A cost of war: Soaring disability benefits for veterans, while the cost of civilian veterans disabilities is kept in the dark

CNN Money A cost of war: Soaring disability benefits for veterans

Daniel Brink of South Africa was severally wounded and disabled working in Iraq. His medical care and indemnity are the also the responsibility of the US Taxpayer under the Defense Base Act only no one has the integrity to be honest about it.

After more than a decade of continuous warfare, the cost of disability compensation for wounded veterans is surging to mammoth proportions.

The U.S. Department of Veterans Affairs expects to spend $57 billion on disability benefits next year. That’s up 25% from $46 billion this year, and nearly quadruple the $15 billion spent in 2000, before the wars in Iraq and Afghanistan began.

“This is the cost of going to war,” said Larry Korb, a senior fellow at the Center for American Progress who served as assistant secretary of defense during the Ronald Reagan administration. “We’ve made so much progress in medicine [that] you’re going to have a lot of people survive their injuries who didn’t in the past.”

About 4,500 U.S. troops were killed in Iraq and about 1,800 have been killed in Afghanistan. Some 633,000 veterans — one out of every four of the 2.3 million who served in Iraq and Afghanistan — have a service-connected disability, according to the Bureau of Labor Statistics.

Please read the entire article here

War is Brain-Damaging

The Defense Base Act Insurance Companies and the Department of Labor are as negligent as the Department of Defense when it comes denying the dangers of Post Traumatic Stress Disorder and Traumatic Brain Injury, and most negligently when a contractor suffers from both.

“a potentially lethal combination of post-traumatic stress disorder and traumatic brain injury. When the frontal lobe — which controls emotions — is damaged, it simply can’t put on the brakes if a PTSD flashback unleashes powerful feelings. Seeing his buddy’s leg blown off may have unleashed a PTSD episode his damaged brain couldn’t stop”

The New York Times Sunday Review

These vets suffer from a particular kind of brain damage that results from repeated exposure to the concussive force of improvised explosive devices — I.E.D.’s — a regular event for troops traveling the roads in Iraq and Afghanistan.

“It’s Russian roulette,” one vet told me, “We had one guy in our company who got hit nine times before the 10th one waxed him.” An I.E.D. explosion can mean death or at least a lost arm or leg, but you don’t have to take a direct hit to feel its effects. A veteran who’d been in 26 blasts explained, “It feels like you’re whacked in the head with a shovel. When you come to, you don’t know whether you’re dead or alive.”

The news that Robert Bales, an Army staff sergeant accused of having killed 16 Afghan civilians last week, had suffered a traumatic brain injury unleashed a flurry of e-mails among those of us who have been trying to beat the drums about this widespread — and often undiagnosed — war injury. New facts about Staff Sgt. Bales are coming out daily. After we heard about the brain injury that resulted when his vehicle rolled over in an I.E.D. blast, we were told that he had lost part of his foot in a separate incident. Then we learned that the day before his rampage, he’d been standing by a buddy when that man’s leg was blown off. There are also reports of alcohol use.

People with more appropriate professional skills than mine will have to parse these facts, but from what I have learned in my work as a storyteller, this tragedy may be related to something I heard about in my interviews: a potentially lethal combination of post-traumatic stress disorder and traumatic brain injury. When the frontal lobe — which controls emotions — is damaged, it simply can’t put on the brakes if a PTSD flashback unleashes powerful feelings. Seeing his buddy’s leg blown off may have unleashed a PTSD episode his damaged brain couldn’t stop. If alcohol was indeed part of the picture, it could have further undermined his compromised frontal lobe function

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Medical bills can wreck credit, even when paid off

When CNA does not pay Walter Reed and it goes on your credit rating as a “Serious Delinquency to the Treasury Department”

When AIG does not pay Landstuhl and the government attaches your Social Security, your only source of income because they are denying your claim

When CNA, AIG, ACE “approve” your doctors and medical but do not pay the bills

When CNA does not pay laboratory fees that show up on your credit rating years later

When CNA approves your wheelchair but it is repossessed due to non payment

When a US DOL ALJ signs a useless order requiring CNA or AIG to pay your past medical bills and they boldly defy the order

Your credit has been irreparably damaged and it is you that must bear the extreme cost of their abuse, never the insurance company or those that help them get away with this

By Carla K Johnson AP  March 4, 2012

CHICAGO (AP) — Mike and Laura Park thought their credit record was spotless. The Texas couple wanted to take advantage of low interest rates, so they put their house on the market and talked to a lender about a mortgage on a bigger home in the Dallas-Fort Worth suburbs.

Their credit report contained a shocker: A $200 medical bill had been sent to a collection agency. Although since paid, it still lowered their credit scores by about 100 points, and it means they’ll have to pay a discount point to get the best interest rate. Cost to them: $2,500.

A growing number of Americans could encounter similar landmines when they refinance or take out a loan. The Commonwealth Fund, a private foundation that sponsors health care research, estimates that 22 million Americans were contacted by collection agencies for unpaid medical bills in 2005. That increased to 30 million Americans in 2010.

Surprisingly, even after the bills have been paid off, the record of the collection action can stay on a credit report for up to seven years, dragging down credit scores and driving up the cost of financing a home. An estimated 3.4 million Americans have paid-off medical debt lingering on their credit reports, according to the Access Project, a research group funded by health care foundations and advocates of tougher laws on medical debt collectors.

Among them are Nathen and Melissa Cobb of Riverton, Ill., who tried to refinance their home last year. They didn’t qualify for the loan because of $740 in medical bills that had been sent to a collection agency. The Cobbs were surprised because the bills — nearly a dozen small copayments ranging from $6 to $280 — had been paid before they tried to refinance. The collection action took their credit score from good to mediocre and is likely to mar their credit report for years.

“I’m not one of those people trying to ditch out on my bills,” 34-year-old Melissa Cobb said. “I’m really frustrated.”

Medical bills make up the majority of collection actions on credit reports, and most are for less than $250, according to Federal Reserve Board research.

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A Military Cutback We Can’t Afford: Fighting Tropical Diseases

Leishmaniasis at The Iraq Infections

“In the coming years leishmaniasis may become the most important condition you have never heard of among veterans”

Barbara Herwaldt, CDC, on Leishmaniasis

Contractors will be even less likely to be diagnosed and/or treated timely or effectively despite the possibility you can transmit this to your family

Peter Hotez & James Kazura at The Atlantic

In recent months, many politicians and presidential hopefuls have called for budget reductions, and many have specifically targeted military spending for cutbacks. Unfortunately, even programs proven to be cost effective are vulnerable to cuts. Medical research for our troops is no exception to this rule — programs such as the Walter Reed Army Institute of Research (WRAIR) often find themselves low on the priority list despite their crucial role in saving the lives of our troops on the battlefield and here at home.

One important area of research is tropical medicine. During World War II and the Vietnam War, more than one million service members acquired tropical infections such as malaria, dengue fever, hookworm, and typhus, and many of these diseases continued to plague our veterans after they returned home. Today, American troops in Iraq and Afghanistan still face formidable tropical disease threats, especially from a disease transmitted by the bite of sand flies known as leishmaniasis, which can cause a disfiguring ulcer in one form, and a serious systemic condition that clinically resembles leukemia in another. In the coming years leishmaniasis may become the most important condition you have never heard of among veterans.

WRAIR’s leishmaniasis diagnostic laboratory is the only one of its kind in the world, so each time funding is slashed our military loses considerable expertise and capabilities in the diagnosis, treatment, and prevention of this devastating disease. For example, in the years prior to the Gulf War, the WRAIR leishmaniasis program was officially decommissioned and all research was halted. Only after cases of leishmaniasis among U.S. forces exposed to sand-fly bites in the Iraqi desert were the remaining leishmaniasis experts at WRAIR quickly assembled and tasked with making up for lost time. In 2002, the WRAIR leishmaniasis program was again dissolved only to be urgently activated once more with the start of Operation Iraqi Freedom in 2003. The interruptions to the WRAIR leishmaniasis program are part of much larger budget cuts across all of WRAIR’s tropical infectious disease research programs. There is no end to the irony of such cutbacks given that they coincide with the activation in 2008 of the U.S. Africa Command (AFRICOM), charged with fighting the war on terror across the African continent. Today, sub-Saharan Africa has the largest number of cases of tropical diseases anywhere in the world. Many of these tropical infections, such as river blindness and African sleeping sickness, have been shown to destabilize communities and may actually promote conflict in the region.

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Department of Labor Refusal to find CNA in 18(a) default of order

As referenced in the previous post Department of Labor District Offices Dead in the Water Scott Bloch filed a request to find CNA in 18(a) Default of an Order on behalf of Merlin Clark on September 16, 2011.

Merlin Clark has been denied medical by CNA since 2005 after being blown up in 2003.  An order signed by an ALJ and issued by the Jacksonville District Director in October of 2010 has not been complied with.

After giving CNA nearly a year to comply this request was filed just prior to the one year deadline for doing so.  It’s not that they did not have the opportunity for nearly year to comply, if not five prior years to live up to their contractual obligations to the taxpayer.

Yet this 18 (a) Request for a Default has been denied due process.  Three additional months of non compliance on top of nearly a year.  No attempts by CNA to bs their way out until this issue was posted here on the blog.  They know there is no consequence to them when they do not comply with orders.

Instead of issuing a supplemental order  and allowing Mr. Clark to exercise his rights outside of this broken Administrative Law System the District Director has taken it upon himself to attempt to mediate this already decided claim yet again.

Where does this Not Very Merry Go Round stop, if ever?

Why does the Department of Labor repeatedly side with the insurance company with no regard to the health and well being of injured war zone contractors and their families?

Who is benefiting from this?

Department of Labor District Offices Dead in the Water

Defense Base Act Insurance Companies: Prescription Drug Abuse

Guest Post by Marcie  Hascall Clark November 29, 2011

Under the Defense Base Act the Employer/Carrier are responsible for the Injured Contractors medical to include all necessary prescriptions and supplies required by their Doctors.

Evidently the Department of Labor deems it proper to first abuse the injured and/or their caretaker when it comes to approving and if ever, providing these necessary prescription drugs and other medical items.  Nothing has been done in an entire decade to assure the injured receive necessary medications and medical supplies.

Since our first experience with this in 2003 with CNA, which continues to this day only they don’t even bother approving prescriptions or anything else, not one entity has done as much as acknowledge the dangerous life threatening practice of running the injured in circles trying to get prescriptions filled.

You may receive a prescription card from a Third Party Administrator that you are required to use when trying to fill your prescription.  Only when you arrive at the pharmacy you are told that your prescription is not approved.  You must then contact the TPA, who claims that is not true and that your prescription has been approved.  Back to the pharmacy who apologizes but does not have approval for your prescription.

Back to the TPA who SAYS they must then contact CNA but it seems the claims adjuster has just gone back to hell for a few weeks and no one else can approve your prescription.  In another scenario they give you Debra Donato’s number to call who is filling in for the Claims Adjuster that is back in hell for a month this time.

Debra Donato’s number is a recording asking you to call another number.  The other number asks you to call the number you first called.

When the injured is unable to have the prescription filled using the “required” card,  under the DBA everything must be approved by the insurer, they are left to fend for themselves.  Most injured cannot afford to purchase these expensive drugs on their own and if they pay for them themselves the chances of being reimbursed are slim.  We’ve turned in receipts starting in 2003 and have never been reimbursed.

This abuse is being played out everyday causing overworked, overtired caregivers to have to run laps to pharmacies for no reason other than harassment.  Often the injured cannot be left unattended making a trip to the pharmacy, or anywhere else, an ordeal.

Often the injured goes without the medically necessary medications for months on end causing further physical and psychological damage.

All because of the Defense Base Act Insurance Companies abusive treatment of injured contractors.

An Award by an Administrative Law Judge and the Department of Labor will do nothing to assure that the Insurer provide these with or without the abuse.

War Widow Blames VA Neglect for her Husband’s Suicide

Sadly this reads like so many  Defense Base Act  PTSD Suicides, Neglect and unreasonable demands….

GREENEVILLE, Tenn. Courthouse News   October 18, 2011

Neglect and unreasonable demands from the Veterans Administration caused another Iraq war veteran to kill himself,

his widow claims in Federal Court. She says that despite a doctor’s “clear diagnosis” of post-traumatic stress disorder, from roadside bombs, including one that killed 93 people, the VA refused to admit he suffered from PTSD, with excuses such as “the diagnosis ‘does not specify which Diagnostic and Statistical Manual was used’”; and that he “‘failed to provide dates of the incidents or names of any casualties.’”
Tracy Eiswert says her husband Scott suffered substandard care from the VA hospital in Mountain Home, Tenn., before he killed himself in 2008. He was 31. She survives, with their two young children.
It’s the latest in a string of lawsuits from families of veterans nationwide, who say the VA was less than helpful after veterans returned from wars in Iraq and Afghanistan.
The VA in July 2010 relaxed requirements for veterans seeking service-connected PTSD benefits, but the agency still faces criticism for its mental health services.
The 9th Circuit ruled this year in a California class action that the “VA’s failure to provide adequate procedures for veterans facing prejudicial delays in the delivery of mental health care violates the Due Process Clause of the Fifth Amendment,” according to Tracy Eiswert’s complaint.
Scott Eiswert joined the National Guard in 2001 and served in Iraq in 2004 and 2005.

Tracy Eiswert says her husband first sought help for his symptoms after he was honorably discharged in November 2005.
She says Scott saw a professional counselor at a private mental health facility in Greeneville for almost 4 months. Scott’s symptoms included depression, acute insomnia, extreme stress and irritability, according to medical records described in the complaint.
His counselor recommended individual psychotherapy and reported to Scott’s physician that he “certainly appears to meet the criteria for PTSD,” the complaint states.
According to the medical records, in May 2006, Scott’s counselor wrote a letter to the Department of Veterans Affairs, stating: “After meeting with Mr. Eiswert for several appointments, we have established a diagnosis of PTSD, per the Diagnostic & Statistical Manual Criteria.”
The widow says her husband applied to the VA for service-connected PTSD benefits based on the counselor’s diagnosis.
The complaint states:
“In the application Scott describes a number of incidents in Iraq as follows:
“Various Route Clearances – Roadside Bombs, Raids
“Convoy Escorts, all the Outside Wire Dangers and Stresses.
“Close Calls on Roadside Bombs
“Car Bombs and the Destruction they Cause, Including Civilian Fatalities (Body Parts)
“‘I was on a Raid with Fellow Soldiers when they got Blown-Up by a Massive Roadside Bomb. (93 Dead, 1 Crippled)” [Punctuation as in complaint.]
But the VA denied his claims three times before he killed himself, his widow says.
In its September 2006 denial, the VA stated that Scott’s counselor “does not specify which Diagnostic and Statistical Manual was used.’ The denial analysis also states that even though Scott provided ‘sufficient details concerning a stressor …’ it ‘failed to provide dates of the incidents or names of any casualties.’” (Ellipsis in complaint).
Tracy Eiswert says the VA doctor who assessed Scott did not have access to the records of Scott’s private counselor and “relied entirely on Scott’s narrative to make his assessment.” She says the VA doctor “concluded that ‘veteran has current diagnosis of depression, NOS. He does describe symptoms of Post Traumatic Stress Syndrome, however not enough to meet criteria.’”
(NOS apparently indicates “not otherwise specified.”)
The VA denied Scott’s claim a second time in November 2006, after receiving additional medical records from the Tennessee National Guard.
Tracy Eiswert says VA doctors gave Scott medications for depression and insomnia, but he did not tolerate them well.
By early 2007, Scott reported increased marital and family problems, increased irritability, nightmares, night sweats and difficulty sleeping, according to medical records in the complaint

Please read the entire story at Courthouse News

Defense Department Inspector General says KBR and the military failed to respond quickly to health risks posed to Oregon soldiers

The Oregonian   September 28, 2011

The Defense Department and contractor Kellogg, Brown & Root failed to act as quickly as they should have to protect those exposed to a carcinogenic chemical at an Iraqi water treatment plant in 2003, according to a report Wednesday by the Defense Department’s Inspector General.

The report was hailed as a victory for Oregon soldiers by Sen. Ron Wyden, D-Ore., who was one of a group of senators who sought the IG’s evaluation, and by Oregon National Guard troops who are among those suing KBR. They accuse the contractor of knowingly exposing them to sodium dichromate, an anticorrosive compound that can cause skin and breathing problems and cancer.

Because KBR “did not fully comply with occupational safety and health standards required” under its contract with the Army, the Inspector General found, “a greater number of Service members and DoD civilian employees were exposed to sodium dichromate, and for longer periods, increasing the potential for chronic health effects.”

The report found that “nearly 1,000 Army soldiers and civilian employees were exposed to the compound in the five months it took from the initial site visit until the military command required personal protective equipment.

Please read more here

Injured War Contractors Sue Over Health Care, Disability Payments

T Christian Miller ProPublica September 27, 2011

Private contractors injured while working for the U.S. government in Iraq and Afghanistan filed a class action lawsuit [1] in federal court on Monday, claiming that corporations and insurance companies had unfairly denied them medical treatment and disability payments.

The suit, filed in district court in Washington, D.C., claims that private contracting firms and their insurers routinely lied, cheated and threatened injured workers, while ignoring a federal law requiring compensation for such employees. Attorneys for the workers are seeking $2 billion in damages.

The suit is largely based on the Defense Base Act, an obscure law that creates a workers compensation system for federal contract employees working overseas. Financed by taxpayers, the system was rarely used until the wars in Iraq and Afghanistan, the most privatized conflicts in American history.

Hundreds of thousands of civilians working for federal contractors have been deployed to war zones to deliver mail, cook meals and act as security guards for U.S. soldiers and diplomats. As of June 2011, more than 53,000 civilians have filed claims for injuries in the war zones. Almost 2,500 contract employees have been killed, according to figures [2]kept by the Department of Labor, which oversees the system.

An investigation by ProPublica, the Los Angeles Times and ABC’s 20/20 [3] into the Defense Base Act system found major flaws, including private contractors left without medical care and lax federal oversight. Some Afghan, Iraqi and other foreign workers for U.S. companies were provided with no care at all.

The lawsuit, believed to be the first of its kind, charges that major insurance corporations such as AIG and large federal contractors such as Houston-based KBR deliberately flouted the law, thereby defrauding taxpayers and boosting their profits. In interviews and at Congressional hearings, AIG and KBR have denied such allegations and said they fully complied with the law. They blamed problems in the delivery of care and benefits on the chaos of the war zones