“Full Battle Rattle”: War Simulations Touch on a Lot of Realities

August 8, 2008 – Unfettered media access has not exactly been a hallmark of the Iraq war. But the surreal documentary “Full Battle Rattle,” according to its makers, unexpectedly received the full cooperation of the U.S. Army.

A keenly insightful film concerning an unusual training program for war-bound U.S. soldiers, “Full Battle Rattle” reveals much about those vague “conditions on the ground” in Iraq we often hear about. Yet this fly-on-the-wall, nonfiction feature, shot in 2006, never actually sets foot in that occupied country.

Filmmakers Tony Gerber and Jesse Moss (“Rated ‘R’: Republicans in Hollywood”) spent several weeks at a billion-dollar “virtual Iraq” built in California’s Mojave Desert. There, we see an Army battalion engage in simulations at a mock Iraqi village called Medina Wasl.

A writing team creates scenarios depicting Medina Wasl on the brink of slipping into civil war, while faux insurgents keep up pressure with well-timed surprise attacks. Iraqi Americans and Iraqi immigrants seeking citizenship pose as a variety of village characters similar to people U.S. soldiers typically deal with in Iraq. Army veterans who have done tours of duty in the war portray masked insurgents, using their combat experience to demonstrate how the enemy performs.

The whole enterprise looks like a B movie set, complete with a supporting cast that spends its downtime between scenes chatting and laughing. But the work is taken very seriously by officers, and the role-playing reflects reports from Iraq about tensions and frustrations between American soldiers and the Iraqi populace.

Gerber and Moss ended up with hundreds of hours of footage, and “Full Battle Rattle” is a high-octane viewing experience from the start. But it also shows us something of the military’s psychology and strategies involved in trying to win over the hearts and minds of a war-weary people.

It also amply captures the violent chaos that can undo such goodwill at any particular moment.

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Editorial Column: Veterans Have Earned the Right to Vote

August 8, 2008 – There is legislation pending in the U.S. Senate and U.S. House of Representatives that would allow nonpartisan groups and election officials to conduct voter registration drives in VA hospitals, nursing homes and homeless shelters.

We find it disappointing it will require an act of Congress to allow that. But if the Department of Veterans Affairs continues its refusal to revoke a directive banning such activities, we urge lawmakers to act quickly in adopting the legislation. There are less than 90 days before the election, and those veterans under the care of the VA have earned the right to vote.

The VA issued the directive in May, claiming voter registration drives were partisan and disruptive to patient care. Voter registration drives are held annually at the state-run Rocky Hill Veterans home – and there has never been any suggestion of partisan politics or disruption of patient care there.

Some allowances

VA officials here in Connecticut have conceded a bit to Secretary of the State Susan Bysiewicz’s call for a reversal of the policy, allowing her office to conduct voter registration and voting machine demonstrations in VA facilities in Connecticut. However, the VA still refuses to allow groups such as the League of Women Voters, Disabled American Veterans and other nonpartisan groups to do so. The national policy has not changed.

‘Certified’ only

VA Secretary James Peake has refused numerous requests to reconsider the position, and is insisting only “certified volunteers” can be permitted to conduct voter registration drives. To be certified, a person must to sign a pledge they will not encourage any patient to vote, or offer assistance in obtaining voting information.

That simply makes no sense.

Surely the federal Department of Veterans Affairs (VA) could arrange convenient times for nonpartisan groups or elected officials to meet with patients in a suitable location within the facility that would not disrupt patient care.

Congress has far more pressing issues to deal with than adopting a new law that forces government agencies to allow citizens, who want to, the opportunity to exercise their civic duties and constitutional rights.

And especially this particular group of citizens – those who have served to ensure those rights and freedoms are preserved.

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Can Obama Turn the Democratic Party Upside Down with the Biggest Voter Mobilization Drive in History?

August 4, 2008 – Barack Obama’s presidential campaign is seeking to register “millions” of new voters immediately after the Democratic Convention, according to top campaign officials who say the effort is one facet of a “capacity-building” effort this summer that includes extensively training thousands of campaign workers as community organizers.

The voter registration effort is part of a broader strategy to not just elect Obama, but also to alter the political landscape by shifting power from Washington to the grassroots, the officials say, to cultivate a base for significant political reforms. The campaign sees its training and voter registration efforts as the cornerstone of building a new progressive movement like the rise of conservatism during Ronald Reagan’s presidency.

“We need everybody in this party to get behind this effort to turn out thousands and thousands of volunteers in every single state in the country, to hit the streets and go register millions of new people that weekend alone,” said Steve Hildebrand, Obama’s deputy campaign manager, speaking at the recent Netroots Nation conference. “It’s not about whether or not we will get Barack Obama elected. It is about whether or not we will have a progressive majority in this country for decades to come.”

Last week, the campaign and the Democratic National Committee announced it would commit $20 million to “engaging and mobilizing” Hispanic voters in an effort that will include “voter mobilization, voter registration, online organizing, community outreach and paid advertising” and “also include Camp Obama trainings around the country.”

“We expect our demographic to turn out at 80 percent,” said Jason Green, the campaign’s national voter registration director. “We are all about cultivating leadership.”

The plan to train thousands of new community organizers and register millions of new voters is not business as usual for Democratic presidential campaigns, which for years have been run as top-down operations with little input from the grassroots. Instead, the campaign is seeking to blend the best aspects of community organizing, which stresses relationship building, with established, nuts-and-bolts voter outreach tactics to win.

A handful of experts who have worked in these dimensions of campaigns said the Obama plan realized a longtime hope of community groups to have a real role in presidential campaigns. However, those same people — who did not want to be named — questioned whether the Obama campaign had “the experience to do it right.” Some longtime Democratic Party campaigners agreed. As one voter outreach expert put it, before listing many things that his group took years to master, “I want to believe.”

Neither Hildebrand nor the other campaign officials who divulged their grassroots strategy at the Netroots conference replied to requests for follow-up interviews. However, as the deputy campaign manager concluded his talk, he said there were very good reasons why the campaign’s strategy could work in 2008: the public wants real change; its candidate is charismatic; the campaign has the money — and the volunteers — to make it work.

“If we don’t use this opportunity, if we don’t do this right, shame on us,” Hildebrand said, “because we will never have it as good as we have it right now.”

The Obama campaign also has a track record of winning in 2008’s primaries using this same strategy, which it is now institutionalizing for November’s election.

Exhibit A: South Carolina

“They said the way you used to win down here is you pay off the ministers, you pay off the state senators and the state reps, and you have some chicken dinners,” said Jeremy Bird, the campaign’s South Carolina field director during the primary, recounting the thinking he found among local Democrats when setting up shop in March 2007. “That didn’t jibe with our candidate’s message, or his bio, or anything that he said since he started to run for president or started running for the state senate.”

Bird, who joined Hildebrand and others at the forum for bloggers and independent media, exemplified the Obama campaign’s new ethos.

Bird began by telling his story — which echoed the campaign’s narrative. He grew up in Missouri in a fundamentalist Southern Baptist family and got involved in community organizing after graduate school in Boston. In 2004, he worked for Howard Dean’s presidential campaign, and then for the Democratic National Committee, and after the election for organized labor. After reading one of Obama’s books and relating to his work as a voting rights activist after law school, Bird joined the campaign. He arrived in South Carolina in March 2007 with little more than some videos and his acumen as a community organizer.

Instead of courting the local political establishment, Bird said he sought out community leaders and held “thousands of one-on-one meetings,” where he would show a video and then listen to their concerns. The meetings typically lasted 45 minutes or more — a long time for a top staffer of a national political campaign to spend with anyone. The most responsive leaders were then asked to host local gatherings, Bird said, where they introduced the candidate and campaign to their community.

“We asked them to support us and bring their social networks and hold house meetings,” he said. “In those meetings, we were testing our first contact’s leadership, and then we asked people to be team leaders.”

Bird said he divided the state into neighborhoods and created teams for every five to 10 precincts. He said he rejected “the old precinct captain model” in which one person would be in charge of a candidate’s operation, because Obama did not have enough supporters in every precinct. Bird then asked the teams how they could be helped by the statewide campaign. By the 2008 state primary day, Bird said Obama had 283 neighborhood teams and more than 10,000 volunteers working across South Carolina.

Obama won South Carolina’s January Democratic primary with 55 percent of the vote — a stunning margin. Hillary Clinton had 27 percent, and John Edwards had 18 percent.

“I was a skeptic of Jeremy and his crew in South Carolina, and whether he could build enough capacity to get us across the finish line,” Hildebrand said, explaining that he has worked on campaigns for 22 years but never put as much trust and responsibility in the hands of local organizers. “I quickly lost that skepticism, and I saw the numbers that they were creating.”

“It wasn’t about identifying voters,” Hildebrand said. “It was about building capacity to have the resources to do our persuasion and to turn out the vote. I give Jeremy and his team a tremendous amount of credit for building this field model and implementing this in a way that a state like South Carolina has never seen before. … Every state is a field state if you know how to organize the field.”

After the primaries, Bird said the national campaign interviewed 200 field organizers from all the states to assess and fortify the process for the rest of the campaign.

“The top lesson was, training and empowering people made the biggest difference,” he said. “This wasn’t just making phone calls and (telling volunteers that) you are going to make a lot of them. It’s ‘We are going to train you in a quality way from the second you come into our office … in how to become a real leader.'”

The Training

Green, a recent Yale Law School graduate — whose father was a minister “who preached a message of change” — is now Obama’s national voter registration director. He worked in Nevada during the primary and caucus season. Green said the campaign knew it would not succeed unless it cultivated real ties with supporters.

“If our organizers who are paid in our states made phone calls all day, we would not get it done,” he said, explaining why the campaign turned to tactics used by local organizers. “We do it by building relationships. We rely on telling people’s stories to create more connections. We listen more than we talk. In organizing, it is important to take the time to hear what people have to say, about the campaign, about politics generally.”

The campaign says it does not ignore the nuts-and-bolt tactics of any contest — voter contact, recruiting volunteers, boosting visibility, expanding the electorate — and benchmarks to reach those goals. But what it also does — and this has been noticed with some degree of bewilderment by the national press and more experienced Democratic Party workers — is put an extraordinary emphasis on training its staff to tell their own stories, and to listen to others, especially the very people they are seeking to reach.

Numerous press accounts describe Obama training sessions where volunteers tell their personal stories, as if it were a political Alcoholics Anonymous meeting. Experienced party activists who have attended these sessions have complained they were frustrated that the campaign did not give them more tools to be effective. But top Obama staffers like Hildebrand said empowering people at the grassroots level has created a more committed campaign, with tangible results in the primary states.

“They believe this is real. They don’t believe it is a game. They believe they can get it done,” he said. “This was a welcomed opportunity for so many of us to get involved in — when you have a candidate that really believed in building this from the ground up.”

Bird said the primary season had several important lessons. Foremost was the value of training. That was followed by “working close to the ground,” or opening many local campaign offices, he said. Next was focusing on volunteer leadership and developing teams “because when you have people who are out there in teams, you see they come together in a way that precinct captains, on his or her own, aren’t able to do.”

“The fourth thing was to integrate the technology to support this,” he said. “The fact that when you sign up on our e-mail list, you are automatically on our voter file, and we can follow up with you and know when you signed up and what you are interested in. … On Election Day in South Carolina, we had an unprecedented number of cell phone numbers, people that had opted in, that we were able to text and remind people to vote. And they were able to text back in (when they voted).”

Bird said the campaign rejected a long-standing political campaign assumption that saw meeting strict goals and developing grassroots relationships as opposing values, because the community-building component was ephemeral while the benchmarks like meeting voter registration targets were concrete. Both of these approaches were needed, he said, so volunteers would take ownership over meeting the campaign’s goals.

What is clear is that Obama’s approach has attracted some very committed workers.

“I was looking for a place where there was an effort to get change from the top down and the bottom up at the same time,” said Joy Cushman, who volunteered in South Carolina, where she went to house parties, held one-to-one meetings with local leaders, and met Bird. She, too, was on the Netroots Nation panel.

At first glance, Cushman is an unlikely an Obama supporter. She grew up in rural Maine and became involved in politics through her church, where she advocated for conservative issues such as school prayer. She then went on to work on affordable housing and other issues affecting low-income communities in Massachusetts. That brought her to the Obama campaign — after she realized that grassroots power and new political leadership were both necessary to change the status quo.

“I saw that Jeremy recognized, and the organizers recognized, that the awakening it takes for people to take on the responsibility for really being citizens is not something that happens at a mass level,” she said. “It is something that happens one living room at a time, one kitchen table at a time, and this campaign was investing in that effort.”

Obama’s Organizing School

It was striking to see Cushman and Bird — who grew up in socially conservative homes — as examples of the campaign’s best and brightest organizers. Indeed, many of the campaign’s local organizing tactics have long been used by the religious right.

“I am a child of the conservative movement,” Cushman said. “The brilliance of the church was we were organizing on abortion and prayer in schools, and it wasn’t just focused on Washington, it was focused on our local community. They realized for everyday people to be involved, the issues need to connect with our values, and we need to have a very local way, and a meaningful way, to get involved at the local level that isn’t just forwarding e-mails to our Congress people in Washington.”

Obama’s deputy campaign manager agreed. “Why does Barack Obama at times admire Ronald Reagan?” Hildebrand asked. “Because he built a movement — not because of his policies. Don’t ever criticize him for that. It is because Ronald Reagan built a movement. That’s what we will do. That’s what we are doing.”

In April, Caroline Kennedy e-mailed Obama supporters, saying the campaign would train a new generation of grassroots leaders this summer. A “fellows” program would take 30 hours a week for six weeks. Thirty-six hundred applicants were accepted, said Cushman, who was asked to help develop the program. The training started in June.

“Over three days in early June, we trained them how to be authentic leaders themselves and share their story,” Cushman said. “We train them how to build relationships, how to do one-on-one conversations with people, how to lead house meetings, how to do voter registration, because we have a 50-state voter registration project.”

First, the fellows were given voter registration goals, Cushman said. Her team in Georgia — where she was assigned — registered 1,200 new voters. The next goal was holding house meetings. Two weeks later, on June 28, the campaign held more than 4,000 such sessions across the country, she said, to “do what used to be truly American, which is sit and talk about what do we want for ourselves, our country, and what is our responsibility.”

“The fellows aren’t just college students looking for something to do over the summer,” Cushman said. “They are teachers and airline pilots and firefighters and people who have decided that they are willing to take the risk and make sacrifices to change the country.”

Cushman said people she meets often say the last time Democrats saw anything like the campaign’s grassroots effort was during the civil rights movement a half-century ago. And it is a page from that very era — an unprecedented national voter registration drive immediately following the Democratic Convention — that the campaign hopes will be the key to victory in November and an ensuing groundswell for political reform.

Millions of New Voters

Green, the campaign’s national voter registration director, said the campaign knows an estimated 60 million Americans are eligible to vote but are not registered. States such as Nevada, where George W. Bush beat John Kerry by 21,500 votes in 2004, has 390,000 eligible but unregistered voters. The task, Green said, is to reach out to potential voters in conventional and unconventional ways. That means finding them anywhere in their communities, such as at bus stops, shopping centers, social service organizations, senior centers, naturalization ceremonies, campuses and concerts, as well as house parties.

“We know that our targeted group is very transient,” he said, referring to the fact that lower-income people, students and young people move often, which complicates the voter registration process in states that require specific forms of documentation to register.

“The night Barack accepts the nomination, we will have house parties,” Green said. “We will ask those people to register voters on the next few days.”

“We saw through the 2008 primaries that we had voter registration opportunities that never existed to us in this party,” Hildebrand said. “We learned through experience … that our efforts on the ground to register voters was really, really important.”

Those listening to the Obama campaign officials speak at Netroots Nation included longtime Democrats and others who work in voter registration organizations. One party official was skeptical that the campaign would be able to find millions of new voters on Labor Day Weekend, which follows the Democratic Convention, and subsequently turn out these new voters come Election Day. Another feared that the campaign, despite its talk about the importance of grassroots, would siphon volunteers who were badly needed for down-ballot state legislature and municipal races. Those officials said early reviews of Obama’s training and outreach efforts were frustrating, with predictable errors on voter registration forms and a reluctance to ask more seasoned campaigners for advice — despite all the talk of listening to local leaders.

Another voter registration expert predicted that mistakes on the voter registration forms — an inevitable part of any voter drive — would be used by the Republican Party to accuse the Obama campaign of voter registration fraud, just as the GOP has repeatedly attacked voter registration efforts by groups like ACORN (Association of Community Organizations for Reform Now) in recent years. It was one thing for a nonprofit group to make these kinds of mistakes, the expert said, but more politically volatile when a presidential campaign errs.

“They have the infrastructure to reach a million voters,” said a voter registration researcher. “But do they have the infrastructure to reach a million disenfranchised voters who would not register otherwise?”

Efforts to contact these Obama campaign officials after the Netroots Nation conference to discuss these points were unsuccessful. The campaign aides at the conference did not discuss “quality control” issues, which established voter registration groups say are critical.

But Hildebrand said the planned voter registration drive was intended not just to benefit the Obama campaign, but to help elect Democrats at every level, especially in state legislatures where the majority would redraw congressional district boundaries in 2009. And since Obama became the presumptive Democratic nominee, his campaign and the national party’s operations have been merging, as evidenced by the DNC’s announcement last week that it would spend $20 million to engage Hispanic voters.

Hildebrand said the training of community organizers and the voter registration effort was necessary not just to elect Obama, but to deliver on an agenda of political change.

“We can’t be so single-minded that this is about Barack Obama, because it is not,” he said. “It is about the American people and the principles that are important to us. Whether or not we will get health care passed; whether or not we will stop the war in Iraq; whether or not we are going to build an education system that we can be more proud of. There are a lot of things that we as progressives hold fundamentally dear, and if this is about a game, we are not being all that successful — and neither is our opposition. But if it is about a movement that can fundamentally change the way we do business in this country at every single level, then we will be successful.”

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Embedded Reporters or Republican Activists?

August 8, 2008 – On its face, it seems like an idea any enterprising editor could have come up with: Gather a group of veterans of the Iraq war who also have journalism experience, including some highly decorated soldiers. Then send them back to the areas of Iraq in which they served, this time as reporters embedded with the troops still fighting there, and get their assessment of the security situation and whether the surge is working.

Someone has organized just such an expedition, and this Monday eight veterans left for Iraq. But the “Back to Iraq” trip wasn’t put together by the Washington Post or the New York Times; it’s the brainchild of Vets for Freedom (VFF), a pro-war group. VFF is nominally nonpartisan, but it has a remarkable number of ties — some previously unreported — to Republicans generally and John McCain’s campaign specifically. And it has run attack ads against Barack Obama.

It’s unremarkable to send reporters with thin journalistic credentials to Iraq, or to promise that journalists with a known political bias will report “objectively.” Conservative and liberal publications send their preferred reporters to Iraq all the time, and their representatives come home, unsurprisingly, with differing conclusions. But what about sending political activists and GOP operatives to Iraq in the guise of journalists, with the cooperation of the U.S. military and on the taxpayers’ dime, so that the activists can come home and proselytize for the Republican presidential candidate’s position on the war?

For journalists, getting to Iraq isn’t cheap. At a minimum, there’s the airfare to Kuwait, plus the cost of body armor, helmet, protective eyewear and insurance. But once they’re in Iraq, embedded reporters don’t have to spring for much else. The military flies the journalist from Kuwait to Baghdad and supplies food, lodging and transportation within Iraq. The military provides translation and personal bodyguard services, acting as a sort of super-fixer. Without embed status, the on-the-ground costs for any reporter or private citizen traveling in Iraq are dramatically higher. The cost of security alone, which often means an armored car and a driver as well, drives the price of any Iraq trip sky-high. In an e-mail, a reporter for a major American daily who has been to Iraq as an un-embedded reporter said that paying for non-embedded reporters involves “an infrastructure cost that can be very pricey, in the millions of dollars each year.”

Under the Pentagon’s standards for Iraq embeds, the people that Vets for Freedom is sending to Iraq qualify as journalists. Six of them have impeccable military credentials but no reporting experience, with clippings largely limited to Op-Eds. A would-be embed, however, needs only to provide the military’s public affairs officers with three samples of published or broadcast work, and proof that he or she is credentialed by a publication. Three conservative media outlets — the Weekly Standard, National Review Online and BlackFive.net – have provided the eight members of VFF’s Iraq team with credentials. Asked about how the Vets for Freedom received clearance as embeds, Army Sgt. Brooke Murphy, media operations NCO with the Multi-National Force-Iraq’s Combined Press Information Center in Baghdad, emphasized that the military does not conduct ideological vetting. ” “We don’t screen reporters or media personnel for political agenda or political affiliation … We give groups that want to come over the chance to report on what’s going on in Iraq, provided that the information that they report doesn’t jeopardize national security or the safety of our soldiers.”

From the mission statement that appears on VFF’s Web site, it’s also clear that the purpose of what it has dubbed the “Back to Iraq” trip fits within the bounds of journalism, albeit advocacy journalism of the foregone-conclusion variety, strident conservative division. “Its [sic] essential for the American people to know the facts about what is happening in Iraq. Some media outlets, and certain politicians, still fail to assess the situation objectively; so Vets for Freedom is heading Back to Iraq to let them know what has been accomplished, what still needs to be done, and how we should proceed in order to attain sustainable security in Iraq.”

But VFF’s representatives in Iraq are political activists first, and journalists second. Or third. VFF chairman Pete Hegseth, who is making the trip, has campaigned for McCain. According to disclosure records, another, executive director Joel Arends, was on the McCain campaign’s payroll between March 2007 and February 2008; he was also working for VFF at the time. David Bellavia, one of VFF’s co-founders and now its vice chairman, introduced the presumptive Republican nominee at an event sponsored by VFF by saying, “You can have your Tiger Woods. We’ve got Sen. McCain.” Another member of the Back to Iraq team was the star of one of the group’s anti-Obama ads.

The rest of VFF is similarly connected. Former executive director Wade Zirkle, one of the group’s co-founders and a member of its board of advisors, had been listed as a member of McCain’s Virginia leadership team. He’s still a member of Veterans for McCain, as is fellow VFF co-founder Knox Nunnally, who also heads VFF’s Texas chapter.

Almost everyone who’s been listed as a press contact for the group over the past year has a long history with Republican causes, or with the PR effort in Iraq, or both. Brian Marriott was the Bush campaign’s political director in Missouri in 2000; later, he worked as an advance man for President Bush and Vice President Cheney and as a special assistant for media relations to the chairman of the FCC. Communications director Adam Fife started at VFF shortly after returning from a stint as strategic communication advisor to the Multinational Force-Iraq. Adriel Domenech, formerly a press contact for the group, had also returned from a civilian public affairs position in Iraq not long before he began working for VFF. Before that, he worked for Bush’s reelection campaign.

But by traveling to Iraq as journalists, VFF enjoys the cost savings of the military’s embed program. This is at least the third time VFF has sent fact-finders to Iraq; in all three cases, they went as embedded journalists. But VFF leaders say they chose to have their team members become embedded reporters for journalistic, not financial, reasons. “I think it’s just the most unfiltered, transparent approach,” Bellavia says. “We want to know what these soldiers think.”

All this may raise questions about the group, but there’s likely no problem involved with campaign-finance law. Lawrence Noble, the former general counsel of the Federal Election Commission, says it is probably not illegal for a group involved in the presidential campaign to be using the monetary benefits of the military’s embed program to subsidize trips to Iraq. (Noble adds that the connections between VFF and McCain’s camp do not by themselves constitute illegal coordination between a PAC and a presidential campaign. “There’s no broad statement that you can make that you can’t have somebody who works with an organization involved in a campaign.”)

Still, VFF’s decision to embed reporters does raise concerns for experts in media ethics. Christopher Hanson, an associate professor at the University of Maryland’s Philip Merrill College of Journalism who researches media-military relations and who covered the first Gulf War, says that “subsidized journalism” funded by nonprofits “is on the rise across the political spectrum.” He doesn’t think that’s necessarily a bad thing as long as there’s full disclosure of the funding. But he also thinks that VFF’s case brings with it a different set of issues. “If essentially you have reporters who are the founders and the activists in the organization, then getting credentialed and going with preconceptions … and then going out and campaigning, that’s highly questionable, and that deserves scrutiny. It seems to me that to some extent the question is, Is there any chance that any of them change their views or is it simply a kind of a fraud?” Hanson said, cautioning that he doesn’t know the group’s intentions and is not accusing them of fraud.

“It’s not independent journalism,” says Kelly McBride, ethics group leader at the Poynter Institute. “If I were [VFF], I’d be saying, ‘Gosh, the Army should be paying me PR fees.'”

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Retired SF 2-Star Campaigning for Obama

August 6, 2008, Charlotte, NC – A retired Green Beret general plans to campaign in North Carolina for Democratic president candidate Sen. Barack Obama.

Obama’s campaign announced that retired Maj. Gen. Geoffrey Lambert would campaign Tuesday in Charlotte and Fayetteville for the Illinois senator.

Lambert was the commander of the Army’s Special Forces in the early days of deployments to Afghanistan and Iraq, taking over four days before the Sept. 11, 2001, attacks.

Lambert is scheduled to campaign in Charlotte at 10 a.m. at Obama’s local headquarters and at 3 p.m. in Fayetteville at a Veterans of Foreign Wars post.

Lambert was the commander who ordered Special Forces soldiers to shave beards and dress more like soldiers after he saw some of his troops looking unkempt on television from Afghanistan in 2002.

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Army Recruiter Suspended for Threatening High School Student with Jail Time, Sparks Bipartisan Call for Investigation

August 6, 2008 – A story involving an Army recruiter in Texas last week has led to a bipartisan call for an investigation. The recruiter from the Greenspoint Recruiting Station in Houston was suspended after a recording of his threats aired on a local TV station. The recruiter, Sgt. Glenn Marquette, warned eighteen-year-old Irving Gonzalez that he would be sent to jail if he decided to go to college instead of joining the military, even though Gonzalez had signed a non-binding contract that left him free to change his mind before basic training. We play the recording of their conversation, and we speak with two of the teenage Army recruits involved. We also question a spokesman for the US Military Recruiting Command and speak with a Texas Congressman who is calling for an investigation.

Click here to listen to the interview.

 

 

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Editorial Column: These Films Aren’t Exactly War Movies

August 6, 2008 – You won’t see war anywhere else the way you see it at the Rhode Island International Film Festival.

In the last few years, the festival has become a showcase for thoughtful examinations of what war does to people and how they deal with it. It makes room for films that are edgy and sometimes uncomfortable. At a time of maddening public disregard for the wars we wage, the festival offers a rich mix of reminders of how messy and noble and lonely and life- changing war inevitably becomes.

On this week’s schedule in this statewide movie splurge is The Road Home. It follows four veterans from Iraq and Afghanistan for almost four years. All are amputees and all end up competing in the New York City Marathon as part of that road home. It will be shown Friday at 4:30 p.m. in the Bell Street Chapel.

In the documentary Leave No Soldier, two groups of veterans, Rolling Thunder and Veterans For Peace, are shown coming from different political points of view but sharing a determination that one generation of veterans never abandon another. It will be shown today at 1 p.m. in the Columbus Theater Arts Center.

In Baghdad Diary, the Iraq war is seen through the eyes of an Iraqi family and an American TV reporter embedded with the Army. It will be shown Sunday at 3 p.m. at the Columbus Theater Arts Center.

Then there’s Happy New Year. It is 15 minutes long and very unsettling.

Lorrel Manning, the writer and director, admits to asking himself the question “are people going to hate us?” before making it.

But Manning and Michael Cuomo, the producer of the film and one of its stars, went ahead with the project for all kinds of reasons. They went ahead with it because of the horrible conditions exposed at Walter Reed Army Hospital. They went ahead with it because they believe the wars are “wars of luxury” too easily turned off. They went ahead with it because of the hard stories of veterans never quite making it all the way home.

“You don’t hear about the guys who don’t make it,” says Cuomo.

Happy New Year is about suicide, the ugly little secret of our ongoing wars that is just starting to become part of the discussion about the wars’ true costs.

It is shot in a dreary room of a veterans hospital. The Times Square New Year’s Eve celebration is on TV, watched by a veteran lying in bed, his left leg long gone, the left side of his face horribly burned. Cuomo plays the amputee. During a phone interview from New York last week, he explained that his leg was actually concealed in the mattress. He was very stiff after four or five hours of shooting.

A war buddy comes to visit. He pulls two beers from a small bag. The men talk the easy talk of friends and the hard talk of war.

“It’s your fault I’m here.”

“It was an accident.”

“You said that building was clear, remember?”

That might be all there is. This film might be just a brief look at two friends from the war, stuck in a hospital room as much of the world celebrates a meaningless tick of the clock. But then the visitor puts a syringe on a table. You hope that it won’t be used. You hope that the most hopeless option of all is rejected.

Michael Cuomo says he even wanted to stop the suicide.

But what makes this 15 minutes so good is that, in the last seconds, we can understand why that veteran in the hospital bed would consider ending his life.

Happy New Year will be shown Saturday night at 7 at the Cable Car Cinema.

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Decision Pends on Halt to VA Human Research at LR

August 7, 2008 – The U. S. Department of Veterans Affairs’ top health official will hold off on deciding whether to halt human research at the Central Arkansas Veterans Healthcare System until the institution corrects problems identified in a federal report released Wednesday.

In the report, the Veterans Affairs Office of Inspector General found numerous recordingkeeping and procedural errors in the system’s research program, including lack of consent forms for some subjects participating in research, failure to get patient permission for HIV tests and poor record keeping.

The report also criticized researchers for not reporting the deaths of 105 patients who were part of medical experiments, but it clarified that none of the deaths are believed to be related to the research.

It faulted the Central Arkan- sas Veterans Healthcare System and the University of Arkansas for Medical Sciences, which housed the institutional review board responsible for overseeing the system’s research.

While the problems at the central Arkansas system are serious, they are not isolated, said Dana Moore, deputy assistant inspector general for healthcare inspections with Veterans Affairs.

“We do see the oversight of research as a problem that’s not just at Little Rock but a bigger problem across the system,”Moore said.

Over the past 12 months, the inspector general’s office has released five reports detailing problems with research oversight at institutions around the country, including Birmingham, Ala.; Albuquerque, N. M.; and Phoenix. Rep. John Boozman, R-Ark., said his concern is with the “with the care and safety of the veterans.” “I think there’s real concern that the VA and UAMS acted very sloppily in record keeping. There’s no indication at all that that reflects on the quality of care,” he said. “My understanding is that UAMS and the VA have excellent quality of care, but in regard to their research it appears that they did not do a very good job at all.”

‘SERIOUS ISSUES’ In a July 11 response to the report about the Central Arkansas Veterans Healthcare System, Veterans Affairs Undersecretary for Health Brig. Gen. Michael J. Kussman said “serious issues”highlighted in the report require his “continuous attention and oversight.”

The Veterans Health Administration’s Office of Research Oversight has done six on-site reviews of the central Arkansas system since the investigation began in August 2007.

Kussman, also a medical doctor, has asked the oversight office to continue monitoring the central Arkansas health-care system with weekly conference calls, written reports and visits to ensure it continues to take corrective actions.

“Upon complete implementation, I will make a final decision on continuing human research at this facility,”Kussman said in his response.

The Central Arkansas Veterans Healthcare System had 208 research projects involving human subjects as of March 18, according to the report.

A spokesman for the system declined comment Wednesday.

“The final draft of the report was just issued today, and we’d like to take some time to digest it, make sure we know everything that’s in it,”Laurie Driver said.

In a statement Tuesday, the health-care system said it is implementing an “aggressive action plan”to address problems cited in the report. The system established its own institutional review board in August 2007 to oversee research and has increased oversight, required training for scientists and suspended “questionable studies,”according to the news release.

The system has until Dec. 31 to fully implement its action plan, after which Kussman will review matters, according to the inspector general’s office.

“The new managers there have taken steps to address [the concerns ], but their corrective actions are not yet fully implemented, and we remain concerned about the status of human subject protections at the facility,”said Moore, the VA deputy assistant inspector general. In a statement late Wednesday, Kussman’s office said he has “total confidence that the current leadership is conducting robust oversight for the safety of participants and the integrity of research.”In a statement Wednesday, U. S. Rep. Vic Snyder, D-Ark., said the report is “painful to read”for those who value medical research and know the “outstanding quality of medical researchers at both the Little Rock VA and UAMS.” “The Little Rock VA and the Department of Veterans Affairs now must aggressively prove to all of us by the on-going remedial actions underway that human subjects volunteering for medical research can be confident that they will be treated in compliance with the most rigorous standards,” Snyder said. “I am confident they will succeed.”

THREE VISITS For the investigation, the inspector general’s office visited the Little Rock facility three times since August 2007, interviewed dozens of research personnel and reviewed 13 research projects and thousands of documents, according to the report.

Investigators also interviewed officials with the Food and Drug Administration, the VA Office of Research Oversight and the VA Office of Research and Development.

In additional to citing problems at Central Arkansas Veterans Healthcare System, the report faulted the institutional review board at UAMS for failing to “suspend or terminate the researchers or research projects involved”when it found problems, including one case that was audited six times.

“For this reason, we found that the IRB failed to identify and address serious and continuing noncompliance,”the report said.

UAMS Chancellor I. Dodd Wilson said protection of patients participating in medical research is a top priority at the institution. The institutional review board, made up of volunteers from UAMS and the community, makes decisions on a case-by-case basis after careful discussion, Wilson said.

“In several instances they were probably too slow, and they need to improve that,”he said.

The report cited other problems. In a study concerning a new coronary-bypass surgery technique, for example, the report found investigators failed to notify participants of bleeding risks after a patient in the study was evacuated by air ambulance because of a hemorrhage the day after follow-up angiogram surgery.

Investigators also criticized the attending physician’s absence when the surgery was done by another doctor.

The report also cited studies in which researchers tested participants for HIV without their consent and failed to get witness signatures for a study of dementia patients.

Investigations into research practices at the Central Arkansas Veterans Healthcare System started after the institutional review board’s hot line got a call reporting “shredding and destruction of consent forms”in a study involving 750 breast cancer patients.

Wilson said the call came after the study was closed. The researcher – with approval from the institutional review board’s chairman – removed identifying numbers and contact information of women participating in the study as a means of protecting their identity.

The UAMS board reviewed the case and found no wrongdoing, but the U. S. Food and Drug Administration opened its own investigation and took possession of all research files from the study in October 2006.

In the report, Office of Inspector General officials said they “find it disturbing”that UAMS contends that identifying information was removed from forms for all 750 patients in the case the day before an audit.

But Wilson said the audit was unannounced and the patients could still be identified by signatures at the bottom of consent forms.

“Somehow that’s gone from a hot-line allegation to a federal investigation,”Wilson said.

Wilson said UAMS is continually improving its institutional review board, reviewing research protocol and taking new steps to ensure compliance with federal regulations.

The university is hiring a fourth auditor to review ongoing research projects and a person to educate researchers about regulatory requirements.

“We’re a good institution, we’re an ethical institution, and we’re not happy about this [report ],”Wilson said.

The inspector general’s report is available online at www. va. gov / oig /.

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Editorial Column: The Walking Wounded

August 7, 2008 – Two weeks ago an important new part of helping Space Coast veterans opened its doors — and its arms.

It’s the Melbourne Veterans Center, a walk-in facility designed like other such clinics nationwide to aid returning Iraq-Afghanistan war veterans get faster access and treatment to heal the battlefield’s scars.

Two of which are invisible, crippling and potentially fatal:

Post Traumatic Stress Disorder and traumatic brain injury, or TBI, which have become the signature wounds of the wars because of multiple combat tours and repeated exposure to roadside bombs.

A study released in April by the Rand Corp. found about 300,000 troops who have served in Iraq and Afghanistan — or 20 percent — are suffering from Post Traumatic Stress Disorder or major depression. Another 320,000 are stricken with probable traumatic brain injuries.

Even worse, experts say the numbers will rise as the wars grind on and more veterans return home.

There is, however, some hopeful light amid the darkness of this tunnel.

The Pentagon is spending an unprecedented $300 million this summer to start extensive research on the PTSD and TBI with the money going to 171 research projects, according to USA Today.

Medical experts in brain trauma are hailing the work, saying it could result in new understanding of how to address the afflictions.

The newspaper said the research includes:

# Evaluating as many as 20 different medications for TBI and studying ways to regenerate damaged brain cells.

That could lead to more successful treatments to reverse permanent problems with memory loss and problem-solving abilities.

# Finding new ways to deliver therapy to PTSD victims living in remote areas and reducing the stigma that many veterans feel and which prevents them from seeking help.

That’s essential to stem the long-term consequences of PTSD that include drug and alcohol abuse, marital problems, divorce, unemployment and suicide.

The breakthroughs won’t come overnight. Officials say it will take 18 months to complete some studies and five years to finish others.

Still, the research is welcomed at Melbourne Veterans Center where counselors say word of it could help more vets realize there is help and seek it.

“Hopefully, it’s a motivation to have them come in for treatment,” says Jack Maloney, a Vietnam veteran and the center’s team leader, adding the studies may result in “stronger tools to use” in treatment.

The center — located at 2098 Sarno Road and reached at (321) 254-3410 — is open from 8 a.m. to 4:30 p.m. Monday through Friday. Upon request, services can be provided after hours or weekends. Counseling for family members also is available.

The men and women who have served — and continue to serve — in Iraq and Afghanistan have done everything asked of them and more. The new PTSD and TBI studies are another way of making sure they receive the health care they deserve in the years to come.

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A Surgeon’s Guidebook to the Horrors of Battle

August 5, 2008 – The pictures show shredded limbs, burned faces, profusely bleeding wounds. The subjects are mostly American GI’s, but they include Iraqis and Afghans, some of them young children.

They appear in a new book, “War Surgery in Afghanistan and Iraq: A Series of Cases, 2003-2007,” quietly issued by the United States Army — the first guidebook of new techniques for American battlefield surgeons to be published while the wars it analyzes are still being fought.

Its 83 case descriptions from 53 battlefield doctors are clinical and bone dry, but the gruesome photographs illustrate the grim nature of today’s wars, in which more are hurt by explosions than by bullets, and body armor leaves many alive but maimed.

And the cases detail important advances in treating blast amputations, massive bleeding, bomb concussions and other front-line trauma.

Though it is expensively produced and includes a foreword by the ABC correspondent Bob Woodruff, who was severely injured by a roadside bomb in 2006, “War Surgery” is not easy to find. There were strenuous efforts within the army over the last year to censor the book and keep it out of civilian hands.

Paradoxically, the book is being issued as news photographers complain that they are being ejected from combat areas for depicting dead and wounded Americans.

But efforts to censor the book were overruled by successive army surgeons general. It can be ordered from the Government Printing Office for $71; Amazon.com lists it as out of stock, but the Borden Institute, the army medical office that published it, said thousands more copies would be printed.

“I’m ashamed to say that there were folks even in the medical department who said, Over my dead body will American civilians see this,” said Dr. David Lounsbury, one of the book’s three authors. Lounsbury, 58, an internist and retired colonel, took part in the 1991 and 2003 invasions of Iraq and was the editor of military medicine textbooks at Walter Reed Army Medical Center.

“The average Joe Surgeon, civilian or military, has never seen this stuff,” Lounsbury said. “Yeah, they’ve seen guys shot in the chest. But the kind of ferocious blast, burn and penetrating trauma that’s part of the modern IED wound is like nothing they’ve seen, even in a New York emergency room. It’s a shocking, heart-stopping, eye-opening kind of thing. And they need to see this on the plane before they get there, because there’s a learning curve to this.”

The pictures of wounded children include some of a 5-year-old shot in a vehicle trying to run through a checkpoint. Other pictures show wounds riddled with dirt, genitals severed by a roadside bomb, a rib — presumably that of a suicide bomber — driven deep into a soldier’s body, and the tail of an unexploded rocket protruding from a soldier’s hip.

There are moments that reflect the desperation in the invaded country: an Afghan in the jaw-locked rictus of tetanus after home-treating a foot blown off by a landmine. And moments that reflect the modern American army: a soldier with unexplained pelvic pain that turns out to be a life-threatening ectopic pregnancy.

The book was created to teach techniques that surgeons adopted, abandoning old habits.

For example, they no longer pump saline into a patient with massive trauma to try to get the blood pressure back up to 120. “You do that, you end up with a highly diluted, cold patient with no clotting factors, and the high pressure restarts bleeding,” Lounsbury said. Instead, they try to bring it up to just 80 or 90 with red cells and extra platelets, which encourage clotting.

Also, initial surgery even on a severely wounded patient may be brief — just enough to control hemorrhaging and prevent contamination by a torn bowel. Then the patient is returned to intensive care to warm up, raise the blood pressure and restore the electrolyte balance. The next operation is usually just enough to stabilize the patient for transport to a more sophisticated hospital, perhaps in Baghdad or Kabul, in Germany or the United States.

The book describes a surgeon who erred fatally by trying to do too much — a four-hour operation on a soldier who had lost a leg to a roadside bomb. The effort drained the forward hospital’s blood bank, and the patient died on the helicopter to the next hospital.

Also, neurosurgeons treating a blast victim now quickly remove a large section of the skull to relieve pressure, even if no shrapnel has penetrated. Such patients are sometimes able to walk and talk after a blast but then collapse and die as their brain swells.

The procedure is described by the surgeon who saved Woodruff’s life that way.

Amputations have also changed. Lounsbury’s brother lost both legs and an arm in Vietnam, and in those days clean “guillotine” amputations were done as high as possible. Now surgeons try to preserve as much bone and flesh as they can, even if the stump is unsightly. Modern prosthetics are molded to it.

Doctors have also become quicker to diagnose “compartment syndrome” even in patients too sedated to feel pain; swelling in an injured muscle can cut off the blood supply, leading to gangrene and amputation. Surgeons now “fillet” the muscles to relieve the pressure, often even before it builds, since restitching healthy tissue is better than losing a limb.

And when morphine is not enough, nerve blocks — internal drips of local anesthetic, often given by a small pump held by the patient — have become common in pain control.

Ramanathan Raju, chief medical officer for the New York City Health and Hospitals Corporation and a former trauma surgeon, viewed the book and said it would be “extremely useful” to civilian surgeons because of what it teaches about blast injuries and when a surgeon should stop to let a patient recover.

“The army should be very happy about this,” Raju said. “In the past, people said, Oh, army surgeons are like butchers, they’re not research oriented. This shows how skillful they are.”

One of the book’s most powerful aspects is its juxtaposition of operating room photographs with those of the war outside the tent. It is filled with random shots — burning vehicles, explosions, a medic carrying a child, another in a Santa Claus hat. It also has portraits of soldiers, often dazed and exhausted; one even has tears on his cheek.

Many are by David Leeson of The Dallas Morning News, who was embedded with the Third Infantry Division during the Iraq invasion and won a Pulitzer Prize for his coverage.

Even more humanizing are photos of recovered patients: an Iraqi whose jaw was destroyed shown with it rebuilt, a soldier who lost half of his skull smiling at a ceremonial dinner with his wife, a soldier whose face was pulverized by a blast looking scarred but handsome a year later.

Military censors suggested numerous changes, including removing photos showing burning vehicles and the faces of any American wounded. They also wanted to excise references to branches of service and how injuries occurred.

For example, according to unclassified e-mail provided by the authors, one suggested removing this description: “A helmeted soldier suffered a forehead injury during the explosion of an improvised explosive device. He was a front seat passenger” in a Humvee. The censor suggested: “A 22-year-old male was hurt in a blast.”

Two in the chain of command who raised such objections — one civilian and one officer — said they did so only out of concern for patients’ privacy and for security reasons. For example, they said, mentions of wound patterns might tell the enemy that helmets and Humvees were vulnerable.

But the authors argued that it was crucial for surgeons to expect wounds behind armor and absurd to conceal that they occurred.

“The enemy knows that,” said Stephen Hetz, a retired colonel and co-author.

They also argued that the book was dedicated to soldiers and marines and that the wounded were proud to be identified as such. All whose faces were fully shown, whether American, Iraqi or Afghan, had given written permission, they said. If it was not obtained, patients’ eyes were covered with black bars. The random war photos, they argued, were as much as five years old and some had been in newspapers, so they would give enemies no useful information.

Censors also tried to prevent the book from getting a copyright and the international standard book number letting it be sold commercially, Lounsbury said.

Ultimately, they were overruled.

Kevin Kiley, a retired lieutenant general who was the army’s surgeon general when the book was being prepared, said some higher-ups in the military had been worried that the pictures “could be spun politically to show the horrors of war.”

“The counter-argument to that, which I concurred with,” Kiley said, “was that this is a medical textbook that could save lives.”

He said it “absolutely” ought to be available to civilians, particularly to surgeons.

Hetz said that as a West Point graduate and onetime infantry officer — and as a former aide to two surgeons general, to whom he could appeal directly — he always had more faith than Lounsbury that the book would ultimately not be suppressed.

“There was never any doubt in my mind that the army would publish this,” he said. “It was just a matter of getting around the nitwits.”

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