitmo parlance as the “frequent flier program.” The goal of the program was to disorient detainees and make them more compliant. The records, however, give no indication that Jawad was interrogated at this time.

Initially, Vandeveld did not realize the prison records showed that Jawad had been subjected to a regime of sleep deprivation — the records consisted of many pages of detainee movements, much of it handwritten. The sleep deprivation was pointed out to him by Frakt, who had carefully scrutinized the records. However, Vandeveld had noticed the detainee’s attempt at “self harm.” Shortly thereafter, he told Frakt that he wanted to broker a plea agreement that would have given Jawad a minimal sentence and some rehabilitation before sending him home to Afghanistan.

In an e-mail exchange with Frakt on May 22, Vandeveld wrote: “If I ever thought this job required me to do anything I considered unethical, I’d be out the door.”

“I appreciate that and I believe you,” Frakt replied. “You may have to take back your comments about Jawad’s complaints being embellished and exaggerated. It looks like he was telling the truth. Did you notice that he tried to commit suicide in 2003?”

“I did notice that saddening episode … which is one of the reasons I am pushing for a plea in this case, and why I wanted to get this information in your hands asap,” Vandeveld replied.

In a subsequent e-mail the same day, Vandeveld wrote, “BTW, I will correct my misstatements on the record the next time we’re in session. I know I am obliged to do so.”

A few days after that exchange, Frakt filed a motion with the court to dismiss the charges against Jawad based on evidence that he had been tortured.

When Vandeveld responded to Frakt’s motion, he argued that although Jawad had suffered some abuse at Guantánamo — an unusual admission by a government prosecutor — the remedy was not to dismiss the charges, but rather to consider the abuse in mitigating the accused’s punishment.

According to Vandeveld, when his superiors saw that he had conceded that Jawad had been abused, they were furious. They reprimanded him and made him withdraw the motion and resubmit it, conceding nothing regarding prisoner torture or abuse.

The new motion he submitted stated: “Jawad … suffered no ill-effects from his alleged sleep deprivation.”

As the summer wore on, Vandeveld began to have more doubts. A series of photographs emerged from the time of Jawad’s arrest: They showed a naked and terrified teenager undergoing a strip search and medical examination.

Then, in late July, Vandeveld stumbled across a report that was sitting on a colleague’s desk about an investigation into the death of an Afghan taxi driver named Diliwar who had been killed in U.S. custody. Investigators had come to Guantánamo to interview detainees who were held in Bagram at the time, and took a statement from Jawad.

In his statement, Jawad said that while at Bagram, he was made to wear a black bag over his head and that he was shackled and forced to stand for prolonged periods of time. If he sat down, guards would beat him, grab him by the throat and stand him up again. At one point, he said, they shackled him to the door so he was incapable of sitting down.

Vandeveld immediately informed Frakt about the report and said he was deeply disturbed by the abuse. Equally disturbing to him was that there seemed to be no system in place to provide such evidence to the defense.

“I am highly concerned, to the point that I believe I can no longer serve as a prosecutor at the Commissions, about the slipshod, uncertain ‘procedure’ for affording defense counsel discovery,” Vandeveld wrote in a statement after his resignation. “One would have thought that after six years since the Commissions had their fitful start, that a functioning law office would have been set up and procedures and policies not only put into effect, but refined.”

Vandeveld also said that he had feared retribution if he was perceived as being too cooperative with the defense. He cited another officer who was perceived to have done so and subsequently received a mediocre Officer Evaluation Report.

“I didn’t express my concerns to Brig. Gen. Hartmann or Col. Morris before asking to be reassigned,” Vandeveld told me by e-mail on Wednesday, “largely because I knew both are highly-indoctrinated ideologues whose likely response would have been to have my security clearance revoked as a punitive and preventative measure. (This concern is not happenstance; I could give examples were I not bound by my clearance itself.) The hostile, dismissive way I’d seen [another concerned officer treated by superiors] was enough for me to conclude my reservations would not be well-met.”

Vandeveld’s fears in this regard had a potentially devastating effect on the fairness of proceedings in Jawad’s case: For example, Vandeveld said he did not provide the defense with information the government had about another suspect in U.S. custody who had confessed to the same crime Jawad is alleged to have committed. Nor did Vandeveld provide the defense with a report by a U.S. government intelligence analyst stating that Jawad may have been forcibly recruited into a militia group that targets young men, sexually abuses them and drugs them before forcing them to engage in violence — a report that appears to have corroborated part of the defense counsel’s case.

By August, Vandeveld was in despair. He had concluded that Jawad was in dire need of rehabilitation and he desperately wanted to broker a deal, but he could not persuade his superiors in the prosecutor’s office.

Unsure of what to do, he consulted a priest online. In an Aug. 5 e-mail to the priest, which was first reported by the Los Angeles Times, Vandeveld wrote: “I am beginning to have grave misgivings about what I am doing, and what we are doing as a country. I no longer want to participate in the system, but I lack the courage to quit. I am married, with four children, and not only will they suffer, I will lose a lot of friends.”

The priest, Father John Dear, known for his social activism, encouraged Vandeveld to quit. “God does not want you to participate in any injustice, and GITMO is so bad, I hope and pray you will quietly, peacefully, prayerfully, just resign, and start your life over,” Dear wrote.

Vandeveld said he still didn’t feel comfortable quitting. “One of the precepts of serving as a soldier is that one ‘never quits,'” he told me. So he instead asked to be reassigned, to Afghanistan.

In the days after consulting with Father Dear, Vandeveld continued to try to broker a plea deal for Jawad. In an e-mail to Frakt, he complained that he had no pull in the prosecutor’s office and that the chief prosecutor, Col. Lawrence Morris, seemed to have personal animus toward Frakt.

In early September, Frakt suggested in an e-mail that Vandeveld write a letter to the Convening Authority of the military commissions detailing his efforts to work out a reasonable pretrial deal for Jawad, and explaining that he was repeatedly overruled.

Vandeveld responded: “Let me think about that some more; I have to consider the impact on my family.” In mid-September, he tendered his resignation.

Reprisal from the prosecutor’s office was swift.

Vandeveld was directed to undergo a psychological evaluation. He was ordered to stay at home and prohibited from coming into his office pending his official release from military service.

“Those in charge of [the Office of Military Commissions] saw my actions as an abrupt volte face, an aberration borne of emotion, and were hence concerned about my mental well-being,” Vandeveld told me. “As I’ve said before, the humiliating experience of undergoing a mental health assessment quickly showed that their concerns were unfounded.”

In what may be an effort to prevent Vandeveld from testifying for the defense — and possibly providing additional damning information about the government’s conduct at Guantánamo — the Pentagon on Tuesday announced that it was dropping charges against five of the detainees whose cases Vandeveld was working on. The prosecutor’s office insisted that the announcement was unrelated to Vandeveld’s allegations and that there were no plans to drop charges against Jawad.

Vandeveld is now back home, with his wife and children in Erie, Pa.

“Now that I’m home in Erie, far removed from DC not only in distance, I’m regaining my bearings and sense of self,” he said by e-mail. “I’ve learned, to my immense surprise and gratitude, that outside the Commissions and military bubble, there are many, many fine people whose views are sincere and supportive. I’ve also heard from my buddies from my time in Iraq, all of them expressing fundamental support — the connection doesn’t get any deeper than that.”

Jawad, meanwhile, remains at Guantánamo, going into his sixth year of confinement. The next hearing for his case is scheduled for Dec. 9.

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Afghans to President Karzai: You Failed Us

Perceived as ineffective and corrupt, the Afghan president faces an uphill battle to reelection.

October 23, 2008, Kabul, Afghanistan – Hajji Mohammed Aman sits in the half-light of his west Kabul real estate office and makes a demand of his president.

“When you decide to do something, you have to do it, even if it costs you your life,” he says, firmly but without bluster.

The comment hints at why the country that once chose President Hamid Karzai to lead it into a new, democratic future is now turning against him. Both at home and abroad, Mr. Karzai is facing mounting criticism that he has lacked the courage to stop the government’s descent into corruption and ineffectiveness.

Karzai’s international allies are increasingly unwilling to accept inaction, and with presidential elections a year away, the man who once had an 83 percent approval rating now finds himself politically isolated and needing to resuscitate his image.

“Things are out of his control now,” says Farooq Mirranay, a member of parliament who supported Karzai in the 2004 elections and remains a part of the Karzai’s legislative bloc.

As the West begins to pay more attention to the worsening state of law and order in Afghanistan, pressure on Karzai is growing. His decision on Oct. 11 to reshuffle his cabinet has widely been seen as an effort to placate international allies demanding progress against corruption.

“It’s taken him two years to do it,” says Ahmed Rashid, author of “Descent into Chaos,” a book about US efforts to rebuild Afghanistan.

Also this month, officials in the Bush administration alleged that Karzai’s brother, Ahmed Wali, is involved in the opium trade, according to the New York Times. The Karzais have denied the charge.

Despite this dissatisfaction with the Afghan government’s lack of progress under Karzai, there is no clear replacement. A study by the Congressional Research Service recently tabbed former Interior Minister Ali Jalali and former Finance Minister Ashraf Ghani as the most likely contenders for Karzai’s job. Mr. Ghani, who was a member of the mujahideen government that ruled during Afghanistan’s disastrous civil war, has the greater name recognition. Mr. Jalali is seen by many in the international community as a competent technocrat, but he is currently living in the United States and would have trouble connecting with Afghans.

Rumors also continue to circle that America’s ambassador to the United Nations, Zalmay Khalilzad, who was born in Afghanistan, is considering a run. He has repeatedly denied this.

There has been no recent opinion poll to measure Karzai’s approval rating. Yet interviews throughout Kabul point to a widely held perception: that Karzai has surrounded himself by thieves and drug lords. This has turned many Afghans against him.

For this reason, Mr. Mirranay says he will not campaign for Karzai again.

“He never took measures against corrupt officials,” he says. “The government is built on compromises and deals.”

With voter registration having already begun, it is a statement that presages the tone of the coming campaign. But there is at least a kernel of truth in it, say some analysts of Afghanistan, with Karzai governing almost as a tribal leader, seeing every situation as an opportunity for negotiation.

“He was always faced with the problem of indecisiveness,” says Mr. Rashid, citing the delayed cabinet shuffle as a typical example of how Karzai has often attempted to skirt difficult choices.

In light of the problems facing Afghanistan, this lack of a strong hand has led to frustration. Afghans’ complaints are bitter. Between a resurgent Taliban and NATO airstrikes, more civilians are being killed as security worsens. Militants are now ambushing military convoys just outside Kabul.

Meanwhile, Afghans say they must pay bribes to pass police checkpoints or even to pay their taxes. The flourishing opium trade has further alienated Afghans, who assume government complicity. More than half the country’s economy is based on opium.

But these are not all problems of Karzai’s making.

“Karzai cannot govern without security, and security is not in his hands,” says Mr. Rashid, the author, suggesting that NATO still has not sent enough troops.

It points to the constant balancing act that he must play. Karzai must not be seen as favoring any one of Afghanistan’s tribes or ethnicities – which are often at odds with one another – and he must also negotiate the desires of some three dozen member-nations of NATO’s International Security Assistance Force.

In addition to this, America largely ignored Afghanistan until this year, focusing its efforts predominantly on Iraq. “There was a failure to set tougher conditions for the government early on,” says Rashid. “A great deal depends on what the next US president does.”

Shagufa Amiryar, a political science student at Kabul University, has some sympathy for Karzai. She begins by blaming, not Karzai, but Pakistan and Iran for sponsoring and harboring terrorists. But then she begins talking about poppy barons building mansions in Kabul’s best neighborhoods.

“If [Karzai] tries his best, he can prevent drug dealers from walking freely,” she says.

The fact that he has not upsets fellow student Iqbal Ali Sharwand. “When President Karzai first came people had hopes,” he says. “But after the elections people’s hopes were dashed because he is only working to keep his power rather than thinking of the people’s interests.”

Squatting on packets of cement he is selling, Hajji Hasan Qurbanzadeh says, “Even if you appoint me mayor of Kabul, I will become involved in corruption.”

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Oct 23, VA Expands Mental Health Outreach: VA To Deploy 50 New Mobile Counseling Centers Across America

50 Motor Coaches to Bring Services Closer to Veterans

October 22, 2008, Washington, DC – The first of a fleet of 50 new mobile counseling centers for the Department of Veterans Affairs (VA) Vet Center program was put into service today with the remainder scheduled to be activated over the next three months.

“Our widespread distribution of this fleet from coast to coast marks a new chapter in VA’s innovation to reach rural and underserved veterans with high-quality readjustment counseling,” said Secretary of Veterans Affairs Dr. James B. Peake.

Each vehicle will be assigned to one of VA’s existing Vet Centers, enabling the center to improve access to counseling by bringing services closer to veterans. 

The 38-foot motor coaches, which have spaces for confidential counseling, will carry Vet Center counselors and outreach workers to events and activities to reach veterans in broad geographic areas, supplementing VA’s 232 current Vet Centers, which are scheduled to increase to 271 facilities by the end of 2009.

Vet Centers, operated by VA’s Readjustment Counseling Service, provide non-medical readjustment counseling in easily accessible, consumer-oriented facilities, addressing the social and economic dimensions of post-war needs.  This includes psychological counseling for traumatic military-related experiences and family counseling when needed for the veteran’s readjustment.

The team leader at each Vet Center will develop an outreach plan for use of the vehicle within that region, not being limited to the traditional catchment area of a particular Vet Center. 

These vehicles will be used to provide outreach and direct readjustment counseling at active-duty, reserve and National Guard activities, including post-deployment health reassessments for returning combat service members.

The vehicles will also be used to visit events typically staffed by local Vet Center staff, including homeless “stand downs,” veteran community events, county fairs, and unit reunions at sites ranging from Native American reservations to colleges.

While most of their use will be in Vet Centers’ delivery of readjustment counseling services, the local manager may arrange with VA hospitals or clinics in the region to provide occasional support for health promotion activities such as health screenings.

The normal counseling layout can be converted to support emergency medical missions, such as hurricanes and other natural disasters.

The 50 vehicles are being manufactured for VA by Farber Specialty Vehicles of Columbus, Ohio.

# # #

Home Bases of Planned Vet Center Vehicles

Alabama: Birmingham

Arizona: Chinle and Prescott

Arkansas: Fayetteville

California: Corona, Fresno, Santa Cruz, and Eureka

Colorado: Colorado Springs

Florida: Pensacola

Georgia: Savannah and Macon

Idaho: Boise

Illinois: Springfield

Kansas: Wichita

Kentucky: Lexington

Louisiana: New Orleans

Maine: Caribou and Lewiston

Massachusetts: Springfield

Michigan: Escanaba

Minnesota: St. Paul

Montana: Missoula and Billings

Nebraska: Lincoln

New Mexico: Sante Fe and Las Cruces

New York: Watertown

North Carolina: Greenville

North Dakota: Minot and Fargo

Ohio: Dayton

Oregon: Eugene

Pennsylvania: Erie and Scranton 

South Carolina: Columbia

South Dakota: Rapid City

Tennessee: Johnson City and Memphis

Texas: Amarillo, Midland, and San Antonio 

Utah: Salt Lake

Vermont: White River Junction

Virginia: Richmond

Washington: Spokane and Tacoma

West Virginia: Morgantown and Beckley

Wyoming: Casper

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Oct 23, VCS in the News: Reserve Officers Association Wants Answers on Iraq and Afghanistan War Veteran Claim Disparities

ROA wants answers on denied reserve claims

October 23, 2008
  
The head of the Reserve Officers Association said he hopes a study ordered by Congress will explain the big discrepancies in veterans’ disability benefits awarded to active and reserve forces.

Retired Marine Lt. Gen. Dennis McCarthy, ROA’s executive director, said Wednesday that there may be good reasons why National Guard and reserve members are more likely to have their veterans’ claims denied and to receive lower disability ratings — but those reasons are not immediately clear, and the Department of Veterans Affairs does not have a good explanation.

“We really need to keep on them until this study is done,” McCarthy said, noting that veterans must have confidence that the disability system is fair.

Retired Rear Adm. Patrick Dunne, VA’s undersecretary for benefits, met with McCarthy to discuss the discrepancies in disability compensation, which were first reported earlier this month by Military Times.

The report, based on information obtained by Veterans for Common Sense, showed that 45 percent of active-duty veterans of operations in Afghanistan and Iraq had filed disability claims, compared with 23 percent of Guard and reserve members who deployed to the war zones.

Just 4 percent of claims by active-duty veterans were denied by VA, while 11 percent of claims from Guard and reserve members were denied.

Dunne did not dispute the report, McCarthy said, and said VA is trying to determine why there is such a big difference. Dunne suggested that one possible explanation might be that active-duty veterans accumulate more service-connected disabilities over a career than Guard and reserve members.

McCarthy said Dunne tried to assure ROA that there is no outright discrimination against Guard or reserve members.

“That they are going to do a study is a good sign,” McCarthy said. “This is a difficult time for VA and they have a lot of big issues facing them.”

The demographic study of disability claims promised by Dunne was ordered by Congress, and VA is looking for a private company to study the differences between active and reserve veterans by age, locations where claims are filed and where veterans live to determine why there are differences and whether some people are being treated unfairly.

The study will take more than a year to complete.

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‘Massive Problem’ as 1-in-10 People in Jail in United Kingdom are Iraq / Afghanistan War Veterans

Thousands more ex-frontline soldiers in the criminal justice system than previously believed; The number of former soldiers who have been convicted of a crime after returning from the frontline is 4,000 higher than previously thought, it was claimed yesterday.
 
October 22, 2008 (United Kingdom) – Elfyn Llwyd told fellow Members of Parliament (MP) that an estimated 4,000 ex-servicemen were serving community punishments for drug dealing, robbery and sexual offences.

This is in addition to the estimated 8,500 prisoners – one in 10 of the jail population in England and Wales – who probation officers say are in jail after serving the country in Iraq or Afghanistan.

It also emerged that the Ministry of Defence had for the first time commissioned an internal study to try to understand the scale of the problem.

Mr Llwyd said it was a “massive problem”: “At a time when serving soldiers have to make do with inferior kit, failure to act on this problem – and to do so positively and urgently – will be seen as further evidence that this Government has breached the covenant with the armed services in the most obvious and serious way.

“With proper support and counselling I believe that several thousands currently in custody would not be there.”

The estimates are far more than the most recent Government figures. Ministers said in March that just five per cent of the prison population in 2004 – about 3,800 inmates – were former servicemen.

Speaking in a Westminister Hall debate in Parliarment, Mr Llwyd said the Ministry of Defence had now commissioned a “scoping survey” to try to weigh up the scale of the problem.

Mr Llwyd, who is the leader of Plaid Cymru in the Commons, questioned why the Government failed to keep better figures, given that judges always ask for reports to be prepared on offenders who are about to be sentenced.

The problem was getting more serious, he said, as the army became more overstretched and tours of duty in Afghanistan and Iraq were more frequent.

He said: “The problem is becoming worse and more acute given that servicemen and women now have to spend far longer in conflict zones in Iraq and Afghanistan than previously.

“Times between each deployment are now far shorter and consequently the pressures on them are considerably increased.”

The “majority of ex-soldiers” in a series of cases examined by the National Association of Probation Officers were suffering from post-traumatic stress disorders.

Yet, Mr Llwyd claimed, psychiatric care offered by the Ministry of Defence was limited to three days “rest and relaxation” on a beach in Cyprus, and general questions about whether soldiers had “any problems”.

Soldiers returning from the front-line should be given several weeks’ debriefing on an army base by trained psychiatrists, rather than be expected to return to normal life. “This after care cannot be left to the voluntary sector alone,” he said.

Mr Llwyd said that few Government departments wanted to take responsibility for the problem, with the Ministry of Defence insisting it was a matter for the Department for Health.

David Hanson, the prisons minister, said the Government was taking the issue seriously and trying to find out definitively how many war veterans were in prison. The new research would also look at the age of the offenders and the nature of the crimes.

He said he was concerned by the claims, although he denied that the Government had broken its share of the “military covenant”. The Ministry of Defence had 150 mental health professionals who worked with servicemen back from the frontline.

He said: “We need to have a greater understanding of mental health problems of service personnel. There are no quick fixes on this.”

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VA Scrutinizes Shredding of Documents

October 18, 2008, St. Petersburg, FL – Investigators are sorting through bins of documents at the Department of Veterans Affairs regional office in St. Petersburg to see whether workers have improperly shredded sensitive veteran documents.

The search is part of a national probe to determine whether VA employees are destroying unprocessed documents crucial in deciding if individual veterans are owed financial benefits.

In an unprecedented decision, VA leaders are ordering that the agency’s 56 regional benefits offices cease all shredding until a review of the issue is finished.

The VA says its inspector general — the VA’s independent watchdog arm — has found documents improperly marked for destruction in VA offices in St. Louis, Detroit and Waco, Texas.

Mike Walcoff, the VA’s deputy undersecretary for benefits in Washington, confirmed that investigators are also at work at the VA’s Bay Pines office in St. Petersburg.

Walcoff said auditors have not yet said if they have discovered any problems there. A report is expected next week.

“But frankly, given problems we’ve seen elsewhere, we’re waiting anxiously to see what is found in St. Petersburg,” Walcoff said.

The VA briefed representatives of major veterans service groups on Thursday, said Joe Davis, a spokesman for Veterans of Foreign Wars in Washington.

Davis said he and others were told by the VA that investigators found several documents improperly marked for destruction in St. Petersburg, home to the VA’s largest regional office. No details were available.

“It’s like a minefield,” Davis said on Friday. “Is it one document or a thousand? Nobody knows. How big is this? How many papers have been improperly shredded in the past?

“It’s an absolute failure in management.”

The shredding controversy, first reported by the Web site VAwatchdog.org, came to light in a regular audit of VA mail rooms, which handle shredding, in St. Petersburg and the three other cities.

Auditors quickly found problems with documents awaiting destruction.

“The documents, which were not duplicated in government files, could have affected veterans’ eligibility for benefits,” the VA said in a statement.

Regional offices handle a range of documents, from marriage licenses to birth and death certificates, in addition to financial records.

The directors of every VA regional office are being told to certify in writing that no original copies of key documents from pending veterans’ cases are being destroyed.

The VA has promised swift disciplinary action against any employees who are found to have improperly destroyed documents.

“It is unacceptable that documents important to a veterans’ claim for benefits should be misplaced or destroyed,” VA Secretary James Peake said in a statement.

Larry Scott, the Army veteran and former NBC-TV reporter who founded VAwatchdog.org, reported that inspector general auditors found wide problems in Detroit.

Those included “hundreds of claims, documents critical to claims and other valuable information” in shredder bins, Scott reported. Auditors, the Web site reported, also found thousands of pieces of undelivered mail.

Rick Weidman, executive director of policy and governmental affairs for Vietnam Veterans of America, said the controversy points to a systemic failure inside the VA to hold employees accountable.

“They need to inject honesty and accountability at every level of the VA,” he said. “People are not held accountable and even if they get caught, nothing happens to them.”

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