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Returning US soldiers face financial, medical difficulties
By Tom Regan, csmonitor.com
October 18, 2005
Critics say government is 'turning its back' on veterans because of
need for money in Iraq.
Wounded US soldiers who have returned home are increasingly finding
that they are being referred to credit agencies by the US military because
of discrepancies in pay or "failure to pay" for lost equipment.
The Washington Post reported Saturday the story of one soldier, Robert
Loria, victim of a bombing in Iraq, who had spent months in an Army
hospital. He was not aware that he had not been "downgraded" in his pay
scale - once soldiers leave a war zone, their pay goes down.
The last thing on his mind, he said, was whether the Army had correctly
adjusted his pay rate ... or whether his combat gear had been accounted
for properly: his Kevlar helmet, his suspenders, his rucksack.
But nine months after Loria was wounded, the Army garnished his wages
and then, as he prepared to leave the service, hit him with a $6,200 debt.
That was just before last Christmas, and several lawmakers scrambled to
help. This spring, a collection agency started calling. He owed another $646
for military housing.
The Post reports that the US military recently identified 331 other
soldiers who accumulated the same kind of "military debt" after they were
wounded in Iraq or Afghanistan. The military says they have forgiven the debt of
99 of the soldiers. The other 232 cases "have not been resolved."
"This is a financial friendly fire," charged Rep. Thomas M. Davis III
(R) of Virginia, chairman of the House Committee on Government Reform, which
has been looking into the issue. "It's awful." Davis called the failure
systemic and said military "pay problems have been an embarrassment all the way
through" the war.
The cause of the problem, according to military officials, is an
outdated Defense Department computer system that "does not automatically link
pay and personnel records." The Pentagon has been trying to fix the problem
since the mid-'90s.
The Roanoke Times writes in an editorial that this is the latest in a
string of problems that the Bush administration has had in dealing with
soldiers, both full-time military and National Guard and Reserve troops. The
Times pointed to a recent cut of a billion dollars in the Veterans Affairs
budget, and the problems outfitting soldiers in war zones with proper
equipment. The pay issue just compounds the situation.
The GAO found that more than 90 percent of the soldiers in some Reserve
and Guard units have incurred payroll errors during deployment.
Organizations such as the Wounded Warriors Project in Roanoke are attempting to put
aggrieved soldiers in touch with the GAO to provide an accurate
accounting of soldiers stuck with debts because of the Army's mistakes. America
owes those who serve in uniform, especially the wounded, an enormous debt -
not the other way around.
The Northwest Indiana Times reported last week on another soldier who
was discharged from the military in the middle of medical treatment for a
"line of duty" medical condition, in a case that critics say points to
problems with the "new community-based health care initiative designed to help
reservists and national guardsmen return home from active duty."
Meanwhile, The San Diego Union-Tribune [registration required] reported
that last month veterans' groups criticized a decision by the Department of
Veterans Affairs to review 72,000 cases of post-traumatic stress
disorder (PTSD) that have occurred between 1999 and 2004. The groups say the
move is just an attempt by the government to "cut benefits for older veterans
and toughen qualifications for future ones."
The department says the move is a "paper exercise," and that they are
not looking to reduce benefits. What they are looking for are the cases
where the "supply clerk who never left Fort Polk" is getting PTSD benefits.
But veterans' groups say the department's aim is "more bottom line and long
range."
"This review is really all about wanting to lower the cost of the war
when the veterans come back from Iraq and Afghanistan," said William Rider
Jr., president of the La Jolla-based American Combat Veterans of War. "I
think certain people in the administration and Congress see veterans as a
very large expense every year and they hate it."
But with the VA facing a $2.6 billion shortfall in the coming year, and
with the dramatic increase in PTSD cases, other analysts say the government
has to do an audit. The Sun-Herald of Biloxi, Miss. reported earlier this
month that a recent audit by the Veterans Affairs inspector general of 2,100
randomly selected PTSD cases found that 25 percent lacked the proper
documentation.
"The Department of Defense is being eaten out of house and home by
health care costs," [Dan Goure, a senior defense analyst at the Lexington
Institute] said. "More retirees are going with military medicine,
Congress is allowing more National Guard and reservists to enter [the VA system]
and the costs are rising. You have to say if you are going to have this
kind of ballooning in PTSD benefits, a review is appropriate."
In an interview in early October with The Washington Post, Veterans
Affairs Secretary R. James Nicholson said that of the 400,000 troops that have
been to Iraq and Afghanistan, 103,000 have been treated in a VA facility. Of
that 103,000, he said, 12 percent have been treated for PTSD.
In an editorial for the liberal/progressive truthout.org website, Gene
C. Gerard pointed to a study by Col. Charles W. Hoge, M.D., the chief of
psychiatry at Walter Reed Army Institute, published in the June 2004
edition of The New England Journal of Medicine.
The study concluded that close to 20 percent of soldiers who served in
Iraq, and approximately 12 percent of those who served in Afghanistan
returned home suffering from PTSD. The study found that there is a clear
correlation between combat experience and the prevalence of PTSD. The study
determined that, "Rates of PTSD were significantly higher after combat duty in
Iraq." Approximately 86 percent of soldiers in Iraq were involved in combat,
as were 31 percent in Afghanistan. On average, soldiers engaged in two
firefights for each tour of duty. The study indicated that 95 percent
of soldiers had been shot at. And 56 percent of soldiers had killed an
enemy combatant. An estimated 28 percent were directly responsible for the
death of a civilian.... Additionally, 68 percent witnessed fellow soldiers
being killed or seriously wounded.
Mr. Gerard writes that although the number of soldiers suffering from
PTSD is high, Dr. Hoge's study found that a majority of veterans are not
seeking treatment. "Only 40 percent of returning soldiers acknowledged that
they need mental health care, and only 26 percent were actually receiving
care. As such, the number of veterans approved for PTSD compensation by the
VA is relatively small."
Stars and Stripes reports that in early October, Senate Democrats added
an amendment to the Military Construction and Veterans Affairs
Appropriation Act to block Veterans Affairs from conducting the review until the
department proves the need for the reviews to Congress. The amendment
was passed on a voice vote. But there is no similar language in the House
version of the bill, so the question must be decided in conference.
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