Editorial Column: New Day at the VA

January 22, 2009 – Two years ago then-President George W. Bush ordered the surge, an emergency buildup of troops in Iraq. Conservative analysts were quick to hail the order as a bold and brilliant move. John McCain, in his presidential campaign against Barack Obama, even used the surge, which he had vociferously supported, in contending that he would be a superior commander in chief.

A more accurate way of interpreting the surge, however, was as a vindication of Gen. Eric Shinseki, who warned Congress in 2003 — before the Iraq war started — that the Bush administration was not sending nearly enough troops.

Shinseki’s reward for offering sincere and, as it turned out, accurate advice was to be ridiculed and then shunned by the Bush administration. He quickly went from being Army chief of staff to being retired.

Last month Shinseki’s military career was rightfully revived by then-President-elect Barack Obama, who nominated Shinseki for a place in his Cabinet as Veterans Affairs secretary.

On Tuesday the Senate quickly confirmed Shinseki’s nomination, and in so doing set a new course for the VA, which the Bush administration never prepared for the increased workload that two wars would bring.

A combat veteran of Vietnam and commander of NATO forces in Bosnia from 1997 to 1998, Shinseki has vowed to transform Veterans Affairs into a proactive, “21st century organization,” according to reporting by The Washington Post. One of his top aims will be to reform how claims are handled.

During Shinseki’s Jan. 14 confirmation hearing before the Senate Veterans Affairs Committee, Sen. Bernie Sanders, I-Vt., said, “We are somewhere back in the 19th century” in terms of the VA claims system, the Post reported.

Shinseki could have finessed the way he addressed this stinging criticism. Instead, he agreed, adding, “Asking veterans to take a number and wait, or put up with records that are lost or take six months to adjudicate, is not part of the culture I expect.”

Our view is that Obama could not have chosen a more qualified person to head the VA.

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Jan 23, VCS in the News: Senator Cornyn Calls for Hearings on Army Recruiter Suicides

Veterans’ rights activist Paul Sullivan called on the Army to release a copy of its report to the public and echoed Cornyn’s request for hearings. “He should invite families of soldiers who completed suicide as well as suicide experts so senators and the public can fully understand the scope of the suicide crisis,” said Sullivan, executive director of Veterans for Common Sense.

January 23, 2009 – U.S. Sen John Cornyn has formally requested congressional hearings to examine a recent rash of suicides among Houston-based Army recruiters, saying he believes the deaths demonstrate the enormous strain recruiters endure to sustain the country’s all-volunteer force or hire a veteran with experience choosing the right venues, gaining the right publicity, and drawing a crowd of candidates you want to meet. For best career guidance from gateway staffing solutions, you can follow this link.

The Texas Republican made the request in a letter sent Thursday to Sen. Carl Levin, D-Mich., chairman of the Senate armed services committee, and Sen. John McCain, R-Ariz., the committee’s ranking member.

“I strongly believe that this alarming trend, which is further evidence of the strain on our current force, necessitates the attention of Congress,” Cornyn wrote.

McCain has read the letter and is open to the possibility of hearings, said his spokeswoman, Leah C. Geach.

“Senator McCain is very concerned about any increase in the numbers of suicides in the Armed Forces, and believes it’s imperative that every preventative measure be taken to end these tragedies,” Geach said.

Levin’s spokesman declined to comment, saying the chairman had not seen the letter.

Four recruiters from the Houston Recruiting Battalion killed themselves between January 2005 and September 2008. All four were reassigned to recruiting duty after returning from tours in Iraq or Afghanistan. Recruiting has long been considered one of the military’s most stressful jobs, especially at a time when America is fighting two wars.

An Army investigation, requested by Cornyn in October, found that poor leadership, job-related stress, personal matters and medical problems were factors in the recruiters’ deaths.

As a result of the findings released Wednesday, Secretary of the Army Pete Geren ordered a rare one-day stand-down for all Army recruiters on Feb. 13 to focus on leadership training, suicide prevention and recruiter wellness. The Army also will assess working conditions throughout its recruiting battalions and review recruiter screening and selection processes, Army-wide suicide prevention training, and access to mental health care for recruiters, many of whom are stationed in rural areas far from military bases.

In a conference call Thursday from Washington, D.C., Cornyn said he was particularly troubled by the investigation’s conclusion that the Houston battalion’s leadership created an intimidating and threatening environment for recruiters, verbally abusing the soldiers and humiliating them if they failed to meet monthly quotas.

Commanders also violated Army regulations by assigning excessive recruiting goals to individual soldiers in order to meet the battalion’s overall numbers, he said.

The recruiting goals for each of the Army’s 38 battalions vary on a monthly basis, depending on the Army’s needs. In Houston, for example, the 266-member battalion might have a goal of putting a total of 400 troops in boots in one month, but leaders still required each recruiter to sign at least two new soldiers during that period, no matter what.

“The recruiters were going after two contracts a month when they really should have been going after, say, 1.6 on average,” said Brig. Gen. Dell Turner, who conducted the investigation. “It had the effect of increasing the workload on each recruiter,” he said.

“Corners might have been cut  — and they were — given the exigencies of meeting recruiting goals,” Cornyn said.

He said he could not release details about ongoing disciplinary actions, “but I have been assured that those persons responsible are under review and that this is not limited to NCOs (non-commissioned officers), this actually goes up the command chain to include (commissioned) officers.”

Hearings can examine if the problems in Houston extend beyond that battalion, the senator said.

“I have received a tremendous outpouring of letters and calls pertaining to these issues from both Texas constituents and others,” Cornyn wrote to Levin and McCain. “These individuals, many of them current or past recruiters, have informed me that these problems are not limited to the Houston Recruiting Battalion, or even the Army, and may in fact be widespread across our Armed Forces.”

Veterans’ rights activist Paul Sullivan called on the Army to release a copy of its report to the public and echoed Cornyn’s request for hearings.

“He should invite families of soldiers who completed suicide as well as suicide experts so senators and the public can fully understand the scope of the suicide crisis,” said Sullivan, executive director of Veterans for Common Sense.

TIMELINE

• January 2005: A 32-year-old captain shot himself in Missouri City, according to U.S. Army Recruiting Command’s Doug Smith. The Iraq war veteran was stationed at battalion headquarters in Houston. The Army has not released his name or any details.

• March 6, 2007: Sgt. Nils Aron Andersson , 25, shot himself in a downtown parking garage the day after his wedding. His wife, Cassy Ann Walton, 28, killed herself the next day. The two-tour Iraq veteran had been stationed in River Oaks and Rosenberg .

• Aug. 9, 2008: Staff Sgt. Larry G. Flores Jr., 26, hanged himself in his garage in Palestine, Texas. Flores, who had served in Afghanistan and Iraq, was stationed in Nacogdoches.

• Sept. 20, 2008: Sgt. 1st Class Patrick G. Henderson, 35, hanged himself in a shed behind his house in Henderson . The Iraq war veteran recruited for Longview station.

• Sept. 25, 2008: U.S. Sen. John Cornyn sent a letter to the Secretary of the Army Pete Geren questioning the policy of reassigning veterans to high-stress recruiting duty.

• Oct. 9, 2008: Cornyn sent a second letter to Geren to request “a thorough and unbiased” probe into the suicides amid allegations the chain of command in Houston covered up a toxic leadership climate and low morale.

• Nov. 3, 2008: Geren announced the Army has appointed Brig. Gen. Dell Turner to look into the suicides.

RESOURCES FOR SOLDIERS, FAMILIES

• Veterans experiencing emotional and suicidal crisis, as well as their concerned family members or friends, have immediate access to emergency counseling services 24 hours a day, seven days a week by calling 800-273-TALK (8255).

• For information on suicide warning signs visit www.behavioralhealth.army.mil.

• The Army’s Battlemind Training System is a mental health awareness and education program that helps prepare soldiers and their families for the stresses of war and assists with the detection of possible mental health issues before and after deployment. Visit www.battlemind.org .

• Soldiers in crisis should talk to their chaplain, chain of command or a fellow soldier immediately. They may also call Military OneSource at 800… or the National Suicide Prevention Lifeline at 800-SUICIDE.

• Call the Wounded Soldier and Family Hotline at 800-984-8523 or e-mail wsfsupport@conus.army.mil

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Editorial Column: Awards for the Year that Was

January 21, 2009 – Who’s On First Award? to U.S. intelligence for its analysis of al-Qaeda. According to CIA Director Michael Hayden, the organization is growing stronger and preparing to launch attacks in Africa, Europe and the Arabian Peninsula. He said there was a “bleed out” from the wars in Iraq and Afghanistan, with al Qaeda operatives spreading into North Africa, which they could use as a springboard for attacks on Europe.

A week later, Matthew Burrows, who heads up the long-range analysis section of the Office of National Intelligence (ONI), said, “The appeal of terrorism is waning,” and al Qaeda is on the decline, having alienated supporters with indiscriminate killings. According to Global Trends 2025: A Transformed World,” a report by the ONI, “Al Qaeda has not achieved broad support in the Islamic world. Its harsh pan-Islamist ideology and policies appear only to a tiny minority of Muslims.”

Enabling Paranoia Award to the U.S. Congress for its resolute stand against terrorism. In 2003, Congress identified 160 sites in the country that might be potential targets for terrorist attacks. In 2004 that list had grown to 1,849. In 2005 the number was 28,360. In 2006 there were 77,769. By February 2008, the potential number of sites had grown to 300,000, including the Illinois Apple and Pork Festival. Being a “designated site” entitles local authorities to apply for Homeland Security money for equipment and police.

Lapdog Award to Canada’s Conservative government for first listing the U.S. as a country which uses torture–along with Israel, Afghanistan, China, Egypt, Iran, Saudi Arabia, Mexico and Syria – and then reversing themselves and apologizing when Washington protested.

Shortly thereafter, a secret Canadian government report found that Canadian Omar Khadr, who has been held at Guantanamo Bay since he was 16 years old, had been tortured. The torture included extended periods of sleep deprivation. When the evidence was presented to Conservative Prime Minister Stephen Harper, he dismissed it, saying, “Canada has sought assurances that Mr. Khadr – will be treated humanely.”

One of Khadr’s Canadian lawyers, Dennis Edney, said Harper’s comment “defies belief.” The detainee’s American military lawyer said that the report “shows the assurances the Canadian government has been offering all these years were false. It’s shameful that the Canadian government is continuing to allow this to go on.”

A Purple Heart Award to Jeff Black, director of Idaho Peace Officer Standards and Training Academy for coming up with a slogan for graduates: “Don’t suffer from PTSD [Post Traumatic Stress Disorder], go out and cause it.” PTSD, along with Mild Traumatic Brain Injury (MTBI), is the signature wound soldiers returning home from Iraq and Afghanistan suffer from. Estimates are that 40 percent of the veterans of both wars suffer from PTSD and MTBI.

The symptoms of both are very similar, and include anti-social behavior, aggression, sleeplessness, impotence, depression, and heightened incidences of suicide.

The U.S. military recently decided not to award Purple Hearts to PSTD and MTBI sufferers.

History Get Me Rewrite Award to former President George W. Bush for his comment comparing the demand for a withdrawal from Iraq to similar demands to end the Vietnam War:

“One unmistakable legacy of Vietnam is that the price of American withdrawal was paid by millions of innocent citizens whose agonies would add to our vocabulary new terms like ‘boat people,’ ‘re-education camps,’ and ‘killing fields.”

During the war the U.S. dropped more bombs on Southeast Asia than the allies had dropped in World War II, killed some three million people, maimed millions more, and added such words to our vocabulary as “free fire zone” and “strategic hamlet.” The “killing fields” were a direct result of the U.S. bombing of Cambodia and the CIA engineered overthrow of Prince Norodom Sihanouk, and his replacement with military dictator, Lon Nol. The Khmer Rouge in turn overthrew Lon Nol and murdered two million Cambodians. An intervention by the Vietnamese ended the genocide and drove the Khmer Rouge from power.

Lt. William Calley Award to DynCorp, a mercenary organization hired by the U.S. to provide security in Iraq. A Dyn Corp soldier, who was a former U.S. Army vet and prison guard, told the New Yorker, “The real problem in this war on terror is you guys, the press. Ties our hands. The only way to fight this is to give them back the same medicine, like Operation Phoenix, in Vietnam. My Lai – what Calley did there was probably just orders.”

Operation Phoenix – which My Lai was part of – executed between 50,000 and 70,000 “Viet Cong supporters” in Vietnam. The My Lai massacre of Mar. 16, 1968 was led by Lt. William Calley. There is no agreement on the number who died at My Lai, but it was over 500, mainly women and children.

The “Beam Me Up Scotty” Award to the Pentagon for trying to create a hologram for the children of parents deployed in war zones. The kids will “boot” up their parents on a home computer and, according to the Pentagon, “The child should be able to have a simulated conversation with a parent about generic, every day topics.” The child “may get a response from saying ‘I love you,’ or “I miss you,’ or “Good night.'”

According to Navy Commander Russell Shilling, the psychologist overseeing the program, “The children don’t quite understand Mommy and Daddy being deployed” and “That kind of interaction – is very important.”

The parent would record comments before they were deployed and then artificial intelligence software that runs the hologram would respond to a child’s question or comment.

So if Jimmy or Jane says “Mommy come home,” does the program answer “Be all you can be?” or maybe bust the kid for undermining morale?

Ass-Backward Award to Lockheed Martin, the largest arms company in the world, for building the littoral combat ship “Freedom” before it completed all the designs. The ship – at $600 million plus – was first welded together and then designed, delaying construction and increasing costs. “It’s not good to be building while you’re designing,” said Vice. Adm. Paul E. Sullivan, who supervises ship building for the Navy.

Creative Accounting Award to the Pentagon, which is on track to spend $110 billion on missile defense by 2013 (the system has already cost $150 billion since it was launched in 1983) without any idea of what it will end up with. The accounting methodology is called “spiral development,” which, in the words of a Pentagon directive means, “end-state requirements are not known at program initiation.” In essence, “spiral development” means there are no set dates, no costs ceilings, no designated outcome and no way to determine if an outcome is achieved.

SNAFU Award to the U.S. Air Force Maj. Gen. Floyd Carpenter, who headed the investigation of the Feb. 23 crash of the $1.5 billion B-2 Stealth bomber, “Spirit of Kansas,” on the island of Guam. According to the investigation, moisture in the plane’s sensors made the B-2’s computer cause the plane to climb too sharply, causing it to stall and crash.

Carpenter said, “The aircraft actually performed as it was designed. In other words all systems were functioning normally.”

Except, perhaps, the part about crashing.

Great Moments in Journalism Award to FOX News for its coverage of the massacre of 90 Afghan civilians – including 60 children and 15 women – at the village of Azizabad by U.S. fighter bombers. The U.S. military initially denied the story and said the dead were “insurgents.” A Pentagon spokesperson said an “independent journalist” embedded with the U.S. troops that called in the air strike “corroborated” their story.

The “independent journalist”: Oliver North, working for Fox News. North was at the center of the Iran-Contra Conspiracy to overthrow the Sandinista government of Nicaragua and shredded files to keep them from government investigators.

Man’s Best Friend Award to the Blackwater security firm, which supplies mercenaries for the U.S. Iraq and Afghanistan. The company – several members of which were recently indicted for killing up to 17 civilians in Iraq – is being investigated for shipping assault weapons and silencers hidden in large sacks of dog food into Iraq.

Certain weapons, including silencers, are banned for use by security firms because they are considered incompatible with the job of guarding diplomats.

“The only reason you need a silencer is if you want to assassinate someone,” former CIA intelligence officer John Kiriakou told ABC.

The United Nations has accused the U.S. of running “death squads” in Iraq and Afghanistan, and of assassinating people opposed to U.S. policies in both countries.

Unclear On The Concept Award to U.S. Rep. Duncan Hunter of California, ranking Republican member of the House Armed Services Committee, who attacked the Inspector General’s Office for its investigation of a Pentagon program to put retired military officers on TV and radio as “force multipliers” for the Bush Administration’s message on Iraq, Afghanistan, Guantanamo, and terrorism.

Hunter said the retired officers were a “great asset” for the country and completely independent. “The idea that somehow Don Rumsfeld got these people in a room and told them what to say, if you believe that you don’t believe in the independence of these generals. None of them are used to having people tell them what to do.”

The most common phrase heard in the military? “Yes, sir.”

Word Smithing Award to Navy Commander Pauline Storum who defended the conditions at Guantanamo Bay prison and challenged the charge that the camp uses solitary confinement. Storum said the camp has “single-occupancy cells.”

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Jan 21, Civil Liberties Update: UN Special Torture Rapporteur – Try Bush for Torture War Crimes

January 21, 2009 – The UN’s special torture rapporteur called on the US Tuesday to pursue former president George W Bush and defence secretary Donald Rumsfeld for torture and bad treatment of Guantanamo prisoners.

“Judicially speaking, the United States has a clear obligation” to bring proceedings against Bush and Rumsfeld, the United Nations Special Rapporteur on Torture Manfred Nowak said, in remarks to be broadcast on Germany’s ZDF television Tuesday evening.

He noted Washington had ratified the UN convention on torture which required “all means, particularly penal law” to be used to bring proceedings against those violating it.

“We have all these documents that are now publicly available that prove that these methods of interrogation were intentionally ordered by Rumsfeld,” against detainees at the US prison facility in Guantanamo Bay, Cuba, Nowak said.

“But obviously the highest authorities in the United States were aware of this,” added Nowak, who authored a UN investigation report on the Guantanamo prison.

Bush stepped down from power Tuesday, with Barack Obama becoming the 44th president of the United States.

Asked about chances to bring legal action against Bush and Rumsfeld, Nowak said: “In principle yes. I think the evidence is on the table.”

At issue, however, is whether “American law will recognise these forms of torture.”

A bipartisan Senate report released last month found Rumsfeld and other top administration officials responsible for abuse of Guantanamo detainees in US custody.

It said Rumsfeld authorised harsh interrogation techniques on December 2, 2002, at the Guantanamo prison, although he ruled them out a month later.

The coercive measures were based on a document signed by Bush in February, 2002.

French, German and US rights groups have previously said they wanted to bring legal action against Rumsfeld.

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Army’s Drug Abuse Policy Under Fire

January 22, 2009 – Fort Leonard Wood — Spec. Jeremiah Thomson didn’t know what was worse: excruciating back pain from a combat explosion in Baghdad or the prescription drug addiction he developed once home, for which, he had to be rushed to a drug rehab Fort Lauderdale.

The Army was quick to prescribe Percocet, Vicodin, Oxycontin and similarly powerful painkillers to Thomson and other injured soldiers at Fort Leonard Wood, Thomson testified in a court-martial hearing. He’s now serving a three-year sentence for illegally buying prescription drugs — the sellers included a former commanding officer in Iraq — and selling the pills to eight other soldiers.

As more troops return home with war injuries, the Army is prescribing more pain medication . But a military system that relies on discipline as well as treatment is drawing fire from some prominent critics, including those inside the system.

“It’s a terrible problem,” said Barbara McDonald, a civilian social worker and Army drug abuse counselor, describing a recent surge in prescription drug abuse and the Army’s handling of the problem.

Legal painkiller use by injured troops has increased nearly 70 percent since the start of the Iraq war six years ago, according to Army records. Surveys show that more soldiers are struggling with prescription drug addiction — and seeking help from Army doctors and counselors.

Thomson is among seven soldiers convicted by court martial in 2008 of illegal drug use or distribution who served in the installation’s 5th Engineer Battalion. An additional five await trial on similar charges. A dozen have been kicked out of the Army, and two others went AWOL after being implicated .

Dr. Les McFarling, who heads the Army’s substance abuse treatment program, acknowledges the increased potential for abuse.

“You can put soldiers at risk when you’re managing their pain,” he said.

But McDonald and other critics call the military’s approach a broken system, as likely to punish or denigrate troops as to treat their addictions.

The criminal cases in Missouri, coupled with allegations of misconduct and staffing shortages in the Army Substance Abuse Program levied by McDonald and another whistleblower, caught the attention of Sen. Claire McCaskill, D-Mo. She has asked Secretary of the Army Pete Geren to investigate.

“Clearly, at Fort Leonard Wood and potentially across the military, they have not prioritized this as a health issue,” McCaskill said. “The culture has traditionally looked at this as a discipline issue.”

Under the Uniform Code of Military Justice, such punishments can include reductions in rank and pay, imprisonment and discharges from military service for bad conduct.

The Army says those disciplined in the Fort Leonard Wood investigation committed criminal misconduct by selling or illegally possessing drugs, as opposed to those who become dependent on narcotics prescribed for legitimate injuries.

“A soldier who steps forward is someone who should be admired, not as someone with a black mark next to their name,” McCaskill said.

In a Dec. 22 response to McCaskill’s inquiry, Geren indicated the Army will consider abolishing its policy that a commanding officer be notified when a soldier comes forward voluntarily for ASAP counseling.

Still, officials at Fort Leonard Wood and the Pentagon defend their approach, even as they acknowledge staffing shortages that have left ASAP nationwide nearly 90 counselors short of required employment levels. Staffing levels at the Missouri post are now above the required minimums, the Army says.

McDonald disputes that, saying at least one recently hired counselor for Fort Leonard Wood’s ASAP unit lacks required mental health certification.

Army statistics provided to The Associated Press show that the number of soldiers enrolled in ASAP at Fort Leonard Wood at the end of 2008 was the highest since the start of the Iraq war six years ago.

McCaskill’s office learned of the problems at Fort Leonard Wood from former ASAP counselor John Speckhals, a Vietnam veteran and former Veterans Affairs social worker now stationed in Germany. Speckhals declined an AP request for an interview.

An inquiry by the senator’s office said as many as 180 cases referred to the base’s ASAP unit were misclassified in what McCaskill suggested in a Nov. 12 letter to Geren were “deliberate clinical findings that soldiers who were dependent on alcohol or drugs were not dependent in order to keep the caseload down for an overwhelmed staff.”

“There was an effort to give a cosmetic fix to a problem that was systemic,” McCaskill said .

In his letter to McCaskill, Geren said a review of those cases and 17 others showed some record-keeping errors, but no evidence that cases were deliberately mislabeled.

McDonald, whose son is a soldier, spent 20 years as a civilian substance abuse counselor before joining the Army’s fight against drug and alcohol abuse one year ago. She has filed a workplace complaint against her supervisor and faces disciplinary action she says stems from her criticisms. Army officials have not commented.

McDonald claims that some Army doctors and counselors point to drug dependency as a sign of weakness. Since McDonald’s complaints surfaced, she is no longer allowed to see patients.

Lori Mullins of Idaho Falls, Idaho, said her 18-year-old daughter, Destiny, was told McDonald had quit and that McDonald was told Destiny Mullins no longer wanted treatment.

“They told (Destiny) she didn’t belong in the military, that she was a shame to the uniform,” the elder Mullins said. “Instead of being protected by the Army, they’re blaming her for it.”

Destiny Mullins received an honorable discharge in November.

Chuck Ashbrook, who oversees ASAP prevention and education efforts at Leonard Wood, maintained that counselors pay close attention to links between substance abuse, post-traumatic stress disorder and combat injuries.

He said that, thanks to medical advances, soldiers who might have returned from previous conflicts as casualties are instead surviving with injuries that may require stronger pain management.

However, Ashbrook also noted historical increases in drug dependency among soldiers during wartime, he encourages them to get information from arcproject.org.uk in order to overcome their addiction.

“We’ve always seen these kind of problems,” he said. “This is not unique.”

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Taliban Fills NATO’s Big Gaps in Afghan South

January 21, 2009, Tsapowzai, Afghanistan – The Taliban are everywhere the soldiers are not, the saying goes in the southern part of the country.

And that is a lot of places.

For starters, there is the 550 miles of border with Pakistan, where the Taliban’s busiest infiltration routes lie.

“We’re not there,” said Brig. Gen. John W. Nicholson, the deputy commander of NATO forces in southern Afghanistan. “The borders are wide open.”

Then there is the 100-mile stretch of Helmand River running south from the town of Garmser, where the Taliban and their money crop, poppy, bloom in isolation.

“No one,” General Nicholson said, pointing to the area on the map.

Then there is Nimroz Province, all of it, which borders Iran. No troops there. And the Ghorak district northwest of Kandahar, which officers refer to as the “jet stream” for the Taliban fighters who flow through.

Ditto the districts of Shah Wali Kot, Kharkrez and Nesh, where the presence of NATO troops is minimal or nil.

“We don’t have enough forces to secure the population,” General Nicholson said.

The general is going to get a lot more troops very soon. American commanders in southern Afghanistan have been told to make plans to accept nearly all of the 20,000 to 30,000 additional troops that the Obama administration has agreed to deploy.

The influx promises to significantly reshape the environment of southern Afghanistan, the birthplace of the Taliban. The region now produces an estimated 90 percent of the world’s opium, which bankrolls the Taliban.

While the American-led coalition holds the cities and highways, it appears to have ceded much of the countryside to the Taliban, because it lacks sufficient forces to confront them.

A force of about 20,000 American, British, Canadian and Dutch soldiers have been trying for years to secure the 78,000 square miles of villages, cities, mountains and deserts that make up southern Afghanistan. The region is one of the two centers of the Taliban insurgency, which has made a remarkable resurgence since being booted from power in November 2001.

The other center is in the eastern mountains, where 22,500 American troops are battling a multiheaded enemy, which includes Al Qaeda. Its operational center is based in the tribal areas of Pakistan.

Here in southern Afghanistan, the insurgency is homegrown and self-sustaining. The home village of the Taliban leader, Mullah Mohammad Omar, is 30 miles from here. Poppy fields, now fallow in winter, dot the countryside here and in neighboring Helmand Province. The United Nations estimates that the opium trade provides the Taliban with about $300 million a year.

American commanders say the open borders allow the opium to move unimpeded into Pakistan and other places, and for weapons and other supplies to flow in. Five of the six busiest Taliban infiltration routes are in the south, American officers said.

“Drugs out,” one American officer said, “guns in.”

The commanders here call the current situation “stalemate,” meaning they can hold what they have but cannot do much else. Of the 20,000 British, American and other troops here, only roughly 300 – a group of British Royal Marines – can be moved around the region to strike the Taliban. All the other units must stay where they are, lest the area they hold slip from their grasp.

It is perhaps in Kandahar, one of the provincial capitals, where the lack of troops is most evident. About 3,000 Canadian soldiers are assigned to secure the city, home to about 500,000 people. In a recent visit, this reporter traveled the city for five days and did not see a single Canadian soldier on the streets.

The lack of troops has allowed the Taliban to mount significant attacks inside the city. Two clerics who joined a pro-government advisory council, for instance, have been gunned down in the past two months, bringing the total assassinated council members to 24. Over the summer, a Taliban force invaded Kandahar and stormed its main prison, freeing more than 1,200 inmates.

But whether extra troops will have the desired impact is unclear. Adding 20,000 new troops to the 20,000 Western soldiers already here – in addition to an equal number of Afghan policemen and army personnel – would bring the total to 60,000. The six provinces that make up southern Afghanistan have a population of 3.2 million. In that case, the ratio of troops to population would just match that recommended by the United States Army’s counterinsurgency manual: 50 people per soldier or police officer.

American commanders say the extra troops will better enable them to pursue a more sophisticated campaign against the insurgents; the overriding objective, rather than killing Taliban fighters, is to provide security for the civilian population and thereby isolate the insurgents.

Even so, many of the Western troops already here are not deployed among the population. And Afghanistan, with its predominantly rural population living in mostly small villages, presents unique challenges.

Across much of the countryside, the Taliban appear to hold the upper hand, not necessarily because they are popular, but because they are unopposed. Hediatullah Hediat, for instance, is a businessman from Musa Qala, a city in Helmand Province that was occupied by the Taliban for much of 2007 until the insurgents were expelled by British troops at the end of that year. (The British have about 8,000 troops in Helmand Province.) The British, Mr. Hediat said, control the center of Musa Qala and nothing more.

“The Taliban are everywhere,” Mr. Hediat said in an interview in Kandahar, where he had come for business. “The Taliban are so near to the city that you can see them from the city itself. The British can see them. They can see each other.”

Mr. Hediat said he had no great gripes with the British soldiers who were occupying the town – for one thing, he said, they do not raid houses and peer at the women. But the biggest complaint, he said, was the Afghan the Briti”sh installed as the district governor, Mullah Salam. The governor is unpopular and corrupt, demanding bribes and tributes from anyone who needs something.

“This is why people hate the British, because they put Mullah Salam in power, and they keep him there,” he said.

In the mud-brick villages that line the Arghandab River, winning over the people is no easy job. The Taliban are here, in the villages; earlier this month, a suicide bomber killed two American soldiers and nine Afghans in the Maiwand bazaar. But the Taliban are mostly invisible.

On a recent foot patrol through the village of Tsapowzai, about thirty miles west of Kandahar, a platoon of American soldiers ventured inside and found empty streets. It was a sunny day. A pair of Afghans stared at them from a wheat field, and neither of them waved. No one stepped from his house to say hello.

“Where’s everybody at, Jimmy?” Lt. Brian James asked a comrade.

“Don’t know,” Lt. James Holloway replied.

Finally, the soldiers came across three Afghan men. They were sitting on a blanket and listening to music on a radio. What followed seemed, more than anything, a game.

“So, seen any Taliban lately?” Lieutenant Holloway asked the men.”

“We haven’t seen the Taliban in eight months,” a man named Niamatullah said, looking up.

“Do you ever see anyone moving through here at night?” Lieutenant Holloway asked.

“We don’t go outside at night,” said Mr. Niamatullah, who, like many Afghans, uses one name. “When we do, you guys search us and hold us for hours. And you never find anything.”

Lieutenant Holloway shook his head.

“The last person we stopped in this village, we held for 20 minutes,” the lieutenant said. “We never detain anyone.”

“We are afraid of you,” Mr. Niamatullah said.

“Is there a Taliban curfew?” Lieutenant Holloway asked.

“Only a man with a white shawl is allowed outside at night,” Mr. Niamatullah said.

“A white shawl?” Lieutenant Holloway squinted.

Mr. Niamatullah did not offer to explain.

“But he has no gun, so you cannot detain him.”

After several minutes, Lieutenant Holloway gave up.

“Everybody knows something,” Lieutenant Holloway said, walking away, “But no one tells us anything.”

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Boston University Professor to Study Partner Abuse by Veterans with PTSD

$1.5 million DOD grant will open doors on relationships of soldiers with PTSD

January 22, 2009 – Newly minted First Lady Michelle Obama has pledged to turn up the volume on issues facing military families and find concrete ways to help home lives that are stressed by multiple deployments and symptoms of trauma in returning soldiers.

In fact, the Department of Defense has already started to step up efforts in this area, offering family-oriented counseling and support programs and funding research into deployment stress and the impact of post-traumatic stress disorder (PTSD) on families. Some of that funding, in the form of a $1.5 million grant, was recently awarded to Casey Taft, a School of Medicine associate professor of psychiatry, who is studying domestic violence among returning soldiers with PTSD. Taft’s research dovetails with his other veteran-related work – funded with a $2 million grant from the Centers for Disease Control – on preventing partner abuse and enhancing soldiers’ intimate relationships.

“People who are exposed to trauma, and in particular those who develop PTSD, are at very high risk for aggressive behavior,” says Taft, who also works at the Boston Veterans Affairs Medical Center and the National Center for PTSD. “In one Vietnam war study, they found that among vets with PTSD, one third had engaged in physical violence against their partner in the past year. This rate was almost three time the rates they found among vets without PTSD. Since we know that current vets in Iraq and Afghanistan have been exposed to significant trauma and many of them have been on multiple deployments and they’re coming back with high rates of PTSD and other mental health issues, it would stand to reason that they would also engage in high levels of aggression and partner violence, though we don’t have the specific data to back that up.”

Taft’s DOD project will unfold in two phases, starting with focus groups and the development of an intervention. The second phase involves controlled clinical trials in Boston and Arkansas. Program topics will include healthy relationships, understanding anger, stress, and coping, relaxation, and communication styles, among others.

BU Today talked with Taft about the impact of combat on personal relationships and the influence of personal relationships on the battlefield.

BU Today: How would you define intimate partner violence? Is it strictly physical?
Taft: There are different definitions. There’s physical, psychological, and sexual aggression. Some people also look at stalking as another form.

What role does military culture play in affecting intimate relationships?
Military training plays a significant role. When veterans go into a war zone, they need to be constantly vigilant to any kind of threat in their environment. They’ll see threats that others don’t, and they need to do that to stay alive and keep their buddies alive, to do their job. They don’t really know who the enemy is, and they have to respond quickly. So they are constantly ready to respond to potentially threatening situations with aggression. When they come home, they can’t just turn that off. They still see threatening situations where others don’t. They might misread facial clues or assume people are going to try and hurt them, and they might respond in an aggressive way. And seeing the kinds of horrific things they might see in a war zone can also change the way they think about the world. They may have difficulty trusting other people. They may feel the world is an unsafe place. These kinds of changes can carry over into their intimate relationships.

What symptoms of PTSD play into relationship problems?
Hyperarousal symptoms, where the veteran is on edge, where their fight-or-flight responses are always kicking in, might lead to difficulties with anger. There are also symptoms called emotional numbing, where individuals might have trouble experiencing love or happiness and might just have a general numbing of their emotions. They may be more likely to avoid anything that might remind them of their trauma. And those numbing and avoidance symptoms have been shown to be especially difficult for relationships. We want to help veterans communicate more and express feelings in positive ways rather avoiding their partners or important issues. A big part of both research projects is to help soldiers improve their communication skills and make sure they don’t avoid dealing with their partners or with anything that reminds them of traumas. We want to teach them to communicate in positive and assertive ways and let their partners know how they feel. A lot of veterans go from being aggressive to being overly passive.

Why has preventing abuse in relationships been so challenging in the military?
It’s not necessarily a DOD or VA issue. In the larger community, successful interventions for domestic violence have not been developed, either. There are a number of interventions out there, but the literature hasn’t shown them to be particularly effective. That may be, in part, because it’s difficult to conduct randomized control trials for interventions for relationship abuse. It’s hard to assign individuals to no-treatment control groups. But it also stems from the fact that the study of domestic violence has only been going on for the past 20 or 30 years. Prior to that, it was an understudied area, one that wasn’t on the forefront of the public consciousness. Abuser programs are a relatively new phenomenon.

In the military itself, they have family advocacy programs and a system for identifying and treating perpetrators of relationship abuse. There’s a lot of work going on, but these programs have rarely been empirically evaluated. The family advocacy programs deal with a range of different issues: child abuse, helping the partners make adjustments when the soldiers deploy, domestic violence. But I’m not aware of any programs that look at PTSD and its role in relationship abuse.

How do relationship problems back home manifest on the battlefield?
The family relationship is very important to how the soldier functions in the war zone. There is some data that suggest family problems are strong predictors of whether the soldier will stay in the military. It may affect the soldier’s performance and morale. How well the partner is doing and the partner’s perception of things also play a big role in how well the soldier does. And it affects health outcomes. If the intimate relationships are positive, the solider is likely to experience better physical and mental health. For these reasons and others, there has been an increased focus on dealing with domestic violence in military populations.

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Troops, Iraq, Afghanistan on Minds of Local Vets

January 21, 2009 – While three men stood and chatted quietly along the opposite side of the bar, Ray Tremblay Sr. sat in solitude, his eyes fixed on one of two TV’s that would, in a few minutes, broadcast one of the most historic moments in his life.

A military veteran and member of Hudson’s American Legion Post 48, Tremblay’s thoughts were, understandably, with the nation’s servicemen and women at war in a faraway land as he watched the events leading up to Barack Obama’s swearing-in ceremony and inaugural speech at “the foxhole,” Post 48’s Central Street home.

“I’d like to think the new president will do a good job . . . it’s time for a change, that much is for sure,” Tremblay said as he sipped his drink and checked the TV at regular intervals.

Most veterans and military families, including Tremblay, would welcome some good news from Iraq and its surroundings.

“I do think Obama will start bringing the troops home,” he said. “But is that a good thing? I’m not sure . . . what I don’t want to see is him taking everyone out all at once and leaving (Iraqis) stranded.

“That’s just my opinion,” Tremblay said.

Over at Nashua’s Post 483, Veterans of Foreign Wars, midday patrons were few, and those who were there were more interested in watching the inauguration than commenting on it.

“We don’t typically talk a lot about politics here,” said the bartender as she aimed a remote to tune in one of the Post’s TV’s.

Up on Court Street, the atmosphere at the American Legion’s James E. Coffey Post 3 was similarly low-key.

Semi-retired Nashua resident Bob Lucier, occupying his usual spot at the southern end of the bar, said despite the inauguration’s historic nature, his interest level hadn’t risen a whole lot in recent days.

“I don’t know . . . maybe things will get better,” he said. “I hope so.”

Meanwhile, a local veterans advocate and staunch Republican who voted for his longtime friend, John McCain, is expressing robust optimism as the “change and hope” administration takes over.

“Even though I’m a Republican, this is great,” Griff Dalianis said Tuesday after watching Obama’s inaugural address. “I think he’s a strong individual, very smart, who understands what’s at stake (in Iraq) . . . I’m very confident he won’t do anything to hurt our troops over there, to put them in harm’s way.”

Dalianis, commander of Gate City Chapter 7, Disabled American Veterans who also chairs the state Veterans Advisory Committee and writes a column for The Telegraph, said he sees Obama as conducting a gradual, methodical reduction of troops in Iraq.

“It can’t be done all at once, that would lead to mass killing over there,” he said. “I think what Obama will do is call for an orderly downsizing of the troops as the Iraqis begin to take over more and more.”

For Charlie Ringleben, commander of Post 483, Obama’s decision to retain Defense Secretary Robert Gates from the Bush administration was an important step in the right direction.

“I was a McCain supporter, but I believe the new president made the right move by keeping (Gates),” he said. “To me, that is a good choice . . . it allayed some of my initial fears.”

One of his biggest concerns, Ringleben said, has been the sudden and sweeping withdrawal of the troops in Iraq. “I think Bush made a mistake by not having an exit strategy,” he said. “But I would hate to see the troops pulled out too soon, and with no support – that could be disastrous.”

Dalianis, meanwhile, said he feels confident with the new administration.

“I heard (Obama) say he’d put more troops in Afghanistan, where they’re needed,” Dalianis said.

“I’ve been watching him along the way. I watched him speak today, and I believe what he says.”

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Defense, VA Plan to Have Interoperable Health Records by September

January 20, 2009 – A high-level management committee from the Defense and Veterans Affairs departments said they plan to have interoperable health records by September as part of a program between the two departments to streamline information sharing, according to a report released last week.

Defense and VA launched a health information sharing project in 2000 and now share exchange a vast amount of medical data, including lab results and medication history through its their Bi-Directional Health Information Exchange.

The two departments will continue to share more inpatient electronic data, including clinical notes from physicians, according to the 2009-2011 strategic plan issued by the VA/Defense Joint Executive Council. Gordon Mansfield, deputy secretary at VA who chairs the council, and David S.C. Chu, undersecretary of Defense personnel and readiness, issued the report last week.

The two departments plan to exchange clinical notes, which doctors write to report patients’ conditions, in a test environment this June and to complete deploying the inpatient clinical note system by Sept. 30. VA and Defense’s Military Health System expect to begin operating a secure, redundant network to support health data exchange by June 30.

VA and Defense also plan to begin sharing chemistry and hematology information in real time at all their medical facilities by Oct. 31, according to the strategic plan. In addition, Defense will start deploying a system to automatically capture and display neuropsychological assessment data essential in identification and treatment of post-traumatic stress disorder by Jan. 31, 2010.

The report recommended that Defense exchange health care information with private sector managed care contractors that provide medical care for active-duty personnel and their families and veterans, as well. Defense is slated to begin in-depth analysis to identify data sharing requirements in March.

Eric Shinseki, expected to be confirmed as the VA secretary in the Obama administration on Tuesday, told the Senate Veterans Affairs Committee on Jan. 14 that he would work with the Joint Executive Council and Defense Secretary Robert Gates to ensure exchange of health information between the two departments, and he viewed any obstacles to data sharing as a managerial rather than a technical problem.

The strategic plan also revealed that the Veterans Tracking Application, originally developed by Defense to follow wounded personnel evacuated from Afghanistan and Iraq, will be enhanced to maintain a common database of severely injured service members for a new version of the Defense Disability Evaluation System, which is used to evaluate wounded service members.

The plan also called for development of a My eBenefits Web site, which will serve as a single information source for service members and veterans as directed in an August 2007 report issued by the President’s Commission on Care for America’s Returning Wounded Warriors. The commission said a portal should have been be in operation by August 2008.

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Shinseki Confirmed as New VA Secretary

January 20, 2009 – Retired Army Gen. Eric Shinseki was confirmed Tuesday to be secretary of veterans’ affairs in President Obama’s Cabinet.

The Senate confirmed Shinseki by voice vote and without debate just hours after Obama was sworn in as the 44th president. The Senate also approved the Cabinet appointments for the energy, education, interior, agriculture and education departments and Obama’s choice to head the White House Office of Management and Budget.

The nomination of Sen. Hillary Clinton, D-N.Y., to be Obama’s secretary of state will come to a vote in the Senate on Wednesday afternoon. The delay comes because some Republicans, especially Sen. John Cornyn of Texas, wanted a recorded vote on Clinton’s nomination instead of the voice votes allowed on the other cabinet posts.

No vote is required on Obama’s decision to keep Defense Secretary Robert Gates at the Pentagon.

Shinseki, who retired 2003 as Army chief of staff, takes over the Department of Veterans Affairs in the middle of an overhaul of the disability ratings system for ill and injured veterans and at a time when VA is being closely monitored on how it will handle the Aug. 1 effective date for the Post-9/11 GI Bill that promises to cover full tuition plus living and book allowances.

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