Monday, May 26, 2008

What Did You Do During The War?


Editor’s Note: In recent years, Memorial Day – like other patriotic holidays – has been exploited to glorify war, rather than treated as a moment for reflection about war's horrible costs.


In this guest essay, Bill Moyers and Michael Winship argue that on this Memorial Day, Americans should stop and take a measure of the pain, brutality and sacrifice that war exacts:


We also could honor our dead by caring for the living, and do better at it than we are right now.


There has been a flurry of allegations concerning neglect, malpractice and corner cutting at the Veterans Administration especially for those suffering from post traumatic stress disorder – PTSD – or major depression, brought on by combat.


A report released by the Rand Corporation last month indicates that approximately 300,000 Iraq and Afghanistan war veterans suffer PTSD or major depression. That’s one of every five military men and women who have served over there.

And those are the only cases we know about. Many, many more won't tell the authorities under which they serve, as they believe such an admission would wreck their military careers, that it is a sign of weakness. Let me be the first to tell you, guys and gals, the PTSD and the Depression are signs of being human beings with the ability to empathize with and care for other human beings. It's the ones who suffer no ill effects that worry me and the thought that they are coming home, having been highly trained in urban warfare, bothers me a lot.

Depression and PTSD are treatable, when the protocols are right. (Hear, don't depend on the V.A.) What those soldiers, who are not in the least affected by war, have is, as far as I know, not-treatable.

The Washington Post last week reported the contents of an e-mail sent to staff at a VA hospital in Temple, Texas. A psychologist wrote, “Given that we are having more and more compensation seeking veterans, I’d like to suggest that you refrain from giving a diagnosis of PTSD straight out.”

I would love to get my hands on the psychologist who wrote that email. He besmirches my profession and those of mental health workers everywhere. Of course, no one can quite top the id evil behavior of the psychologists and psychiatrists involved in "extreme interrogation." My grandfather used to say, "some people just simply ought to be taken out-back and horse whipped!" He rarely said this about anyone. It took some mighty horrendous behavior to bring down this particular verbal sentence from my grandfather, but it was usually behavior that the law of the land, for whatever reasons, ignored. One such "sin" was preachers who scared the living beejus out of old and disabled people on fixed incomes, just so they would send them more money. Crime in the name of God was always high on Granddad's list of horse-whipping offenses.

Well, they are pretty high on my list as well, but those who are supposed to do all in their power to heal the mind, or help their patients heal their own minds, but are, instead, helping the CIA develop more and better ways of driving people mad are number 1 on my horse-whipping list. These people know a lot about how the mind functions, or doesn't as the case may be. Psychological torture is probably the worst torture man has ever devised and nothing is too bad for anyone caught using it.

She further suggested that a diagnosis of a less serious Adjustment Disorder be made instead, especially as she and her colleagues “really don’t… have time to do the extensive testing that should be done to determine PTSD.”


SHE? Why do I always expect more of women? I am always disappointed.


Now PTSD is not a diagnosis arrived at without careful, thorough examination. But to possibly misdiagnose such a volatile and harmful disorder for the sake of saving time or money is reprehensible.


Veterans Affairs Secretary James Peake immediately said the psychologist’s statement had been “repudiated at the highest level of our health care organization.” Nonetheless, there’s plenty of other evidence to raise concern.


No one seriously believes that, do they?


The rate of attempted and successful suicides is so scary, the head of the VA’s mental health division, Dr. Ira Katz, wondered in a February e-mail how it should be spun.


“Shh!” he wrote. “Our suicide prevention coordinators are identifying about 1,000 suicide attempts per month among the veterans we see in our medical facilities. Is this something we should (carefully) address ourselves in some sort of release before someone stumbles on it?” [See Consortiumnews.com's "VA Debated PR Plan of Vets' Suicides."]


This apparent cover-up prompted the House Veterans Committee to hold hearings earlier this month. Congressman Bob Filner, committee chairman, questioned Dr. Katz and Veterans Affairs Secretary Peake.


“What we see is a pattern that reveals a culture of bureaucracy,” Filner angrily said. “The pattern is deny, deny, deny and when that fails, it’s cover up, cover up, cover up — there is clear evidence of a bureaucratic cover-up here…”


Rep. Filner raised the question of criminal negligence.


“We should all be angry about what has gone on here,” he declared. “This is a matter of life and death for the veterans that we are responsible for and I think there was criminal negligence in the way this was handled. If we do not admit, assume or know, then the problem will continue and people will die. If that’s not criminal negligence, I don’t know what is.”


Secretary Peake said, “I can appreciate that the number of 1,000 suicide attempts a month might be shocking but in a system as large as ours… and consistent with the literature, we might well expect a larger number of attempts than that.”


Oh, really? We should expect a larger number than that, so 1000/month isn't all that bad, eh?

Mr Peak, you are a god-damned fool!


The front page of Sunday’s Houston Chronicle featured an in-depth study of just one of the suicides -- Bronze Star recipient Nils Aron Andersson of the 82nd Airborne Division. “A victim of the war within,” reads the Chronicle headline.


Andersson returned home from two tours in Iraq and was reassigned to duty as an Army recruiter.


“Did he come back different?” his father asked. “I don’t think there’s anybody who goes over there and fights on the front lines who ever comes back the same.”


In March 2007, Andersson sat behind the wheel of his new Ford pick up – less than 24 hours after his wedding – and fired a single round from a .22 caliber semi-automatic into his right temple. He was 25 years old.


“I don’t think Aron let the Army down,” his father said. “I think the Army let him down. I think the care wasn’t there that he really needed.”


Only about half of those service members diagnosed with PTSD or depression have sought treatment and about half of those received what the RAND study describes as “minimally adequate treatment.”


Minimally adequate treatment for what could be a matter of life and death.


Once upon a time, kids asked their fathers, “What did you do in the war, daddy?”


It’s a question the next generation could ask all of us who stood by as our government invaded Iraq to start a war whose purpose and rationale keep shifting and whose end is nowhere in sight, and who look now with nonchalance upon the unseen scars of those who are fighting it.


Bill Moyers is managing editor and Michael Winship is senior writer of the weekly public affairs program Bill Moyers Journal, which airs Friday night on PBS. Check local airtimes or comment at The Moyers Blog at www.pbs.org/moyers.



(In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. I.U. has no affiliation whatsoever with the originator of this article nor is I.U endorsed or sponsored by the originator.)


The Nazis, Fascists and Communists were political parties before they became enemies of liberty and mass murderers.

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