Sunday, December 20, 2015

Vietnam veterans in Cambodia


Vietnam veterans make good life for themselves in Cambodia

PHNOM PENH, Cambodia — The scent of burning marijuana mixes with the pungent odors from food push carts and garbage piles.
Scantily clad women lure tourists to bars that offer ice-cold beer to stave off the steamy heat.
Cambodia has come a long way since the brutal Khmer Rouge massacred more than 1 million people in the infamous “killing fields” in the 1970s. Yet it also remains a nation rooted in the past, a land of friendly locals and immense cultural beauty with darkness and debauchery lurking beneath the surface.
Phnom Penh, its capital, is a place where the business of survival never sleeps — panhandlers carrying babies meander in a seemingly endless parade, motorized rickshaw drivers offer cheap rides at all hours, fast-talking children peddle homemade wares, and nearly every price is dirt cheap — and negotiable.
In many ways, it’s frozen in time, reminiscent of Saigon at the height of the Vietnam War.
For a handful of American Vietnam veterans who left a little piece of themselves behind during the ferocious jungle war and say they were vilified when they went back to the states, Phnom Penh has become home.
“The war was the worst thing that ever happened to me,” Andy Richards, 65, said as he sat in a bar booth, swirling wine in a glass. “I’ve had three open-heart surgeries.”
Richards, a bar manager with a handlebar mustache and sunbaked skin, generally attributes his heart problems to the war. He is warm, friendly and easygoing.
“I like Cambodia,” said Richards, who arrived in 2002. “I like the lack of rules. There’s more personal freedoms here than anywhere else. It’s inexpensive. The people are very nice.”
The Madison, Wis., native joined the Army in 1968 at 18 because he expected to be drafted. He spent a short time in the storied 82nd Airborne Division but disliked it because it was “too spit-shined.” He transferred to the 101st Airborne and headed for Vietnam’s jungles.
Richards went from a paratrooper to a bandana-wearing grunt, like something out of the 1986 film “Platoon.” He and his fellow soldiers spent time in the most northern part of South Vietnam, the region with the highest concentration of North Vietnamese Army forces. They operated near Khe Sanh, in the highlands, and made forays into the demilitarized zone.
Richards left the Army and Vietnam behind in April 1971 and earned a journalism degree from the University of Wisconsin. He worked at small local newspapers but battled the bottle and his anger for years.
“They considered us whiners,” Richards said of his return stateside. “We were a pariah.”
In 1999, at the prodding of a friend, he went back to Vietnam to “release the ghosts.”
“I was scared,” Richards said. “I was apprehensive. But after my first day in Saigon, I was talking with ex-NVA, telling war stories. I got that monkey off my back. It was the best thing for me.”
In southern Vietnam, Richards got the thanks he never received at home. They were kind to him; they shook his hand and thanked him for trying to help them. He then traveled to Thailand and Laos.
After briefly returning to the U.S., Richards went back to Southeast Asia for good in November 1999, living first in Thailand, then Vietnam and Cambodia, where he decided to put down roots. After years of searching, he had found a home.
John Muller, 66, from Seattle, told a similar tale. He joined the Army in 1969 and spent the next year in Vietnam.
“I wish I’d never gone,” he said. “It was a real waste of lives and a huge expense.”
After the war, he returned to the States and, like Richards, went to school, earning a political science degree. He, too, felt that he and his fellow veterans were treated like criminals, and, after several jobs, he decided to leave for good as well.
Muller had visited Southeast Asia several times beginning in 1976 and returned there to live 10 years later.
“I wanted to come back and do something good,” he said. “That’s my whole motive for why I’m out here.”
Muller, who runs a private security company, said his legacy has been working with the Cambodian government to regulate the industry, taking guns off the streets and providing jobs to ex-troops.
“It’s easy to work here,” Muller said. “There is a lot of opportunity. It’s easy for me to get around and do business.”
For legendary and eccentric photographer Al Rockoff — portrayed by John Malkovich in the Academy Award-winning film “The Killing Fields,” which he derides — his continued work in Cambodia is the next chapter in a love affair that began when he was an Army combat photographer in Vietnam.
Rockoff was known to go to extreme lengths to get his iconic images that today adorn the walls of the U.S. Embassy and the Foreign Correspondents’ Club in Phnom Penh. He said he once died on the table after a piece of shrapnel pierced his heart while taking pictures at the front as the Khmer Rouge advanced through the countryside. A Swedish surgeon saved him.
He splits his time between Florida and his adopted country, and can still be seen riding around Phnom Penh on the back of a moped, camera in hand, snapping pictures of the colorful people he encounters.
“This country has opportunity like Thailand did 20 to 30 years after World War II,” he said. “It has a good nightlife … The police deal with people all right. I’m getting back to where I left off in the Army. I want to show people what’s going on.”
Richards, Muller and Rockoff belong to a small club. While Thailand has many Air Force and Army veterans living there, and Vietnam has a growing number, Cambodia still has few.
Richards said Phnom Penh draws him partially because it is a big city with a small-city feel, and has become almost “cosmopolitan” in recent years. Rockoff likened its charm to Monaco.
Yet, despite all the growth and development, which was inevitable as Cambodia came out of the dark Khmer Rouge period in the early ‘90s, the men say their adopted country will never lose its luster.
“I will stay here,” Richards said. “I wouldn’t live anywhere else. This is the end of the road, dude.”

Wednesday, December 9, 2015

WHY IS VA HEPATITIS-C TREATMENT SLOWING DOWN?



Sudden drop-off in VA hepatitis C treatments alarms veterans community


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The Veteran Service Organization (VSO) community has been pleased and even relieved to see several new drugs come onto the market over the past two years that can now cure most veterans who were unknowingly infected with hepatitis C virus (HCV) during the course of their military service. Congress responded quickly and generously to the Department of Veterans Affairs’) (VA) requests for emergency supplemental appropriations to allow the department to offer these new life-saving and long-term cost-saving treatments to veterans infected with HCV. 
In fact, the Senate Appropriations Committee’s subcommittee on Military Construction and Veterans Affairs (MilConVA) provided $200 million above and beyond the VA’s initial request for FY2015 supplemental funding for veterans’ HCV treatments, and we remain highly optimistic that the final VA appropriation, whether as a stand-alone bill or as part of an omnibus, will now reflect an even greater level of investment in treating and curing veterans with HCV in light of the recent budget deal. 
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Throughout the course of 2015, the veteran community has been pleased to see VA patient data reflect an increasingly aggressive approach to treating HCV within the veteran population. In fact, as we neared the end of the fiscal year in September, the VA was treating up to 1,700 new veterans each week for HCV infection. 
However, as encouraged as we were by this trend, we are equally dismayed and alarmed now by the trend we saw reflected in VA treatment data immediately following the start of the new fiscal year. 
Despite the fact that Congress appropriates VA’s medical services account a full year in advance precisely to avoid a slowdown in VA services and treatment should there be any fiscal uncertainty with the rest of the government at the start of a new fiscal year, VA’s treatment of veterans with HCV dropped astoundingly to less than 400 for the first week of October, and has remained alarmingly low since then. 
Congress has provided and continues to provide every dollar that VA has asked for to offer veterans infected with HCV with the latest breakthrough medical treatments and to generously and fully fund all medical services provided by the VA. Furthermore, until the new MilConVA appropriations bill with supplemental HCV funding for FY16 is passed into law, VA knows that it can borrow from within its medical services account to continue its previously aggressive pattern of treatment of veterans with HCV infections. 
There is, therefore, no fiscal, logical, administrative, or other reason for VA medical providers to be halting or slowing treatment of veterans with HCV following the start of the new fiscal year. The VA should be continuing to treat as many veterans as it is able to with the money that it has currently available in line with established clinical guidelines. 
Good stewardship of the money that Congress appropriates to the VA is of paramount concern to the VSO community and to the veteran community writ large, and we intend to closely monitor this trend over the next few weeks and months in order to observe and publicize, if necessary, whether the Veterans Health Administration returns to acting good faith in aggressively treating cases of HCV. 
In the meantime, the VA should review its own prescription and treatment data for HCV patients and be proactive in ensuring that as many veterans as possible with HCV continue to receive the care and treatment that Congress intended for VA to expeditiously provide. 
Zumatto, a U.S. Army veteran, is the national legislative director of American Veterans (AmVets)

Wednesday, October 14, 2015

Billboards in Indianapolis: “VA is lying, veterans are dying”


Billboards in Indianapolis : “VA is lying, veterans are dying”

The billboards read: “VA is lying, veterans are dying” and are the product of Ron Nesler, a southern Indiana Vietnam veteran whose Facebook group “VA is lying” now has more than 19,000 followers.
The digital billboards, which were placed near the Indiana State Fairgrounds and at Interstate 465 and Michigan Road, were paid for through donations and can cost about $1,000 a month, according to Mike Stinfer, a former Marine associated with Nesler’s group.
“It came about as way to voice our concerns. (It’s) a movement – a peaceful movement to show that us veterans have kind of had enough of the rhetoric with Veterans Affairs,” Stinfer said in an interview Tuesday.
Stinfer, who lives in Warsaw, Ind., has his own issues with the VA. He says after his tour in Iraq in 2003 he had trouble obtaining his medical records and has since had issues obtaining the VA benefits he’s earned.
“Quite frankly, let’s just call it what it is – these are atrocities to veterans,” Stinfer said referring to issues surrounding the VA.
The group has financed similar billboards in Arizona, Minnesota, Illinois, Georgia and Florida. Indiana is just the latest state to earn them.
“We feel that Indiana is a place that needs to get better. Not just operational wise for the VA but care-wise,” Stinfer said.
The VA has been riddled with criticisms in recent years from allegations of mismanaged care, to long wait times, to poor record keeping.
VA Secretary Robert McDonald toured Indianapolis’ Roudebush VA Medical Center in July touting its improvements. Just a year ago, Roudebush VA Medical Center was among a handful of VA facilities under investigation for its care and long wait times. An I-Team 8 review of the recent data shows while most veterans are being seen within 30 days of scheduling their appointments, there are 140 vets who haven’t been seen in more than three months, according to data from the Veterans Health Administration.
Nationwide, 40,000 veterans have waited more than three months to seen. That’s up from 25,000 this time last year.
After repeated attempts seeking a comment about these billboards, Pete Scovill, a spokesman for the VA’s Roudebush facility, released a statement that read:
“The Richard L. Roudebush VA Medical Center works tirelessly to provide the very best, most appropriate healthcare for our Veterans.  While we respect the freedom of speech rights of those who may not agree with laws and regulations which govern our health care system, we do regret the negative atmosphere they have created.”
Each year the Richard L. Roudebush VA Medical Center provides service to over 62,000 Veterans.  The vast majority of the Veterans we serve  are proud to receive their health care in our Medical Center.
VA employees are servants of our nation’s heroes.  We are not perfect but we truly respect an honor our Veterans. We appreciate the help , WISH-TV and their colleagues in the Indianapolis media provide to communicate with Veterans and ensure they know we are here to provide service they have earned and deserve.”

Tuesday, October 6, 2015

U.S. Military Resort in Germany Tightens Eligibility Rules


Edelweiss Lodge and Resort in Garmisch, Germany


Troops, retirees and their families living outside Europe no longer can directly book stays at the Edelweiss Lodge and Resort in Garmisch, Germany, following a recent review of the eligibility regulations.
Under the rule change, the only way for individuals living outside Europe to stay at the Armed Forces Recreation Center resort is as a guest of an eligible person, or if they have been living in Europe — on temporary duty, for example — for at least 30 days.
During an internal review, officials determined that rules related to the Status of Forces Agreement between the U.S. and Germany were not being followed, said Bill Bradner, spokesman for the Army Installation Management Command, which operates the AFRC facilities that are open to members of all services.
“It is an unfortunate development, and we’re so sorry this may limit lodging options for service members and retirees visiting Europe, but we must comply with the SOFA agreement,” Clesson Allman, general manager of the Edelweiss Lodge and Resort, said in a statement.
Those who made reservations before June 10 may still stay at the resort, one of four AFRC facilities worldwide but the only one in Europe.
For active-duty members stationed in Europe, there aren't any new restrictions or requirements for reserving rooms.
According to the regulation that defines eligibility for the Edelweiss, military retirees living in Germany are authorized to use the resort once they have the proper tax authorizations from the German government.
Active-duty members and retirees who don’t live in Europe must spend at least 30 days in Europe and have verification of eligibility from German customs officials before they can make reservations.
Active-duty and retired troops also can stay at the Edelweiss as guests of someone who has lived in Europe for at least 30 days. In that scenario, eligible patrons of the resort are allowed to sponsor up to three rooms, and must be present during their guests’ stay.

Thursday, October 1, 2015

VA Slammed for banning cell phones



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The Department of Veterans Affairs (VA) apologized on Wednesday for temporarily implementing what it called an “ill-advised” policy at some medical centers that banned veterans from bringing cellphones to appointments, according to a statement provided by the VA to the Washington Free Beacon.
Photographs emerged earlier this week showing official signs at VA medical facilities stating that a veteran would have his or her appointment cancelled if they bring with them a cellphone.
The photos, first published on the blog Disabled Veterans, depict of a list of “prohibited items.” Included within that list, along with guns, knives, and backpacks, is a photo of an iPhone.
“If brought to your appointment [these items] will result in the cancelation of your exam(s),” reads the flyer, which bears the VA’s official logo and slogan, “Defining Excellence in the 21st Century.”
These flyers were included in appointment packages to veterans, according to a VA official who spoke to the Free Beacon and disclosed that the flyers would be “immediately discontinued.”
“The flyer included in Veterans’ Compensation and Pension (C&P) appointment letters at the VA Eastern Colorado Health Care System’s (ECHCS) Golden community based outpatient clinic were ill-advised,” The VA official said in a statement.
Exams will not be cancelled if a phone is brought to a C&P appointment, the official made clear.
“All C&P program managers across the system have been informed that the distribution of these, or similar, flyers should be immediately discontinued,” the official said. “The Department of Veterans Affairs (VA) goal is to provide veterans with the care and the opportunities for health that they have earned through their service and sacrifices.”
The flyers had originally caught some vets off guard and prompted Disabled Veterans’ Benjamin Krause to criticize the VA.
“The decision is a violation of due process and numerous laws protecting the rights of disabled Americans,” Krause wrote.
“The key here seems to be that VA forgets that veterans are also Americans who are protected by the Constitution and who also possess unalienable rights,” he adds. “Did we sign our rights away forever by fighting our country’s battles?”
Moreover, Krause wrote, “the leaflet does not explain what to do if the veteran is prescribed use of an iPhone or backpack as an accommodative device that helps the disabled veteran with a disability.”


Wednesday, September 16, 2015

Ben Carson to shut VA

As a doctor, I saw veterans' bravery from the bedside, and now I can end the inefficiency and scandal.

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A few days before Labor Day, as Americans prepared for the end of summer, we learned that some 300,000 U.S. veterans might have died while waiting for health care at the U.S. Department of Veterans Affairs. Yet due to “generally unreliable” VA data and ineffective systems, even this critical statistic could not be confirmed.
These disturbing findings, revealed in a report by the agency’s inspector general, confirm the urgency for VA reform. When it comes to veterans care, Americans are rightfully outraged, and can no longer be content with business as usual: We must seek — and our veterans deserve — real improvements that are bold and long-lasting.
During my career as a neurosurgeon, I worked at VA hospitals as a medical student at the University of Michigan in Ann Arbor and again in Baltimore. Both my internship and residency at Johns Hopkins involved actual patient care as well as supervising resident physicians attending at VA hospital facilities. I sat at the bedside of many veterans and witnessed their selflessness, their sacrifice and their need for extraordinary care. Their anguish was my anguish.
Today, while many committed leaders and servants toil at the VA, its performance is marred by incompetence and corruption bred by structural impediments and bureaucratic indifference. The astonishing findings of public and private audits have turned out to be much worse than anyone suspected. In May of last year, Americans discovered that VA employees across the country had falsified and manipulated patient appointment records — leaving veterans seeking treatment in long or futile waiting lines while the employees themselves were receiving fat bonuses. After the scandal, a new VA secretary, Robert McDonald, pledged to clean house, but as of February this year, nearly a year after the scandal came to light, only eight employees out of more than 340,000 on the VA’s payroll had been fired for their role in manipulating wait times. Even Mr. McDonald, one of the finest corporate executives and management figures in America, could not break the logjam of dysfunction at the bureaucratic behemoth.
Meanwhile, decades of effort and billions of taxpayer dollars have been thrown at “fixing” the VA, and the results have been abysmal. The backlog of veterans waiting for treatment or disability classification is stupendous, and drives them to frustration and even desperation. The lack of integrated records management continues to defy themillions of IT dollars that have poured into the agency. Continuity of care from theDepartment of Defense to the VA is often non-existent, and malpractice within the VA system is underreported and often unaccountable. Even the simplest tasks of refilling prescriptions and getting preventive medical checks are inordinately difficult. Instead of making the military-to-civilian transition more seamless, the VA has made it more arduous.
Additionally, the VA’s health system has not adapted to meet the changing needs of our veteran population. While tremendous advancements in battlefield medicine and treatment have occurred during the nation's decade plus at war, the VA hews to an antiquated health system that does not take into account changing veteran demographics, increased severity of non-lethal injuries, a more transient veteran population, enhanced civilian medical technologies or increased need for connectivity in the information age.