The disgraceful episode that we see being revealed
at the Veteran's Administration is a shame that no civilized nation should have
to endure. Even more so, our wounded and other veterans of military service
should not have to endure such disrespect and callous treatment. Lastly, if the
battlefield did not claim them then inaction by the people charged with healing
their wounds should never be the cause of their death.
General Eric Shinseki |
We tend to view experiences such as these through
the prism of emotional attachment and there is ample cause to view it that way.
After all, it is ourselves who sent these men and women to act on our behalf so
that we would not have to experience not just the horror of the battlefield but
also the discomfort that such sacrifice would bring our families. It is a sad
indictment that we found it necessary to offer up men and women unnecessarily
but having done so it is our devout duty to care for them in the best way
possible. We have failed in that duty. It is not just General Shinseki or some
administrators who have failed. It is us since those people were acting on our
behalf. The buck stops here.
September 11, 2001 was a shock to the national
psyche that our nation had not experienced for sixty years and it left us
thirsty for revenge against those who would dare come into our country and
destroy significant buildings and some 3000 people in the process. That thirst
galvanized us to war, first in Afghanistan where the assailants were harbored
and then in Iraq for reasons still debated. There was little awareness that
those wars would be more than brief campaigns for our vaunted military and, to
be sure, our military performed its task with expedience. It was the aftermath
that few anticipated. Years of occupation punctuated by guerrilla tactics using
deadly Improvised Explosive Devices that could wreak havoc on our patrols and
our soldiers and marines and therein lies the problem.
There were quite a number that returned from
Vietnam with wounds both visible and invisible. It was years before Agent Orange
exposure was recognized as an illness caused by injury on the battlefield. PTSD
was identified but treatment lagged far behind while thousands were lost to
suicide, depression and alcoholism. By the time we engaged ourselves in the wars
in Iraq and Afghanistan medical science had developed to the point that huge
numbers of combatants that would have previously died on the battlefield were
now being saved to encounter lives of desperate need for support. The rise in
survival rates for traumatic brain injury swamped the military medical system
with need for treatment still unanticipated and undeveloped. Survival from loss
of limbs is now common but the treatment for those who suffered the effects of
explosive devices was still in its infancy. Repeated deployments to combat
situations where soldiers and marines were subjected to unimaginable, constant
stress left even those who returned seemingly unscathed with horrible psychic
wounds. Neuroscientists understand very well how repeated and constant stress
leads to psychotic breaks but the military requires people to do just that. No
one returned unharmed.
And this is the septic miasma in which the
Veteran's Administration found itself immersed by 2002. People in Washington DC
act all surprised at the recent news that the VA has been falsifying records.
Did they really think we were doing that great a job? Has no one been paying
attention to the news of the wounded coming home and the desperate lives they
face? I remember for a fact that early in the wars there were warnings of just
this kind of thing but the powers insisted there would not be that many since we
would not be in combat that long. Now, thirteen years later everyone is all
surprised. Yeah, right.
This is first and foremost a stark result of the
refusal to recognize reality and fund expansion of medical services in the
Veteran's Administration to meet the exploding need. The ideologies of the
budget battles overwhelmed our commitment accept the price of waging war and
left us swamped in the shame of neglecting those who we sent to do battle for
us. There are already those who are denying that the Veteran's Administration is
drastically underfunded but that is only to deflect blame for allowing their
slavish adherence to partisan politics and ideology to undercut those to whom we
owe the highest respect. While it is true that the budget for the VA has doubled
over the course of the wars it still failed to keep up with the increased
casualties. It did not allow for combatants who would survive horrifying
injuries at a much higher rate than previously experienced.
This is not to say that there is no falsifying of
records to indicate that wait times are acceptable. It remains that
administrators at some level ordered their subordinates to create those false
records. Just how high up the chain of command the duplicity goes is yet to be
discovered but what must not happen is for some Congressional Committee demand
that heads must roll, play politics with it and then go back to business the
same old way. Anyone with any knowledge of corporate or governmental
bureaucracies knows that these acts of falsification did not occur in a vacuum.
If adequate resources had been available there would have been no need for
falsification. The Veteran's Administration is a governmental bureaucracy and it
will function like any other bureaucracy. It is populated with people just like
you and me who want to keep their jobs and take care of their families. It has
people in it who are ambitious and seek promotion. All of this occurs separately
from those whose responsibility it is to actually deliver medical care. Yes,
they should have risked their jobs and blew the whistle but before you become
too harsh think about how you would have handled that in your job. Not too many
of us will be that principled. There were those who sounded the alarm but they
were pushed aside because the uncomfortable truth is that we saw, or should have
seen, the dramatic increase as the wars dragged on.
My take? Those who planned and approved these wars
did not do their due diligence to prepare for the results. As a people we
allowed our thirst for revenge and lack of exposure to sacrifice to cloud our
judgement. You can't go to war on the cheap. We will be paying for this for a
long time and the cost will be many trillions of dollars more than we were led
to believe.
What do you think about it? Let me know.