Afghanistan
The long-term wounds of Walter Reed
Despite military officials' "surprise" at recent coverage, Salon exposed inadequate care and an overwhelmed system unfriendly to vets beginning two years ago.
The Pentagon has scrambled this week to contain media coverage of scandalous conditions for war veterans who are outpatients at the acclaimed Walter Reed Army Medical Center in Washington. The lack of services and care, raised by articles in the Washington Post in recent days, were first exposed and brought to the attention of military officials by Salon in a series of investigative reports beginning more than two years ago. Nonetheless, with a spotlight on the problems again now, top officials are claiming they did not know about them. They are also seeking to convey the message that the problems are relatively inconsequential and will be easily fixed.
In a press conference on Wednesday, the highest civilian official in charge of the military medical program, Assistant Secretary of Defense for Health Affairs Dr. William Winkenwerder Jr., said of the failures at Walter Reed: “This news caught me — as it did many other people — completely by surprise.” At the same time, top brass tried to keep the focus on moldy walls, mouse droppings and other squalid but easily fixed conditions reported on by the Post from Building 18, a 54-room facility just off campus from the main hospital grounds across Georgia Avenue. “We were absolutely disappointed in the status of the rooms and found delays and lack of attention to detail to the building’s repairs inexcusable,” Gen. Richard Cody, the Army vice chief of staff, said at the press conference.
Winkenwerder referred to the issues raised as “quality-of-life experience” problems for outpatients at Walter Reed and denied there was a systemic problem with military health care. “That is not the issue,” he stated.
It was a maneuver with little promise of standing up to scrutiny. What the renewed coverage again dragged out into the open, now four years into the Iraq war, is an ongoing failure to treat a growing number of outpatients in an already overwhelmed military healthcare system. It also points to the issue of compensating veterans for their wounds over the long term, which veterans advocates say has proved to be a complicated, time-consuming process that has pit many injured soldiers against the military in a fight for dollars.
And these problems extend far beyond Walter Reed hospital. Similar disgraces have played out for outpatients recovering at Fort Stewart, Ga., and Fort Carson, Colo., according to other media reports. Steve Robinson, director of Veterans Affairs at Veterans for America, has been visiting soldiers at Walter Reed and at other installations across the country since the beginning of the war. He calls the situation a national failure.
Robinson said the Pentagon is now focusing on mice droppings, in hopes that the real, and much more complicated story, will go away. “They were happy to talk about mice and mold because that is something they can clean up,” Robinson said. “What we are talking about is a systemic problem where soldiers are left unattended in the barracks. They are sharing medications. They are drinking like alcoholics,” and waiting for treatment, he said. “Those without families are isolated. And they are up against the largest, most complicated worker compensation claim process in the world today, which is the military discharge process.”
Almost everyone agrees that amputees get top-flight treatment, the source of Walter Reed’s sterling reputation. But the system breaks down for outpatients, some of whom are struggling with seriously debilitating but less visible wounds such as PTSD or traumatic brain injuries.
Any doctor with experience at Walter Reed knows that the military healthcare system is overloaded — and has been for some time now. “We’re overwhelmed in terms of resources,” one Walter Reed physician told Salon in a January 2006 report. Referring to inadequate care and misdiagnosis, he said, “A lot of things are missed because the doctors are swamped.”
The hospital has treated more than 6,000 patients from the war zones. But a complicating factor is that the military is making decisions about treating outpatients for their wounds while at the same time determining how much in disability payments they should get — out of Pentagon coffers — for war-related health problems that might last a lifetime.
The Byzantine system for putting a price tag on wounds is called the Medical Evaluation Board process. The maze of regulations and paperwork is mind-numbingly difficult to navigate, and it moves at a glacial pace. It often takes months, sometimes years, for a determination to be reached.
To make matters worse, soldiers widely believe that system creates a disincentive for the Army to recognize war-related health problems because it takes money away from bullets and bombs. Soldiers think it corrupts the diagnoses of their problems and forces them into a lengthy, complex fight for dollars when they should be concentrating on recovering.
In the past military officials have maintained that the two programs, medical care and disability decisions, are separate. But many soldiers say that is not the case. “We have met soldier after soldier after soldier who says, ‘My injury is not reflected in my Medical Evaluation Board,’” Robinson said. “They firmly believe that there is a conscious effort to screw them out of [disability benefits] they are entitled to.”
At Wednesday’s press conference, Cody only briefly mentioned the Medical Evaluation Board process when asked by a reporter, “What are the complaints you hear from the troops particularly?”
Cody responded that the military was looking into that complicated process of assessing injuries, but he talked at length about mouse droppings. Adding to the air of superficiality, Cody announced that Building 18 would also be given a new name. “I will personally oversee the plan to upgrade Building 18,” he promised. “We’ll soon change the name of it,” he announced. “Referring to a place where our soldiers stay as Building 18 is not appropriate.”
For family of some soldiers who have gone through the grinding process of trying to get good outpatient care and fair compensation at Walter Reed, the press conference was frustrating. “The building is not the issue,” said Annette McLeod, whose husband, Spc. Wendell McLeod Jr. waited four months for Walter Reed to diagnose his traumatic brain injury. “It is the treatment,” she said. Annette had to give up her job to help take care of her husband and push the Army to recognize her husband’s ailments, and the McLeods fought with the Army for months over disability payments.
There has been no shortage of opportunities for military officials to learn of the problems at Walter Reed and elsewhere. In addition to my series of reports for Salon, in October 2003, I wrote a story for United Press International about soldiers back from Iraq waiting a long time for doctor’s appointments in squalid barracks at Fort Stewart, Ga., and fighting for compensation. (Military officials who were shocked by the headline in Sunday’s Post, “Soldiers Face Neglect, Frustration at Army’s Top Medical Facility,” must have missed or forgotten about the headline from that UPI piece, “Sick, Wounded U.S. Troops Held in Squalor.”) And last December, National Public Radio’s Daniel Zwerdling compiled a compelling portrayal of soldiers returning from Iraq with acute PTSD and not receiving adequate mental health care at Fort Carson, Colo. The word “neglect” could fairly describe the treatment depicted in Zwerdling’s thorough report.
Given all the press that has been dedicated to a similar pattern of neglect for outpatients at Walter Reed and other facilities, it seems hard to imagine that top Pentagon officials were completely surprised by the latest account of the deepening damage to American service members from five years of war, and the U.S. military’s failure to adequately treat them.
Mark Benjamin is a national correspondent for Salon based in Washington, D.C. Read his other articles here. More Mark Benjamin.
Memorial Day’s lessons in amnesia
If nothing else, the holiday allows us to reflect on our commitment to forgetting bloody conflicts
(Credit: Carly Rose Hennigan via Shutterstock) It’s the saddest reading around: the little announcements that dribble out of the Pentagon every day or two — those terse, relatively uninformative death notices: rank; name; age; small town, suburb, or second-level city of origin; means of death (“small arms fire,” “improvised explosive device,” “the result of gunshot wounds inflicted by an individual wearing an Afghan National Army uniform,” or sometimes something vaguer like “while conducting combat operations,” “supporting Operation Enduring Freedom,” or simply no explanation at all); and the unit the dead soldier belonged to. They are seldom 100 words, even with the usual opening line: “The Department of Defense announced today the death of a soldier who was supporting Operation Enduring Freedom.” Sometimes they include more than one death.
Continue Reading CloseTom Engelhardt, co-founder of the American Empire Project, runs the Nation Institute's TomDispatch.com. His latest book, "The United States of Fear" (Haymarket Books), has just been published. More Tom Engelhardt.
Where the wounded are
Wars don't just cause casualties among soldiers, they drain medical staff. I traveled to see the costs firsthand
A soldier is prepared for an operation at Landstuhl Regional Medical Center. (Credit: Reuters/Kai Pfaffenbach) The weather’s getting warmer in Afghanistan and the war there is heating up again. That means – as it has meant every year for more than a decade — that the pace will quicken at the Landstuhl Regional Medical Center in Germany. More casualties will be brought to this largest American military hospital outside the United States. The Critical Care Air Transport teams and their C-17 Globemasters will fly in from “downrange,” as they call the Afghan battleground, and the injured will be brought by ambulance bus from nearby Ramstein Air Force Base to the hospital front door.
Continue Reading CloseMichael Winship is senior writing fellow at Demos and a senior writer of the new series, Moyers & Company, airing on public television. More Michael Winship.
NATO invites Pakistan to summit
A sign that Islamabad is ready to reopen its western border to NATO troops on their way to Afghanistan
Oil tankers, which were used to transport NATO fuel supplies to Afghanistan, are parked at a compound in Karachi, Pakistan, Tuesday, May 15, 2012. NATO on Tuesday invited Pakistani President Asif Ali Zardari to the alliance's summit in Chicago, after signs that the country could be moving to reopen its Afghan border to NATO military supplies. (AP Photo/Shakil Adil)(Credit: AP) ISLAMABAD (AP) — NATO on Tuesday invited Pakistan’s president to the upcoming Chicago summit on Afghanistan, the strongest sign yet that Islamabad is ready to reopen its western border to U.S. and NATO military supplies heading to the war in the neighboring country.
Pakistan blocked the routes in November after American airstrikes killed 24 of its troops on the Afghan border. The attack sent ties between Washington and Islamabad to new lows, threatening regional cooperation needed for negotiating an end to the Afghan war.
Continue Reading CloseAfghanistan, I can’t quit you
My mom pushed me to join the Marines. Now that she's gone, I'm still drawn to war zones
A child flies a kite in Kabul on Tuesday Mar. 27, 2012. (Credit: Geoffrey Ingersoll) The heat. That’s what I remember most. Shimmery and bright. Blinding. Stifling. Heeee-eeaat.
The kind that’s not just on you, wrapped around you, but balled up and pulsing inside you — a desert blanket with teeth. It’s a type of heat that makes your skin cry and your eyeballs sweat, even in the shade; heat like a predator you can’t run away from.
I notice it right as I get off the plane — not just the degrees but also the dust. Dust you can smell, kicked up by a thousand years of struggle. In a region this old, I’m sure each breath carries a dose of unintended history: Inhale, Alexander the Great; exhale, the Ottoman Empire; inhale, the USSR; exhale, the Taliban.
Continue Reading CloseGeoffrey Ingersoll is a freelance journalist, documentarian, writer, photographer, and veteran of Operation Iraqi Freedom. He is the recipient of the Sam Stavisky Award for Combat Reporting. More Geoffrey Ingersoll.
What Obama didn’t mention in Kabul
Just outside the Afghan capital, the Taliban is in control and preparing for a wider war
President Barack Obama addresses troops at Bagram Air Field, Afghanistan, Wednesday, May 2, 2012. (AP Photo/Charles Dharapak)(Credit: AP) MAHMUD RAQI, Afghanistan — The office of Kapisa’s governor sits high on a hilltop overlooking the provincial capital, Mahmud Raqi. It has a beautiful view of the river below and the mountains, trees and fields that stretch into the distance.
Beneath the tranquil surface, however, lies a grim truth. Just outside town roadside bombs are planted to target NATO convoys.
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