Jan 29, VCS FOIA Campaign News: Iraq, Afghanistan VA Patients Exceed 400,000

January 29, 2009 – As the number of veterans seeking health care continues to rise, the VA is straining to meet demands.

Amid talk of a drawdown of troops in Iraq, new statistics from the Department of Defense (DoD) and the Department of Veterans’ Affairs (VA) show that US casualties are still climbing quickly. Iraq and Afghanistan battlefield injuries and deaths number 81,361, up from 72,043 last January, according to data obtained through a Freedom of Information Act request by Veterans for Common Sense (VCS). Veteran patients – including those who didn’t seek care until their return home – shot up to 400,304 (from 263,909 in December 2007).

For the thousands of soldiers flooding the VA, mental illness tops the list of ailments. Forty-five percent of VA patients have already been diagnosed with mental health conditions, including a startling 105,000 diagnosed with post-traumatic stress disorder (PTSD). These data do not include the incalculable number of mentally ill veterans who have not received a diagnosis or haven’t sought treatment at the VA.

Health care for veterans has improved substantially in the past year, mostly due to legislative changes and funding boosts, according to Raymond Kelley, legislative director of AMVETS. The recently passed Dignity for Wounded Warriors Act entitles veterans to up to five years of free health care for military-related medical conditions. Other legislative victories include improvements to VA facilities, increased mental health care research and a boost for the claims processing system, which has been vastly understaffed and overburdened throughout the “war on terror.”

However, many barriers to adequate care and compensation remain, particularly for veterans filing for disability benefits. Delays and denials of those claims are routine. Among vets with PTSD, 59 percent have not been approved for benefits, meaning that their claims are pending or rejected – or that, due to any number of deterrents, they have not filed a claim.

According to Paul Sullivan, executive director of VCS, the average wait-time for veterans to receive an answer after filing for disability compensation is more than six months. A recent VCS lawsuit against VA showed that PTSD patients face even longer delays.

“That’s wrong and it needs to get fixed now, especially during the recession when the veteran may also be out of work due to their disability,” Sullivan told Truthout. “While veterans wait, their homes are foreclosed. Renters are evicted. Cars are repossessed. Some families often lack food or utilities while VA dawdles endlessly. Many veterans become homeless waiting for disability benefits.”

More than 809,000 veterans (from all wars and peacetime) are currently waiting on pending claims.

Sullivan points to the case of Iraq veteran Scott Eiswert, who committed suicide after the VA rejected his PTSD disability compensation claim for the third time. After his death, the VA went further, denying Eiswert’s life insurance benefits.

Jennifer Pacanowski, an Iraq veteran now living in Pennsylvania, waited two and a half years to receive a PTSD diagnosis, and nine months for her PTSD claim to be processed. In the meantime, her mother paid for all her medical care. Most of Pacanowski’s efforts to utilize the VA yielded only frustration.

“Every time I reached out to the VA for help, they tried to have me admitted into the psych ward, which scared me, since all I needed was to talk to someone,” Pacanowski told Truthout. “My family doctor from childhood tried to help with meds and treatment but [dealing with] combat veterans was a completely new thing for him, so it was hit or miss, with months of med changes and severe depression and anxiety, so I could not function.”

Pacanowski still can’t get all she needs from the VA. Since receiving her diagnosis, she has been eligible for full mental health benefits. However, the VA is overbooked, crowded and understaffed, and can only offer Pacanowski an appointment once every three weeks. So her family still shoulders much of the burden, paying for a private psychologist who can fill in the gaps.

According to Kelley, some claims are adjudicated quickly – usually those of recently discharged vets with very clear medical documentation of their condition. However, if a veteran doesn’t visit the VA soon after returning home, or can’t supply what the VA deems clear documentation, the claim could linger for years.

Moreover, the VA’s intimidating bureaucracy deters some veterans from filing a claim at all. The process is arduous and sometimes convoluted, and, since a positive result is never guaranteed, vets sometimes abandon their attempts.

“We understand from speaking with veterans that some veterans are discouraged from filing claims because the claim form is 23 pages,” Sullivan said. “I have watched veterans turn away in disgust when handed the stack of redundant forms VA requires.”

The current, bulky method for filing claims also leaves a high margin for error, increasing the chances of denial. VCS suggests shortening the claim form to one page. According to Kelley, veterans should consult an officer from a veterans’ service organization before filing a claim, to make sure it is correct and complete.

Pacanowski points to other reasons why veterans – especially those with PTSD – avoid the VA.

“I know many veterans with PTSD from all wars,” she said. “Most are afraid to go to the VA because of fear of judgment and the constant run-around you get … The vets I know that don’t go to the VA receive most help from fellow veterans. Or try and forget.”

Self-medication, including drugs and alcohol, is also a popular alternative to the intimidating bureaucracy of VA treatment, according to Pacanowski.

With the advent of the Obama administration, veterans’ organizations are hopeful that many of their long-sought goals will be realized. The House Veterans’ Affairs Committee, too, is looking to make significant headway under the new president. According to Rep. Bob Filner, chairman of the committee, top priorities include providing the VA with “sufficient and timely funding,” expanding access to health care for veterans in rural areas, and rebuilding the compensation and benefits system.

“We have a remarkable opportunity to make progress this year when it comes to veterans’ issues,” Filner told Truthout. “President Obama has laid out an ambitious agenda and the House Veterans’ Affairs Committee is committed to bringing results to our veterans and their families.”

Kelley points to the stabilization of VA funding as a key priority for the coming years. Under the current system, the VA budget remains uncertain each year until the annual appropriations bills are passed. This makes it difficult to plan long-term projects or expand ongoing initiatives.

“There has been a long-running problem with VA receiving a sufficient, timely and predictable budget,” Kelley told Truthout. “AMVETS supports legislation that will allow Congress to provide advanced appropriations for VA healthcare, allowing VA to know well in advance of their budget so they can begin hiring personnel and planning infrastructure projects.”

VCS is pushing for another measure to increase efficiency at the VA: automatic approval of disability claims for Iraq, Afghanistan and Gulf War veterans who have been diagnosed with PTSD. The extra claim-approval step often means months or years of painful limbo for ill veterans, and according to Sullivan, eliminating it would be a legally and scientifically sound move.

Filner confirmed that when it comes to the claims process, the VA has a long way to go. Moving into the new governmental climate, he stresses the urgency of addressing the issues keeping patients from receiving proper treatment.

“We must make progress in rebuilding the VA’s broken benefits system,” Filner said. “We need to thank veterans for their service by granting their claims and providing appropriate care.”

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Editorial Column: U.S. Veterans Need Good Care

January 30, 2009 – The recent article about yet another foul-up within the Veterans Administration system was met with no surprise by many of the veterans who use the V.A. as their health-care provider.

The phrase “fumble, stumble and regroup” seems to be the mantra within this seriously flawed system. Testing drugs on patients without their knowledge, paperwork logjams due to bureaucracy and a propensity to push pills in place of practical medical alternatives are just a few of the problems facing veterans when they look to the V.A. to do what has been promised. And that doesn’t include the mistakes their doctors make all on their own.

Compounding the problem is the Department of Defense. Among its efforts to help our military men and women move from active duty to civilian is the “pre-existing” catch phrase they attach to health problems as a way of denying they are service-connected.

If this was about the rights of illegal aliens or how some entertainer has set new environmental standards by getting a tattoo of a dolphin on his or her backside, the media would be all over it, with the American public not far behind.

Congress has made a fuss about this latest V.A. mistake. And, after awhile, it will be forgotten and everyone will move to something else that will give them more media exposure.

President Obama has installed Eric Shinseki as the new secretary of the V.A., with the promise of positive changes to come. That doesn’t sound too bad – if you don’t consider that every new secretary was ushered in with the same promise of change.

If Mr. Shinseki takes a serious look at the system, without help from the V.A. spindoctors, talk to veterans who have to deal with this department of smoke and mirrors, and follow up on the things posted on Web sites, then there could be positive changes.

If the American public would take the time and start to really complain to everyone in government about this serious disservice that is being foisted upon the men and women who have stood in harms way on our behalf, maybe something positive would be done.

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Military Investigates West Point Suicides

January 30, 2009 – Two West Point cadets have committed suicide since December and two others attempted suicide in the past two weeks, prompting the military academy’s leaders to summon an Army surgeon general’s suicide team to the campus today to investigate the causes.

The suicides are the first since at least 2005. The academy is passing out prevention cards, putting up posters and reviewing its procedures, and it has ordered fresh suicide-prevention training to be completed by today, said Col. Bryan Hilferty, spokesman for the U.S. Military Academy at West Point, N.Y.

Some West Point students blamed the problem on the high stress of life at the academy as well as hazing and said there have been as many as five suicide attempts since November. Officials said the two cadets who died had psychological conditions.

“This is a stressful place. It’s the United States Military Academy,” Hilferty said, but he added that “nothing is more stressful here than it has been.”

On Saturday, a freshman cadet took an overdose of medication and collapsed near the gymnasium wearing his full combat gear, according to students and officials. On Jan. 15, a junior put a belt around his neck in an effort to hang himself and later tried to jump out a window, but he was stopped in both instances, they said. Both young men survived.

On Jan. 2, cadet Gordon Fein shot and killed himself while at home in North Carolina on leave, and on Dec. 8 cadet Alfred D. Fox, a junior, took his life at a motel near campus by allowing a helium tank to empty in the room while he slept.

“He never woke up,” said a cadet familiar with the case who spoke on the condition of anonymity because he was not authorized to speak to reporters.

The Dec. 8 suicide was counted among the 128 confirmed cases for 2008 announced by Army officials yesterday. An additional 15 await final determination by the armed forces medical examiner.

For the Army overall, the high pace of deployments contributes to an active-duty suicide rate that has steadily risen since 2004.

“There is no doubt in my mind that stress is a factor,” Army Vice Chief of Staff Gen. Peter W. Chiarelli said at a news conference yesterday announcing the 2008 figures as well as new prevention initiatives.

The 2008 suicide rate of 20.2 per 100,000 marked a historic high for the Army, and for the first time since the Vietnam War era it surpassed the overall U.S. rate for people of similar ages and backgrounds: 19.5 per 100,000 in 2005, the latest year for which the statistic is available. It marks a jump from the Army’s rate of 12.7 per 100,000 in 2005, 15.3 in 2006 and 16.8 in 2007.

“Why do the numbers keep going up? We can’t tell you,” Army Secretary Pete Geren said at the Pentagon news conference. But, he said, “every suicide is a crisis we take personally. This is a challenge of the highest order for us as an Army.”

In a prevention effort, the service will conduct a “stand-down” from Feb. 15 to March 15 to identify soldiers at risk for suicide, following an extensive education program on suicide prevention that will last until June, Chiarelli said.

The Army also announced a $50 million, multiyear study on suicidal behavior among soldiers to be conducted with the National Institute of Mental Health — the largest single suicide study undertaken by NIMH, according to Phillip S. Wang, the institutes’ director of research.

The Army has also hired 250 new psychotherapists, psychologists and social workers and 40 marriage therapists, because relationship problems within the family or military are the leading factor in suicides, followed by financial and legal problems.

About 30 percent of the soldiers who committed suicide were deployed overseas, and 78 percent of them were on their first deployment. About 35 percent took their lives after deployment. The majority, 53 percent, did so within a year of returning. Another 35 percent of the soldiers had no deployment history, according to Army data.

The number of suicides in Afghanistan, which had ranged from none to two a year, increased to seven last year, corresponding to an increase in anxiety and exposure to combat, said Col. Elspeth Ritchie, an Army psychologist.

None of the West Point cadets who committed or attempted suicide had combat experience, but some students said they believed the intense pressures of life at the academy, as well as constant hazing by classmates, contributed to the tragedies.

For example, they said the freshman, also known as a plebe, who attempted to take his life on Saturday had been mercilessly teased by older students after he sent them an e-mail suggesting he had worked as a private security contractor, according to one of his psychology classmates.

“A lot of guys gave him a lot of crap. No one beat him up, but kids called him” cruel names, the classmate said. “That kind of mentality grows here; once someone gets ostracized, it snowballs.”

The freshman cadet had taken a potentially lethal dose of sleeping medication and painkillers and dressed in his body armor and helmet. He had spoken of wanting to die as an infantry commander in combat, classmates said. Some also pointed to the lack of freedom and days off at West Point as stressors. “Starting in the fall this year, we have only been allowed to have one three-day weekend,” one student said.

Perceived stigma for those who seek help is a continuing problem throughout the Army and also exists at West Point, officials and students said. “They have programs here, but they are so unfriendly, and people are afraid it will affect their careers,” the student said.

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Senator Wants Substance-Abuse Program Review

January 30, 2009 – A Missouri lawmaker wants service members who seek help for substance abuse problems to be shielded from disciplinary action.

Sen. Claire McCaskill, D-Mo., a member of the Senate Armed Services Committee, is pushing for a review of military treatment and prevention programs for alcohol and substance abuse to look at whether the threat of punishment for admitting a problem is discouraging people from getting help.

She also is concerned about mismanagement and chronic understaffing of substance abuse programs.

Both Defense Secretary Robert Gates and Army Secretary Pete Geren have promised McCaskill they will investigate problems, but she is pressing ahead with legislation calling for a comprehensive review of current programs, new research into substance abuse treatment and an independent study of substance abuse in the ranks.

In a statement, McCaskill said her concerns come after looking into whistle-blower complaints involving the substance abuse program at Fort Leonard Wood, Mo., where the Army employee who pointed out problems said he later suffered reprisals.

Army officials acknowledge that the Army has not been doing enough but said the base now has full staffing and the whistle-blower is being protected.

In a Dec. 23 letter, Geren said the substance abuse program is not disciplinary, but soldiers can face administration or disciplinary action if they continue to abuse alcohol or drugs, engage in misconduct or fail to cooperate in rehabilitation plans. By policy, soldiers who enter treatment on their own can do so anonymously, Geren said.

The Iraq and Afghanistan Veterans of America wants a defense-wide policy that commands should be notified of a service member seeking voluntary treatment for alcohol or drug abuse only at the discretion of the mental-health professional providing treatment, said Todd Bowers, the group’s government affairs director.

Bowers said his organization also is pushing for lighter sentencing for veterans who have mental health-related substance abuse problems who are convicted of nonviolent crimes.

McCaskill, who is looking for co-sponsors for the legislation she has prepared, said drug and alcohol abuse can be related to stress and mental health problems among service members and veterans who served in Iraq and Afghanistan, and they deserve to be treated as injured combat veterans.

“Our men and women in uniform deserve the very best health care available,” said McCaskill. “Substance abuse is a medical problem, and to think they can’t get the help they need, or worse, receive punishment instead of treatment is outrageous. We need to fix this now.”

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Jan 30, VCS in Contra Costa Times: Suicides in Army at Record High

January 30, 2009 – A record number of active-duty soldiers killed themselves last year, top Army leaders reported Thursday, acknowledging that they are losing a battle to reverse a years-long rise in suicides, many of them by soldiers deployed to Afghanistan or Iraq.

The 128 confirmed suicides last year – with 15 others pending confirmation – mark a new high since the Army began tracking them in 1980. Soldier suicides have risen each year since they totaled 67 in 2004, the first full year of the Iraq war. At least 171 soldiers, including those in the Army Reserve and National Guard, have killed themselves while deployed to Afghanistan or Iraq from the start of the military operations there in 2001 and 2003, the Army reported.

On Thursday, Army Secretary Pete Geren and other top Army officials unveiled training programs and initiatives aimed at reaching soldiers on the brink. They noted that, for the first time, the Army suicide rate exceeded the adjusted national suicide rate of about 19.5 people per 100,000.

“This is not business as usual. We need to move quickly to do everything we can to reverse this very disturbing number of suicides,” said Gen. Peter Chiarelli, the Army vice chief of staff. “We need to help our soldiers and their families understand that it’s OK to ask for help.”

Defense officials have not released overall suicide statistics in the military, but the numbers for Marines also reportedly rose in 2008. Army doctors said that troubles with intimate relationships, poor job performance, alcohol or drug abuse sparked some of the suicides. Stress from long deployments and multiple tours can play a role, often straining relationships at home; some soldiers have killed themselves after returning home and receiving new deployment orders, the Army confirmed.

However, officials also said that most of the suicides for deployed soldiers came during their initial deployments. Overall, the suicides were split about evenly among deaths in Afghanistan or Iraq, soldiers who had returned from deployment and those who never deployed.

In October, the Army announced it would embark on a $50 million study with the National Institute of Mental Health – the largest suicide study ever by the military. On Thursday it announced plans to step up its suicide training regimen, and ordered a “Stand Down” for suicide outreach beginning Feb. 15 that is designed to reach every soldier. However, the Army already has added hundreds of psychiatrists and psychologists and pushed videos and training through the ranks, with no sign of a turnaround.

Some think the nature of the wars and long deployments has placed soldiers at greater risk. By one estimate, 300,000 soldiers who served in Iraq and Afghanistan suffer post-traumatic stress disorder or major depression.

“In the Iraq war theater, there are no safe zones. Soldiers are getting shelled every day, roadside bombs every day,” said Paul Sullivan, executive director of Veterans for Common Sense, an advocacy group that has sued the Department of Veterans Affairs over delays and reported failures in addressing suicide risks.

“Service members are more likely to pull the trigger, more likely to see death and destruction, especially women and children who are helpless,” he said.

The stresses of multiple deployments have made a difficult readjustment tougher, said Dick Talbott, a Vietnam veteran who oversees 32 Vet Centers – including ones in Concord and Oakland – where veterans can receive counseling.

“These people are going back three or four or five times,” he said. “You steel yourself and keep yourself constantly on guard. That mechanism drives every part of your system. When you know you have to go back you continue to be amped in that way.”

Jim Schulze is a Vietnam veteran whose son, Marine gunner Jonathan Schulze, killed himself in 2007 after a tour in Iraq. Jonathan Schulze, a 25-year-old father with two Purple Hearts, told a VA hospital worker that he was suicidal but was placed on a waiting list, his father said. He hanged himself before the appointment.

Schulze, who lives in Minnesota, said he saw classic signs of PTSD in his son – sleeplessness, drinking, loss of concentration, flashbacks.

“When you get back, you’re lost. You’re out of the military. You don’t have any discipline, any regimen,” he said. “You’re kind of like a wandering lost soul. Once you got those skeletons in your closet, they’re going to rattle in there the rest of your life.”

Reach John Simerman at 925-943-8072.

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Scott Gould Named VA Deputy Secretary

January 30, 2008, Washington, DC – Today, Secretary of Veterans Affairs Eric K. Shinseki praised President Barack Obama’s intent to nominate W. Scott Gould as next Deputy Secretary of Veterans Affairs. Gould is currently vice president for public sector strategy at IBM Global Business Services and a former intelligence officer in the naval reserve. He has public service experience at both the departments of Commerce and Treasury.

Shinseki said, “Scott and I share a reverence for those who have served in uniform. He is fully committed to fulfilling President Obama’s vision and my goals for transforming the Department of Veterans Affairs into a 21st Century organization, and he understands the fundamentals that will drive that transformation: Veteran-centric, results-oriented and forward looking.”

Shinseki further said that Gould possesses a unique and wide-ranging set of skills in information technologies, acquisition, budget, human resources and leading the modernization of large, complex organizations. “Scott’s expertise in these areas, as well as his broad experience in the public sector, the private sector and the military, will prove invaluable for better serving our Veterans,” Shinseki added.

Gould worked in the public sector as the chief financial officer and assistant secretary for administration at the Commerce Department and deputy assistant secretary for finance and management at the Treasury Department from 1994 to 1999. As a White House Fellow, he worked at the Export-Import Bank of the United States and in the Office of the White House Chief of Staff.

Prior to his job at IBM, he was chief executive officer of The O’Gara Company, a strategic advisory and investment services firm, and chief operating officer of Exolve, a technology services company.

As a naval reservist, Gould served at sea aboard the guided missile destroyer Richard E. Byrd and as assistant professor of naval science at Rochester University. He was recalled to active duty for both Operation Noble Eagle and Enduring Freedom as a naval intelligence reservist.

During President Obama’s campaign and after his election, Gould was co-chair of the National Veterans Policy Team, Obama for America, and co-chair of the Veterans Agency Review Team for the Presidential Transition Team.

A fellow of the National Academy of Public Administration, Gould is a former member of the National Security Agency’s Technical Advisory Group and the Malcolm Baldrige National Quality Award Board of Overseers. He has been awarded the Department of Commerce Medal, the Treasury Medal and the Navy Meritorious Service Medal and is coauthor of The People Factor: Strengthening America by Investing in the Public Service. He holds a bachelor of arts degree from Cornell University and a masters in business administration and a doctorate in education from the University of Rochester. Gould is married to Michele A. Flournoy, and they have three children: Alec, Victoria and Aidan.

SOURCE U.S. Department of Veterans Affairs

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Keeping the Promise: Chairman Filner’s Agenda for Veterans for the 111th Congress

January 27, 2009 – January 27, 2009, Washington, D.C. – On Tuesday, January 27, 2009, with both Democratic and Republican Members of the House Committee on Veterans’ Affairs in attendance, Chairman Bob Filner held a meeting with 34 veterans service organizations to discuss priorities for the 111th Congress.

“We recognize the benefit of a new start – the Committee has new Members, the country has a new President, and the Department of Veterans Affairs has a new Secretary,” said Chairman Filner.  “Working together, we have a remarkable opportunity to make progress this year and I look forward to working closely with veterans service organizations to help veterans.”

Chairman Filner started the discussion by listing the Committee’s top priorities which include providing the Department of Veterans Affairs (VA) with sufficient and timely funding, fixing the disability compensation system, improving mental health treatment, improving health care access for women and rural veterans, and continuing vigorous oversight of the VA with a special focus on the implementation of the Post-9/11 G.I. Bill.  The Chairman also discussed the need to improve the transition process from service member to veteran, noting that cooperation between the Department of Defense and VA has improved but has a long way to go.  

Participants related how the general economic downturn is affecting the veteran community and called for investment in vocation rehabilitation programs and labor training.  The lengthy wait for some veterans’ disability claims has contributed to financial problems and a domino effect that can result in economic turmoil from which some veterans never recover.  Additional issues addressed included caregiver needs, Agent Orange veterans, Gulf War Syndrome, preventing homelessness, and the need for greater VA outreach campaigns to alert veterans of available benefits and programs.

Chairman Filner concluded: “Thank you for coming to express the needs of veterans to this Committee.  We are truly grateful for the work you do and for your dedication to improving the lives of our Nation’s heroes.  I ask you to continue reporting to Congress what you see and what you hear.  We learn from you and we need your assistance as we demand accountability and work towards solutions.  We have a new excitement and a new commitment to honor our veterans that have so bravely served our country and I hope you continue to work for progress.”

###

Complete List of Participants

1.      Michael M. Dunn, President and CEO, Air Force Association

2.      Bob Price, Deputy Director, Military & Government Relations, Air Force Sergeants Association

3.      Steve Robertson, Director, National Legislative Commission, The American Legion

4.      Ray Kelley, Legislative Specialist, AMVETS

5.      John Lopez, Chairman, Association for Service Disabled Veterans

6.      Tom Zampieri, Director of Government Relations, Blinded Veterans Association

7.      Dave Gorman, Executive Director, Disabled American Veterans

8.      Thomas Banzul, General Counsel, Empowering Veterans

9.      Frank Yoakum, Legislative Director, Enlisted Assn. of the National Guard

10.     Joe Barnes, National Executive Director, Fleet Reserve Association

11.     Rachel Clinkscale, Co-Chair, Government Relations Committee, Gold Star Wives of America

12.     Herb Rosenbleeth, National Executive Director, Jewish War Veterans

13.     Patrick Campbell, Legislative Director, Iraq and Afghanistan Veterans of America

14.     Jeff Roy, National Commander, Military Order of the Purple Heart

15.     Bob Norton, Deputy Director Government Relations, Military Officers Association of America

16.     Joe Wynn, Legislative Liaison, National Association for Black Veterans

17.     Rick Jones, Legislative Director/PAC, National Association for Uniformed Services

18.     Cheryl Beversdorf, President and CEO, Natl. Coalition for Homeless Veterans

19.     Barbara Cohoon, Deputy Dir. of Government Relations, National Military Family Association

20.     Ronald B. Abrams, Joint Executive Director, National Veterans Legal Services Program

21.     Ike Puzon, Director of Legislation, Navy Reserve Association

22.     Richard Schneider, Exec. Dir. for Government Affairs, Non Commissioned Officers Association

23.     Steve Robinson, Program Development, ONE Freedom

24.     Carl Blake, National Legislative Director, Paralyzed Veterans of America

25.     Marshall Hanson, Legislative Director, Reserve Officers Association

26.     Deirdre Parke Holleman, Executive Director, The Retired Enlisted Association

27.     Matt Cary, President, Veterans and Military Families for Progress

28.     Joe Wynn, President/ Senior Advisor, Veterans Enterprise Training & Service Group, Inc.

29.     Jason Knobloch, Research Coordinator, Veterans for America

30.     Paul Sullivan, Executive Director, Veterans for Common Sense

31.     Chris Needham, Senior Legislative Associate, Veterans of Foreign Wars

32.     Donald D. Overton, Jr., Executive Director, Veterans of Modern Warfare

33.     John Rowan, National President, Vietnam Veterans of America

34.     Mike Turner, Chief of Congressional Affairs, Wounded Warrior Project

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Jan 29: Alternet Interviews VCS About National Security, Civil Liberties, and Veterans

January 29, 2009 –

Paul Sullivan is a veteran of the 1991 Gulf War, serving in Saudi Arabia, Kuwait and Iraq as a Cavalry Scout with the Army’s 1st Armored Division.

As executive director of the National Gulf War Resource Center from 1997 to 2000, he advocated for the passage of the Persian Gulf Veterans Act of 1998, which expanded health care and disability benefits for Gulf War veterans. From 2000 to 2006, he was Veterans Affairs project manager, leading a team that produced reports related to the Gulf War, Iraq war and Afghanistan war.

Sullivan is a life member of the Veterans of Foreign Wars and the Disabled American Veterans and is presently the executive director of Veterans for Common Sense, a Washington nonprofit organization focusing on issues related to national security, veterans’ rights and benefits and civil liberties.

Two days after the inauguration, Paul spoke with me about a number of topics, including: the lies, drugs and poisons involved in the Gulf War and its current sequels; the suicide epidemic among Iraq and Afghanistan war veterans; the rash of homicides around military bases; the need for a truth commission; skewed research on Gulf War illness at VA; signs of conspiracy and subterfuge; the legacies of Bush 41 and Bush 43; the first days of Barack Obama; and his hopes for Michelle Obama as a true friend of veterans and veterans’ families.

Nora Eisenberg: You’ve been involved with veterans’ issues and rights for close to two decades — as a veteran and advocate for veterans. Why have you devoted your life to this?

Paul Sullivan: The military taught us a valuable lesson during war: never leave a fallen comrade behind. We are now applying that essential lesson for use outside the war zone: We must never leave a fellow veteran behind.

Most people don’t know that under a little-noticed 1991 law, the Gulf War began on Aug. 2, 1990, and it continues through today. The devastation that began with the bombing of Iraq on Jan. 17, 1991, continues through today. … Out of 700,000 Gulf War veterans, 290,000 filed disability claims against VA. VA also reports that 250,000 Gulf War veterans sought medical care at VA hospitals.

Friends of mine completed suicide after the Gulf War because VA delayed or denied assistance. A few friends suffered without answers from Lou Gehrig’s disease, also known as ALS, for years before dying early, often after fighting VA.

The Gulf War continues as the new Iraq and Afghanistan wars. VA reports an additional 330,000 Iraq and Afghanistan war veterans have already filed disability claims against VA, and 400,000 have already been treated at VA hospitals. That’s a grand total of 620,000 disability claims and 650,000 veteran patients.

We continue fighting for veterans because they need it, and because we are successful. Our 2007 lawsuit forced VA to establish a toll-free suicide-prevention hot line. In the first 15 months, the hot line received 85,000 calls and performed more than 2,100 rescues of suicidal veterans.

We fought for and secured $1.8 billion in emergency funding in 2007 that VA used to hire thousands of new doctors and claims processors. VCS testified repeatedly about the need to reform VA’s broken claims system, and Congress acted by passing an overhaul bill in late 2008. Yet much more work needs to be done in 2009 and beyond.

The time has come to bring common sense to our U.S. government — we must end the wars, bring our troops home with a responsible plan, provide medical care and benefits to our veterans, begin repairing our Constitution and our international reputation, and create a truth commission that will present the facts about the causes, conduct and consequences of the war to the American public. Then we can learn from our mistakes and move forward.

Now that President Bush has been peaceably removed from office, President Obama need only sign an executive order to end the wars (see Title 38, United States Code, Section 101, Paragraph 33). Congress also has the authority under the Constitution to end the war. Yes, it is that simple. 

NE: Your organization, Veterans for Common Sense, addresses veterans’ issues as well as issues of national security and civil liberties. Why have you expanded your work to include these other issues? How do they relate to veterans’ issues and rights?

PS: We have always focused on national security, civil liberties and veterans since VCS was founded in 2002. We were formed by Gulf War veterans who questioned former President George W. Bush’s misleading comments about Iraq having weapons of mass destruction and his rush to invade Iraq without international support.

We were fully aware that George H.W. Bush, the 41st president, also misled America into supporting the 1991 Gulf War, and we wanted to avoid repeating that mistake.

VCS also opposed former President [George W.] Bush’s now-documented ordering of illegal torture against enemy prisoners of war because it endangers the welfare of our soldiers captured by the enemy. Torture is also morally wrong and prohibited by the Geneva Conventions the U.S. agreed to uphold, and by several U.S. anti-torture laws. On March 10, 2003, VCS sent a letter to Bush detailing our concerns.

Experts also agree that little to nothing is ever obtained from torture, no matter how many episodes of Fox’s “24” series Bush administration officials watched.

We support the United Nation’s Special Torture Rapporteur’s recommendation that former President Bush and former Defense Secretary Donald Rumsfeld be pursued for war crimes, especially their orders to torture humans in violation of the Geneva Conventions.

We also support the formation of a “truth and reconciliation commission” empowered to determine the facts about domestic spying, torture and the suspension of habeas corpus during the past seven years. Our veterans should play a special role with this commission … set the record straight that former President George W. Bush lied to start the Iraq war and that our nation must provide for the service members and veterans harmed by Bush’s actions.

While we must remember the past so we avoid repeating it, with the election of President Obama, we are focusing on how to move forward and repair VA and honor our nation’s obligations to our veterans, national security and civil liberties.

NE: Let’s start with a very recent development. In November, the Research Advisory Committee issued a report declaring Gulf War illness to be a “real” illness caused by toxins that troops were exposed to in the 1991 Gulf War. Why did it take 18 years for this clarification? To what extent was the case for causality made earlier? It seems to me compelling evidence was available as early as 1998.

PS: The evidence that the illnesses among Gulf War veterans were related to toxic exposures was compelling in March 1991, when veterans first reported symptoms — symptoms ignored by the military. That’s when the military cover-up of Gulf War illnesses began. One of the first documents produced by the military after the Gulf War cease-fire in 1991 said that depleted uranium should be hyped as successful, lest it be removed from the arsenal because the dust from it is so toxic.

We have made so much progress thanks to the heroic work of Jim Binns, the chairman of the Research Advisory Committee, Lea Steele, the scientific advisor for the committee, Gulf War veterans Steve Robinson and Steve Smithson, and all of the other outstanding individuals on the RAC. They should all be commended for fighting for science, as well as fighting against the small handful of career bureaucrats at VA who blocked research, health care and benefits for the estimated 210,000 Gulf War veterans who remain ill after deploying to Iraq, Kuwait and Saudi Arabia in 1990 and 1991.

There are two reasons a few malicious VA employees fought against our veterans. The first reason is the exorbitant cost to taxpayers who were told the Gulf War was nearly free. If DoD and VA had admitted Gulf War illnesses were real back in 1991, the costs for providing health care and disability benefits to hundreds of thousands of veterans for several decades would have easily cost taxpayers tens of billions of dollars.

Second, there is the loss of face. If DoD and VA confirmed the U.S. government was responsible for some of the toxic exposures, such as pesticides and depleted uranium, then that would tarnish the carefully crafted government propaganda machine message that erroneously declared the Gulf War was a clean and low-casualty conflict.

Now that the facts are in, we know that the Gulf War was very expensive, very dirty and resulted in hundreds of thousands of long-term casualties in the form of disabled veterans exposed to dozens of toxins. As of February 2008, out of 700,000 Gulf War veterans, nearly 290,000 had filed disability claims against VA, and nearly 250,000 had sought health care from VA. Congress never asked for, and VA never provided, a cost for medical care and benefits for our Gulf War veterans.

Unfortunately, the Iraq and Afghanistan wars are worse in terms of costs and lost reputation. We expect the rate of claims and health care demand among Iraq and Afghanistan war veterans to be significantly higher than Gulf War veterans due to prolonged combat, longer deployments, repeat deployments, the availability of five years of free VA health care, and a domestic economy going down fast because of Bush’s Iraq war fiasco.

NE: Over the years, the Institute of Medicine, at the request of the VA, has produced many reports on Gulf War illness. They all claimed the relationship between wartime toxins and the symptoms of the Gulf War veterans was inconclusive. The RAC called their research “skewed” and “unscientific.” How did that happen? Are there particular people responsible in the VA, DoD or other halls of government? Or is it just systemic neglect and incompetence? Or both?

PS: The RAC is correct. VA, IOM and DoD staff are more than just negligent and incompetent. A few staff remain malicious toward our veterans — they continue blocking scientific inquiry into toxic exposures and block health care for ill veterans and block compensation benefits for disabled veterans.

There are two reasons why much of the research by VA and DoD was skewed and unscientific. First, the VA research was focused primarily on stress instead of serious and significant toxic exposures among hundreds of thousands of troops in the Saudi, Kuwaiti and Iraqi deserts. As one discredited Army general confessed, the military never thought toxic exposures caused by the U.S. were responsible for the illnesses among so many.

Here is what the RAC reported, based on a Feb. 23, 2001, military press statement:

“[Acting special assistant to the secretary of defense for Gulf War illnesses, Army Lt. Gen. Dale Vesser] remarked that although Saddam Hussein didn’t use nuclear, biological or chemical agents against coalition forces during the war, ‘it never dawned on us … that we may have done it to ourselves.’ “

The military never even considered these harmful exposures — the heavy use of pesticides, the mandatory use of experimental PB pills and anthrax vaccines, the fallout from bombed Iraqi chemical weapons depots, or the dust from the widespread use of depleted-uranium ammunition fired by our tanks.

The 18-year Gulf War will be described in our history books as the world’s largest friendly-fire incident — where our military unwittingly harmed thousands of our own troops.

Second, the IOM did find some associations between toxic exposures and illnesses during their literature review, but the associations were not strong enough, in VA’s opinion. … VCS believes that IOM and VA staff conspired to exclude animal studies from the literature review and thereby deprive veterans of desperately needed health care and benefits.

Yes, there are specific VA staff at VA’s Washington headquarters and at the Pentagon who are responsible for blocking research to understand Gulf War illnesses and for blocking research for treatments for our veterans. VCS is urging Congress to investigate the VA-IOM contracts and hold those responsible accountable. …

(To learn more, see the VCS letter to Congress about the VA-IOM contract disaster.)

NE: How do you move on from outrage or frustration and sadness to energetic agendas for the future? Like in the case of the RAC, you were able to point out quickly next steps such as ensuring funding, investigating interventions and establishing treatments programs. How do you do that? What do you do with the negative feelings?

PS: I’ll admit it is tough to keep fighting to reform a $100 billion, 270,000-person bureaucracy. In our favor, we have the large numbers of veterans and families, plus the moral and legal high ground. We also have the facts and science on our side.

Our military training taught us to stand up to the 500-pound bully called VA. What was once an agency designed to care for veterans has gradually turned more adversarial in the past few decades as the rules and laws for benefits became highly complex.

Our inspiration to fight for each other comes from Vietnam War veterans and Bonus Army veterans, who faced even greater hostility from our government. Actually, fighting with veterans and against injustice is an honor and is very therapeutic.

To learn more, please read about the Bonus Army, and also read Home to War: A History of the Vietnam Veterans’ Movement, by Gerald Nicosia.

NE: Let’s move on to veterans of the current wars. We’re hearing more and more about their mental-health problems — a suicide epidemic, suicide clusters in Houston, homicide clusters in Fort Carson [in Colorado]. Are these real? How widespread and serious is the mental illness of recent veterans from Iraq and Afghanistan?

PS: Yes, there is a tragic and enormous suicide epidemic among all our veterans and most acutely among our young Iraq and Afghanistan war veterans. According to facts VA was forced to reveal during our lawsuit, 18 veterans complete suicide every day, and 33 veterans receiving VA medical care attempt suicide every day.

… The statistics show our new soldiers are far healthier, both physically and mentally, than civilians who never served in the armed forces. However, after deploying to war, veterans are more likely to complete suicide than non-veterans. We are forcing VA and DoD to admit there is a problems and take steps to fix it.

Younger veterans are three to four times more likely to complete suicide than non-veterans of the same age, based on research conducted by the University of Georgia at the request of CBS News. Veterans for Common Sense worked closely with CBS investigative producers and reporters for five months and sent scores of Freedom of Information Act requests to VA.

VCS forced VA to admit there was a suicide epidemic as a result of our lawsuit … filed after VA repeatedly refused emergency mental health care for suicidal veterans. We uncovered many incriminating e-mails showing VA was aware of the suicide epidemic and actively concealing it.

Of the 1.83 million service members deployed to the two [Iraq and Afghanistan] war zones … 400,000 became unexpected patients treated at VA hospitals and clinics. Of the 400,000 patients, 178,000 are diagnosed with a mental-health condition, including 105,000 diagnosed with PTSD. A shocking 7,400 Iraq and Afghanistan war veterans are diagnosed with drug dependence.

In 2004, there were only 238 drug-dependent veterans from the two wars. In 2007, the military denied the link between war deployment and drug dependence. In 2008, they changed their position.

Please remember that when President Bush sent our soldiers off to war, he sought to cut VA funding and restrict access to care for hundreds of thousands of veterans. Furthermore, even after seven years of war and a tidal wave of patients, Bush never developed a plan to provide long-term health care or disability benefits. In fact, Bush fought very hard against restoring education benefits to the level World War II veterans received.

Bush’s incompetence and malice resulted in VA facilities being unprepared and then refusing to provide medical care to suicidal veterans in desperate need of care. We sued VA to raise awareness about the issue and force the courts, the Congress and the VA to act.

VA documents revealed during our trial proved there was an epidemic and that VA was lying about it. In response to our lawsuit, VA set up a toll-free suicide-prevention hot line. In the first 15 months of operation, more than 85,000 people called it, and more than 2,100 rescues were made. …

The murder-suicide cluster at Fort Carson, and the suicide cluster among Houston-area Army recruiters are just the tip of the iceberg of a serious and expanding nationwide problem. We can either start bringing our troops home now and provide prompt high-quality care, or we can continue the current wars and watch a social catastrophe continue unfolding before our eyes.

NE: In the 1991 Gulf War, stress and PTSD was misused to explain the causes of Gulf War syndrome or illness. What are the possible culprits in psychiatric ailments of today’s new veterans, besides stress and trauma and situational depression? Could neurotoxins be involved again? What about traumatic brain injury of a more subtle variety — where there’s no apparent injury? How can we insure that it doesn’t take 18 years to distinguish affective and cognitive disorders stemming from organic disease from essentially psychological conditions?

PS: PTSD is real, and it is adversely impacting Gulf War veterans. VCS encourages veterans from all wars experiencing readjustment concerns to seek VA care, as it may save their life, their marriage, their job and their peace of mind.

Yes, the many neurotoxins on the battlefield, plus repeated traumatic brain injury will make diagnosing PTSD more difficult, especially since some TBI wounds are not detected by current technology. … Between multiple deployments that exacerbate PTSD and TBI, and the induction of an unknown number of what would have been unfit recruits in 2000, it may be difficult to sort out some cases.

All we can hope for is that DoD will tighten recruiting standards, provide the mandated pre- and post-deployment medical exams for PTSD and TBI, and then provide treatment. We can also hope that DoD and VA continue expanding research to better understand and treat PTSD and TBI.

NE: Since the 1991 Gulf War, the U.S. has used depleted uranium. The RAC has identified neurotoxins and not DU as the major culprits. Still, others like Pentagon researcher Alexandra Miller have provided compelling evidence about the dangers of DU. What’s your thinking about DU and veterans’ health? Is it an issue for Gulf War veterans? Veterans of today’s wars?

PS: Depleted uranium is a very serious toxic hazard for our troops, period. Neurotoxins are also dangerous. The scientific research conducted by the military on lab animals links DU with cancer and birth defects. DU remains a very serious issue for Gulf War veterans because hundreds of thousands of veterans were exposed to DU during Desert Storm in 1991. The exposures were from shrapnel, inhaled dust and infected wounds.

The issue is equally serious for our Iraq and Afghanistan war veterans because DU remains in our military’s weapons arsenal. The Pentagon and VA have engaged in one of the most dishonest propaganda campaigns ever by spending millions of dollars of taxpayer money to promote the mistaken idea that DU is as harmless as table salt. … Once the current wars end, the military’s stubborn opposition to releasing facts about DU should wane. That is yet another reason to want to end the Iraq and Afghanistan wars.

To learn more, read the many excellent reports on DU written by Dan Fahey, including his recent testimony about DU before the Institute of Medicine.

NE: Let’s talk about toxic exposures in the current wars. Brown water, open incinerator pits, industrial and military sites leaking toxins — there has been concern about all of these in relation to troops’ and veterans’ health. What do you see as the scope and nature of the problems? What should/could be done?

PS: The widespread presence of toxins remains a serious concern. What should be done? First, Defense Secretary [Robert] Gates should order that the cover-up stop. He should demand that the facts about battlefield exposure levels and exposure durations be revealed in a transparent process.

Second, Gates should make sure our soldiers receive their pre- and post-deployment medical exams, as required by law. This will further document exposure levels and durations for individual service members.

Third, Gates should order that exposures be eliminated or mitigated as much as possible by returning our troops home. Unfortunately, the last step may prove difficult given the existing battlefield conditions where immediately fighting the enemy in the present always trumps concerns about the long-term adverse health impact of environmental hazards.

NE: I was horrified to read about soldier’s being killed by electrocution due to faulty electricity under the watch of Kellogg Brown and Root. Can you talk about KBR, Halliburton and/or other U.S. corporations in relation to soldiers’ and veterans’ health?

PS: We, too, are upset at soldiers getting killed or injured due to faulty contractor work. Contractors and mercenaries have no place on the battlefield fighting for a democracy. In our view, the government must retain a monopoly on the use of deadly force during war.

Sadly, former President Bush and former Vice President Cheney “privatized” war with no-bid contracts to mercenaries who are political cronies from the extreme right wing. This new type of “War by KBR, Halliburton and Blackwater” has proven to be a disaster.

One reason mercenaries and contractors should be banned from the battlefield is because of Blackwater’s notorious reputation for recklessly killing civilians, as thoroughly documented in Jeremy Scahill’s excellent book, Blackwater: The Rise of the World’s Most Powerful Mercenary Army. Mercenaries have no rules of engagement, and they were immune from any prosecution in Iraq until very recently. In contrast, our soldiers do have rules of engagement that restrict when and how they can use deadly force. In addition, our troops can be, and sometimes are, held criminally responsible for their actions in the war zone.

Another reason mercenaries and contractors have no place in a war zone is because their No. 1 goal is profit — all they want is money. That is markedly different from the No. 1 goal of our military service members — protecting and defending our Constitution against all enemies, both foreign and domestic. A person cannot defend our freedom while simultaneously promoting profits for a distant corporation that answers to no one.

NE: The system that rotates the same people in and out of military, industry and government has been called the iron triangle. Do you think this is a valid description? If so, what do you see as the consequences of this system for veterans, troops, citizens, national-security policies and an open and democratic society? What can be done to challenge this entrenched system?

PS: The iron triangle is also called the revolving door, where a person moves between three distinct groups: A government agency, such as the Pentagon, a congressional oversight committee, such as Armed Services, and an interest group, such as a defense contractor.

While there are some benefits to having people with experience in all three, there are also significant adverse consequences when the same people populate all three for extended periods of time. When the relationships within the iron triangle become too close, and objectivity is lost, or when the relationship hinges on profits instead of progress for people, then the interests of the people are not served.

For the VA, the iron triangle includes VA, the congressional oversight committees (Veterans’ Affairs), and the veteran service organizations (VSOs). Two of the larger VSOs include the Veterans of Foreign Wars and the American Legion, two conservative groups that participated in pro-war rallies at the White House. The Legion went so far as to promote unilateral and pre-emptive war before the invasion of Iraq, what we now call the failed “Bush Doctrine.”

From the period starting January 2001 and ending December 2006, the iron triangle was securely conservative and Republican, with VA, Congress and major VSOs at all three corners. … In most cases, an insulated iron triangle dominated by one extreme ideology can lead to group think. … During nearly all of the Bush administration, VA suffered from a very serious case of failing to plan or to think outside the box.

Fortunately, the new Congress seated in 2007 conducted significant oversight into VA policies and practices, and this provided a positive and progressive shot in the arm for VA.

We hope that limited view under the Bush administration changes with the Obama administration. With the formation of new and younger veterans’ groups, and the sharp drop in membership of the older conservative groups, we may see some changes in how the iron triangle performs in 2009.

NE: You were involved in writing a section of the American Veterans and Servicemembers Survival Guide. The title suggests it’s dangerous to be a veteran in America. What makes you think that?

Yes, you are correct, a veteran would be negligent and naïve to seek VA health care or benefits all alone. … If a person was in a serious car crash caused by a negligent multibillion dollar corporation that resulted in long-term disabilities, then that person would exercise common sense and hire an attorney. …

It is fair and reasonable for a veteran to be able to hire an attorney to obtain VA health care and disability benefits worth an estimated lifetime value in the millions of dollars. … Currently, veterans may hire a lawyer only after a VA office has issued an initial denial. Obviously, an attorney can assist a veteran or surviving family member with locating evidence and presenting the best cast at the start.

Unfortunately, since most attorneys helping veterans with appeals come into the process at the end, the veteran often waits through years of complex appeals before eventually winning their claim. This backwards thinking has helped clog the VA claims system.

In 2009, VCS is promoting the idea that VA should go to where our service members and our veterans live. VA can do this easily by opening up permanent VA benefits facilities at all military bases and in suburban areas.

NE: We’ve had a history of the government hiding the truth about soldiers’ service exposure and the sickness that results — the fallout from atomic testing, Agent Orange, the recently exposed pesticides and anti-nerve gas pills in Desert Storm. Why do you think there’s so much subterfuge? What are the subterfuges in today’s wars that most concern you?

PS: Why? Money and reputation. The military remains more concerned about saving money in the short term and with glorifying war so recruits will want to join. The military uses the same tactics over and over again to avoid responsibility.

The military initially tries to hide the facts, usually by failing to collect data about the release of toxins and the exposure levels among our troops. … Then the military tries to block congressional hearings, investigative journalists and scientific research. For example, the Pentagon fails to answer legislators’ questions, refuses to answer reporters’ calls and rejects proposals for scientific inquiry.

Then the military launches a public relations offensive with a narrow message that floods the media and claims “everything is OK.” For Gulf War veterans’ illnesses, the military set up commission after commission and spent hundreds of millions of dollars on press releases saying it cared for our troops. Some of the same Pentagon staff have worked to fight against veterans for more than a decade.

After many years of delay, often after many veterans died or legislators moved on — such as the strong veterans’ advocate, [former] Rep. Chris Shays, R-Conn. — the military passes the ball to VA to admit there might be some small problem. VA then provides paltry benefits to a few veterans, declares the problem solved, and then DoD and VA walk away.

In other words, due to the enormous costs associated with admitting liability, VA and DoD often appear to view toxic exposures as public relations problems they can fight by blocking science and flooding the press with useless propaganda.

Our job as veterans’ advocates is to explain how the government conceals toxic-exposure incidents. Then we bust the issue wide open as early as possible so that data collection and scientific research can begin. With reliable scientific evidence, we can make sure veterans’ illnesses are considered public-health issues so our veterans are promptly treated and appropriately compensated …

NE: It’s never been very popular for Americans to talk about the suffering of our enemies, even civilians; but since 9/11, it seems dangerous, as we run the risk of being called un-American and soft on terrorism. And when we don’t consider Iraqi death and illness — and even the most progressive politician steers clear of the subject — we antagonize the rest of the world. How do you balance concern as a U.S. citizen and advocate for U.S. veterans with concern for others, especially when the suffering of these others is on a much greater scale? And related to that, how do you respond to anti-war sentiments when they morph into anti-GI and U.S. veteran sentiments?

PS: VCS is different, as we believe all people are equal. We are not afraid to discuss how former President Bush’s pre-emptive and unilateral war against Iraq, based on lies, resulted in untold hundreds of thousands (or more) civilian deaths. In March 2003, VCS raised the concern there would be a humanitarian crisis in Iraq if Bush attacked.

Consistently since then, VCS has editorialized about the need to take care of all people impacted by war. … Unfortunately, the Bush administration and the media went to great lengths to demonize Iraqis and Arabs. We should focus on moving forward and repairing the damage the failed Bush Doctrine caused around the globe, from war to global warming.

America, we believe, has evolved and progressed, and you would be hard-pressed to find anti-veteran or anti-soldier sentiment among reasonable people. … Dozens of polls clearly indicate the public knows more facts about Bush’ lies, and … strongly opposes his war policies.

We are also moving forward with making sure that we do not hold our soldiers responsible for the actions of the prior Bush administration. We note there is an obvious exception: our troops convicted of individual war crimes, such as brutalizing or killing civilians, should be held responsible.

Unfortunately, what we have seen is a misuse of our service members and veterans by the recently departed Bush administration. For example, Bush repeatedly spoke in front of soldiers who were ordered to remain silent and to clap. Such abuses must end.

In another example, Bush repeatedly used wounded veterans in photo opportunities to give the appearance he respected our service members. However, his administration was working diligently to block access to medical care and disability benefits for hundreds of thousands of veterans.

Former Vice President Dick Cheney misused the honor of speaking before veterans in 2002 to spread lies that Iraq was linked with 9/11 and had weapons of mass destruction, two claims he knew to be false. Again, anyone using our veterans as a propaganda prop must stop.

VCS wants Americans to learn more about and correct the root causes of terrorism. We hope that any truth and reconciliation commission will look at the underlying causes of terrorism. The glib reasons often claimed by the Bush administration, such as “they hate freedom,” are obviously bogus. Osama bin Laden himself listed the U.S. forces occupying Saudi Arabia as one of his top reasons for attacking the U.S.

A commission should look at underlying issues such as the lack of healthy food, clean water, robust education, jobs and health care, as well as the lack of political, economic and social equality, to name a few. Our reliance on foreign energy supplies and our excessive consumption should also be evaluated.

NE: You are an avid fighter for veterans, and you are also a critic of many wars and rampant militarism. How do the two relate to one another? Why do you think the view that the two are contradictory — that you’re not supporting the troops if you want to stop a war — has held such sway?

PS: Calling for an end to the Iraq war fiasco and asking that our troops be brought home is supporting our troops. In contrast, starting a war based on lies or without a plan to win harms our troops and our nation’s reputation.

We hope President Obama ends the war with a responsible plan that takes care of our troops and restores stability to Iraq — a nation that suffered 2 million internally displaced, 2 million international refugees, and up to 1 million killed due to Bush’s war. We look forward to learning more about how he plans to use his strong election mandate to end the war and rebuild our economy devastated by excessive corporate greed, tax cuts for the rich and a terrible war.

Our nation is strong when we are free, informed and actively engaged in the political process. When we speak at public events, VCS frequently hands out copies of our Constitution with a sharp request to read it, understand it and live it. We are born free, and our Constitution helps people understand our rights so tyrants may not usurp our freedoms.

When anyone uses fear in an attempt to restrict our freedom, such as the Patriot Act, uses lies or propaganda, such as those to start the Iraq war, or tries to restrict our access to our political process, such as the recent bogus voter-ID laws in several states, then we must remain vigilant and stop these tactics. …

Our service members agree to do one thing when we join the military: protect and defend our Constitution. The more people who read, understand and live our Constitution, then the greater protection we have against tyranny and the misuse of our government and military.

Since the notorious Gulf of Tonkin Resolution … our nation has been misled into two more major wars: the Gulf War in 1991 and the Iraq war in 2003. Americans often forget that former President George H. W. Bush and his defense secretary, Dick Cheney, misled America about the Gulf War.

Top public relations firms were paid millions of dollars to fabricate Iraqi atrocities to inflame passions and start the march toward war. Even Gen. Colin Powell misled America in 1991, stating Iraq was prepared to attack Saudi Arabia when, in fact, there were no Iraqi troops near the Saudi border, according to satellite photographs published before Desert Storm began.

NE: The Bush White House in its last weeks issued reports that cast George Bush as the friend of veterans. I gather you think the record shows otherwise. Can you give us some examples of especially craftily distorted data?

PS: Veterans for Common Sense will be issuing a detailed report, full of official VA and military statistics, describing the status of VA when the Bush administration departed. In an effort to move forward from the past eight years, VCS hopes our report serves as a yardstick to measure the progress of the Obama administration in addressing the needs of our veterans and their families.

The biggest propaganda statement not addressed in our upcoming report is where Bush repeatedly stated that he supported our service members and veterans. The facts show Bush did not support our troops or our veterans. His actions sank far below incompetence and tumbled downward past malicious.

In addition to the carnage and the destruction he ordered against Iraq, President Bush is personally responsible for nearly 5,000 service member deaths, more than 76,000 nonfatal battlefield casualties and more than 400,000 unexpected veteran patients from the Iraq and Afghanistan wars treated at VA hospitals and clinics.

As commander in chief of our military, Bush failed to listen to national security advisors between January 2001 and Sept. 11, 2001, and bears some responsibility for not heeding the warnings about the impending attacks, according to the book The Commission: The Uncensored History of the 9/11 Commission by former New York Times reporter Phil Shenon. His book documents that Bush was briefed more than 40 times about Osama bin Laden before 9/11. … Many of Bush’s catastrophic failures were compounded by conservative ideological rigidity and his inability to listen to facts.

By ordering torture, by ending habeas corpus and by spying on innocent American citizens, Bush trashed our beloved Constitution — the very document our soldiers fight to defend. Bush then lied to start his war and sent 1.8 million Americans to fight a pre-emptive, unilateral war against Iraq that did not need to be fought.

Bush was president when the Walter Reed Army Medical Center scandal shocked us all — a brutal betrayal that came nearly two years after his botched response to Hurricane Katrina and the destruction of New Orleans. Bush then fought against VA benefits for our returning combat veterans. The same soldiers given Purple Heart medals by Bush at Walter Reed would languish many years without VA disability benefits for post-traumatic stress disorder and then be turned away from VA hospitals when they became suicidal.

Bush also turned a blind eye to violations of religious freedom in our military. For example, a few troops were proselytizing Iraqis by handing out religious material. In another example, a soldier shot a Quran. In a third example, some officers illegally tried to convert our soldiers or block their free exercise of religion. All of these examples are excessive violations of our Constitution that undermine freedom.

To learn more about this, please contact Mikey Weinstein at the Military Religious Freedom Foundation.

Bush will be as reviled as much as Herbert Hoover … who ordered the violent removal of our peaceful Bonus Army veterans gathered on the National Mall to press Congress and Hoover for deferred compensation for fighting in Europe during World War I.

NE: Looking ahead, what do you hope that the Obama administration will accomplish for veterans, veterans’ health and national security? What do you find most encouraging in his statements and actions? I know you’re concerned about his statements about widening the war in Afghanistan. Why?

PS: Veterans for Common Sense issued a detailed report, “Our VCS Vision for a Vibrant VA in 2009.”

We are currently reviewing his policy statements on Afghanistan. While efforts in 2001 appear reasonable to defeat al-Qaida in Afghanistan, the war has turned into a bloody occupation. First, we need an accurate, complete and consistent assessment of facts on the ground, a process made nearly impossible by the propaganda efforts of the former administration.

We are troubled that military efforts in Afghanistan appear fleeting and that the Taliban controls major sections of the country, even going so far as to cut off the vital main supply line from Pakistan going through the Kybher Pass. Corruption and drug crops appear to be flourishing even as more U.S. troops flood into Afghanistan.

We will remain engaged on this issue because the combination of deployments to the Iraq and Afghanistan wars has seriously undermined the ability of our military to protect the United States, which should be their primary function.

In the interim, we are exceptionally pleased to learn President Obama ordered the closing of the Guantanamo Bay, Cuba, prison camp, ordered an end to torture and is already evaluating how to bring our troops home from Iraq.

NE: Michelle Obama has expressed special interest in veterans issues. Have you had contact with her? What do you expect that she will be able to accomplish for veterans and their families?

PS: VCS is very pleased at the strong interest shown by Michelle Obama in our service members, military families, veterans and veterans’ families. VCS has not had contact with her. We hope she will continue meeting with these groups as our best advocate inside the White House who definitely has the ear of our new president.

We are impressed with the broad plan for our veterans that President Obama has outlined at his new White House Web site.

Nora Eisenberg is the author of the novels The War at Home, a Washington Post Rave of the Year 2002, and Just the Way You Want Me, awarded the 2004 Gold Prize for Fiction from ForeWord Magazine, the weekly of independent publishing. Her new novel, issued this month by Curbstone Press, is about troops returning home from the 1991 Gulf War, and the unexpected price of war for young victors and their families.

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Suicides Continue Alarming Rise in MIlitary

January 28, 2009 – Suicide rates among active-duty U.S. military personnel are continuing to rise even as the Defense Department dedicates more resources to identifying troubled service members and getting them the help they need, NBC News has learned.

At least 125 soldiers were confirmed to have killed themselves in 2008, compared with 115 in 2007, 102 in 2006 and 87 in 2005, a senior defense official told NBC News. Last year’s figure is likely to rise even higher, because the Army is investigating at least 17 other deaths as possible suicides.

The Marine Corps reported 41 possible suicides last year, up from 33 in 2007, a defense official said, while the Navy and the Air Force saw smaller increases. The officials, all of whom spoke on condition of anonymity, disclosed the figures ahead of a public roundtable scheduled for Thursday to discuss suicides in the military.

According to figures compiled by the U.S. Centers for Disease Control and Prevention, the civilian suicide rate was 11 per 100,000 Americans in 2005, the last year for which fully adjusted national figures are available.

Officials said the Marine Corps’ rate was 19 per 100,000 Marines in 2008, while for the Air Force, it was 11.5, and for the Navy, it was 11.3. All three rates represented statistically significant rises over the same figures in 2007.

The officials did not provide a comparable breakdown for suicides in the Army, but the ratio works out to roughly 18 per 100,000 soldiers in 2008, pending open investigations and accounting for differing methods of counting the overall active-duty Army force.

And exact comparisons could be misleading because the makeup of the military forces does not mirror that of American society as a whole. But among the segment of the civilian population  that most closely reflects the demographic makeup of the military – males ages 18 to 24 – about 19.8 Americans committed suicide per 100,000 in 2005, according to CDC figures.

Problem difficult to get a grip on
While the active-duty military force is expanding, the rate of suicides is growing even faster among all four services, a phenomenon that has alarmed defense officials.

“They’ve lost buddies,” said Army Brig. Gen. Loree K. Sutton, director of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury. “They’ve been exposed to the most corrosive environment known to warfare – physically, psychologically, spiritually and morally.”

Maj. Gen. Mark A. Graham, commanding officer of the Army base at Fort Carson, Colo., said the military still suffered from a shortage of behavioral health professionals, even thought strides have been made in the past year. The Army, for example, has allocated $50 million to study the causes of military suicides and to bolster its programs to identify and help troubled soldiers.

The American Psychological Association reported in 2007 that there was a 40 percent vacancy rate in active-duty psychologists in the Army.

“With the stress that our soldiers and families are under, it’s taken a toll,” Graham said.

  Click for related content
Soldier’s suicide spotlights troops’ mental care

Fighting the stigma
A major problem is the stigma attached to service members who seek counseling and other mental health assistance, said Graham, whose youngest son, Kevin, 21, committed suicide in June 2003 as an ROTC cadet.

Eight months later, Graham was considered retiring when his other son, Jeff, was killed by an improvised explosive device in Iraq.

Until that point, Graham said, he himself thought “it was a sign of weakness” for a soldier to acknowledge emotional trauma.

But “guess what?” he said. “I actually found out what I was putting my family through.”

The epidemic of suicides in the military is a wake-up call, said Graham, who with his wife is now active with the Suicide Prevention Action Network.

“We could either let this tragedy be the book of our life, or we could let it be a tragic chapter in the book of our life,” Graham said. “And we’ve chosen the second, to make these [just] sad chapters in our life, but to make the overall book hopeful.”

“The message is it’s OK to ask for help,” he said. “It’s a sign of strength and not weakness to come forward.”

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Jan. 28, VCS in the News: Purple Hearts – A Cold-Blooded Decision

January 28, 2009 – Behind the recent Pentagon decision to deny Purple Heart medals to soldiers suffering from Post Traumatic Stress Disorder (PTSD) is a cold-blooded calculation: It saves money.

The official rationale for refusing to honor what is widely considered the “signature wound” of the wars in Iraq and Afghanistan is that PTSD, according to Pentagon spokeswoman Eileen Lainez, is “an anxiety disorder caused by experiencing or witnessing a traumatic event,” not “a wound intentionally caused by the enemy.”

But a recent study by the Rand Corporation found that up to 320,000 vets returning from the two conflicts suffer from Mild Traumatic Brain Injury (MTBI), a condition whose symptoms are almost indistinguishable from PTSD. Virtually all MTBI injuries are the result of roadside bombs, also known as improvised explosive devices (IEDs).

What is MTBI?

MTBI is a slippery beast. Its symptoms range from depression and uncontrolled rages to digestive problems, emotional disengagement, blinding headaches, memory loss, and sexual dysfunction. MTBI is also associated with higher suicide rates.

“It is a complicated injury to the most complicated part of the body,” says Dr. Alisa Glean, a chief of neuroradiology at San Francisco General Hospital and author of the standard text for imaging MTBI, who has been working with wounded soldiers at the Army’s Regional Medical Center at Landstuhl, Germany.

MTBI doesn’t show up on CAT scans, and its symptoms may not manifest themselves for several months or even years. There isn’t even full agreement on exactly what causes it. Some researchers think it’s just a concussion on steroids. But others point to injured tissue deep in the brain, which can’t be explained by a simple concussion hypothesis.

Whatever its origins, the consequences for sufferers can be catastrophic.

One of the major effects of MTBI is what Dr. Judith Landau, a psychiatrist who works with veterans’ families, calls “identity ambiguity: people who were decisive become indecisive. People who were charming become withdrawn.” She sees soldiers who “left as a good son, a good father, and a good husband” suddenly “start hitting their children, can’t have sex, start drinking too much, talking too loud.”

Like a stone thrown into a pond, this behavior ripples out to family, friends, and coworkers. “There is a 70{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} chance that relationships will break down” after a person suffers from MTBI, says Landau.

It’s possible to recover from MTBI, but the process may be long — sometimes from five to 10 years, according to Landau — and expensive. Some estimates reach at least $14 billion over the next 20 years.

Cold-Hearted Denial

Purple Heart awardees are entitled to enhanced benefits, including exemptions from co-payments for hospital and outpatient care. They are also fast-tracked for getting appointments for medical care and psychological services.

Soldiers come home to few psychological services and virtually no individual therapy. It isn’t uncommon to wait several months to see a therapist, and then only once a month. MTBI sufferers may see as many as seven different therapists.

The military has made little effort to deal with MTBI and PTSD. Soldiers suffering from PTSD outnumber amputees at Walter Reed Hospital 43 to 1, but there is no PTSD center. After diagnosis, sufferers usually go to the hospital’s psych division, where they are housed with bipolar and schizophrenic patients and tanked up with drugs. A study by Veterans for America (VFA) found that some soldiers were taking up to 20 different medications at once, some of which canceled out others.

The military has lost 22{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of its psychologists over the past several years, mostly to burn-out. Soldiers have difficulty finding private therapists because the Department of Veterans Affairs pays below market rates and even cut those reimbursements in 2007. About 30{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of private psychologists won’t take on military patients because they can’t afford to. The situation is worse for the National Guard and Reserves, who make up almost 50{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of the troops deployed in both wars and who, according to VFA, “are experiencing rates of mental health problems 44{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} higher than their active duty counterparts.” Health care for such troops is generally inferior — and more expensive — than that offered full-time regulars.

Many soldiers are also reluctant to report their symptoms because they are afraid it will keep them from getting a promotion or landing a job once they leave the military. Only 53{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of those diagnosed with MTBI sought help and, according to the Rand Study, “roughly one-half got minimally adequate care.”

Worse, solders who report behavioral difficulties may find themselves discharged from the service, with the consequent loss of medical care. They may even be billed for their recruitment bonus.

PTSD and MTBI both result from deployment in combat zones. Large numbers of these soldiers were exposed to IEDs — the number-one cause of death and injury in Iraq and Afghanistan — but many didn’t suffer visible injuries. To make “shedding blood” the only criterion for being awarded a Purple Heart (and the benefits that go with it) is to deny the nature of the wars the United States is currently fighting.

Time for a Change

In contrast, the Canadian military awards a Sacrifice Medal to those who have suffered “mental disorders that are, based on a review by a qualified mental healthcare practitioner, directly attributable to a hostile or perceived hostile action.”

A recent editorial in the Globe and Mail charged that the Pentagon’s decision applies “19th century medical standards to what constitutes injury,” and that the ruling “will further stigmatize mental illness and fails a group of veterans whose sacrifices can be every bit as great as those with physical injuries.”

In his recent testimony before the Senate Committee on Veterans’ Affairs, the new director of the Department of Veteran Affairs, Gen. Eric Shinseki (Ret.), promised to care for wounded veterans “bearing scars of battle, some visible and many others invisible,” and to “treat our veterans with dignity and respect.”

These are fine words, but so far the military has stubbornly resisted treating these so-called “unseen damage” injuries that Iraq and Afghanistan is inflicting on U.S. soldiers. “Many soldiers and veterans are waiting months, often years, for mental healthcare and disability benefits,” says Veterans for Common Sense director Paul Sullivan.

Fewer than half of those Iraq and Afghanistan vets diagnosed with PTSD or MTBI have received disability benefits. One Veterans Affairs psychologist in Texas even urged VA staff to “refrain from giving a PTSD diagnosis” and consider instead “a diagnosis of adjustment disorder.” PTSD sufferers receive up to $2,527 a month, adjustment disorders significantly less.

Terri Tanielian, the co-leader of the Rand Corporation study, says, “There is a major health crisis facing those men and women who have served our nation in Iraq and Afghanistan. Unless they receive appropriate and effective care for these mental health conditions, there will be long-term consequences for them and for the nation. Unfortunately, we found there are many barriers preventing them from getting the high-quality treatment they need.”

The major barrier is pentagon-shaped. And the bottom line is that, given a choice between buying fancy weapons systems and taking care of soldiers damaged by war, the military will always choose the former over the latter.

Conn Hallinan is a Foreign Policy In Focus columnist.

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