Remembering homeless veterans, bringing the troops home

Friday is a day to remember the homeless, as well as a day to take some action to stop the war in Iraq.

And, yes, they are related. As the environmentalists remind us, everything is connected.

National Council for the Homeless explains:

Each year since 1990, on or near the first day of winter and the longest night of the year, National Coalition for the Homeless (NCH) has sponsored National Homeless Persons' Memorial Day to bring attention to the tragedy of homelessness and to remember our homeless friends who have paid the ultimate price for our nation's failure to end homelessness. This year, the National Health Care for the Homeless Council (NHCHC) has joined us in co-sponsoring this event.

In an effort to maximize the impact of the day, NCH and the NHCHC have encouraged local and statewide organizations to hold memorials of their own. Last year, over 100 cities across the nation, from Detroit to Seattle to Washington, DC, sponsored events to honor those who had died and to recommit to the task of ending homelessness.

The National Council for Homeless Veterans answers the question: How many homeless veterans are there?

Although accurate numbers are impossible to come by -- no one keeps national records on homeless veterans -- the VA estimates that nearly 200,000 veterans are homeless on any given night. And nearly 400,000 experience homelessness over the course of a year. Conservatively, one out of every three homeless men who is sleeping in a doorway, alley or box in our cities and rural communities has put on a uniform and served this country. According to the National Survey of Homeless Assistance Providers and Clients (U.S. Interagency Council on Homelessness and the Urban Institute, 1999), veterans account for 23% of all homeless people in America.

Friday, December 21, is also Iraq Moratorium #4, which includes a plea to remember and honor veterans and their families during the holiday season, the fifth Christmas with US troops in Iraq -- at the same time that we take action to end the war and bring the troops home. There is no better way to support our troops than to get them out of Iraq.

(An expanded version of this post is at Docudharma.)

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With the V.A. overwhelmed, Veterans suffer needlessly

The Department of Veterans Affairs has produced it's annual year-end report to the congress, and for the third year running, the rate at which the V.A. acts to render decisions on disability claims fell further behind.

While the goal is to make determinations within 125 days, the reality is, on average it takes a claim 183 days to be acted on.

When a claim is rejected and appealed, the goal is to act on that appeal within one year, or 365 days. In reality, rejected claims take on average 660 days to be acted on; just under two years.

The VA has responded to this backlog by hiring new personnel, but it takes a reviewer two to three years to become efficient at their job, and the backlogs had a huge head start. While new personnel have been hired, and are being trained and gaining the acumen to do their jobs efficiently, veterans continue to be caught in limbo.

And when it is all said and done, just under 90% of all claims are found to be reasonable and valid, and the veteran receives the benefits he or she is due.

Very few wounded veterans have the ready resources that politicians seem to take for granted, and virtually none have the resources of the Bush clan. While they wait for their benefit determinations, they often face poverty, destitution and homelessness. No returning soldier should face homelessness, and no soldier should be relieved that they lost both arms because then the VA will have to give them a 100% disability rating!

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That is why I favor the heartbreakingly simple approach advocated by Linda Bilmes of the Kennedy School of Government at Harvard: Give the Veteran the benefit of the doubt. Provisionally approve all claims made by Veterans for disability benefits, and don't withhold health care benefits while the claim is under review by the Department of Veterans Affairs.

Bilmes has been studying veterans’ medical care and disability benefits for years, and it is her considered and esteemed opinion that the current backlog simply overwhelmed a system that was already struggling under budget cuts before the wars started and created a whole bunch of new veterans needing services. Now things only stand to get worse. Last spring, in testimony before a congressional subcommittee, she predicted 250,000 to 400,000 claims will be filed over the next two years alone by veterans of the wars in Iraq and Afghanistan. This, she maintained, would create a situation that she said “will rapidly turn the disability claims problem into a crisis.” The problems of the VA are exacerbated as the wars in Iraq and Afghanistan grind on and on with no end in sight, and and the flood of wounded shows no sign of abating. And the DoD health system continues to dump patients into the underfunded VA system. This negatively impacts all veterans who use the system.

Keep in mind that Bilmes offered this testimony nearly a year ago, before the latest information on TBI was publicized.

The most recent findings are the result of percussive experiments conducted on animals, then the animals were sacrificed and the brain tissue examined microscopically. In the animal studies, scientists have discovered a fundamentally different injury than the “concussion” wound that has traditionally been ascribed to exposure to explosions. A concussion is essentially a bruise on the brain that generally heals with time.

Brain damage at the cellular level is likely permanent – and will almost certainly lead to further neurological degradation over time. Put bluntly, G.I.’s afflicted by TBI are not likely to get better, and in fact will get worse. How much worse is still unknown, but this will strain the system even further.

When the V.A. falters, it is the Veterans who stepped up and served who pay the price - again! - and who suffer as a result. That is a situation I find wholly intolerable. And frankly, anyone who professes unflagging support for the troops, but isn't hopping mad about the way our veterans are being treated once back home, should probably not profess their patriotism in direct proximity to me.

They gave the government the benefit of the doubt that they would not be sorely used when they joined up - the government owes them the same courtesy in return.

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