Meet David Cox: Dr. “No” of VA Reform

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Meet J. David Cox, who many consider “Dr. No” of badly needed reforms within the Department of Veterans Affairs (“the VA’).

J. David Cox

J. David Cox

J. David Cox is President of the American Federation of Government Employees and is the person most likely to block any meaningful reform within the VA.  SFTT has had an eye on Mr. Cox who in the run-up to last year’s Presidential election, threatened the previous secretary of the VA with physical violence:

Cox was “prepared to whoop Bob McDonald’s a – -,” he said. “He’s going to start treating us as the labor partner … or we will whoop his a – -, I promise you,”

The new VA Secretary, Dr. David Shulkin, is rightly receiving favorable media coverage and support from both parties in Congress on his forceful new leadership.  In fact, the New York Times recently referred to Dr. Shulkin as a “Hands On, Risk-Taking ‘Standout.'”

The New York Times reports the following example of Dr. Shulkin’s responsiveness (and common sense):

After he first took the job, he grew concerned that the agency was not doing enough to prevent suicide after a news report showed high rates among young combat veterans. Suicide prevention leaders told him that they would put together a summit meeting to respond, adding that it would take 10 months.

Dr. Shulkin told them to get it done in one month. When his staff members pushed back, he pulled out a calculator and began quietly tapping, then showed them that during the delay, nearly 6,000 veterans would kill themselves. They got it done in a month.

“For me it was a very important day,” he said, remembering the meeting. “It taught our people you can act with urgency, and you can resist the temptation to say we work in a system that you can’t get to move faster. I think they learned that you can.”

Indeed, SFTT has greatly admired the decisiveness with which Dr. Shulkin has attacked two chronic problems with the VA:  A bloated infrastructure and the lack of authority to manage the VA’s large workforce.

While Congressional Republicans and Democrats have largely agreed on an “accountability” bill to support the firing of VA employees, J. David Cox argues that:

“Trampling on the rights of honest, hard-working public-sector employees is not the solution to holding bad employees accountable for their actions,” American Federation of Government Employees National President J. David Cox said. He said the bill would set up different standards for VA employees and other federal workers.

In fact, just recently it was reported that “a federal appellate court overturned the firing of Sharon Helman, who presided over a Phoenix VA Health Care System that left veterans waiting for weeks or even months for care while phony records were kept to show the agency was meeting its wait-time goals.”

Dr. David Shulkin, VA Secretary

While I hope that Dr. Shulkin has the fortitude to implement the bold changes he has outlined, the entrenched bureaucracy represented by David Cox and others, such as David Cifu, will continue to undermine his efforts.

The VA has simply grown too large to manage effectively.  Dr. Shulkin is right in arguing that the lives and well-being of Veterans are far more important than defending the rights of a few “bad apples” within the VA.  David Cox should embrace the vision of Dr. Shulkin and act in a manner which reflects well on the work ethic of the vast majority of VA employees.

Veterans, Veteran organizations and our elected officials should provide Dr. Shulkin with a clear mandate to bring about the much needed reform within the VA. Our Veterans, their family and friends and an appreciate public deserve no less.

J. David Cox would do well to join forces with Dr. Shulkin in this effort rather than taunt him.

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SFTT Military News: Week Ending Apr 14, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Military Revamping Retirement System to Attract Millennials
In a bid to lure millennials, the U.S. military is making the most sweeping changes to its retirement program since World War II. Gone are the days when only a 20-year veteran leaves the service with a nest egg. Going forward, those who serve as little as two years will return to civilian life with retirement savings. The new system introduces 401(k)-type savings for military personnel while downsizing the traditional pension benefit—a trade the corporate world has been making for 35 years. The new design also comes with a stepped-up effort to provide service members with the education they will need to make the most of a system that demands more individual involvement.  Read more . . .

Expanded U.S. Military Push in Yemen?
Amid reports President Trump is considering more American military help for the Saudi-led fight in Yemen, U.S. lawmakers are urging caution, if not an about-face. Four U.S. senators have offered legislation to limit arms sales to Riyadh over its troubled Yemen campaign. Fifty-five members of the U.S. House called on Trump in a letter to end both U.S. refueling for Saudi coalition warplanes and logistical assistance for the Saudi-led bombings in Yemen — and they said Trump must seek congressional approval before he deepens U.S. military involvement.  Read more . . .

Department of Veterans Affairs

Another VA Hospital Criticized by the Inspector General
In a scathing report, the Inspector General for the Department of Veterans Affairs listed a range of overlooked and long-standing problems at the Washington, D.C., VA Medical Center “sufficient to potentially compromise patient safety.” The risk to the 98,000 vets served by medical center in the nation’s capital was so high that the office of Inspector General Michael Missal took the unusual step of issuing a preliminary report to alert new VA Secretary Dr. David Shulkin to the danger.  Read more . . .

Future of the US Military Health System
Three components are needed for a high-performing military. First, the health of military personnel affects “readiness and battlefield performance.” So, health is not only a personnel matter, but also a national security issue. Second, maintaining the health of service members requires “everything from nutritious meals to medical services.”  Third, health care benefits help to attract and retain men and women in the armed services.  Nevertheless, the Military Health System “is a major cost” to the federal government, and the growth of that system “threatens other defense priorities” and attracts “criticism and proposals to reform military health care.”  Read more . . .

Oxycontin and PTSD

Oxycontin Being Tested (Again) for Treatment of PTSD
Nightmares. Obsessive thoughts. Avoiding particular places. Sudden outbursts. Fearing you’re in danger. Survivor guilt. These experiences – manifestations of post-traumatic stress disorder (PTSD) – are part of life for up to 1 in 3 U.S. combat veterans and active military personnel. That’s more than triple the prevalence of PTSD in the population at large. About two-thirds of those with PTSD struggle with alcohol abuse. A new trial may hold new hope for these military personnel through treatment with oxytocin, sometimes referred to as the “love hormone.”  Read more . . .

Tonix Drug PTSD Study Enters Phase 3
Tonix Pharmaceuticals Holding Corp. announced today that it has enrolled the first participant in the Phase 3 HONOR study of TNX-102 SL 5.6 mg, for the treatment of posttraumatic stress disorder (PTSD). “Enrolling the first participant in the HONOR study is an important event not only to Tonix, but potentially to millions who suffer worldwide from both civilian and military-related PTSD,” said Seth Lederman, M.D., Tonix’s president and chief executive officer. “The HONOR study is designed to confirm the clinical benefit of TNX-102 SL to improve PTSD symptoms across several measures as demonstrated in our Phase 2 AtEase study in military-related PTSD.”   Read more . . .

VA Launches New “Quality of Care” Website
The Department of Veterans Affairs unveiled a new website Wednesday aimed at providing information on the quality of care at VA medical centers, touting new accountability even as it grappled with fresh questions of patient safety in its beleaguered health system. The VA website, www.accesstocare.va.gov, is a work in progress. It provides preliminary data on the VA’s 1,700 health facilities, along with more than a dozen private-sector hospitals and national averages. Three years after a wait-time scandal at the Phoenix VA medical center, the website offers comparative data on wait times as well as veterans’ satisfaction ratings in getting timely appointments.  Read more . . .

 

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Veterans Treatment Courts: Smart Justice

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Several years ago, I had the honor to meet Judge John Schwartz, one of the early pioneers in promoting the benefits of  Veteran Treatment Courts.

Drug Treatment Courts

Drug Courts began to emerge in the nineties to deal more effectively with a growing drug problem in the United States.  As I wrote earlier,

Since the mid-1990, the US judicial system has recognized the need to deal with drug-related criminal activity and have established some 2,600 Drug Treatment Courts in the United States.  Drug treatment courts are specialized community courts designed to help stop the abuse of drugs, alcohol, and related criminal activity. Non-violent offenders who have been charged with simple possession of drugs are given the option to receive treatment instead of a jail sentence.   These programs have proven to be remarkably successful for reducing the level of recidivism in our prison system.

Capitalizing on the infrastructure and success of the Drug Treatment Courts, some 50 or so Veteran Courts have sprung up across the United States to deal with veterans who have committed a crime while suffering from substance abuse.  In many cases, these troubled vets have the support of other Vets (often from the Vietnam era) who “mentor” their military colleagues through the rehabilitation process.

Since then, Veteran Treatment Courts exist in every state in the United States.  These Courts provide Veterans with PTSD and substance abuse issues with an alternative to serving time in a federal or state penitentiary.

As the video from Justice for Vets explains below, Vet Courts provide Veterans with a second chance to recover their lives with the support of wise counsel from fellow Veterans, judicial system and law enforcement officers.

Aside from the fact that this appears to be a most sensible way to provide brave Veterans with the steady supportive counsel of a fellow Veteran, the Vet Court system has also reduced our prison population and cut recidivism by almost two-thirds.

While the Veteran Court system was largely the inspiration of community judges, law enforcement officers and a supportive community, the Department of Veterans Affairs (“the VA”) has been playing an active role in supporting these local and State programs since 2008.

Currently, there are approximately 220 Veteran Treatment Courts functioning in the United States with many other communities seeking to establish similar programs of their own. In fact, Justice for Vets recently provides a great deal of direct support and information for communities seeking to establish their own Veteran Treatment Court.

While 2017 applications for Justice for Vets support are currently closed, communities interested in this initiative would do well to contact Justice for Vets for more information on the Veteran Treatment Court Application Process.

Now, there are some – perhaps, many – who are opposed to any “special treatment” provided to people who break the law.  Nevertheless, the “cost” of incarcerating individuals who break drug laws and their exposure to hardened criminals seem to outweigh any potential long-term benefit to society.

For years, the VA has been serving up a cocktail of drugs to Veterans suffering from PTSD.  Only now have we come to the realization that this may not have been the proper way to deal with this serious problem.  In fact, opioid abuse is now an epidemic across the U.S.   One could argue that our Veteran population was well aware of this problem long before it hit mainstream America.

Should Veterans be subjected to incarceration, because the VA support system erred so badly?  I think not!

In May, we celebrate Drug Court Professionals across the United States who have contributed both their time, money and expertise to combat drug abuse in the United States.  If your community is currently planning – or thinking about – establishing a proactive response to drug abuse then you may well want to register for the NADCP Training conference that will be held this year in Washington, D.C. from July 9 – 12.

Justice for Veterans is a co-sponsor of this training conference and SFTT salutes those professionals who are giving their time and energy to fight drug abuse in America.

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SFTT News: Highlights for Week Ending Mar 31, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Lightweight Military Helmet

New Lightweight Combat Helmet Introduced
The Advanced Combat Helmet Gen II will replace the legacy Advanced Combat Helmet, which was fielded about 15 years ago. The service earlier this month awarded Revision Military, based in Essex Junction in Vermont, a contract worth about $98 million to make 293,870 of the new helmets. Made of high-density polyethylene instead of the current helmet’s Kevlar, the ACH Gen II weighs about 2.5 pounds in size large — about a 24-percent weight reduction, officials from Program Executive Office Soldier said at Fort Belvoir in Virginia.  Read more . . .

Iran Called a Destabilizing Influence in Middle East by Military Brass
The nation’s top military official in the Middle East on Wednesday said Iran is one of the greatest threats to the U.S. today and has increased its “destabilizing role” in the region. “I believe that Iran is operating in what I call a gray zone,” Commander of the U.S. Central Command, Army Gen. Joseph Votel, told the House Armed Services Committee in testimony Wednesday. “And it’s an area between normal competition between states — and it’s just short of open conflict.”  Read more . . .

Kim - North Korea

Dissecting US Policy Toward North Korea
Since the Clinton years, the US has considered military action and imposed strict sanctions against North Korea in an effort to curb its nuclear program — but none of it has worked amid fundamental misunderstandings about the shadowy Kim regime. US and UN sanctions on North Korea have sought to cripple the regime through restricting access to commerce and banking, but despite limited successes here and there, North Korea now regularly demonstrates a variety of potent and expensive nuclear arms in open defiance of the international community at large.  Read more . . .

Chinese Military Growth and Sophistication Attracts Attention
China’s rapid development of new destroyers, amphibs, stealth fighters and long-range weapons is quickly increasing its ability to threaten the United States and massively expand expeditionary military operations around the globe, according to a Congressional report. A detailed report from Congressional experts, called the 2016 US-China Economic and Security Review Commission, specifies China’s growing provocations and global expeditionary exercises along with its fast-increasing ability to project worldwide military power.   Read more . . .

Highlights of NPR Interview with VA Secretary Dr. David Shulkin
Secretary of Veterans Affairs David Shulkin says the Department of Veterans Affairs “is on a path toward recovery.” “We have a clear mandate to do better, [and] to make sure that we’re honoring our mission to serve our veterans,” Shulkin told NPR’s Morning Edition. Shulkin discussed his current priorities for the Department of Veterans Affairs, including how the money from the Veterans Choice program has been spent, and his approach to the persistently high rate of suicide among military veterans, with NPR’s Rachel Martin. The interview has been edited for length and clarity.  Read more . . .

New Diagnosis Tools for Veterans with PTSD?
Researchers are working at brain banks around the country to see what is going on inside the heads of veterans like Fadley. They are examining the brains of deceased veterans in hopes of knowing more accurately what effects trauma ― psychological or physical ― has had on the brain. That could someday lead to better diagnostic tests, treatments, clues into where PTSD originates and evolves.  Read more . . .

Agent Orange Effects Still Felt Today
An estimated 11.4 million gallons of the chemical pesticide known as Agent Orange were sprayed over millions of acres of Vietnam forests from 1962 to 1970. The United States Department of Veterans Affairs has long acknowledged the link between the substance and diseases like cancer in veterans, but when veterans began reporting having children with birth defects, the VA stayed mostly mum. But a joint investigation by ProPublica and the Virginian-Pilot published Friday revealed the odds of having a child born with birth defects were found to be a third higher for veterans exposed to Agent Orange than for those who weren’t. The investigation also determined that the VA had collected information about the link between birth defects and Agent Orange during examinations of more than 668,000 veterans but never adequately scrutinized it.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Will the VA Provide Better Service to Veterans?

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With much fanfare, Dr. David Shulkin, the new Secretary for the Department of Veterans Affairs (“the VA”), has moved quickly to address some of the recurring problems at the VA.

Dr. David Shulkin, VA Secretary

As the first VA Secretary without a military background, Dr. Shulkin appears committed to resolve several pressing concerns:

– Speedier processing of Veteran benefit claims and,

– Eliminate unnecessary bureaucracy and artificial constraints on “out-of-network” support for Veterans (Choice Program).

Indeed, Secretary Shulkin recently unveiled a 10 Point Plan to modernize the VA:

1. Firing bad employees

2. Extending the Choice program

3. Choice 2.0

4. Improving VA infrastructure

5. ‘World-class’ services

6. Better VA-DoD partnerships

7. Better electronic records

8. Stopping suicide

9. Appeals modernization

10. Internal improvements 

While there is little in these Powerpoint presentation bullet points that anyone would quibble with, implementing these broad goals tends to be far more complicated than listing the goals.   Unless there are rigorous benchmarks to assess progress toward achieving these goals, then this “goal-setting” exercise is rather fruitless.

In fact, it is difficult to reconcile the need for increased hiring within the VA unless one sees clear and conclusive evidence that “bad employees” are being fired.  In fact, the VA is recommending a hiring surge to deal with a backlog of benefit claims, a situation that has persisted for 4 years.

Are more employees needed or does the VA lack the “right” mix of employees to implement Shulkin’s 10 point plan?

For instance, State and Local VA coverage varies radically across the US.  For example, NPR reported in 2015 “that spending is nearly $30,000 per patient in San Francisco, and less than $7,000 per patient in Lubbock, Texas. Nationally, the average is just under $10,000. In places where more veterans are enrolled in VA health benefit plans, spending per veteran did tend to be higher.”   Why?  This is a huge variance that is not well explained.

Aligning the VA to Achieve Measurable Goals

As one looks at Shulkin’s proposed goals, it would be useful to determine their priority and the level of commitment (personnel and capital expenditure) that is required to attain them.  Furthermore, what are the benchmarks to chart progress toward achieving those goals.

For instance, “stopping Veteran suicides” is a goal that would find few naysayers.  Nevertheless, it is difficult to reconcile that goal with the sad fact that 30% of suicide watch calls are not currently attended by the Veteran Crisis Center.  Indeed, I find it disturbing that the Suicide Crisis Line has been centralized under the VA in the name of “efficiency.”

Perhaps, Dr. Shulkin and his staff have some measurable goals.  If so, they should be made public and both the Executive Body and Congressional Oversight Committees should receive regular updates from the VA on progress to date in achieving mutually agreeable goals.

Is this likely to happen?  Most certainly not!  This is an anathema to Big Government.

Is Firing Bad Employees Really Going to Occur?

With 365,000 employees, there are certainly going to be a few “bad eggs.”  While Dr. Shulkin praised the vast majority of VA employees, he told a cheering crowd  that “We’re going to make sure that the secretary has the authority to make sure that those (sic “bad”) employees … are leaving the VA system.”

J. David Cox

J. David Cox

Really?  It seems to anyone who has taken more than a cursory look at staffing within the VA, that David Cox, the President of the American Federation of Government Employees, will be calling the shots rather than Dr. Shulkin.

In most cases, distinguishing between a “bad” employee and an inefficient one is largely subjective.  Given the protection afforded by employees at the VA, it is highly unlikely that both the bad and inefficient employees will be “leaving the VA system” anytime soon.

In effect, this places a greater burden on both ” the good” and the many efficient and competent employees within the VA.  With little say or control on managing the workforce, I find it highly unlikely that Dr. Shulkin will be able to fulfill his promise to fire “bad” employees.

More importantly, it is unlikely that he will be able to realign staffing levels to implement his 10-point plan.

And Speaking of Bad Apples:  How About Dr. David Cifu?

If Secretary Shulkin is really serious about dealing with “Veteran suicides” and providing Veterans with alternative treatment for Veterans with PTSD, he would do well to question the credentials of Dr. David Cifu and others within the VA who continue to block Veteran access to better treatment alternatives.

When one looks at Secretary Shulkin’s complex agenda, one should focus on the signs that change is actually occurring.  Personally, I don’t expect to see much change over the next couple of years, unless there are clear bookmarks to measure that change.  Sadly, it seems likely that we will be looking at the same litany of complaints a couple years down the road.

Dr. Shulkin, I admire your bravado and enthusiasm, but question whether you have the right tools and authority at your disposal to bring about a much needed reform within the VA.

Veterans should be hopeful, but not too optimistic.

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SFTT News: Week Ending Mar 24, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Does President Trump’s Military Budget Help “Grunts?”
Trump, who positions himself as the champion of the working class, has promised to pump billions more into the military. Yet the initial numbers suggest those who really benefit will be the ones who always benefit: the big defense contractors and their enablers at the Pentagon and Congress. The last people to see that flood of spending will be the ones most likely to fight and die: the grunts.   Read more . . .

All Laser Military by 2025?
Lasers have been a mainstay of sci-fi battles for decades. But making them practical for the battlefield has proven difficult. Now, private contractors and government agencies have developed weapons systems that are making science fiction a reality. This was made evident when Lockheed Martin and the US Army recently announced, a successful test of a 60-kilowatt (kW) laser. This one was twice as powerful as one they assessed in 2015.  Read more . . .

Changes in Tactics Required for “Megacity” Warfare?
Speaking at the Future of War Conference 2017 hosted by New America in Washington, D.C., Gen. Mark Milley said that the character of warfare will likely go through a fundamental shift over the next decade. The world’s population is steadily moving toward living in megacities. Currently, there are about a dozen of these huge urban areas with populations of more than 10 million. By mid-century, “we are going to have at least 50 or more,” Milley said.  Read more . . .

Nato Logo

Assessment of New NATO-Russia Balance
Twenty-five years after the end of the Cold War, the military balance between NATO and Russia, after years of inattention, has again become the focus of intense concern and even alarm in some Western quarters. From NATO’s vantage point, Russia poses a serious military threat to its eastern flank—and to Euro-Atlantic security more broadly—for three reasons.  Read more . . .

VA Recommends Hiring “Surge” to Deal with Disability Claims
The Department of Veterans Affairs (VA) is warning the backlog for veterans appealing decisions involving disability benefits will grow if the Trump administration goes ahead with its harsh budget cuts. Waiting times could grow to as much as eight-and-a-half years. A Government Accountability Office (GAO) report on Veterans Affairs Disability Benefits released on Thursday found staff resources at the agency had not kept pace with increased pending appeals, and concluded that additional staff were needed.  Read more . . .

Criticism of VA Suicide Hotline
The VA suicide hotline is still sending nearly a third of calls to outside back-up centers despite pledges by Veterans Affairs officials to stop the practice last year after a scathing report found the centers had routed veterans to voicemail, an inspector general investigation found. The VA opened a new call center and hired more staff to answer phones, but as of November, 30% of calls — or 14,600 that month — rolled over to backup centers.  Read more . . .

Refugees with PTSD Handle Stress Differently
PTSD is a mental health disorder that makes a person re-experience a traumatic event. “What we discovered was that a gene associated with a person’s mental health became overactive in refugees with PTSD and wasn’t able to respond the right way when working with the body’s stress defense system,” said Bengt Arnetz, a professor of family medicine who led the study. The methyl CpG binding protein 2 gene, or MECP2, helps control the normal function of nerve cells and plays an important role in mental health and the body’s ability to handle stress. The findings are being presented at the American Psychosomatic Society’s annual meeting on March 18.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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SFTT Military News: Week Ending Mar 17, 2016

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Kim - North Korean

Military Action in North Korea on the Table?
The US has said its policy of “strategic patience” with North Korea is over and suggested it might decide to take preemptive military action. Secretary of State Rex Tillerson said the option was “on the table” if the threat from the North’s weapons programme reached a level requiring it. During a visit to South Korea, he also said the US was exploring a range of new diplomatic and economic measures. And he defended the deployment of a US missile system in South Korea. The move has angered China, but South Korea and the US say the system is needed as a defence against North Korean aggression.  Read more  . . .

Energy Efficiency Now a Military Priority
The US military sees climate change as a national security threat. So, it’s finding ways to adapt to global warming, to make the armed forces stronger and more flexible.  The US military burns over 1.25 billion gallons of fuel a year, and the Department of Defense is the country’s single largest consumer of fossil fuels, according to Goudreau. “When you talk climate issues, you can talk mitigation or adaptation. Every single gallon of fuel that we burn is carbon going into the atmosphere,” he says.   Read more . . .

Big Increase Proposed in Military Spending
As US president Donald Trump was proposing a $54 billion defense spending hike on March 16, something rather different was happening in Russia. With its economy sputtering, there are reports that it could slash its military budget by 25%. The actual figure is actually more likely to be around 5%, explains Mark Galeotti, a Russian security expert at the Institute of International Relations in Prague. And it comes after several years of rapid growth in Russia’s defense spending. But that still reveals a stark discrepancy. Trump wants to bolster America’s military with an amount not far short of Russia’s entire 2016 defense budget of $65.8 billion (3.8 trillion rubles).  Read more . . .

1,000 Ground Troops to Syria?
The U.S. military has drawn up early plans that would deploy up to 1,000 more troops into northern Syria in the coming weeks, expanding the American presence in the country ahead of the offensive on the Islamic State’s de facto capital of Raqqa, according to U.S. defense officials familiar with the matter. The deployment, if approved by Defense Secretary Jim Mattis and President Trump, would potentially double the number of U.S. forces in Syria and increase the potential for direct U.S. combat involvement in a conflict that has been characterized by confusion and competing priorities among disparate forces.   Read more . . .

Dr. David Shulkin, VA Secretary

VA Budget to Grow by 6%
The Department of Veterans Affairs, the second-largest federal agency with 313,000 civilian employees and a far-flung hospital system, is one of the few corners of the government that would see its budget grow in the next fiscal year — by 6 percent. During his campaign, President Trump promised dramatic reforms at an agency he said was filled with a culture of “fraud, coverups and wrongdoing” after a 2014 scandal over coverups of patient wait times for medical care. His first spending plan would boost VA’s budget by $4.4 billion, to $78.9 billion, with much of the new money dedicated “to improve patient access and timeliness of medical care” for the more than 9 million veterans who use the system.  Read more . . .

South Carolina Discussion on Veterans with PTSD Stereotypes
There are many stereotypes surrounding veterans with Post-Traumatic Stress Disorder (PTSD). Many of them are negative and paint those living with PTSD as violent. However, the Student Veteran Association at the University of South Carolina is aiming to change that perception. “PTSD, it is the normal reaction of human beings who experience extraordinary events,” says Dr. Nancy Brown with the College of Social Work at USC. On Wednesday night, six panelist, with different military backgrounds, all living with PTSD in their own way are hoping to educate and knock down perceptions.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Dr. David Cifu: Do Veterans with PTSD Want Him in Their Corner?

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Stand for the Troops (“SFTT”) has written extensively about treating Veterans with PTSD and TBI.  Sadly, much of the publically available literature for brain-related injuries deals with identifying the symptoms and helping Veterans – and their loved ones – cope with terrible consequences of living with PTSD and TBI.

The issue(s) – at least in my mind – are these:

– Is treating the behavioral symptoms of PTSD and TBI enough for Veterans?  

– Have we given up hope in helping Veterans permanently reclaim their lives?

Sadly, treating the symptoms of PTSD/TBI is generally confused with actually providing Veterans with a meaningful long term solution to overcome the debilitating impact of a war-related brain injury.  

Now we learn that the VA is again studying the medicinal benefits of marijuana in treating Veterans with PTSD.   As many Veterans have been experimenting with marijuana for quite some time, I believe that the study will conclude that “medicinal marijuana, if used wisely, can mitigate anxiety, wild mood swings and suicidal thoughts among Veterans suffering from the effects of brain-related injury.”

The phrase in quotes are my words, but I suspect that conclusions of the multi-million dollar clinical study will not differ significantly.

The use of mind-altering drugs – whether medicinal marijuana or opioids – will most certainly help Veterans cope with the debilitating pain and anxiety of PTSD and TBI, but will prescription drugs meaningfully contribute to curing brain injury among Veterans?  

While the Department of Defense (“DoD”) and the Department of Veterans Affairs (“the VA”) have largely agreed that prescription drugs is not the answer, there is little evidence that the DoD or VA are clearly committed to provide Veterans with a clear path to full recovery.

Dr. David Cifu

Dr. David Cifu

In fact, the VA, represented by its spokesperson, Dr. David Cifu, continues to push a stale and failed agenda that states that the only two effective treatment therapies offered by the VA are:

– Cognitive Behavioral Therapy and,

– Prolonged Exposure Therapy.

As the SFTT and others have pointed out, the VA has little – if anything – positive to show in having treating tens of thousand of Veterans with PTSD and TBI with these therapy programs.  You don’t have to be a brain surgeon (sorry for the very poor pun) or even Dr. David Cifu to recognize that currently recommended VA therapy programs have failed Veterans miserably.

Nevertheless, Veterans, the public and countless Congressional committees continue to listen to the same irresponsible dribble year-after-year and buy the same stale argument that Veterans are getting the best treatment possible.  To use a popular phrase, a little “fact-checking” would go a long to way to dispelling this insipid myth.

Dr. David Cifu represents what is wrong with the VA:   A lack of willingness to consider other alternatives.   As Judge and Jury on what constitutes “authorized therapy programs,” the VA has effectively precluded thousands of Veterans from seeking “out of network” solutions that appear to provide a far better long-term outcome.

The VA claims otherwise as we have seen in a long battle over the efficacy of Hyperbaric Oxygen Therapy (“HBOT”) in treating Veterans with PTSD and TBI.  Dr. David Cifu stands behind questionable studies that suggest that there is insufficient clinical evidence to support the thesis that HBOT can improve brain function.   In fact, Dr. Paul Harch, cites plenty of evidence in an academic study for the National Library of Medicine (Medical Gas Research) that conclusively demonstrates the lack of substance to Dr. Cifu’s bland and misleading opinions.

It is difficult to know whether new leadership within the VA will lead to more openness in providing Veterans with PTSD/TBI the support they require in finding therapy programs that work, but unless gatekeepers like Dr. David Cifu can be shown a quick exit, it is unlikely that much will change.

Our brave Veterans deserve far better than the sad and tragic delusional claims of Dr. Cifu.

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SFTT News Highlights: Week Ending Mar 3, 2017

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Found below are a few news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Does President Trump’s Military Budget Add Up?
“. . . as Trump invokes former President Reagan’s “peace through strength” doctrine, few in the military policy community know what Trump really wants to do with the proposed 10% annual budget increase or what vision he holds for the armed forces. Though Trump repeatedly has called for a military buildup, he spent much of his campaign promising to pull back from the type of expensive commitments and endeavors that would require such a large expansion. He pledged an “America First” policy and complained bitterly that trillions of dollars spent fighting wars in the Middle East could have been used to rebuild the homeland.”  Read more . . .

Sweden Reinstates Military Draft
Sweden is reinstating the military draft — for men and women — because of dwindling volunteers and growing concerns over a more assertive Russia in the Baltic and Ukraine. “The security environment in Europe and in Sweden’s vicinity has deteriorated and the all-volunteer recruitment hasn’t provided the Armed Forces with enough trained personnel,” the Swedish defense ministry said Thursday. “The re-activating of the conscription is needed for military readiness.”  Read more . . .

Department of Veterans Affairs

VA Reportedly Not “Truly” Tracking Health Care Delays in Two States
Government inspectors say actual delays in delivering medical care to military veterans remain far worse at Veterans Affairs medical facilities in North Carolina and Virginia than internal records showed. U.S. Sen. Richard Burr of North Carolina said Friday the new report by the Veterans Affairs Department’s inspector general found 90 percent of the vets eligible to see private doctors because of long VA delays weren’t getting the help they were due.   Read more . . .

Reported Unease Among Turkish Military Prompts Dismissal of Newspaper Editor
According to Turkish media reports, the headline angered President Recep Tayyip Erdogan and the Turkish government, leading to the removal of Sedat Ergin, Hurriyet’s veteran editor. Ergin, a journalist and political commentator, was appointed as the editor-in-chief of Hurriyet in August 2014.  Saturday’s news story, filed by Hurriyet’s Ankara bureau chief Hande Firat, was focusing on how the General Staff, the highest military body in the country, evaluated the criticism and speculation directed at the Turkish armed forces following last year’s failed coup attempt.  Read more . . .

Missing Chemical for Veterans with PTSD?
Dr. Lynn Dobrunz is a Neurobiologist and U.A.B. Associate Professor who has studied the human brain for years. Dr. Dobrunz explained, “Many people experience a traumatic or frightening experience and have a fear response at the time. That’s normal and appropriate.” In normal brain function, a release of the chemical Neuropeptide Y, or NPY, produced anxiety-relieving effects to trauma. Dr. Dobrunz said traumatic flashbacks replace reality for these people. Her new research now helps explain why. “I was not surprised to find that Neuropeptide Y was altered in this PTSD model,” said Dr. Dobrunz. “I was surprised to find that Neuropeptide Y seemed to be completely absent.”  Read more . . .

Shulkin Proposes Changes to Veterans Choice Program
Veterans Affairs Secretary David Shulkin on Sunday proposed eliminating a controversial policy that limits veterans from receiving private-sector health care. Speaking to hundreds of people at the Disabled American Veterans annual conference in Arlington, Va., Shulkin laid out his top 10 priorities for the Department of Veterans Affairs. It was his first public address since becoming VA secretary. High on Shulkin’s list was redesigning the Veterans Choice Program into what he called “Choice 2.0.”  Read more . .

stealth destroyer

Stealth Destroyer, not the USS Porter

 

 

Details Emerge on Russian Jets who “Buzzed” US Destroyer
Russian pilots buzzed the guided missile destroyer Porter repeatedly last month, but also had “relatively large number of interactions with” U.S. and NATO aircraft the same day, according to the Defense Department. The DoD shared new details regarding interceptions that took place Feb. 10, “some of which were deemed to be safe and standard and some of which were assessed as unsafe and unprofessional,” according to a statement from the Office of the Secretary of Defense provided to Military.com The USS Porter incident involved Su-24 Fencer attack aircraft and an Ilyushin Il-38, an anti-submarine warfare and maritime patrol aircraft, near the warship in the Black Sea on Feb. 10.   Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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SFTT News: Week of Feb 24, 2017

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Found below are a few news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Federal Hiring Freeze Confuses Military Parents
On Wednesday, the base commander informed parents that all part-day Child and Youth Services (CYS) programs at the garrison would end March 1 because they couldn’t replenish employees. That night, the Pentagon granted exemptions from the freeze, according to a Defense Department spokesman. But the exemptions come with disruptions. “This closure is a result of staff shortages due to the Federal Hiring Freeze,” said the Wiesbaden memo from Col. Todd J. Fish. “This hiring freeze prevents CYS from replacing staff who depart for any reason to include normal rotation.”  Read more . . .

Grow the Military the Smart Way
There are real demands for resources across the military, and many personnel and readiness challenges that need fundamental fixes — indeed, these challenges would be masked or even exacerbated by the infusion of more money, people, and platforms. The political debate is focused on quantity but more uniformed personnel is not a solution in and of itself, and lack of money isn’t the only obstacle to smart growth. Troop numbers make for easy talking points, but advocates for rebuilding the military must be able to explain why, what choices come first, and how to sustain it over time.  Update to personnel and readiness practice ought to come as part of this investment — otherwise, we could end up with a large force that isn’t formed to tackle America’s real threats, and undercut needed reforms.  Read more . . .

VA to Scrap Veteran Applications?
A whistleblower in the Atlanta office of the Department of Veterans Affairs warned President Trump on Tuesday that the VA is preparing to throw out hundreds of thousands of benefit applications due to an error the VA itself made during the Obama administration. Scott Davis, a well-known whistleblower who has testified before Congress, wrote an open letter to Trump saying that more than 500,000 of these applications might be scuttled in March unless he intervenes. “I am sending this whistleblower disclosure to your office due to the urgent need for executive intervention,” he wrote. “VA is planning on declaring over 500,000 Veteran applications for VA health care as incomplete and abandoned at the end of March 2017.”  Read more . . .

Dr. David Shulkin, VA Secretary

Dr. David Shulkin Pledges to Rid VA of Abuse
Dr. David Shulkin used his first public statement as the new Veterans Affairs Department secretary on Thursday to pledge management reforms that would remove the VA from a government agency’s “high risk list” for waste, fraud and abuse. “We will implement a plan that directly addresses these risks by building on the progress we have already made,” Shulkin said in response to a Government Accountability Office report naming the VA as a “high risk” agency in its treatment of veterans, handling of claims and efforts to lower wait times.  Read more . . .

Opioid Addiction a Problem for Many Veterans
Former Secretary of Veterans Affairs Robert McDonald said veterans are 10 times more likely to abuse opioids than the civilian population, which likely drives Fayetteville’s numbers up. Jacksonville, another military city in North Carolina, ranks 12th on Castlight’s list of worst locales for opioid abuse. While the military is taking steps now to attack addiction, many veterans question why the military took so long to address a problem the veterans say it created.  Read more . . .

Marijuana PTSD

Clinical Trial for Marijuana to Treat PTSD
The first participant in a clinical trial designed to evaluate the effectiveness of smoking marijuana to treat PTSD in veterans was given cannabis on Monday, according to the organization conducting the study.  The study is the first such trial to evaluate the safety and effectiveness of using marijuana to manage symptoms of post traumatic stress disorder in U.S. veterans, officials with the Multidisciplinary Association for Psychedelic Studies said in a release on Tuesday.  MAPS is a California-based non-profit research organization focused on “the careful uses” of marijuana, according to its website. The study is funded by a $2 million grant from the Colorado Department of Public Health and Environment.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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