The Aftermath of War and the US Healthcare Policy

Throughout history, war has been one of the few constants that has never changed, because of this many have tried to aid those affected by it. In America, the Department of Veterans Affairs(VA) was created in order to specifically help veterans as they return from their service overseas. However, a few decades ago, the VA seemed to have failed in their goal during arguably one of the most important wars in American history. The mission statement, originally spoken by President Abraham Lincoln was: “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s Veterans.” The mission statement brings up values of integrity and loyalty to America’s veterans, however

Over the last decade, the wars in Afghanistan and Iraq have drastically increased the need for effective mental health services and treatment for U.S. veterans and service members, especially those suffering from Posttraumatic Stress Disorder (PTSD). Nearly 1.5 million American service members have been deployed in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) since the attack on the Twin Towers in September 2001 (Price, Gros, Strachan, Ruggiero, & Acierno, 2013). Approximately 25% of soldiers and wounded warriors returning home from OEF/OIF present with mental illness due to combat-related violence and other trauma exposure (Steinberg & Eisner, 2015). According to Price and colleagues (2013), OEF/OIF soldiers and veterans are at greater risk for developing mental illness compared to others who served in past military operations.

Today, hundreds of thousands of service men and women and recent military veterans have seen combat. Many have been shot at, seen their buddies killed, or witnessed death up close. These are types of events that can lead to Post- Traumatic Stress Disorder ("Post Traumatic Stress Disorder PTSD: A Growing Epidemic. “) Anyone that has gone through a traumatic event can be diagnosed with PTSD but research shows, military men and women are more susceptible to having PTSD (PTSD: A Growing Epidemic.) And, with little help from the US, many Veterans do not get the help they need or get treated for PTSD. Military men and women begin to

rehend the PPACA, one must understand the history of the United States’ health care system. The most successful and known reform would be the passage of Medicare and Medicaid. President Johnson’s main objective with his program was to provide health insurance to those over 65 years old, who otherwise wouldn’t be able to receive coverage due to retirement or being financially unfit to purchase health insurance. It has since been expanded to cover those with disabilities, and lower income families (“Overview,” 2015). Brady (2015) examines President Clinton’s attempt to massively overhaul health care in the United States. His plan, the Health Security Act (HSA), required employers to offer health insurance to their employees, and mandated that every US citizen purchase health insurance. This plan would have most likely expand health insurance to many more Americans; however, many feared the large tax increases, restricted options for patients, and with the lack of general support for the bill, it failed in Congress and was never implemented (p. 628). President Clinton’s failed attempt at health care reform opened up the door to future reforms, and it even shared multiple similarities to the PPACA. Smith (2015) updates the history of the health care system in America stating that “In the mid-2000s, America’s uninsured population swelled to nearly 47 million, representing about 16 percent of the population” and how “16 million Americans […] were underinsured” (p. 2). People

Veterans make up seven percent of the American population, but they account for twenty percent of its suicides. Yes, that is indeed a real statistic, more importantly, what is the government, the people that ordered those men and women deliberately into harm’s way, doing about this tragedy. In light of recent conflicts the United States has been engaging in, such as the conflicts in the Middle East, a new silent killer of returning veterans, has become more visible to the public. Post-Traumatic Stress Disorder. Post-Traumatic Stress Disorder, also known as PTSD, has taken its toll recently on Veterans returning from the harsh

Current funding for veteran healthcare care is low and insufficient because of the large number of veterans, who are being discharged from the military as the country transitions to a democratic President. According to Dr. Rachel Nardin in her article about veteran healthcare, “Soldiers get excellent acute care when injured on active duty, but as revelations of poor conditions for soldiers receiving ongoing outpatient care at the Walter Reed Army Medical Center highlighted, service members often have trouble getting the care they need once active duty ends” (Nardin 1)

Rates of trauma and mental illness are reported to be disproportionately higher among American veterans, especially those of the recent wars in Iraq and Afghanistan. The barriers to care after civilian reentry further disadvantage this already vulnerable population. The wars in Iraq and Afghanistan have been the longest sustained US military operations since the Vietnam era, sending more than 2.2 million troops into battle and resulting in more than 6,600 deaths and 48,000 injuries. Veterans are at risk mental health challenges, as well as family instability, elevated rates of homelessness, and joblessness. Veterans have disproportionate rates of mental illness, particularly posttraumatic stress disorder (PTSD), substance abuse disorders, depression, anxiety, and military sexual trauma.

These words left the pen of judge Stephen Reinhardt two years ago from the 9th circuit court of appeals on a case of veterans against the Department of Veterans Affairs (VA); The dispute for a veterans right to healthcare is still raging. The United States is facing a larger population of veterans every year, who suffer from a number of debilitating ailments, and finding itself with less means to take care of them. The VA is allowing health assessments go unnoticed for years due to lack of funding. Without this necessary treatment veterans who suffer from mental disorders like depression, anxiety or Post Traumatic Stress Disorder (PTSD) will build up tension and develop a risk for breakdowns which can cause not only mental, but physical damage to themselves and their community. These valiant men and women deserve proper treatment by means of formal evaluation, cognitive therapy, and monitored medication. Our service members have been promised treatment and it is our obligation as a country is to ensure it is

Both articles identify the issue of providing mental health services for veterans with an extra emphasis on those that served in Afghanistan and Iraq (OEF/OIF veterans). It is no surprise that returning veterans suffer from both visible/invisible (physical and mental) wounds. Most veterans have this “high” expectation that they are going to receive quality care from both the DoD and VA. Unfortunately reality steps in where veterans are slapped in the face because they are receiving a lack of poor quality care all while jumping through Beuracractic hoops. The challenges faced to access these services include resistance, stigma, lack of professionalism, and geographic and/or regional disparities in the distribution of services resources and/or benefits, and the system simply refusing to change.

There are four evolutionary phases in healthcare. The first phase was the preindustrial era, which started in the middle 18th century to the beginning of the 19th century. At this time, American medicine was not developing as fast as other countries; in Britain, France, and Germany, medical science and research was much more advanced than America. The postindustrial era began in the late 19th century, physicians in America were becoming more successful than others in the world. The third phase was the corporate era, which was marked by the growth of managed care, organizational integration, the information revolution and globalization. Finally, the fourth phase is the one in which we are in today, it is still fairly new and is characterized by the health care reform, which was brought about by the Affordable Care Act.

The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system that provides essential financial and medical assistance to veterans and their families that are located all over the world. (www.va.gov) As the country and the military’s needs change, the VA needs to continue to evolve and grow. With this thought in mind, it is necessary to understand how the department is coping with the many different challenges that they are currently facing to effectively address the current issues and policy pitfalls. The most critical issues presently facing the VA, is the concern over long increasing wait-times and backlogs for services, which have emerged since 9/11 and are primarily the result of the growing

This link was made most evident in the veterans who returned home from service in the Gulf and Iraq Wars due to them suffering from a wide variety of behavioral and physical issues, including PTSD, injuries sustained from blast exposure, chronic joint pain, substance abuse, long term effects to substances used in biological warfare, injuries from working with chemicals and machinery during their time of service (Heady, Gale). These issues are made worse for veterans living in rural areas due to the lack of access to VA healthcare.

The U.S. military produces some of the bravest most heroic men and women on earth. From the moment the oath of enlistment is made to the time of separation or retirement, these courageous souls endure a number of amazing, historic and sometimes unbelievable events. They are praise for their service and lift even higher for their sacrifice, although most are unaware of the true sacrifices are made by some of these men and women. The most visible sacrifices or “outer sacrifices” are loss of life or loss of limbs while the inner wounds are bouts with depression, sexual assault, divorce, and most common alcohol other drug abuse.

Along with religion and taxes, do not bring up illegal immigration at a dinner party unless you want heated discussions and grand exits along with lingering strained relationships. A discussion on illegal immigration leads to strong responses and strong emotions no matter what political party affiliation. There are those that blame the Feds for not guarding the borders well enough. And then there are others that blame the Feds for not defending the rights of all citizens. There are those that blame state and local governments for spending on services for "Illegals" that

Lincoln made a promise stated, “To care for him who shall have borne the battle, and for his widow, and his orphan”. This quote is being neglected by us as Americans in trying to provide for our veterans. Do the research and you will see that veterans who have served for our country are living homeless. Also, thousands of veterans are forced to buy food stamps and they struggle to feed their families. Veterans in hospitals who suffer from PTSD attempt to commit suicide more than you would think. In this essay, I’m going to explain how our government can help provide better housing, food benefits, and ways we can help provide better mental health facilities.