[Vision2020] 05-16-04 Breaking AP: As Many as 22,000 Iraq, Afghan War Veterans Already Seek Care From VA System

Art Deco aka W. Fox deco@moscow.com
Sun, 16 May 2004 10:34:11 -0700


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May 16, 2004

As Many as 22,000 Iraq, Afghan War Veterans Already Seek Care From VA System
By Larry Margasak
Associated Press Writer

WASHINGTON (AP) - When Willie Buckels applied for veterans health care after
returning from Iraq, the back and knee injuries he suffered while rescuing a
fuel truck during a mortar attack were not enough to guarantee him treatment.
The Mississippi reservist had to bring along Army paperwork proving his combat
service because the Veterans Affairs Department still lacks a computer system
that tracks a new applicant's service record.

More than a half-century ago, soldiers who fought in World War II were showing
similar paper documents to ensure they got medical care.

"I took my paperwork, showed it to the VA, they got me in the system, got me an
ID card and made appointments for doctors," said Buckels, who did not complain
about his experience.

More critical, however, are lawmakers who have pressed the agency to make amends
for the highly publicized problems it had serving veterans of the first Iraq war
a decade ago.

"In this technologically advanced age," proof of service "can't be a sheet of
paper crumbling around the edges," said Republican Rep. Christopher Smith of New
Jersey, chairman of the House Veterans Affairs Committee.

Nearly 18,000 soldiers who have returned from Iraq have sought care at VA health
facilities, officials reported at the end of March. A separate report in
mid-April said 4,000 troops from the war in Afghanistan sought care, although
there is some overlap from those who served in both conflicts.

About 60 percent of the Iraq veterans and 84 percent of those from Afghanistan
who sought VA care came from the National Guard and Reserves. The most common
problems affected joints and back, teeth and the digestive system.

Mental disorders were diagnosed in 16 percent of the Afghanistan veterans and 15
percent of the Iraqi veterans.

The statistics reflect medical conditions regardless of their origin. They are
not broken down by causes such as bullet wounds, blast injuries, accidents and
illnesses.

With thousands more veterans expected to seek benefits and health care, the VA
faces its biggest challenge since the early 1990s. Officials are well aware of
the stakes.

"I believe the agency will be defined for generations by how well we take care
of these returning troops," Veterans Affairs Secretary Anthony Principi, a
combat-decorated Vietnam veteran, said in an interview with The Associated
Press.

The agency has a mixed record in dealing with the crush of new veterans.

The lack of a 21st-century computer operation is a black eye. Recently the VA
health care director, Dr. Robert Roswell, resigned after the failure of a $472
million hospital computer system for veterans in Florida that was supposed to
become a national model.

The department, in a statement, said it does not now have an automated way of
identifying veterans who served in Iraq of Afghanistan. "We rely on military
records provided by the veteran," the VA said.

The Defense Department has compiled a computerized roster of Iraq and
Afghanistan veterans for the VA, but the list has many discrepancies, officials
said.

Nonetheless, some returning veterans who expected long delays in qualifying for
medical treatment say they were surprised how quickly they entered the VA
system.

Sabrina Sue, a reservist from New York City, was told by a veteran of the first
Gulf War to expect a year's wait to see a doctor for a service-connected thyroid
condition. She waited only two weeks.

"I was amazed," said the supply specialist with the 340th Military Police
Company, who also is entering a VA educational program.

Also impressed by his first VA experience was First Sgt. Gerry Mosley. He was
injured with Buckels when the two members of the Army's 296th Transportation Co.
freed the jammed air brakes of a truck in their convoy and jumped to the ground
as mortars exploded around them.

"They're just awesome representatives," Mosley said.

To address the backlog of cases that delayed disability pay for veterans, the VA
has hired 1,500 workers and formed special teams to reduce the March, 2002 peak
of 233 days for an initial disability ruling. Today, the wait averages 171 days.

The agency also has extended hours at medical facilities, added examination
rooms and hired or moved employees to reduce the backlog of veterans waiting for
doctor's appointments. There were 176,000 veterans waiting for their first
doctor's visit in July 2002, a number reduced to 3,242 currently.

Principi, who worked as the top deputy at the VA during the first Gulf War, is
determined to avoid a repeat of the 1990s. Backlogs then led a congressional
committee to accuse the agency of having "a "tin ear, cold heart and a closed
mind" in caring for sick veterans.

The VA chief promises the new veterans, "I'm not going to wait until every "i"
is dotted and every "t" is crossed to care for them."

If costs and money were not enough to challenge, there also is politics.

Veterans' attitudes toward government are crucial this election year, with
President Bush's conduct of the Iraq war a growing campaign issue.

A Bush ad highlighted Democratic challenger John Kerry's vote last year against
an $87 billion aid package for Iraq and Afghanistan, contending the vote denied
body armor and higher combat pay for troops and better health care for
reservists. Kerry has run ads featuring fellow Vietnam veterans to boost his
claim that he can confront Bush on national security.

Veterans groups, who keep a close eye on the VA, give the agency a passing grade
in absorbing the new entries but are not fully convinced the agency is up to the
task.

"We're encouraged that the VA is reaching out to veterans" of the two recent
wars, said Steve Robinson, executive director of the National Gulf War Resource
Center.

"But we feel it's very important that the VA address the veterans' needs
physically, emotionally and spiritually to include psychological screenings,
information pamphlets and hot lines for prevention of suicides. It's obvious to
us that mental health disorders and psychological injuries are going to play an
important role for the next 20 years."

--- 

On the Net:

Department of Veterans Affairs, http://www.va.gov

Additional info including documents, photos and video are available at:
http://wid.ap.org/series/rfw1.html

AP-ES-05-16-04 1224EDT

This story can be found at: http://ap.tbo.com/ap/breaking/MGAN140DBUD.html


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<P>May 16, 2004</P>
<H2>As Many as 22,000 Iraq, Afghan War Veterans Already Seek Care From =
VA=20
System</H2>By Larry Margasak<BR>Associated Press Writer =
<BR><BR>WASHINGTON (AP)=20
- When Willie Buckels applied for veterans health care after returning =
from=20
Iraq, the back and knee injuries he suffered while rescuing a fuel truck =
during=20
a mortar attack were not enough to guarantee him treatment.=20
<P>The Mississippi reservist had to bring along Army paperwork proving =
his=20
combat service because the Veterans Affairs Department still lacks a =
computer=20
system that tracks a new applicant's service record.=20
<P>More than a half-century ago, soldiers who fought in World War II =
were=20
showing similar paper documents to ensure they got medical care.=20
<P>"I took my paperwork, showed it to the VA, they got me in the system, =
got me=20
an ID card and made appointments for doctors," said Buckels, who did not =

complain about his experience.=20
<P>More critical, however, are lawmakers who have pressed the agency to =
make=20
amends for the highly publicized problems it had serving veterans of the =
first=20
Iraq war a decade ago.=20
<P>"In this technologically advanced age," proof of service "can't be a =
sheet of=20
paper crumbling around the edges," said Republican Rep. Christopher =
Smith of New=20
Jersey, chairman of the House Veterans Affairs Committee.=20
<P>Nearly 18,000 soldiers who have returned from Iraq have sought care =
at VA=20
health facilities, officials reported at the end of March. A separate =
report in=20
mid-April said 4,000 troops from the war in Afghanistan sought care, =
although=20
there is some overlap from those who served in both conflicts.=20
<P>About 60 percent of the Iraq veterans and 84 percent of those from=20
Afghanistan who sought VA care came from the National Guard and =
Reserves. The=20
most common problems affected joints and back, teeth and the digestive =
system.=20
<P>Mental disorders were diagnosed in 16 percent of the Afghanistan =
veterans and=20
15 percent of the Iraqi veterans.=20
<P>The statistics reflect medical conditions regardless of their origin. =
They=20
are not broken down by causes such as bullet wounds, blast injuries, =
accidents=20
and illnesses.=20
<P>With thousands more veterans expected to seek benefits and health =
care, the=20
VA faces its biggest challenge since the early 1990s. Officials are well =
aware=20
of the stakes.=20
<P>"I believe the agency will be defined for generations by how well we =
take=20
care of these returning troops," Veterans Affairs Secretary Anthony =
Principi, a=20
combat-decorated Vietnam veteran, said in an interview with The =
Associated=20
Press.=20
<P>The agency has a mixed record in dealing with the crush of new =
veterans.=20
<P>The lack of a 21st-century computer operation is a black eye. =
Recently the VA=20
health care director, Dr. Robert Roswell, resigned after the failure of =
a $472=20
million hospital computer system for veterans in Florida that was =
supposed to=20
become a national model.=20
<P>The department, in a statement, said it does not now have an =
automated way of=20
identifying veterans who served in Iraq of Afghanistan. "We rely on =
military=20
records provided by the veteran," the VA said.=20
<P>The Defense Department has compiled a computerized roster of Iraq and =

Afghanistan veterans for the VA, but the list has many discrepancies, =
officials=20
said.=20
<P>Nonetheless, some returning veterans who expected long delays in =
qualifying=20
for medical treatment say they were surprised how quickly they entered =
the VA=20
system.=20
<P>Sabrina Sue, a reservist from New York City, was told by a veteran of =
the=20
first Gulf War to expect a year's wait to see a doctor for a =
service-connected=20
thyroid condition. She waited only two weeks.=20
<P>"I was amazed," said the supply specialist with the 340th Military =
Police=20
Company, who also is entering a VA educational program.=20
<P>Also impressed by his first VA experience was First Sgt. Gerry =
Mosley. He was=20
injured with Buckels when the two members of the Army's 296th =
Transportation Co.=20
freed the jammed air brakes of a truck in their convoy and jumped to the =
ground=20
as mortars exploded around them.=20
<P>"They're just awesome representatives," Mosley said.=20
<P>To address the backlog of cases that delayed disability pay for =
veterans, the=20
VA has hired 1,500 workers and formed special teams to reduce the March, =
2002=20
peak of 233 days for an initial disability ruling. Today, the wait =
averages 171=20
days.=20
<P>The agency also has extended hours at medical facilities, added =
examination=20
rooms and hired or moved employees to reduce the backlog of veterans =
waiting for=20
doctor's appointments. There were 176,000 veterans waiting for their =
first=20
doctor's visit in July 2002, a number reduced to 3,242 currently.=20
<P>Principi, who worked as the top deputy at the VA during the first =
Gulf War,=20
is determined to avoid a repeat of the 1990s. Backlogs then led a =
congressional=20
committee to accuse the agency of having "a "tin ear, cold heart and a =
closed=20
mind" in caring for sick veterans.=20
<P>The VA chief promises the new veterans, "I'm not going to wait until =
every=20
"i" is dotted and every "t" is crossed to care for them."=20
<P>If costs and money were not enough to challenge, there also is =
politics.=20
<P>Veterans' attitudes toward government are crucial this election year, =
with=20
President Bush's conduct of the Iraq war a growing campaign issue.=20
<P>A Bush ad highlighted Democratic challenger John Kerry's vote last =
year=20
against an $87 billion aid package for Iraq and Afghanistan, contending =
the vote=20
denied body armor and higher combat pay for troops and better health =
care for=20
reservists. Kerry has run ads featuring fellow Vietnam veterans to boost =
his=20
claim that he can confront Bush on national security.=20
<P>Veterans groups, who keep a close eye on the VA, give the agency a =
passing=20
grade in absorbing the new entries but are not fully convinced the =
agency is up=20
to the task.=20
<P>"We're encouraged that the VA is reaching out to veterans" of the two =
recent=20
wars, said Steve Robinson, executive director of the National Gulf War =
Resource=20
Center.=20
<P>"But we feel it's very important that the VA address the veterans' =
needs=20
physically, emotionally and spiritually to include psychological =
screenings,=20
information pamphlets and hot lines for prevention of suicides. It's =
obvious to=20
us that mental health disorders and psychological injuries are going to =
play an=20
important role for the next 20 years."=20
<P>---=20
<P>On the Net:=20
<P>Department of Veterans Affairs, http://www.va.gov=20
<P>Additional info including documents, photos and video are available =
at:=20
http://wid.ap.org/series/rfw1.html=20
<P>AP-ES-05-16-04 1224EDT <BR><BR><B>This story can be found at:</B> <A=20
href=3D"http://ap.tbo.com/ap/breaking/MGAN140DBUD.html">http://ap.tbo.com=
/ap/breaking/MGAN140DBUD.html</A><BR></FONT></P></FONT></DIV></BODY></HTM=
L>

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