Veterans Programs Get Boost from House Panels

June 13, 2008 – Two House panels on Thursday approved remarkably generous spending bills for the upcoming budget year, awarding veterans programs with record increases and restoring proposed cuts to local law enforcement subsidies.

Veterans programs would receive a 12 percent increase under a bill unanimously approved by a House Appropriations subcommittee, including funding to reduce enrollment backlogs, improve mental health care and fix up aging facilities. It adds $1.1 billion above President Bush’s budget to expand six Veterans Administration hospitals, as well as 145 less-ambitious construction projects.

A second measure, funding the Commerce and Justice departments, NASA and science and “competitiveness” programs, would provide increases averaging almost 9 percent over current funding.

Even so, Democrats rejected a last-minute $540 million administration request to fix major problems with the 2010 Census.

The two bills face an uncertain future as election-year politics are likely to grind Congress’ annual appropriations process to a halt. Bush is likely to threaten vetoes of both bills as too costly, and Democrats want to avoid such a confrontation.

While lawmakers in both parties supported the bills, Republicans grumbled that that Democrats were showering virtually every program with increases.

“This legislation does nothing to rein in federal spending,” said Rep. Jerry Lewis, R-Calif. “Tough budgetary choices must be made. Trying to please everyone by fully funding every program is something we simply cannot afford to do.”

Subcommittee Chairman Alan Mollohan, D-W.Va., acknowledged that it looked like his panel was “swimming in cash” with a $5 billion increase over current spending, but he said much of the increase was due to rejecting cuts to state and local law enforcement grants.

Rep. Rodney Frelinghuysen, R-N.J., said the big increases for domestic programs allowed lawmakers to “avoid making tough but necessary decisions to maintain fiscal discipline.”

Under congressional Democrats’ recently adopted budget blueprint, non-defense programs funded by Congress each year would receive $24 billion more than current levels.

Appropriations Committee Chairman David Obey, D-Wis., is also shifting billions of dollars billion from Bush’s record-setting Pentagon budget to domestic programs such as education and health research.

The record $8.8 billion increase over current levels for veterans spending comes on top of major increases in recent years. Congress has increasingly followed the ambitious budget recommendations of a group of veterans service organizations such as Disabled American Veterans.

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Mental Health and the Military Mindset

June 15, 2008, Bellmore, NY – Kristofer Goldsmith was so distressed about the prospect of returning to Iraq that he decided he was willing to kill himself to avoid serving a second tour.

The Army had mandated an extension of his three-year contract, which had been set to expire, as his unit was set to deploy to Baghdad as part of the troop surge. The day before he was to ship out in May 2007, he washed down a dozen Percoset with more than a liter of vodka.

Soon after he was admitted to the Winn Army Community Hospital at Ft. Stewart, Ga., a top noncommissioned officer from his brigade’s rear detachment visited the young sergeant, along with an Army psychologist, to discuss discharging him from the military.

“We all agreed that it was for the best that my Army career come to an end then,” said Goldsmith, who added that he’d scrawled the words “stop-loss killed me” in marker on his body before his suicide attempt. “It was a few days later when they told me that they were going to come at me for faking a mental lapse.”

The rear commander of his unit, Maj. Douglas Wesner of the 2nd Brigade of the 3rd Infantry Division, quickly initiated an administrative punishment known as an Article 15 against Goldsmith for malingering — that is, feigning a mental lapse or derangement or purposely injuring oneself — in order to avoid being deployed to Iraq.
Eventually, his commanders dropped the Article 15, but not before removing the 22-year-old from the service on a general discharge. Because he did not receive an honorable discharge, Goldsmith was stripped of his Montgomery GI Bill benefits, which he’d been counting on to help pay for his college education.

Goldsmith’s treatment is hardly unheard of. In fact, 21 Iraq soldiers have been punitively discharged since 2003 after being convicted of malingering, said U.S. Army spokesman Paul Boyce.

Goldsmith’s case illustrates the complex decisions facing the U.S. military, which says it is eager to address the mental health problems plaguing its troops but at the same time must maintain its warrior ethos and respect for the chain of command.

Goldsmith remains adamant that he did not fake a mental illness. A Department of Veterans Affairs psychologist later diagnosed him with post-traumatic stress disorder.

Wesner declined to comment. A 3rd Infantry Division spokesman said that Goldsmith was provided legal counsel and received a medical evaluation before his discharge, but he declined to speak further about the case.

Sitting in his parents’ home in this working-class suburb on Long Island, Goldsmith said his mental unraveling began when he returned from his first tour in Iraq in 2005.

The collapse accelerated after he learned he would be subject to “stop-loss”: The Army was involuntarily extending his three-year contract so that it could return him to Baghdad.

Goldsmith, now an active member of Iraq Veterans Against the War, is part of a growing population of Iraq and Afghanistan war veterans who have suffered from PTSD. .

Pentagon officials recently disclosed that at least 40,000 U.S. troops had been diagnosed with PTSD after returning from Iraq or Afghanistan. But those figures accounted only for those who had sought help; a recent study by Rand Corp. put the number closer to 300,000.

Last month, the Defense Department announced that 115 U.S. troops had committed suicide in 2007, the highest annual toll since the military began tracking the figures. And the Pentagon acknowledges that 12{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} to 15{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of war-zone soldiers are taking antidepressants or sleep medication.

Goldsmith served much of his yearlong deployment in the Shiite slums of Sadr City. On patrols, his unit took potshots from insurgents and was attacked by brick-throwing adolescents.

Sadr City was plagued by sectarian fighting, and U.S. troops regularly found the tortured corpses of Sunni men. Goldsmith’s duties included photographing them.

When he got back to Ft. Stewart in late 2005, Goldsmith said, he suffered deep bouts of depression and drank so much that he would often black out.

At first he refused to seek help.

“Before we were heading back to Iraq, [a senior noncommissioned officer] said that if we tried to use mental stress as a way to get out of going, he would see to it that we’d become his personal IED kicker,” Goldsmith said. “No one wanted to be stigmatized. . . . You also feared that there would be career consequences.”

One night Goldsmith became so irritated by a man at a party that he choked him until he was unconscious. He realized that he had to tell his commanders he needed help.

Goldsmith is fighting for an upgrade to an honorable discharge so he can regain his eligibility for GI Bill benefits.

Some of the soldiers who worked most closely with him have written letters to the 3rd Infantry Division brass on his behalf.

His company commander and platoon leader had recommended him for a Bronze Star at the end of his tour.

“If I were to go to war tomorrow, I would want Kris Goldsmith to go with me,” Capt. Edward McMichael, who was Goldsmith’s company commander in Iraq, said in an interview. “I don’t think Kris would fake it.”

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New Military Video Offers Mental Health Advice

June 5, 2008, Wellesley Hills, MA – In honor of Mental Health Month, the Department of Defense is launching a new educational video depicting how service members and their families may be affected by combat and deployment stress.

“A Different Kind of Courage: Safeguarding and Enhancing Your Psychological Health,” features interviews with military mental health experts and chaplains, as well as personal stories by service and family members. The video explores issues of concern such as post-traumatic stress disorder, alcohol abuse, nightmares, hypervigilance, exposure to violence, emotional numbness and difficulties faced when a loved one is deployed.

The video is a new component of the Mental Health Self-Assessment Program, a DoD funded initiative that offers service personnel and their families the opportunity to take anonymous mental health and alcohol self-assessments online, via telephone, and at special events held at installations worldwide.

The program is designed to help individuals identify their own symptoms and access assistance before a problem becomes serious. The self-assessments are available online at www.MilitaryMentalHealth.org or via the telephone at (877) 877-3647. Since the program was launched in 2006, more than 80,000 screenings have been completed online and over the phone.

Through the use of real stories and dramatized vignettes, “A Different Kind of Courage” addresses the symptoms of mental health and alcohol disorders among military service members and families, and the importance of early help-seeking to protect one’s career, family and health. It also provides useful information on how to convince a family member or friend to seek help.

In a segment of the video, Air Force Chief Master Sgt. Manny Sarmina, senior enlisted advisor in the Office of the Assistant Secretary of Defense (Health Affairs), emphasizes the importance of having leaders discuss their own struggles in order to encourage others to seek help.

“I don’t walk up to somebody and say, ‘Hey, my name’s Chief, I sought help in the mental health system.’ It’s not natural to do that. But when you see somebody struggling, and they give you this, ‘Oh, you don’t know what I’m going through.’ Then that’s when you pull out that ace, and you say, ‘Yes, I do know what you’re going through,'” Sarmina said.

The video will be distributed to family readiness group leaders, chaplains, military behavioral health clinicians, unit commanders, Reserve unit leaders, as well as other military groups who want to raise awareness and encourage seeking help as an act of strength.

“Military families face unique challenges. The video is a vehicle to promote discussion about how others cope with these challenges. By hearing service members and their families speak honestly about their struggles and how awareness and treatment helped, we hope it will encourage others to get help,” said Capt. Mark Paris, deputy director for Psychological Health Operations in the Office of the Deputy Assistant Secretary of Defense (Force Health Protection and Readiness).

“A Different Kind of Courage” runs approximately 25 minutes. To view a trailer or the full-length version of the video, visit http://www.mentalhealthscreening.org/military

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June 15, VCS in the News: Dead Marine’s Family Says Iraq War Veteran with PTSD Did Not Get Proper Care

Chad Oligschlaeger was struggling with post-traumatic stress disorder when he was found in barracks, parents say.  “There’s more help available,” said Paul Sullivan, the executive director of the advocacy group Veterans for Common Sense. “But it’s got to get a lot better, quickly, or we’re going to have a social catastrophe among returning veterans.”

June 15, 2008, Round Rock, Texas – Marine Corporal Chad Oligschlaeger returned from Iraq in early 2006 haunted by the memory of a fellow Marine he thought he should have saved.

He began drinking himself to sleep to dull the flashbacks and the nightmares, friends and family say. He told them he was accused by a superior of faking to avoid his next deployment.

After a second tour in Iraq, Oligschlaeger came home to Round Rock on leave and slept for days, a shell of the McNeil High School student who had pushed his friends into every kind of mischief imaginable, giggling all the way. He told his family the dead Marine was talking to him.

In the spring, two years after the nightmares began, he told his family that doctors had diagnosed him with post-traumatic stress disorder and put him on at least six types of medication. The Marines sent him to alcohol rehab and were arranging treatment at a mental health clinic.

But weeks before his death, Oligschlaeger declined to re-enlist, and his unit left him with no supervision and nothing to do for days on end, according to family and friends, who say he called them at all hours, slurring his speech, unable to recall what medications he had taken.

He was found dead in his room at the Twentynine Palms Marine base in California on May 20. He was 21.

First Lt. Curtis Williamson, a Marine Corps spokesman, said the Corps’ policies prohibit commanders from discouraging mental health treatment or leaving physically or mentally wounded troops uncared for. He said an investigation is under way, during which details, records and the cause of death cannot be released to the family or the public. “These allegations,” he said, “will be taken very seriously.”

But Oligschlaeger’s family is alleging that two years of obvious problems and calls for help from Oligschlaeger were ignored. Their complaints echo those of veterans’ advocates, who say that even with new government policies, better treatment and increased public awareness, there are still barriers separating soldiers and Marines from proper care for conditions such as PTSD that affect mental health.

“They wouldn’t give Chad the help he needed. But he was wounded, every bit as wounded as someone who lost an arm or leg,” said his father, Eric Oligschlaeger of Round Rock.

Oligschlaeger was found dead at a time when studies are showing that more troops are dealing with mental health problems than previously thought. The most comprehensive independent study, published in April by the RAND Corp.’s Center for Military Health Policy Research, found that one-third of service members sent to Iraq or Afghanistan return suffering from a combination of severe depression, PTSD and brain injuries.

Only half the troops who need care seek it, often fearing stigmatization or retribution, according to the report, which also found that “only slightly more than half who receive treatment get minimally adequate care.”

Moments of war left haunting memories

Chad Oligschlaeger, his family says, saw things in Iraq that he could not leave behind.

His first day in Ramadi — a densely packed city where the streets rang with gunfire — he saw a nearby Marine killed by a mortar lobbed onto the base, he told his family. A lieutenant handed him a body bag.

On Feb. 18, 2006, during a night patrol, a friend and mentor to Oligschlaeger, 2nd Lt. Almar Fitzgerald, was riding in a Humvee that was attacked. The blast from a roadside bomb left “Fitz” severely wounded, according to military releases. Eric Oligschlaeger said his son’s Humvee arrived shortly after the attack and Oligschlaeger helped load Fitzgerald’s stretcher into the back. But it was too wide to fit, momentarily delaying their departure, Eric Oligschlaeger said.

Fitzgerald died three days later at a U.S. military hospital in Germany, according to the releases.

Eric Oligschlaeger said his son described a delay that lasted at most a few moments, but Chad was dwelling on those seconds. When Oligschlaeger came home on leave that April, his friends say they noticed subtle changes.

At age 10, he’d met Brad Blackaller, and it took only a day for him to ask, “Are we best friends yet?” When Blackaller said he already had one, Oligschlaeger replied, “Why can’t you have more than one?” After Ramadi, Blackaller said, the burly, brown-haired hockey player with the sly smile and more best friends than he could count was jittery about standing in a grocery line.

Oligschlaeger’s mother, Julie Oligschlaeger, who lives in Phoenix, says her son made the 275-mile trip from Twentynine Palms most weekends with a few Marine buddies. Sunday mornings, mother and son had breakfast together. She and Oligschlaeger’s fiancée, Adrianna Avena, who also lives in Phoenix, say he spent months brushing aside questions about Iraq.

Then, six months after returning from Ramadi, he learned he was being sent back.

He started having flashbacks. He drank Seagram’s Seven whiskey until he passed out. He thrashed violently in his sleep, crying out about Fitzgerald. Avena learned the safest way to wake him was a light touch on the heel.

“Chad told (the Marines) he couldn’t go back in his condition,” she said.

Oligschlaeger told his family that he saw a military psychiatrist and laid out the drinking and the nightmares. But later that day, Oligschlaeger told his family, he was called in by a superior and accused of making up problems to avoid deployment. Julie Oligschlaeger said her son worried about a dishonorable discharge — and that no decent employer would hire him.

Williamson, the Marine spokesman, confirmed the identities of superiors accused by the family of discouraging Oligschlaeger from seeking help. But they are not allowed to give interviews during the investigation, he said. Their names are being withheld from this article because they did not have the opportunity to comment.

Williamson would not comment on Oligschlaeger’s case specifically but said any attempts to discourage him from seeking mental health treatment, as is being alleged, would be “not acceptable or condonable under Marine Corps standards.”

Stigma inhibits mental health treatment

Across the military, standards are changing. The Defense Department has been scrambling to hire psychiatrists in the wake of a yearlong Pentagon study, which concluded in May 2007 that the number of mental health professionals in the military is “woefully inadequate.” Last month, as part of a larger initiative to eliminate the stigma associated with mental health care, Defense Secretary Robert Gates visited a new PTSD treatment center near El Paso and declared that security clearances could no longer be denied to troops seeking treatment. Some commanders have also been encouraging their troops to think of the mind like a piece of equipment, something that may need maintenance when used in harsh conditions.

But change takes time. In February, during a Senate Armed Services Committee hearing about soldiers allegedly deployed against doctors’ orders, Army Secretary Pete Geren testified that troops unfit for duty shouldn’t be sent to war zones but couldn’t be sure they weren’t. Meanwhile, troop surveys consistently find the main barrier to treatment is fear that careers will suffer.

“There’s more help available,” said Paul Sullivan, the executive director of the advocacy group Veterans for Common Sense. “But it’s got to get a lot better, quickly, or we’re going to have a social catastrophe among returning veterans.”

After diagnosis, a host of medications

In April 2007, Oligschlaeger and Ramadi had changed. The city had calmed. Amid the pace of life there, Oligschlaeger seemed stable to family members during phone calls home, they say.

He returned on Thanksgiving from his seven-month tour in Iraq optimistic about his post-military life, his family says. While visiting Avena in Phoenix, he proposed at P. T. Cook’s restaurant, so nervous that he got on his knees and almost forgot to pop the question. Oligschlaeger toured the firefighters’ academy in Phoenix. Avena bought a house in nearby Scottsdale.

But when Oligschlaeger went home on leave to Round Rock, he would not leave the house. He told his father that he didn’t like how people stared at him.

In February, Oligschlaeger told his family that he was having hallucinations of Fitzgerald sitting next to his bed in the evenings, talking to him. He began to dream about killing Adrianna in anger.

At some point, he was diagnosed with PTSD, according to the family. But without medical records, determining when is difficult. The family says that he saw several psychiatrists in February but did not mention being diagnosed with PTSD until early May.

Julie Oligschlaeger said that during a brief visit in March, her son left behind an empty bottle of zolpidem, a prescription sleep aid, dated March 7, as well as bottles of trazodone and fluoxetine (both prescription antidepressants) dated March 20. His family says he later told them he was also taking lorazepam (a panic-reducing sedative) and seroquel (an antipsychotic).

In early April, the Marines sent Oligschlaeger to an alcohol rehabilitation center in Point Loma, Calif., his family says. He spent nearly a month there, but he complained of flashbacks so vivid that he would run terrified from the room. He thought the sergeant picking him up from treatment accused him of faking symptoms.

But, he told his family, the Marines were planning additional treatment: a stay in a mental health facility in Napa Valley. They were waiting until a bed opened up.

The medications mentioned by Oligschlaeger’s family are nothing to be alarmed about, said Dr. Erin Silvertooth, an Austin psychiatrist who has counseled PTSD patients. Silvertooth said PTSD medications are often used in concert to target specific symptoms, because “there is no magic PTSD pill.”

But she and Dr. Arthur Blank Jr., one of the nation’s leading authorities on PTSD, said patients on that many medications must be monitored closely. Blank said doctors often rely primarily on pills to deal with PTSD, but he said they should only supplement regular private counseling. Silvertooth and Blank, who had no involvement in Oligschlaeger’s case and could speak only in general terms, also said alcohol can amplify or interfere with PTSD medications, creating a dangerous combination.

Mixing alcohol, pills

On May 10, Oligschlaeger’s older brother, Chris, and his girlfriend, Sara Pawlowski, visited Phoenix. Chad Oligschlaeger, obviously drunk, complained he couldn’t find his pills.

“I just saw you take them,” Pawlowski recalls telling Chad Oligschlaeger.

The family’s worries deepened. Eric Oligschlaeger, who paints houses for a living, took a job delivering newspapers in Oak Hill in anticipation of paying for the post-military treatment.

The Marines encouraged Chad Oligschlaeger to renew his contract. He said no.

In the days after that, the family says, Oligschlaeger would call from different points on the base, wandering in a haze. He told his mother no one asked or cared why he wasn’t going to work. His new roommate in the barracks was house-sitting off base.

On Friday, May 16, Oligschlaeger told his father Napa Valley was still full. He then called Blackaller and said he wasn’t visiting Avena in Phoenix to save on gas.

On Monday, Avena bought her wedding dress. Her call went to Oligschlaeger’s voice mail.

On Tuesday, voice mail again. In a panic, she called her fiancé’s old roommate and asked, “Can you check on Chad?”

Hours passed.

At 11:30 p.m. in Round Rock, Eric Oligschlaeger’s doorbell rang.

“By then,” he said, “I knew what it was about.”

The Marine told Eric Oligschlaeger his son was dead but said he could not give any details.

Two days later, on a breezy desert morning, the Marines held a memorial service for Oligschlaeger at Twentynine Palms. There, Julie Oligschlaeger says, she asked the lieutenant colonel commanding her son’s battalion, “What happened to eyes on your Marines?”

Oligschlaeger’s funeral was May 31 in Austin. At it, the family played Johnny Cash’s rendition of “The Ballad of Ira Hayes,” a song about a disillusioned Pima Indian who helped raise the U.S. flag at Iwo Jima. In the song, Hayes turns to whiskey after the war, hoping to dull the nightmares and survivor’s guilt. He died at 32.

Eric Oligschlaeger knew it was an unusual choice for a funeral. But, he said, during the first deployment, his son’s unit had listened to it every morning.

To the family, it seemed a fitting choice.

mtoohey@statesman.com (512) 445-3673

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Jewish General to Pilot Evangelical-Friendly Air Force

June 12, 2008 – When he was a cadet at the Air Force Academy in Colorado Springs, Colo., in the early 1970s, Norton Schwartz did not hide his religion under his blue-and-white uniform.

A member of the academy’s Jewish choir before graduating in 1973, according to one of his classmates, Schwartz has since risen up the ranks and on June 9 was appointed Air Force chief by Defense Secretary Robert Gates.

If confirmed by the Senate, Schwartz will be expected to immediately deal with an armed service that has been badly embarrassed by the recent mishandling of nuclear material. But Schwartz, one of only a few Jews in the top ranks of the military, will also have to face off with the difficult questions of religion at his alma mater. During the past decade, the Air Force Academy has developed a reputation for being a hotbed of evangelical Christian proselytizing, drawing numerous constitutional complaints. Opponents of this trend see a ray of hope in Schwartz’s appointment.

“He has the capacity to bring change and change this general feeling that the Air Force Academy likes you more if you’re an evangelical Christian,” said Barry Lynn, executive director of Americans United for Separation of Church and State.

With his appointment, Schwartz becomes the third Jew in the top ranks of the military, alongside Lieutenant General Steven Blum, who heads the National Guard, and General Robert Magnus, who is the assistant commandant of the Marines.

Schwartz, who was promoted to the rank of general in August 2005, has held a series of top jobs in the Air Force. He flew his first operational mission in 1975 and, as such, took part in the infamous aerial evacuation of Americans from Saigon. In 1980 he became involved in Air Force Special Operations a few months after another humiliating event: the failed mission to free American hostages held by the Iranian regime.

“There are seminal events in all our lives,” Schwartz told Air Force Times in an April 2000 interview. “This was one of the momentous events for my generation.”

Two months ago, the Defense Department announced that Schwartz was to retire at the end of the year from his position as head of the Transportation Command, which manages global air, land and sea transportation for the Defense Department. But it was soon after this that the Secretary of Defense learned that the Air Force had sent four fusing devices for ballistic missile nuclear warheads to Taiwan instead of sending helicopter batteries. This followed an incident last summer in which a B-52 bomber mistakenly armed with six nuclear-tipped cruise missiles flew to Louisiana from North Dakota. Gates ordered an internal probe, and on June 5 he ousted the top military and civilian officials at the helm of the Air Force. Four days later, he tapped Schwartz to be secretary of the Air Force.

Schwartz’s Jewish identity did not go unnoticed after his appointment, particularly given the current military tensions with Iran. Press TV, an Iranian English language media outlet, wrote an article last week, titled “U.S. Names Jewish as Air Force Chief.”

There have long been rumors that Schwartz’s predecessor, Michael Moseley, was opposed to a military attack on Iran. The appointment of Schwartz has prompted speculation in the Iranian press and on some blogs that the Bush administration is yet again seriously considering the military option to thwart Tehran’s nuclear ambitions.

Aside from the recent controversies, one of the most prominent challenges facing the Air Force has been a series of lawsuits and constitutional challenges at the academy. Following revelations compiled in a May 2005 report from Americans United for Separation of Church and State that evangelical officers and staff members had pressured cadets of other faiths to convert — charging that there was “systematic and pervasive religious bias and intolerance at the highest levels of the Academy command structure” — the Air Force appointed an investigative panel. In June 2005, the panel found evidence that officers and faculty members of the academy periodically used their positions to promote their Christian beliefs and failed to accommodate the religious needs of non-Christian cadets. no “overt religious discrimination” was found.

The Pentagon has since issued formal guidelines to protect against religious intolerance and discrimination in the Air Force Academy, but Congress partly rescinded them under pressure from evangelical groups.

One of the primary critics of the Air Force has been Michael “Mikey” Weinstein, president of the Military Religious Freedom Foundation and a Jewish graduate of the Air Force Academy. Last March, Weinstein’s organization sued the federal government to combat what it calls creeping evangelism in the armed forces, arguing that it violated the constitution. Weinstein said he has already requested a meeting with Schwartz.

“He’s the new sheriff in town, and we don’t know where he stands on the issue of the proselytizing of the Air Force by fundamentalist Christians,” Weinstein said.

Schwartz’s classmate at the academy, Mike Nishimuta, says that one of the reasons he believes Schwartz — or “Nortie,” as he knows him — is an outstanding choice is that he is a “good diplomat.” He noted that Schwartz already distinguished himself at the academy by being named cadet wing commander.

“He is extremely smart, a good diplomat and someone who knows how to work with Congress,” said Nishimuta, who is now an aerospace consultant.

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Editorial Column: Mental Wounds Said to Raise War Casualties Tenfold

June 13, 2008 – Rep. Bob Filner (D-Calif.), chairman of the House Veterans Affairs Committee, charged Bush administration officials Wednesday with continuing to downplay the mental trauma and brain injuries suffered by veterans of wars in Iraq and Afghanistan.

Filner said an April RAND Corp. study, “Invisible Wounds of War — Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery,” justifies a tenfold jump in the U.S. casualty count versus the figure of 33,000 American dead and wounded used by the Pentagon.

RAND researchers extrapolated from a survey they conducted of 1,965 veterans to conclude that nearly 300,000 service members and veterans of Iraq and Afghanistan wars are suffering from post-traumatic stress or major depression. Filner told the pair of researchers, who had summarized their findings for his committee, that their work probably understates the problem.

“I personally think these are low estimates, just from my own studies,” Filner said. “But if you take even the 300,000, (it’s) 10 times the official casualty statistics from the Pentagon. Shouldn’t this 300,000 be included?”

Lisa H. Jaycox, a senior behavioral scientist and clinical psychologist who co-directed the RAND study, embraced Filner’s argument.

“Well, they are (suffering) an injury condition resulting from combat deployment, and so it’s a different kind of casualty,” Jaycox said. “But, yes, they are very important numbers.”

At the same hearing, Michael L. Dominguez, principal deputy under secretary of defense for personnel and readiness, said RAND had gathered solid data from its survey but then drew the wrong conclusions. The study, Dominguez said, “did not, and cannot, definitively say that there are 300,000 cases of clinically diagnosed cases” of post-traumatic stress disorder or depression among veterans who served in the two theaters of war.

Filner angrily interrupted him, telling Dominguez that RAND didn’t claim to show 300,000 clinically diagnosed cases of PTSD or depression. “It was an extrapolation to the possibility” of 300,000 cases, Filner said.

With over 1.6 million U.S. service members having served in Iraq or Afghanistan, Dominguez said, a finding that 300,000 veterans “have experienced some kind of mental health stress is very consistent with our data. And those people do need to be discovered (and) to get help.”

But, he continued, “many of them will, with very little counseling or assistance, resolve those combat stress issues themselves. A few — a few — will in fact manifest a clinical diagnosis of PTSD and they’ll need much more sustained intervention by medical health care professionals.”

“How many is a few?” Filner snapped.

The results so far, Dominguez said, show “less than one percent will actually have clinical PTSD that will need treatment over…”

“You believe that?” said Filner, cutting him off with sarcasm. “You believe that there are less than one percent of these deployed soldiers will have PTSD as a clinical diagnosis?”

Dominguez was stunned into silence momentarily but finally managed, “So far this is the number that we are seeing.”

“That shows why you don’t do anything,” Filner said, “because you think there’s only a few.”

Another purpose of the three-hour hearing, which included testimony from retired Navy Rear Adm. Patrick W. Dunne, assistant secretary for policy and planning for the Veterans Benefits Administration, was to assess progress by DoD and VA in implementing Wounded Warrior legislation passed in January in response to the Walter Reed scandal last year.

Dominguez and Dunne conceded that some congressional deadlines haven’t been met, including a late April target for establishing a Wounded Warrior Resource Center to give recovering service members, their families and primary caregivers a single point of contact for assistance.

But Dr. Terri L. Tanielian, co-director of the RAND study, acknowledged to Rep. Steve Buyer (R-Ind.) that the Wounded Warrior initiatives have set the Departments of Defense and VA “on the right track” for addressing most war-related mental health challenges.

The big hurdle now to proper care for many mentally wounded veterans is clinical capacity nationwide, Tanielian said. The pipeline for training mental healthcare providers in the most effective therapies for PTSD used by VA needs widening, she said, and that requires “transformation and system-level changes across the entire U.S. health care system.”

Filner, meanwhile, wants every service member and veteran who has served in Iraq or Afghanistan to receive a mandatory examination, which should include at least an hour with a clinician trained to detect the symptoms of PTSD, depression and even mild cases of traumatic brain injury.

In his tirade at Dominguez and Dunne, Filner said that, between the two of them, “I think there’s been a contest to see who can suck the humanity out of this issue better… I mean, we’re talking about our children!

“We’re talking about life and death! We’re talking about suicides… homelessness… a lifetime of dealing with brain injuries! And you guys sit there without anything to say. This is absolutely unacceptable.”

He asked Dominguez if he also disagreed with RAND that 320,000 veterans of Iraq and Afghanistan have a probable traumatic brain injury.

“Again,” said Dominguez, “you don’t have 320,000 brain injuries. You have 320,000 people who have been in or around a concussive event.

“Again, it’s a spectrum of experience (versus) a spectrum of need that manifests itself. So, no, there is not 320,000 people out there with brain injuries.”

That attitude, Filner charged, encourages clinicians to misdiagnose conditions so veterans are denied the care they need and the compensation they deserve. Dominguez took strong exception to those remarks.

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Editorial Column: The Iraq War Becomes Suicidal

June 12, 2008 – I gave a dollar to a shabbily dressed young man holding a “help me” sign on a Market Street in San Francisco. Most Saturday shoppers, many of them foreign tourists taking advantage of the cheap dollar, ignored him and the scores of homeless people hoping to score some spare change. Dave thanked me.

I asked him why he wasn’t working.

“My back hurts,” he explained. The pain began “outside of Baghdad.” He pointed to the base of his spine. “A mortar shell exploded. A couple pieces of metal lodged somewhere here.” He pointed to the base of his spine. “One of my buddies got hit in the eye. He’s worse off than me.” Dave said he was about to turn 26 and had lived on the streets for almost two years.

Heroin? I guessed.

He smiled.

“Some had it worse. Arms, legs, brains.”

I asked where he slept.

“Parks, under freeways, sometimes in homeless shelters if I have nothing that can get stolen,” he laughed.

I shook his hand and wished him luck. “Hey,” he called. “I haven’t killed myself yet like some of my buddies did.”

Dave was referring to the average of 18 veterans who kill themselves every day in the United States. “In California alone in 2006, 666 veterans committed suicide,” reported John Koopman. (SF Chronicle, May 12, 2008)

Dave might have been referring to Tim Chapman, also of San Francisco. Like Dave, he could not readapt to civilian life after his experience with war in the Middle East. Tim got on drugs. He joined a gang. His wife left him and he began to focus on ending his life, he told Koopman.

Throughout the country, communities cope with tens of thousands of U.S. troops returned from Afghanistan and Iraq with blighted bodies and brains.  As long as Bush’s wars continue – no candidate has pledged to withdraw all the troops – the country faces a growing collection of veterans, many of whom cannot function in family or work settings. They suffer from war wounds – physical and mental — that require expensive treatment.

Even though the overall number of veterans has begun to decline as World War II and Korea participants expire, “the government expects to be spending $59 billion a year to compensate injured warriors in 25 years, up from today’s $29 billion.” And reporter Jennifer C. Kerr cites the Veterans Affairs Department, which “concedes the bill could be much higher.” (Associated Press, May 11, 2008)

Those who don’t show injuries or don’t come in for or respond to treatment have become the highest risks. In 2005, CBS News began investigating suicides in the U.S. military. “120 people each week who had served in the military committed suicide. That’s an average twice that of non-veterans,” concluded a report from CBS’ Armen Keteyian (Nov. 13, 2007)

CBS asked Dr. Steve Rathbun, acting head of the Epidemiology and Biostatistics Department at the University of Georgia, for a detailed analysis of suicide statistics obtained from government authorities for 2004 and 2005. From the figures, Rathbun found that veterans “were more than twice as likely to commit suicide as non-vets.” Iraq and Afghan War veterans aged 20 through 24 had the highest suicide rate among all veterans — between 22.9 and 31.9 per 100,000. The general population has 8.9 per 100,000.

In early April, a group of lawyers representing veterans’ rights sued in a San Francisco federal court. The suit claimed the VA had deliberately concealed the risk of suicide among veterans. Attorney Gordon Erspamer put it generously. “Unfortunately the VA is in denial,” said the Veterans’ Rights Attorney. Erspramer was referring to emails written by Dr. Ira Katz, the VA’s head of Mental Health. Katz had insisted that the suicide risk for returning Afghanistan and Iraq veterans was in normal range. “There is no epidemic in suicide in VA,” Katz told CBS’ Keteyian last November. But in one 2007 email Katz wrote: “Our suicide prevention coordinators are identifying about 1,000 suicide attempts per month [12,000 a year] among veterans we see in our medical facilities.”  That contradicted the number the VA gave CBS News (790 attempted suicides in 2007).

The e-mail, “Not for the CBS News Interview Request,” began with “Shh!” Katz finished his email with: “Is this something we should (carefully) address … before someone stumbles on it?”

Rep. Bob Filner (D-Ca), chair of the House Committee on Veterans Affairs called this “a crime against our nation, our nation’s veterans.” (CBS News)

Katz later regretted his statement. “It was an error and I apologize [to the House Committee] for that.” (CBS news interactive, April 23, 2008)  Katz confessed he knew some 12,000 veterans a year had attempted suicide while being treated by the VA. That figure doesn’t cover those not under VA treatment. Katz wondered if “this is something we should (carefully) address ourselves in some sort of release before someone stumbles on it?”

Bush Administration officials are replete with sick jokes. Remember FEMA’s Michael Brown after Hurricane Katrina? The right wing bureaucrats saved their cruelest joke for those deployed and returning from the Middle East, almost 1.7 million men and women. Veterans suffering from wounds or traumas often observe their conditions worsening, leading to greater disabilities. The new vets know more than the ones from previous wars about getting their rightful benefits; thus, rising costs.

Because battlefield and emergency medical care have improved dramatically since World War II and Korea, and even since Vietnam, wounds that would have previously killed have become treatable. The number of vets collecting after Afghanistan and Iraq duty has grow to almost 200,000.

When Bush’s routine “special” request to continue the war appears before Congress, however, most Members — and certainly not the President — don’t focus on the disabled veterans. Since 2001, when Bush initiated his two wars, the number of partially destroyed vets has leaped 25 percent. 2.9 million Daves – or far worse cases – now populate the country. They join older vets from older wars as part of those who fit Franz Fanon’s description: the wretched of the earth.

Rick used booze, a habit he acquired in Vietnam where he served two tours of duty doing “search and rescue.” Within a decade after his return to the United States he became convinced that he saw malevolent shadows. These illusive entities manufactured parasites and directed them to burrow under his skin and have now followed him to the gas station near his Oakland street lodgings.

He has spent two decades battling that fear – with the help of booze and other substances, of course. “The war was the most exciting time in my life,” he concluded as he scratched the spots where the imaginary entities had crawled under his skin. “You wonder why they would do it all over again.”

Tens of millions of Americans ask why Bush and his supposedly conservative advisors would again dispatch young men and women to fight a war that had no just cause and threatens to drag on endlessly. Millions ask: Why can’t the United States withdraw? Why doesn’t Congress just cut the funds? They shake their heads at the answers.

Civil war might break out. We can’t desert those poor Iraqis. Al Qaeda could claim victory. Our reputation, our prestige, our national conscience, blah blah blah….

Steve Smithson, a deputy director at the American Legion, told AP reporter Jennifer Kerr that suicide “is a cost of war” as if patriotic – sheeplike? — Americans simply had to accept that war brings awful things, but when the President calls the patriots respond.

Almost 24 millions veterans – disabled or not – watch their numbers dwindle as World War II and Korean War vets die. The VA projects that by 2033 only 15 million will remain, but it will cost more to deal with them. Compensation for disabled veterans, agency economic predict, will increase from today’s $29 billion to $33 billion – at least. The disabilities mount, the injuries become more acute.

A RAND corporation study claimed some 300,000 ex soldiers suffered from Post Traumatic Stress Disorder. More than 320,000 had probably experienced traumatic brain injuries in combat. The nature of Bush’s wars means “in Iraq and Afghanistan all service members, not just combat infantry, are exposed to roadside bombs and civilian deaths. That distinction subjects a much wider swath of military personnel to the stresses of war.” (Julian Barnes, LA Times April 18, 2008)

ENOUGH ALREADY!

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Plan Would Lift Saudi Oil Output to Highest Ever

June 14, 2008 – Saudi Arabia, the world’s biggest oil exporter, is planning to increase its output next month by about a half-million barrels a day, according to analysts and oil traders who have been briefed by Saudi officials.

The increase could bring Saudi output to a production level of 10 million barrels a day, which, if sustained, would be the kingdom’s highest ever. The move was seen as a sign that the Saudis are becoming increasingly nervous about both the political and economic effect of high oil prices. In recent weeks, soaring fuel costs have incited demonstrations and protests from Italy to Indonesia.

Saudi Arabia is currently pumping 9.45 million barrels a day, which is an increase of about 300,000 barrels from last month.

While they are reaping record profits, the Saudis are concerned that today’s record prices might eventually damp economic growth and lead to lower oil demand, as is already happening in the United States and other developed countries. The current prices are also making alternative fuels more viable, threatening the long-term prospects of the oil-based economy.

President Bush visited Saudi Arabia twice this year, pleading with King Abdullah to step up production. While the Saudis resisted the calls then, arguing that the markets were well supplied, they seem to have since concluded that they needed to disrupt the momentum that has been building in commodity markets, sending prices higher.

The Saudi plans were disclosed in interviews with several oil traders and analysts who said that Saudi oil officials had privately conveyed their production plans recently to some traders and companies in the United States. The analysts declined to be identified so as not to be cut off from future information from the Saudis.

Last week, King Abdullah also took the unprecedented step of arranging on short notice a major gathering of oil producers and consumers to address the causes of the price rally. The meeting will be held on June 22 in the Red Sea town of Jeddah.

Oil prices have gained 40 percent this year, rising to nearly $140 a barrel in recent days and driving gasoline costs above $4 a gallon. Some analysts have predicted that prices could reach $200 a barrel this year as oil consumption continues to rise rapidly while supplies lag.

The growing volatility of the markets, including a record one-day gain of $10.75 a barrel last week, has persuaded the Saudis that they need to step in, analysts said.

Tony Fratto, a White House spokesman, said, “We would welcome any and all increases in oil production, including from Saudi Arabia.”

But the measure carries some risks to the kingdom and is not guaranteed to bring down prices, analysts said. Some investors doubt that Saudi Arabia has the capacity to increase its production beyond its current levels.

“This clearly represents the biggest test for them,” said John Kilduff, a senior vice president at the brokerage firm MF Global, who said the move could backfire if investors failed to respond to the extra Saudi supplies. No other producer has the capacity to quickly expand production.

Oil prices fell on Friday, slipping $1.88 to settle at $134.86 a barrel on the New York Mercantile Exchange, after reports of the prospective Saudi increase trickled into the market.

Ibrahim al-Muhanna, an adviser at the Saudi petroleum ministry, declined to comment on the production increase but said that Saudi Arabia was uncomfortable with oil prices. “Our goal is to bring back stability to the oil market,” he said.

Consumers are complaining that rising fuel prices are imposing a growing toll on their economies, and contributing to higher food costs. The Australian prime minister, Kevin Rudd, said this month that it was time “to apply the blowtorch to the OPEC organization.”

In Washington, bipartisan support is also growing to pass a law allowing the Justice Department to engage in antitrust proceedings against OPEC producers accused of curbing supplies to drive up prices.

Pressure is also mounting in consuming countries to address record energy prices. Congress is debating measures that would tackle speculators, whom many in Washington blame for driving up commodity prices.

When the Organization of the Petroleum Exporting Countries, of which Saudi Arabia is the most powerful member, met in March, it decided against increasing production, blaming speculators and a declining dollar, not a shortfall in supplies, for driving up oil prices.

Saudi Arabia’s unilateral policy could put it at odds with other members of the OPEC cartel. In a report from the group’s secretariat on Friday, OPEC analysts said they saw no need to put more oil on the market. “Claims that the recent surge in prices is due to a supply shortage are unjustified,” the report said.

Saudi Arabia is completing a huge expansion program in its oil industry that is expected to bring its production capacity to 12.5 million barrels a day by 2009. As part of that expansion, Saudi Aramco, the country’s national oil company, is planning to start soon an oil field, called Khursaniyah, with a daily production rate of 500,000 barrels.

The production increase, which would amount to less than 1 percent of global consumption, could be made public next week at the energy meeting, which is expected to bring together a large number of consuming and producing countries, including the United States, Russia, Britain, China, India and Japan.

While the meeting is not expected to achieve anything tangible, Saudi officials hope that tackling the issue publicly will break the upward momentum that is dominating oil markets.

“They’ve created pressure on themselves to make a concrete move at this meeting,” said Adam Robinson, an analyst at Lehman Brothers. “But when the king calls an oil summit, the markets would do well to take heed.”

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Editorial Column: A Victory for the Rule of the Law

June 13, 2008 – It shouldn’t be necessary for the Supreme Court to tell the president that he can’t have people taken into custody, spirited to a remote prison camp and held indefinitely, with no legal right to argue that they’ve been unjustly imprisoned — not even on grounds of mistaken identity. But the president in question is, sigh, George W. Bush, who has taken a chainsaw to the rule of law with the same manic gusto he displays while clearing brush at his Texas ranch.

So yesterday, for the third time, the high court made clear that the Decider has no authority to trash the fundamental principles of American jurisprudence. In ruling 5 to 4 that foreigners held at Guantanamo Bay have the right to challenge their detentions in federal court, the court cited the Constitution and the centuries-old concept of habeas corpus. Justice Anthony M. Kennedy’s majority opinion seems broad and definitive enough to end the Kafkaesque farce at Guantanamo once and for all.

“The laws and Constitution are designed to survive, and remain in force, in extraordinary times,” Kennedy wrote. Again, it’s amazing that any president of the United States would need to have such a basic concept spelled out for him.

That reference to “extraordinary times” takes care of a specious argument that Bush and his legal minions have consistently tried to make: that when the nation is at war, as it has been since the Sept. 11, 2001, attacks, the president has extraordinary powers that allow him to do basically anything he wants.

The Bush administration also has argued that the Guantanamo prisoners are “enemy combatants” who have no legal rights; that while U.S. citizens detained in the “war on terror” may have some rights, foreigners do not; and that Guantanamo is foreign soil, beyond the reach of U.S. judges. The court had no trouble seeing through all this smoke.

Twice before, the court has ordered Bush to respect the rule of law. In 2006, after the second ruling in favor of Guantanamo inmates’ rights, the administration persuaded Congress to pass a law stripping the inmates of any right to file habeas corpus petitions in federal courts. Yesterday’s ruling struck down this law, and since the decision was based on the Constitution, it seemed to exclude the possibility of new legislation that would let Bush continue his program of arbitrary, indefinite detention without judicial review.

The court also deemed inadequate the kangaroo-court tribunals that are held for Guantanamo inmates in lieu of proper court hearings. In the tribunals, an inmate is allowed to have a “personal representative” but not an actual lawyer — and the inmate has no right to see the evidence against him or to confront his accusers. Is it conceivable that the evidence against certain inmates might consist of witness statements that were obtained through the use of interrogation techniques involving painful coercion that international agreements classify as torture? Amazingly, that scenario is highly conceivable. Amazingly, it’s also highly conceivable — even probable — that some of the estimated 270 inmates at Guantanamo, imprisoned for as long as six years, are innocent of any involvement in terrorism and happened to be in the wrong place at the wrong time.

I say “amazingly” because it’s still hard for me to believe that arbitrary arrest, indefinite detention and torture continue to be debated, as if there were pros and cons. The Supreme Court has now made clear that while justice and honor may be mere inconveniences for Bush, they remain essential components of our national identity.

“The nation will live to regret what the court has done today,” Justice Antonin Scalia wrote in a dissent, warning that the ruling “will almost certainly cause more Americans to be killed.”

Everyone hopes he’s wrong, of course. But if the only thing that mattered were security, why would we bother to have an independent judiciary? Why would there be any constitutional or legal guarantees of due process for anyone? We could just lock up anyone who fit the demographic profile of the average armed robber, say, or anyone with psychological traits often displayed by embezzlers.

The Guantanamo decision will create headaches for the federal courts. The process of granting hearings to the detainees will be messy, imperfect and at times frustrating. I’m confident that in the end the system will work. George W. Bush may not trust America’s basic values and highest ideals, but I do.

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Review Finds Discrepancies in VA Care for Men,Women

June 13, 2008 – A review by the Department of Veterans Affairs finds that women veterans aren’t receiving the same quality of outpatient care as men at about one-third of its facilities.

The review obtained by The Associated Press appears to validate the complaints of advocates and some members of Congress who have said the health care system needs to focus more on women veterans.

Women make up about 5 percent of the VA’s population, but that number is expected to nearly double in the next two years as more women return home from Iraq and Afghanistan and seek care.

The review notes that the VA has created women’s clinics in many hospitals, but it says more clinicians need to be trained in women’s care and more equipment focused on women’s health is needed.

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