Author Topic: Comprehensive Assistance for Veterans Exposed to Traumatic S  (Read 639 times)

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Offline Anonymous

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Comprehensive Assistance for Veterans Exposed to Traumatic S
« on: August 20, 2005, 12:45:00 PM »
http://thomas.loc.gov/cgi-bin/query/z?c109:H.R.1588.IH:


As a long term goal, I envision something like this for Program survivors.
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »

Offline Anonymous

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Comprehensive Assistance for Veterans Exposed to Traumatic S
« Reply #1 on: August 27, 2005, 09:58:00 AM »
Does anyone, anyone at all, know a vet who was suffering real bad PTSD or whatever mental health problem who got better? How did they get better?
« Last Edit: December 31, 1969, 07:00:00 PM by Guest »

Offline str8tohell

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Comprehensive Assistance for Veterans Exposed to Traumatic S
« Reply #2 on: August 28, 2005, 12:48:00 AM »
Some get better, others are fine for 10-30 yrs and then.... Jonathan Shay wrote a great book called Achillies in Vietnam, it talks a lot about his work with vets in the PTSD clinic at the VA in Boston. There is also a therapy called EMDR which has had great sucess for some folks who have had combat stress, torture etc. There are actually teams of people who are trained in this work who run off to help every time there is a massive disaster around the world. Evidence has shown that if people get help immediately after the fact that there chances of developing severe PTSD is reduced significantly.
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Offline Anonymous

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Comprehensive Assistance for Veterans Exposed to Traumatic S
« Reply #3 on: September 20, 2005, 12:15:00 AM »
FOR IMMEDIATE RELEASE
Washington Contact: Robert Gibbs or Tommy Vietor, (202) 228-5511
Illinois Contact: Julian Green, (312) 886-3506
Date: August 10, 2005

Obama Criticizes VA Decision to Review 72,000 Post Traumatic Stress Disorder Cases
VA Review Only Includes Vets Awarded Full Benefits, not Those Denied

WASHINGTON - In a letter to Veterans' Affairs Secretary Jim Nicholson, U.S. Senator Barack Obama (D-IL) today criticized the VA's decision to review more than 70,000 cases where veterans were awarded full benefits for Post Traumatic Stress Disorder (PTSD) cases, while not reviewing any cases where veterans may have been denied benefits they earned.

"In order to truly create fairness in the claims system, the VA should concentrate its efforts on reviewing denials of PTSD claims," said Obama. "Without assessing why some PTSD claims are denied, it will be impossible to fully understand how the VA's PTSD rating system can be improved."

According to recent news reports, the VA will review 72,000 cases in which the maximum amount of PTSD disability benefits was awarded because of the VA's belief that 2.5% of these cases are "potentially fraudulent." Obama said this review is long and stressful, and that veterans should not be forced to unnecessarily prove their cases again.

"The process of gathering evidence to prove PTSD disability is extremely time-consuming," said Obama. "It requires the compilation of medical records, military service records, and testimony from other veterans who can attest to a person's combat exposure. I cannot fathom why VA would require veterans to go through this emotionally painful process for a second time."

Previously, the VA considered adopting a policy that required any new case where a veteran is awarded service connected PTSD benefits to be reviewed by two raters. Senator Obama raised his objections with this policy in a letter dated June 21, 2005. The policy was later discarded. Obama said the VA should create uniform standards for evaluating PTSD claims.

"The VA - and our nation's veterans - would be better served by creating nationwide standards for evaluating PTSD claims," said Obama. "As the Inspector General's report underscored, PTSD is a highly subjective evaluation subject to significant variation. The variation in PTSD ratings across the country may well be the result of a lack of training or standardized practices on the part of the VA, instead of fraud on the part of our nation's veterans."

In December, Senator Obama learned that Illinois veterans have received disproportionately less disability pay, on average, than veterans in 49 of the 52 states and territories for the past two decades. Obama asked the VA to issue a report detailing how this disparity occurred, which found that "variance in 100 percent PTSD cases is a primary factor contributing to the variance in average annual compensation by state...For example, New Mexico has the highest payment average of $12,004, and 12.6 percent of its veterans are in this group. Illinois has the lowest average payment of $6,961 and only 2.8 percent of its compensation recipients are rated 100 percent for PTSD."

The Senate VA committee recently passed the Veterans' Benefits Improvement Act of 2005, which included an amendment offered by Senator Obama to require the VA to standardize the assessment of PTSD claims.


August 10, 2005

The Honorable R. James Nicholson
Secretary of Veterans Affairs
810 Vermont Avenue, NW
Washington, D.C. 20420

Dear Secretary Nicholson:

I am writing to express my serious concerns about recent news reports that the Department of Veterans Affairs (VA) is reviewing 72,000 post-traumatic stress disorder (PTSD) cases between 1999 and 2004 in which veterans received the maximum amount of disability benefits. This appears to be yet another attempt by the Bush Administration to put roadblocks in front of veterans who are trying to obtain the benefits they earned and deserve.

I first raised this issue with you in a letter dated June 21, 2005. In that letter, I strongly objected to a VA proposal to require a concurring second signature for PTSD cases in which benefits were granted. I was concerned that the VA had no similar plans to examine whether veterans were being unfairly denied PTSD claims and was only interested in determining whether some veterans were getting too much money. While I recognize the budgetary crisis that the VA is facing, it is wrong for the VA to ignore the possibility that many veterans have been unjustly denied their earned benefits.

In your response to my letter dated July 6, 2005, you indicated that VA would not pursue the proposed second signature policy. I was pleased with the change in policy, but I am disturbed that the VA has now chosen to ignore my initial concerns.

According to an August 9, 2005, article in Salon, the VA will review 72,000 cases in which the maximum amount of PTSD disability benefits was awarded because of VA's belief that 2.5% of these cases are "potentially fraudulent." It is inherently unfair to review only cases in which PTSD benefits were granted while ignoring cases in which benefits were denied.

Equally troubling is the message that such a mandatory review of PTSD claims sends to the brave men and women who defended this country. Too many veterans see the VA as a bureaucracy with the singular goal of denying services and benefits to veterans. This recent decision to reopen granted PTSD claims merely serves to promote that impression. It is unconscionable for our government to put the onus on law-abiding veterans to affirmatively demonstrate that they are not engaging in fraud. The process of gathering evidence to prove PTSD disability is extremely time-consuming. It requires the compilation of medical records, military service records, and testimony from other veterans who can attest to a person's combat exposure. I cannot fathom why VA would require veterans to go through this emotionally painful process for a second time.

The VA - and our nation's veterans - would be better served by creating nationwide standards for evaluating PTSD claims. As the Inspector General's report underscored, PTSD is a highly subjective evaluation subject to significant variation. The variation in PTSD ratings across the country may well be the result of a lack of training or standardized practices on the part of the VA, instead of fraud on the part of our nation's veterans.

In order to truly create fairness in the claims system, the VA should concentrate its efforts on reviewing denials of PTSD claims. Without assessing why some PTSD claims are denied, it will be impossible to fully understand how the VA's PTSD rating system can be improved. In any event, any analysis of PTSD claims should not require veterans to readjudicate their claims. The veterans' disability benefits process is already long and arduous. Forcing our nation's veterans to renavigate the system is not only impractical, but it is unfair.

I call on you once again to disavow VA's proposal to reopen claims of veterans who have received PTSD disability benefits.

Sincerely,

Barack Obama
United States Senator
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